The nurse assesses the growth chart of a healthy 8-year-old. Which of the following patterns is expected?
a. Varied pattern of "peaks" and "valleys"
b. A pattern that follows the same growth percentiles over time
c. Periods of no growth followed by periods of rapid growth
d. Each child has a unique pattern of growth that makes generalizing ineffective
ANS: B
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During a morning assessment, the nurse notices that an older patient is less attentive and is unable to recall yesterday's events. Which test is appropriate for assessing the patient's mental status?
a. Geriatric Depression Scale, short form b. Rapid Disability Rating Scale-2 c. Mini-Cog d. Get Up and Go Test
A patient lives on the streets with no known address. He has been scheduled for a return visit to complete his immunization record. How should the nurse handle this patient's injections, since she knows that the patient might not return?
1. Give the most important injection first. 2. Give several injections at different sites. 3. Set up a local site and meet the patient there. 4. Have the mission call when the patient comes in to eat.
After an assessment of a new client, a nursing student expresses a belief that it is hopeless to keep providing substance abuse treatment when the rate of relapse is so high
The staff nurse should respond with which of the following statements? 1. "Sometimes a client doesn't show much effort.". 2. "You are right. I don't know why we bother.". 3. "It is important to maintain hope that a client can make positive change.". 4. "We are legally obligated to provide care.".
A home health nurse is visiting a client who recently was hospitalized for repair of a fractured hip. The client tells the nurse, "I have had a lot of pain in my abdomen." What type of assessment would the nurse conduct?
A) Comprehensive B) Ongoing partial C) Focused D) Emergency