The school nurse recognizes that children respond to stress by using which tactics? (Select all that apply.)
a. Passivity
b. Delinquency
c. Daydreaming
d. Delaying tactics
e. Becoming outgoing
ANS: B, C, D
Children respond to stress by using coping mechanisms that include internalizing symptoms such as withdrawal, delaying tactics, and daydreaming, along with externalizing symptoms such as aggression and delinquency.
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The home health nurse makes a nursing diagnosis of unresolved grief for a patient who was widowed 5 months ago after:
a. seeing that the patient keeps a picture of the husband by her bed. b. the patient said tearfully, "I can't believe he is gone." c. assessing that the patient eats out frequently rather than cooking at home. d. the patient says that she attends church three times a week.
An older adult patient has fallen in her home and is brought to the emergency department by ambulance with a suspected fractured hip. X-rays confirm a fracture of the left femoral neck
When planning assessments during the patient's presurgical care, the nurse should be aware of the patient's heightened risk of what complication? A) Osteomyelitis B) Avascular necrosis C) Phantom pain D) Septicemia
A nursing instructor is teaching students the importance of individualized nursing interventions. The instructor recognizes that a student nurse understands when he or she
1. Encourages a patient to increase fluid intake. 2. Assesses a patient for signs and symptoms of dehydration. 3. Records a patient's fluid intake and output. 4. Asks a patient which type of fluid he or she would like to drink.
Which movement or technique during eye drop instillation should be avoided?
A. Instructing the client to close the eye after the drops are in B. Touching the client's eye or lid with the tip of the dropper C. Allowing the drops to spread across the eye surface D. Getting the drops into the conjunctival pocket