When assessing an 18-month-old toddler, the nurse would expect the child to be able to:
a. Jump with both feet
b. Walk upstairs with one hand held
c. Use a vocabulary of 300 words
d. Demonstrate daytime bowel and bladder control
B
An 18-month-old can walk upstairs if the hand is held. The child is just beginning to have physiologic control of the sphincters, but does not achieve daytime control of the bowel and bladder until later. The child cannot jump with both feet until about 30 months of age.
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The nurse is talking with a male client regarding his recent relapse of alcohol addiction. The client alludes to the fact that he started to drink again after a fight with his wife
The nurse uses clarification to ensure an accurate understanding of the client. Which statement is the best example of clarification? a. "You said that the fight you had with your wife caused you to start drinking again?" b. "Let's discuss what made you feel the need to drink." c. "Could you tell me again when and what happened that you feel caused you to start drinking again?" d. "Tell me what your childhood was like."
After teaching a group of nursing students about laxatives, the instructor determines that the teaching was successful when the students identify
which drug as producing the laxative effect by promoting water retention in the fecal mass and softening the stool? Select all that apply. A) Docusate sodium (Colace) B) Methylcellulose (Citrucel) C) Bisacodyl (Dulcolax) D) Lactulose (Chronulac)
The identification of forces that drive and restrain change is called a(n) ____
a. Equilibrium evaluation b. Force field analysis c. Status quo analysis d. Refreezing system
A client's wife walked out on the family. The client became angry, breaking china and destroying potted plants. A neighbor convinced him to seek help at the local crisis center
Which question would the crisis nurse ask to determine the client's immediate problem? 1. "What did you do to cause your wife to leave?" 2. "Do you feel in control at this time?" 3. "What brings you here today?" 4. "How would you handle this situation if you had a second chance?"