The nurse knows that the mother of a 6-year-old needs more teaching about her son's diagnosis of ADHD when she states:
1. "I will give him his ADHD medication with his meals"
2. "I will stick to the same routine each day after school."
3. "I will let him do his homework while he is watching his favorite television show."
4. "I will take my child to the physician every three months for a weight and height check."
3
Rationale:
1. Giving ADHD medication with meals will help counteract anorexia associated with this medication.
2. Maintaining the same daily routine helps the child know expectations, and a nighttime routine helps counteract insomnia.
3. This child should do homework in a quiet environment, away from distractions.
4. Children with ADHD should be screened regularly for height and weight to monitor growth.
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A nurse will be conducting an education session at the local senior citizens center on the importance of physical activity. Which activities should the nurse include as an example of moderate-intensity aerobic activity? (Select all that apply.)
a. Biking c. Weight lifting b. Range of motion (ROM) d. Dancing
A nurse is working with a client diagnosed with SSD. What criteria would differentiate this diagnosis from illness anxiety disorder (IAD)?
1. The client diagnosed with SSD experiences physical symptoms in various body systems, and the client diagnosed with IAD does not. 2. The client diagnosed with SSD experiences a change in the quality of self-awareness, and the client diagnosed with IAD does not. 3. The client diagnosed with SSD disorder has a perceived disturbance in body image or appearance, and the client diagnosed with IAD does not. 4. The client diagnosed with SSD only experiences anxiety about the possibility of illness, and the client diagnosed with IAD does not.
A client who lives with her roommate in a condominium seeks advice about episodes of strange
behavior observed by the roommate but that the client cannot remember. The roommate has observed her leaving the condo wearing seductive clothing, quite different from her usual wardrobe, and returning 12 to 24 hours later, after which she sleeps for 8 to 12 hours. Episodes have also occurred in which the client and her roommate have argued about household matters and the client has gone to sit on the floor in the corner of the kitchen. While seated there she has spoken like a young child. The nurse should assess that the ego defense mechanism responsible for the client's condition is most likely a. rationalization. b. dissociation. c. projection. d. symbolization.
The nurse is providing care to a patient in the active phase of the first stage of labor. The patient is crying out loudly with each contraction. What is the nurse's priority action for this patient?
a. Ask the patient's labor coach if this is a usual expression of pain for her. b. Refer to the patient's chart to determine any orders for pain medication. c. Tell the patient that she is disturbing the other laboring patients on the unit. d. Encourage the patient to try to suppress her noisiness during contractions.