When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old?
A) He should say two words plus "ma-ma" and "da-da."
B) He should speak in two-word sentences ("Me go").
C) He should be able to count out loud to 20.
D) He should say 20 nouns and 4 pronouns.
B
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A nurse is caring for a patient in the hospital who is a know drug abuser. Friends have been visiting all morning, and in the evening the patient begins hallucinating and becomes extremely paranoid, appearing to have paranoid schizophrenia
The nurse should suspect which of the fol-lowing conditions? a. Amphetamine withdrawal b. High doses of amphetamines c. Withdrawal from opioids d. High doses of opioids
When asked about the severity of pain, the 93-year-old patient does not answer right away. What is the best response by the nurse?
a. Ask rapid questions: "Is it better? Is it worse than yesterday? Is it worse than this morning?" b. Repeat the question in a louder voice. c. Say, "You must be feeling better because you're not complaining." d. Keep eye contact and wait for the answer.
When identifying a new client before administering medications, the nurse asks the client to state his name. The client does not give the correct name. The nurse asks again and the client states still another name. What is the nurse's next action?
A) Laugh at the client and tell him to "quit kidding." B) Give the medications without any further questioning. C) Investigate the client's mental status before administering any further medications. D) Look at the client's arm band to identify the client and disregard what the client said.
A new mother is concerned because her 1-day-old newborn is taking only 1 oz at each feeding. The nurse should explain that the:
a. Infant does not require as much formula in the first few days of life. b. Infant's stomach capacity is small at birth but will expand within a few days. c. Infant tires easily during the first few days but will gradually take more formula. d. Infant is probably having difficulty adjusting to the formula.