A 16-year-old adolescent is hospitalized and acting like a child. According to Erik Erikson, what is the appropriate developmental task?
A.
Industry vs. inferiority
B.
Integrity vs. despair
C.
Identity vs. role confusion
D.
Trust vs. mistrust
ANS: C
A 16-year-old is experiencing role confusion perhaps in response to the stress of hospitalization.
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When a nonreassuring pattern of the fetal heart rate is noted and the mother is lying on her left side, what nursing action is indicated?
a. Lower the head of the bed. b. Place the mother in a Trendelenburg position. c. Change her position to the right side. d. Place a wedge under the left hip.
The nurse is providing care to a preschool-age client who was admitted to the medical–surgical unit after an acute asthma attack. Which interventions foster a family-centered focus to client care?
1. Discussing rooming in with the parents of the client 2. Allowing the client to "cry it out" after the parents leave for the evening 3. Providing comfort items from home, such as a blanket 4. Maintaining strict visitation for the family 5. Discussing what to expect during the hospital stay
Medications and other interventions help to increase the client's pain threshold and pain tolerance. The central nervous system produces endorphins that are naturally occurring substances that relieve pain
The nurse is reviewing with a client that certain intake of chemicals and foods can decrease endorphin production. What are chemicals and foods that the nurse should review with the client that could decrease the endorphin production? 1 . Caffeine 2 . Nicotine 3 . Grapefruit juice 4 . Alcohol A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
Patient acuity systems have been developed to ____
a. Identify the severity of disease processes b. Quantify the patients' needs for nursing care c. Predict nursing care needs at discharge d. Identify potential risks for complications related to their diagnosis