The nurse will want to screen all adolescents for problems associated with the primary developmental task of adolescents. In that area, the nurse will ask questions about:
1. The adolescent's adaptation to high school.
2. Establishing positive peer relationships.
3. Finding a life career.
4. Developing a healthy lifestyle.
2
Rationale 1: Adapting to high school is not the primary psychosocial developmental task of adolescence.
Rationale 2: The primary task for the adolescent is to separate from parents and develop positive peer relationships.
Rationale 3: Adolescents are considering various future occupations, but that is not their primary developmental task.
Rationale 4: Although this is beneficial, it is not the developmental task of adolescence.
Global Rationale:
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A. White blood cell count B. Liver function studies C. Creatinine clearance D. Blood urea nitrogen
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic douloureux)?
A) Tinnitus, vertigo, and hearing difficulties. B) Sudden, stabbing, severe pain over the lip and chin. C) Facial weakness and paralysis. D) Difficulty in chewing, talking, and swallowing.
Which finding would require further evaluation when auscultating heart sounds on an 8-year-old client during a routine physical exam?
A) Third heart sound B) Soft systolic murmur C) Sinus arrhythmia D) Pulse rate 120 bpm
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Which findings would the nurse evaluate as supporting this diagnosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Elevated LE prep 2. Hematuria 3. Negative anti-SM antibody 4. C3 complement protein of 94 mg/dL 5. Sodium 138