Which of the following statements made by a new nursing graduate requires immediate fol-low-up by the nurse's mentor?
1. "Older clients with arthritis require additional time to complete to complete their own AM care."
2. "My client's wife says he loves chocolate milk so I will order his dietary supple-ment in chocolate."
3. "My client just received some bad news regarding her tests. I'll see if the chaplain can visit this evening."
4. "Teenage diabetics seem to have a more difficult time making good food choices in order to control their blood sugars."
ANS: 3
The nurse delivers each intervention within the context of a client's unique situation. It is an as-sumption that a client who has received "bad news" would want a visit from a clergy member. The other options represent statements relating to normal characteristics of a specific develop-ment stage, condition, or preference.
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A nurse is providing teaching to the parents of a child who has had a shunt inserted as treatment for hydrocephalus. The parents demonstrate understanding of the teaching when they state which of the following?
A) "Having the shunt put in decreases his risk for developmental problems." B) "If he doesn't get an infection in the first week, the risk is greatly reduced." C) "He will need more surgeries to replace the shunt as he grows." D) "The shunt will help to prevent any further complications from his disease."
An effective technique for communicating with toddlers is to
a. Have the toddler make up a story from a picture. b. Involve the toddler in dramatic play with dress-up clothing. c. Use picture books. d. Ask the toddler to draw pictures of his fears.
Which of the following types of instructional environments do children with autism do best in?
a. small groups working together to complete task assignments b. individual computer work in individual computer cubicles c. classroom settings such as the open classroom without walls d. highly structured with as much one-on-one instruction as possible
The nurse cautions the diabetic patient that diabetes affects the blood flow through the kidney. Which statement indicates that the patient understands the nurse's teaching?
a. "Long-term high blood sugars provide an environment for bacteria to grow, which can damage my kidneys." b. "Diabetes causes changes to blood vessels, which impacts blood flow to my kidneys." c. "Diabetes causes an immune response and exposes my kidneys to antibody com-plexes." d. "Long-term insulin use leads to scarring on the kidneys."