A parent with schizophrenia and 10-year-old child live in a homeless shelter. The child has adapted to shelter life and formed a relationship with a supportive volunteer
The child says, "My three best friends and I got an A on our school science project.". Which assessment applies? a. The child displays resilience.
b. Risk factors for substance abuse are evident.
c. The child is at risk for posttraumatic stress disorder.
d. The child uses intellectualization to deal with problems.
A
Resiliency enables a child to handle the stresses of a difficult childhood. Resilient children can adapt to changes in the environment, take advantage of nurturing relationships with adults other than parents, distance themselves from emotional chaos occurring within the family, and learn and use problem-solving skills. The other options are not supported by data given in the scenario.
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The nurse receives a patient from the emergency department with the diagnosis of ileus. The nurse expects the health care provider to order NPO for dietary status, and insert a nasogastric tube
The nurse knows that the purpose of the nasogastric tube is to do which of the following? a. Decompress the stomach until peristalsis returns. b. Provide tube feedings until peristalsis resumes. c. Allow for the release of flatulence. d. To keep the stomach expanded until peristalsis resumes.
Standards for long-term care documentation are regulated by:
a. OBRA. b. Title XXII. c. nursing diagnoses. d. the care plan.
What statement made by the client would indicate the possibility of intestinal obstruction?
A. "My stools have become firmer and harder." B. "I am able to pass urine only in small amounts at a time." C. "My abdomen appears to have become enlarged." D. "I seem to be full after eating only a few bites."
A single transverse line seen in the palm of a small child may imply:
a. Down syndrome. b. Turner syndrome. c. systemic sclerosis. d. profound dehydration.