A 10-year-old child is observed by the nurse to display the following behaviors:
blurts out answers to questions asked of others without waiting for the question to be completed, charges ahead of others in line instead of waiting his turn, and butts into conversations and games peers are playing. The nurse would assess these behaviors as manifestations of:
1. Hyperactivity
2. Thought disorder
3. Impulsivity
4. Distractibility
ANS: 3
These behaviors are indicative of impulsivity—taking action before considering consequences. 1. Hyperactivity refers to increased pace and volume of activity. 2. Thought disorder is not impli-cated in the description given in the scenario. 4. The behaviors described are purposeful, rather than prompted by environmental stimuli.
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Internal developmental problems are seen as a causative factor for some behavioral and family problems during adolescence. Psychological developmental issues that can lead to problems during late adolescence (17 to 20 years old) include:
a. Wide mood swings b. Tendency to withdraw when upset c. Intense daydreaming d. Concealing of anger
A patient, recovering from thoracic surgery, is demonstrating evidence of impaired gas exchange with a dropping oxygen saturation level. Which of the following interventions would be appropriate for the patient at this time?
1. Splint the chest when coughing. 2. Turn every 2 hours and coach to use the incentive spirometer every 1 to 2 hours. 3. Encourage fluids up to 2.5 liters per day. 4. Suction as necessary.
A patient being prepared for an endoscopy to diagnose an upper gastrointestinal bleed asks why a nasogastric tube has to be inserted. What would the nurse respond to this patient?
1. "You need this to assist with placement of the ostomy tube." 2. "The nasogastric tube will assist in the removal of blood clots that may limit the physician in seeing your esophagus." 3. "Your physician has left orders for placement of the tube." 4. "The tube will reduce the likelihood of you vomiting during the procedure."
The theory that focuses on common tasks of family life and provides a longitudinal view of the family life cycle is:
1. Systems 2. Structural-functional 3. Developmental 4. Interactionist