The nurse utilizes a sound theoretical knowledge base about adolescent growth and development to:
1. Integrate truth and fiction.
2. Differentiate between normal and abnormal.
3. Assess cognitive abilities.
4. Incorporate good and evil.
2
Rationale: A sound theoretic knowledge base is needed to assist with differentiating between the "normal" and "abnormal," or the usual and unusual, behaviors of adolescents. This knowledge base does not include integrating truth and fiction, incorporating good and evil, and assessing cognitive abilities.
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A child is brought to the emergency department after he fell and hit his head on the ground. Which nursing assessment suggests the child has a concussion?
a. Sleepy but easily arousable b. Complaining of a stiff neck c. Cannot remember what happened to him d. Pupils react sluggishly to light
During a shift assessment, the nurse is identifying the client's point of maximum impulse (PMI). Where will the nurse best palpate the PMI?
A) Left midclavicular line of the chest at the level of the nipple B) Left midclavicular line of the chest at the fifth intercostal space C) Midline between the xiphoid process and the left nipple D) Two to three centimeters to the left of the sternum
A nurse who has accepted a position as an assistant ICU manager is discussing unionization with the HR (human resources) director. The HR director informs the new employee that he is unable to join the union
Which of the following is an appropriate rationale? 1. The nurse has never worked for a union in the past. 2. The nurse must first complete orientation before he is eligible to join the union. 3. The nurse must have worked in a hospital environment for at least 5 years. 4. Registered nurses hired as management are not eligible for collective bargaining.
Which of the following is an example of a tort?
a. The primary nurse does not complete the plan of care for a client within 24 hours of the client's admission. b. The advanced practice nurse recommends that a client who is a danger to self and others be voluntarily admitted to the psychiatric unit. c. The treatment team changes a client's admission status from involuntary to voluntary after medication alleviates the client's hallucinations. d. The nurse decides to give a prn dose of neuroleptic drug to a client to prevent violent acting out because the unit is short staffed.