A preschooler is found digging up a pet bird that was recently buried after it died. The best explanation for this behavior is that:

a. he has a morbid preoccupation with death.
b. he is looking to see whether a ghost took it away.
c. the loss is not yet resolved, and professional counseling is needed.
d. reassurance is needed that the pet has not gone somewhere else.


ANS: D
The preschooler can recognize that the pet has died but has difficulties with the permanence. Digging up the bird gives reassurance that the bird is still present.

Nursing

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What instruction should the nurse teach the postpartum woman about perineal self-care?

a. Perform perineal self-care at least twice a day. b. Cleanse with warm water in a squeeze bottle from front to back. c. Remove perineal pads from the rectal area toward the vagina. d. Use cool water to decrease edema of the perineum.

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A client has an interstitial lung disease (ILD) and has questions related to the disease process. The best explanation by the nurse is that ILD

a. causes alveolar walls to thicken and become nonfunctional. b. is a highly contagious disease and close contacts need treatment. c. is caused by a recurrent fungal infection in the lung parenchyma. d. leads to diffuse intrapulmonary cavity formation.

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Findings of a Pap smear exam denote atypical cells of undetermined significance (ASCUS). The Pap test is repeated at 6 months and the same finding of ASCUS are reported. Which therapeutic treatment option would the nurse expect the practitioner to order?

a. Mammography b. Bone scan c. Transvaginal ultrasound d. Biopsy

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Postpartum depression (PPD) with psychotic features:

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