A child who is starting school is being screened for certain developmental milestones. How the child interacts with other children is most influenced by which of the following factors?

1. Temperament
2. Physical characteristics
3. Environment
4. Culture


1. Temperament

Rationale:
Temperament is the way individuals respond to their external and internal environment, and it sets the stage for the interactive dynamics of growth and development. Physical characteristics include eye color and potential height but do not affect how children interact, for the most part. Environmental factors include family, religion, climate, culture, school, community, and nutrition; they do not play as significant a role in how the child responds to peers as temperament does. Culture is a one of the environmental factors.

Nursing

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A patient who is taking furosemide [Lasix] and digoxin will begin taking captopril [Capoten]. The nurse is providing information about the drug. Which statement by the patient indicates a need for further teaching?

a. "I can use acetaminophen for analgesia if needed." b. "I should stop taking the Lasix about a week before starting the Capoten." c. "I should take this medication on a full stomach." d. "I will need to have blood tests done every 2 weeks for a few months."

Nursing

A urine drug screen is ordered for a patient suspected of a DWI. The nurse explains that drugs that are being screened for can include:

1. lysergic acid diethylamide (LSD), Valium, and Percocet. 2. crack, heroin, and nonsteroidal anti-inflammatory drugs (NSAIDs). 3. marijuana, amphetamines, and Elavil. 4. Librium, cocaine, and Zoloft.

Nursing

The nurse is preparing to administer meperidine (Demerol), which is an opioid analgesic, and promethazine (Phenergan), which is an antiemetic and antihistamine. The nurse understands that these drugs are given in combination for which reason?

a. They have antagonistic effects to reduce nausea. b. They have additive effects to enhance analgesia. c. They have potentiating effects to decrease an allergic response. d. They have synergistic effects to increase sedation.

Nursing

The nurse is preparing to provide teaching to a client at risk for diabetes. During which time should the nurse recognize is the most effective moment for teaching?

A. When a knowledge deficit has been identified. B. When the client is ready to learn. C. During health promotion. D. During the discussion of disease prevention.

Nursing