A toddler burns a finger on a hot radiator. Following this experience the toddler does not touch the radiator again. The nurse interprets that this behavior change occurs because of which of the following abilities in cognitive development?
1. adaptation
2. activation
3. accommodation
4. assimilation
ANS: 1
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In terms of planning care, why is the development of a pathologic retraction ring important?
A) It precedes uterine rupture. B) It suggests cesarean birth is no longer possible. C) It denotes a multiple pregnancy is present. D) It identifies that the pelvic division of labor is beginning.
The nurse arrives to the unit with a headache and is assigned five patients for the night shift. One of her clients, Client A, is having surgery the next day and has a bowel prep ordered for the night shift
As the nurse and the client come together and discuss the plans for the night, the nurse and the client communicate expectations and ideas for obtaining the goal of readiness for surgery. The prep is delivered, the nurse's headache has subsided, and by 6 a.m. the next morning, both are satisfied that the client has met the physiological and psychological readiness to make the surgery a success. What term best describes this scenario? A) Mutuality B) Respect C) Reciprocity D) Helper relationship
While assessing an older adult patient for mental health issues, the nurse pays special attention to the patient's sensory function based on the understanding of which of the following?
A) Most older adults follow a specific pattern of decline in functioning leading to gradual onset of problems. B) Sensory decline may affect the individual's ability to process information, possible influencing the findings of the mental status examination. C) Diminished sensory function can lead to changes in other body systems that may affect the individual's reaction to prescribed medications. D) Changes in the senses can result in changes in cognitive abilities that mimic the manifestations of mental disorders.
D.W. is seen in the immunology clinic twice monthly during the next 3 months. Although her condition
does not worsen, her BUN and creatinine remain elevated. While at work one afternoon, D.W. begins to feel dizzy and develops a severe headache. She reports to her supervisor, who has her lie down. When D.W. starts to become disoriented, her supervisor calls 911, and D.W. is taken to the hospital. D.W. is admitted for probable lupus cerebritis related to acute exacerbation of her disease. What other findings indicative of central nervous system involvement should you assess for in D.W.?