A child, aged 4 years, has been referred to the mental health clinic for evaluation of hyperactive,

impulsive behaviors. At the first visit nursing staff begin observing and assessing his behavior in the
play area.

What developmental task should the child have achieved?
a. Forming satisfactory relationships with peers
b. Separation from parents and ability to socialize outside the family
c. Ability to establish goals
d. A sense of autonomy


D
A 4-year-old should have attained the developmental tasks of children aged 1 1
2
to 3 years: autonomy.
Options A, B, and C are goals of children aged 3 to 6 years and 6 to 9 years.

Nursing

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The chief nursing officer listens to nurse managers verbalize their feelings of internal stress. One common source of internal stress seems to be:

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A nursing instructor is describing somatic symptom disorder to a group of nursing students. The instructor determines that the education was successful when the students state which of the following?

A) The disorder typically is diagnosed in men. B) The first symptom usually appears during adolescence. C) The disorder commonly occurs with substance abuse. D) Highly educated individuals often develop this disorder.

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The nurse is teaching a 5-year-old client about upcoming surgery. Which teaching method is most appropriate for this client?

a. Showing a videotape b. Group discussion c. Play using a doll d. Giving the child a book to read

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The nurse assessing a child with acute poststreptococcal glomerulonephritis should be alert for which finding?

a. Increased urine output b. Hypotension c. Tea-colored urine d. Weight gain

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