The parent of a 3-year-old child tells the nurse, "My daughter points instead of speaking whenever she wants me to get something for her, but she understands me when I ask her to do something." Based on the parent's comment, what does the nurse suspect?
a. Age-appropriate language development
b. An expressive language delay
c. A receptive language delay
d. A potential hearing deficit
ANS: B
An expressive language delay is suspected when the child understands spoken language but is not talking.
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A patient with acute mania has been verbally abusive to staff since admission 3 hours ago. The patient says, "I can't believe you have a nursing license. I am not answering your stupid questions. You should pick another career."
Select the nurse's best response. a. "I will return in a few minutes to continue the interview.". b. "Your behavior is unacceptable. I expect an apology from you.". c. "I will have to report your behavior to the health care provider.". d. "I have a license to practice nursing, and I am entirely competent.".
A child will require lifelong cortisol replacement therapy following the removal of adrenal glands. The family should be taught
1. to discontinue the injections afterone week. 2. that hydrocortisone is only availablein oral form,so the medication will need to be held if the child has nausea or vomiting. 3. that the child should take thehydrocortisone on an empty stomach. 4. to administer the medication early inthe morning or every other day in the a.m.
The medical model directs health care professionals to follow the roles of:
a. advocate and advisor c. evaluator and controller b. teacher and director d. manager and mentor
What is the highest concern when caring for a child with esophageal atresia?
A) Excess bleeding B) Cardiac anomalies C) Feeding difficulty D) Respiratory distress