The caregiver of a 3-year-old asks what an appropriate amount of time would be to have the child sit alone in a "time out" space. What time limit should the nurse suggest?
A) Two to three minutes
B) 10 to 12 minutes
C) 15 to 20 minutes
D) 25 to 30 minutes
Ans: A
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A nurse is determining the length of a nasogastric sump tube before inserting it inside a client. The nurse is placing the distal tip of the tube at the client's nose
To which of the following places should the nurse measure the tube distance for proper placement? A) The jaw and then midway to the sternum B) The mouth and then between the nipples C) The midsternum and then to the umbilicus D) The ear and then to the xiphoid process
The fetal heart rate baseline increases 20 beats/minute after vibroacoustic stimulation. The best interpretation of this is that the fetus is showing:
a. A reassuring response. b. Progressive acidosis. c. Parasympathetic stimulation. d. A worsening hypoxia.
What is the first step in helping patients to increase adaptability?
a. Assess past methods of coping with stress. b. Suggest using past coping strategies. c. Determine external coping strategies. d. Determine what the patient perceives as stressful.
A nurse is reviewing the care plan for a client diagnosed with schizophrenia and hallucination. Which of the following would be considered a long-term outcome for this client?
A) The client does not harm self in next 48 hours. B) The client reports a decrease in anxiety level within 24 hours. C) The client identifies environmental factors that precipitate hallucinations by discharge. D) The client identifies feelings associated with hallucinations with each episode.