In assessing the skin of an older adult, a nurse recognizes a normal variation in the skin called solar lentigo, which is described as:
a. Yellowish, thin papules with a central depression.
b. Pigmented, raised, wart-like lesions on the face or trunk.
c. Small, soft, pigmented tags of skin on the face and neck.
d. Irregular, flat, deeply-pigmented macules on sun-exposed areas.
ANS: D
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During the orientation phase of the nurse–client relationship, the client presents the nurse with a framed picture that was painted during recreational therapy. What is the best response by the nurse?
1. "I'm sorry but I'm not allowed to accept any gifts from clients." 2. "How thoughtful; I'll take this home with me so I will be reminded of you every time I see it." 3. "Let's examine your motives for trying to ‘bribe' me with this picture." 4. "That's a lovely picture; let's put it in the day room for everyone to enjoy."
Which observation may cause the nurse to consider the possibility of child abuse when a mother says that her young child fell down the basement stairs?
a. Red, green, and yellow bruises on his body b. Bruises are dispersed on his head, arms, and legs c. A broken arm last year, and the child being described as accident-prone d. The mother is very anxious for her son to get medical attention
A patient continues to report pain after the administration of the prescribed analgesic. Why should the nurse change the nursing care plan?
a. Patient's pain threshold has risen. b. Patient's pain threshold has lowered. c. Patient has become addicted. d. Patient is seeking attention.
As the flood receded from the town, the Disaster Action Team (DAT) met for debriefing. Why is this debriefing important for the whole community as well as for the disaster team members?
A. The DAT is too tired to keep working and needs to sit and rest a while. B. The DAT has insights that can help modify disaster plans to be used in the future. C. The DAT has to give details of their names and addresses, so formal appreciation for their efforts can be sent. D. The DAT needs some time to just socialize.