When a mother brings her 9-month-old to daycare, the child smiles and reaches for the daycare caregiver. The nurse should recognize that according to Mahler's developmental theory, this child's development is at which phase?
A. The autistic phase
B. The symbiotic phase
C. The differentiation subphase of the separation–individuation phase
D. The rapprochement subphase of the separation–individuation phase
ANS: C
The nurse should understand that this client is in the differentiation subphase of the separation–individuation phase. This subphase begins with the child's initial physical movements away from the mothering figure. A primary recognition of separateness commences.
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Which of these statements about obtaining a urine specimen in an infant is TRUE?
a. The skin around the meatus should be cleaned and allowed to dry. b. Stroking the abdomen with an alcohol prep and fanning it dry usually initiate urination. c. Have the child drink plenty of fluids before asking the child to void. d. Specimens for culture and sensitivity can be obtained from the child's diaper.
Cardiovascular medications alter sexual function in all of the following ways EXCEPT
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The nurse is caring for a preschool-age child who has been hospitalized with asthma. In working with this child, what should the nurse do to encourage the child to use the nebulizer and to decrease the child's fear?
A) Allow the child to touch and play with the nebulizer for a few minutes before the treatment B) Show the child how to use the nebulizer and tell him how much easier it is to breathe afterward C) Explain that he will feel better after the treatment and allow him to ask questions D) Use a poster or brochure to illustrate to the child how the machine works
Which of the following nursing statements reflects the best understanding of the role of docu-mentation and the Medicare reimbursement policy?
1. "Medicare reviews client charts to determine care given." 2. "Good charting results in good Medicare reimbursement." 3. "Our nursing salaries are paid for by the Medicare reimbursement funds." 4. "The hospital is reimbursed for the nursing care documented in the client chart."