A nurse has completed a teaching session for parents on school-age childrens' expected developmental milestones. The parents need further teaching if they indicate which behavior is expected in a school-age child?
a. Experiments with profanity and dirty jokes
b. Laughs at silly jokes and enjoys using words
c. Understands the concept of conservation
d. Engages in fantasy and magical thinking
D
The preschool child engages in fantasy and magical thinking. The school-age child moves away from this type of thinking and becomes more skeptical and logical. Belief in Santa Claus or the Easter Bunny ends in this period of development. The school-age child goes through a period in which profanity and dirty jokes are explored. This behavior is not unusual for the school-age child. The school-age child has a sense of humor. His increased language mastery and increased logic allow for appreciation of plays on words, jokes, and incongruities. The school-age child understands conservation or that properties of objects do not change when their order, form, or appearance does.
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The nurse is palpating a female patient's breasts during an examination. Which of these positions is most likely to make significant lumps more distinct during breast palpation?
a. Supine with the arms raised over her head b. Sitting with the arms relaxed at her sides c. Supine with the arms relaxed at her sides d. Sitting with the arms flexed and fingertips touching her shoulders
The older adult residents of an assisted-living facility are preparing for a 14-day trip to Europe. Which is the most important exercise for the nurse to recommend for the group?
a. Practice standing on one foot for 30 seconds. b. Move light weights in a rowing motion 8 times. c. Stretch the hips by pulling the knee to the chest. d. Swim laps in the pool for 10 minutes continuously.
A client has been diagnosed as having blindness related to conversion disorder. She displays
indifference regarding the conversion symptom. The nurse states "I can't understand why the client doesn't seem more anxious about her symptom. ". The understanding that should guide planning is that the a. client is suppressing her true feelings. b. client's anxiety has been relieved through the physical symptom. c. client's needs are met during hospitalization, so she has no need to be anxious. d. client does not wish to display her actual fear.
A client with type 1 diabetes mellitus is admitted to the emergency department with Kussmaul's breathing and severe dehydration. The nurse anticipates that the client will have an order for:
1. an IV infusion of Lantus insulin. 2. an IV infusion of Novolin NPH 70/regular 30 insulin. 3. an IV infusion of regular insulin. 4. an IV infusion of Actos.