A 5-year-old child with attention deficit hyperactivity disorder (ADHD) bounces out of a chair in the waiting room, runs across the room, and begins to slap another child. What is the nurse's best action?
a. Call for emergency assistance from another staff member.
b. Instruct the parents to take the child home immediately.
c. Direct this child to stop, and then comfort the other child.
d. Take the child into another room with toys to act out feelings.
ANS: D
The use of play to express feelings is appropriate; the cognitive and language abilities of the child may require the acting out of feelings if verbal expression is limited. The remaining options provide no outlet for feelings or opportunity to develop coping skills.
You might also like to view...
The postoperative colostomy ostomate is at risk for loss of fluid volume and electrolyte imbalance. The assessments that indicate such loss are (select all that apply):
1. changing mental status. 2. twitching. 3. poor skin turgor. 4. dry mucous membranes. 5. edema.
Nursing theorists and nurses in practice
A. Are interested in related but different phenomena. B. Do not see nursing in the same context. C. Think and work with the same phenomena. D. Require the same knowledge and skills.
The Joint Commission publishes a Sentinel Event Alert every month. Which of the following is the best example of a sentinel event?
a. Tylenol #3 is given to a patient when plain Tylenol was ordered. b. Code pink is called after a newborn is discovered missing from the nursery. c. After receiving the correct medication, the patient complains of itching all over, and a rash is noted on the patient's trunk. d. During a blood transfusion, the patient's temperature increases to 100.4° F, and the patient complains of generalized pruritus.
Electrolyte imbalances that are most likely to occur with corticosteroid therapy include all except:
a. hypokalemia. b. hypocalcemia. c. hypernatremia. d. hypophosphatemia.