A 12-year-old patient, who was recently place in foster care after one year in a residential facility, reports recurring nightmares about a violent event in the residence. He also has some difficulty remembering and concentrating
The nurse suspects the patient may be developing which disorder?
1. Depression
2. Separation anxiety
3. Pediatric bipolar disorder (PBD)
4. Posttraumatic stress disorder (PTSD)
Answer: 4
Explanation: Symptoms of PTSD include recurring, distressing dreams related to the event as well as memory impairment, impaired information processing, and difficulty concentrating. Children who are depressed typically cannot communicate their sadness with words, as in verbal reports of troubling dreams, but instead communicate to others with their withdrawn, sad, and/or irritable mood states. Separation anxiety occurs when a child exhibits great fear and distress when separated from parents or home. Pediatric bipolar disorder (PBD) is characterized by significant mood disturbances, including elated or irritable mood.
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You are admitting a patient diagnosed with urinary retention. What question should be included as part of the assessment?
A) "Do you have dribbling urine?" B) "Are you following a fluid-restricted diet?" C) "Do you experience shortness of breath?" D) "Are you experiencing vertigo?"
The physician orders potassium chloride 1.25 mEq for a pediatric client. The solution contains 45 mEq/15 mL. How many mL would you administer?
1. 3.75 mL 2. 0.42 mL 3. 0.38 mL 4. 0.41 mL
How are the funds obtained to pay for the Medicare program?
a. A "Medicare" tax paid by all employees who pay Social Security tax b. A tax on wages paid by employer and employee c. Money from the federal income tax paid by all citizens d. Social security funds paid by employer and employee