Bill is an only child whose parents are both career military personnel. He is being seen by the school nurse for complaints of fever and wants to be sent home. On examination he is afebrile
He tells the nurse he doesn't like this school anyway and the nurse notes that this is his third school transition in four years. Which of these understandings about the experience of military family members is important to providing compassionate care for this child?
A. Military children are more often exposed to unusual viruses, so he should be sent for a complete evaluation and bloodwork.
B. Military children are generally healthier than their nonmilitary peers, so he should be given strict consequences for pretending to be ill.
C. Children of military personnel are often victims of physical abuse, so he should be asked direct questions about whether or not his parents have been physically aggressive with him.
D. Isolation and alienation are common experiences of military family members, so it is important to assess further his adjustment in the current school setting.
ANS: D
Isolation and alienation have been identified as a common experience of military family members. This experience may be exacerbated in children by frequent moves and changes in school environments.
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A nurse cares for a client who is prescribed a serum catecholamine test. Which action should the nurse take when obtaining the sample?
a. Discard the first sample and then begin the collection. b. Draw the blood sample after the client eats breakfast. c. Place the sample on ice and send to the laboratory immediately. d. Add preservatives before sending the sample to the laboratory.
When the nurse administers a medication that stimulates the parasympathetic nervous system the drug will have what impact on the GI system?
A) Decrease sphincter tone B) Decrease muscle tone C) Decrease contractions D) Decrease secretions
The theory of aging that says that personality and coping patterns remain consistent through life is:
a) continuity b) gerotranscendence c) human needs d) life course
The nurse notes on the chart that a patient with Wilms tumor is to receive palliative care only. The nurse knows this means:
a. The child will continue to receive treatment to cure the tumor b. The child will be kept sedated c. The parents will be relieved of the care of their child d. The child will achieve a comfortable and dignified death