The nurse is caring for a 3-year-old boy whose parents are concerned that he is exhibiting signs of cognitive delays. Which of the following statements by the parents would indicate autism spectrum disorder rather than mental retardation?
A) "He is not speaking in complete sentences."
B) "We can understand a lot of what he says, but no one else can."
C) "He seems to be speaking less and less."
D) "He can't sit still for a short story."
C
Response:
Regression or the loss of previously acquired skills points to autism rather than mental retardation. The other statements are indicative of mental retardation.
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A woman in her third trimester of pregnancy complains of a painful burning sensation in her hands and lower arms. Which action by the nurse is best?
A. Advise the woman to elevate her hands at night. B. Document the finding and alert the provider. C. Encourage the woman to see a neurologist. D. Request a prescription for pregabalin (Lyrica).
The nurse is instructing a community education class on stress. The nurse asks the participants, "Is all stress bad for you?" Which answer, by the participants, is most accurate?
A) "Yes, all stress has negative effects on the body systems." B) "Yes, all stress is bad but in varying degrees depending on the nature." C) "No, not all stress is bad, but all stress can make a person sick." D) "No, the right amount of stress can be motivating to accomplish goals."
For an unconscious patient, which of the following interventions are necessary to provide for patient safety? Choose all that apply
1) Talk to the patient as you provide care. 2) Incorporate more touch in the plan of care. 3) Give frequent eye care if blink reflex is absent. 4) Keep the side rails up and bed in low position.
A nurse leading an educational session about terrorism for members of the community is discussing anthrax. Which of the following pieces of information should the nurse provide to the group attending the session?
A. Anthrax is never fatal. B. No vaccine to prevent anthrax is available. C. Anthrax can be transmitted from person to person. D. A blood test is available for the detection of anthrax. E. One way that anthrax can be contracted is through the skin.