Decision making is described by the nursing educator as the process one uses to:

a. Solve a problem.
b. Choose between alternatives.
c. Reflect on a certain situation.
d. Generate ideas.


ANS: B
The hallmark of decision making is choosing among options. Generating options is one phase of decision making, and solving a problem refers to problem solving, which is problem centered. Decision making does not always begin with problems, but rather is defined as a purposeful, goal-directed effort that uses a systematic process to choose among options.

Nursing

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The nurse is performing an assessment of a 7 month old. Which of the following findings may be unexpected?

1. The anterior fontanelle is closed. 2. The posterior fontanelle is closed. 3. The head is disproportionately large in comparison to the body. 4. There are two "baby teeth" present.

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Most manic episodes present before the age of ____________________

Fill in the blank(s) with correct word

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The caregiver of an adolescent remarks to the nurse that her child seems to have fatigue and not get enough oxygen. The physical examination and other tests are normal. Which of the following explanations by the nurse will be most helpful?

a. "The tests may have missed a cardiac or respiratory problem and the health care practitioner will probably want to repeat them later." b. "As the heart becomes larger in adolescence, the pumping mechanism is somewhat inefficient for a while and the lungs have not yet fully matured." c. "Adolescents fake tiredness to get out of doing chores or associating with people they consider to be boring." d. "I suggest you take him to one of the better and larger clinics there they have more sophisticated equipment."

Nursing

When starting an IV on an older school-age child, which of the following considerations would not apply?

1. Getting enough calories through snacks 2. Determining which hand is their dominant hand 3. Consultation with a child life specialist to assist with distraction and explanation of the procedure 4. The older school-age child can assist with decisions, such as location choices for the IV and going to the treatment room or staying in their own room.

Nursing