The nurse is confident that a client has met the developmental guidelines for a preschooler when the child:
1. Can print her own name.
2. Proudly announces, "I put my own toys away."
3. Shares that, "I know I shouldn't hit, even when I'm mad."
4. Effectively brushes her own teeth.
5. Washes her hands after toileting without prompting.
Correct Answer: 1,2,4
Rationale 1: Development is assessed when the child is able to print letters and numbers by 5 years of age.
Rationale 2: Development is assessed when the child is able to cooperate in doing simple chores by 5 years of age.
Rationale 3: This is a developmental task more appropriate for school-age children.
Rationale 4: Development is assessed when the child is able to perform simple hygiene measures by 5 years of age.
Rationale 5: This is a developmental task more appropriate for a school-age child.
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A client in a nutrition class is concerned about constipation and not having enough fiber in his diet. What would be the best response to this client to increase fiber intake?
A) Eat legumes in place of meat. B) Eat cooked vegetables instead of raw vegetables. C) Bake foods instead of frying them. D) Eat small, frequent meals.
The nurse teaches new mothers about the reason their infants receive vitamin K. The nurse evaluates instruction as being effective when the mothers make which statement?
1. "Our babies do not need an injection of vitamin K unless bleeding is observed." 2. "Our babies will be able to get enough vitamin K through breast milk." 3. "Our babies do not have enough intestinal bacteria to synthesize vitamin K." 4. "Our babies could receive vitamin K through a liquid or an injection."
A nurse is preparing to measure a client's calf circumference. The nurse performs this procedure by:
A. Placing a tape measure around the widest point of the lower leg B. Measuring 2 inches above the knee and placing the tape measure around the client's leg at this point C. Measuring 2 inches above the ankle and placing the tape measure around the client's leg at this point D. Measuring 2 inches below the patella and placing the tape measure around the client's leg at this point
While taking a history, the nurse observes that the client's facial cranial nerve (CN VII) is intact based on which behaviors of the client?
a. The client's eyes move to the left, right, up, down and obliquely during conversation. b. The client moistens the lips with the tongue. c. The sides of the mouth are symmetric when the client smiles. d. The client's eyelids blink periodically.