The nurse observes the parents and the neonate for signs of bonding. The nurse would be concerned that bonding is NOT taking place if she sees the parents:
a. Kissing, holding, and talking to the baby
b. Ignoring the baby
c. Encouraging siblings to participate in care
d. Involving the grandparents in the baby's care
B
Ignoring the baby could be a sign of lack of interest in the baby. The other selections are all signs of bonding and attachment.
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A woman presents with a history of physical and emotional abuse in her intimate relationships. What should this information lead a nurse to suspect?
1. The woman may be exhibiting a controlled response pattern. 2. The woman may have a history of childhood neglect. 3. The woman may be exhibiting codependent characteristics. 4. The woman may be a victim of incest.
Addiction to recreational drugs, such as crack, cocaine, and heroin, combined with use of psychotherapeutic drugs is associated with:
a. Permanent psychotic states b. Bipolar disorder c. Generalized anxiety disorder d. Obsessive-compulsive disorder
A nurse is caring for a patient who has been taking an antiepileptic drug for several weeks. The nurse asks the patient if the therapy is effective. The patient reports little change in seizure fre-quency. What will the nurse do?
a. Ask the patient to complete a seizure fre-quency chart for the past few weeks. b. Contact the provider to request an order for serum drug levels. c. Reinforce the need to take the medications as prescribed. d. Request an order to increase the dose of the antiepileptic drug.
A client's chest tube is accidentally dislodged. What action by the nurse is best?
a. No action is necessary because the area will reseal itself. b. Cover the insertion site with a sterile gauze and tape three sides. c. Obtain a suture kit and prepare for the physician to suture the site. d. Cover the area with an occlusive dressing.