A six-year-old has been diagnosed with both reactive attachment and disinhibited social engagement disorders after being found living in the streets. The nurse knows that the patient will exhibit which symptoms? Select all that apply
1. Wandering from caregivers
2. Engaging in repetitive behaviors
3. Unable to seek comfort when distressed
4. Preoccupation with physical appearance
5. Fearfulness despite the absence of stressors
Answer: 1, 3, 5
Explanation: The patient with reactive attachment disorder displays limited positive affect; experiences periods of irritability, sadness, and fearfulness despite the absence of stressors; and does not seek comfort when distressed or respond to comforting efforts. With disinhibited social engagement disorder, the patient may readily engage with unfamiliar adults and wander from caregivers. Engaging in repetitive behaviors and preoccupation with physical appearance are not associated with reactive attachment or disinhibited social engagement disorder.
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The nurse should notify the primary health care provider when which of the following occur while a client is receiving an antihypertensive? Select all that apply
A) Weight gain of 2 lb or more per day B) Headache C) Edema D) Insomnia E) Sedation
A client reports a stuffy head and lung congestion after drinking chamomile tea. What should the nurse respond to the client after learning of the new symptoms?
a. "I wouldn't worry about it, wait to see what happens." b. "Chamomile is an herb that helps to promote sleep and relaxation." c. "Chamomile is an all-natural product and should not cause any adverse symptoms." d. "People who are allergic to ragweed can have symptoms when using chamomile tea."
A nurse educator is teaching a group of students about gases used for anesthesia. Which response by the students indicates understanding of the material?
1. Dibucaine (Nupercaine) is a gas used for anesthesia. 2. Dyclonine (Dyclone) is a gas used for anesthesia. 3. Pramoxine (Tronothane) is a gas used for anesthesia. 4. Nitrous oxide is a gas used for anesthesia.
Describe interventions you can use to assist in meeting A.N.'s nutrition goals
What will be an ideal response?