Of the many factors influencing parental responses, nurses should be aware that all of the following regarding age are true except:
1. an adolescent mother's egocentricity and unmet developmental needs interfere with her ability to parent effectively.
2. an adolescent mother is likely to use less verbal instruction, be less responsive, and interact less positively than other mothers.
3. an adolescent mother has a higher documented incidence of child abuse.
4. mothers older than 35 often deal with more stress related to work or career issues as well as decreasing libido.
3
1. Incorrect. Adolescent mothers are more inclined toward a number of parenting difficul-ties that benefit from counseling, but increased child abuse is not one of them.
2. Incorrect. Adolescent mothers are more inclined toward a number of parenting difficul-ties that benefit from counseling, but increased child abuse is not one of them.
3. Correct. Adolescent mothers are more inclined toward a number of parenting difficulties that benefit from counseling, but increased child abuse is not one of them.
4. Incorrect. Midlife mothers have many competencies but are more likely to have to deal with career and with sexual issues than younger mothers.
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Before the diagnosis of mental retardation can be made, which factors must be present? (Select all that apply.)
a. IQ of 70 to 100 b. Inability to communicate effectively c. Poor adaptation to social situations d. IQ less than 70 e. Inability to care for self appropriate to age f. Maladaptive coping skills
A patient has refused to take the medications brought in by a nurse. The nurse will chart,
1. "Instructed patient that the medications will be taken now or later." 2. "Explained to patient that unless medications are taken, the physician will likely issue a discharge." 3. "Medications refused; physician notified." 4. "Physician notified that patient is uncooperative."
A patient says, "Although numerous assessments and diagnostic tests over the past year have shown no evidence of organic disease I'm still anxious and sure something is wrong.". The nurse should suspect the presence of:
a. hypochondriasis. b. chronic pain disorder. c. chronic major depression. d. body dysmorphic disorder.
When discussing the outcome of treatment with a client, the nurse states that theoretically the cancer has been "cured" when:
1. The client no longer experiences the physiologic effects of cancer. 2. Every single cancer cell in the tumor has been eliminated. 3. The tumor cannot be identified on a CT scan. 4. The client's absolute neutrophil rises back to a normal level.