With which of these patients would it be most appropriate for the nurse to use games during the assessment, such as having the patient "blow out" the light on the penlight?
a. Infant
b. Preschool child
c. School-age child
d. Adolescent
ANS: B
When assessing preschool children, using games or allowing them to play with the equipment to reduce their fears can be helpful. Such games are not appropriate for the other age groups.
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A patient in the skilled care unit has been diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). The treatment plan for this patient includes infection control because MRSA is a threat to which of the following groups?
A) The general population B) The skilled care staff C) Other debilitated patients D) Patient's family members
The client returning to the nursing unit after a total hip replacement has a wedge-shaped pillow strapped between his knees. The client's family asks why this pillow is in place. What is the nurse's best response?
A. "This is to prevent the contact of his knees and reduce the risk for formation of pressure ulcers." B. "This is to prevent the client from inadvertently moving the operative leg too far away from his body." C. "This is to prevent the client from inadvertently moving the operative leg beyond his body's midline." D. "This is to prevent the client from ambulating too early if he should become con-fused."
Which is an appropriate method to administer central painful stimuli to assess arousal level?
1) Nipple twist 2) Sternal rub 3) Nail pressure 4) Achilles tendon squeeze
Which of the following is an example of a patient with a dual diagnosis?
1. Depression and anxiety 2. Bipolar disorder and alcohol abuse 3. Anorexia Nervosa and Bulimia Nervosa 4. Child abuse and post-traumatic stress disorder