During a well-child visit, the nurse asks the mother of a six-month-old infant, "Does your baby sit without assistance?" and "Is the baby crawling?" Which process is the nurse using in this interaction?
1. Disease surveillance
2. Health promotion
3. Health maintenance
4. Developmental surveillance
4
Rationale 1: The questions asked in the stem are not classified as disease surveillance questions; they are developmental surveillance questions.
Rationale 2: While health promotion and maintenance activities are related to developmental surveillance, these questions are looking specifically at the milestones; therefore, the answers health promotion and health maintenance are incorrect.
Rationale 3: While health promotion and maintenance activities are related to developmental surveillance, these questions are looking specifically at the milestones; therefore, the answers health promotion and health maintenance are incorrect.
Rationale 4: The questions asked by the nurse are seeking information about developmental milestones; therefore, the nurse is involved in developmental surveillance.
Global Rationale:
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The nurse is working to manage time effectively and has created a to-do list. What is the first thing the nurse should do?
a. Prioritize list items. b. Question item effectiveness. c. Practice self-reliance. d. Get a treat.
Pneumococcal vaccine produces immunity against which illnesses? (Select all that apply.)
a. Pneumonitis b. Meningitis c. Pneumonia d. Pertussis e. Influenza
A nurse is required to apply a bandage to a client who has injured a leg in an accident. What are signs and symptoms to be evaluated by the nurse to indicate whether there is any circulatory disturbance in the client?
1 . Observe for pink color changes in the toes. 2 . Check for pain associated with movement of the toes. 3 . Observe for presence of edema in the lower extremity. 4 . Temperature of extremity is warm. A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4
Different topics are presented in the information sessions that are held in the outpatient clinic. In planning for a session on health maintenance/illness prevention, the nurse should select a topic on:
1. Use of assistive devices, such as canes 2. Self-help devices for post-CVA clients 3. Stress management techniques for working parents 4. Environmental alterations for clients in wheelchairs