A nurse is assessing a group of adolescents. Which person is most likely to have the highest self-esteem?
a. Latino adolescent female who has strong ethnic pride
b. Caucasian boy who lives below federal poverty level
c. African-American adolescent male who has severe acne
d. Adolescent who was suspended twice from high school
ANS: A
When cultural identity is central to self-concept and is positive, cultural pride and self-esteem tend to be strong. Environmental stressors such as low-income, body image stressors such as acne, and role performance failure often influence self-esteem negatively.
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The nurse is performing the Romberg test and asks the client to stand with the feet together and eyes closed. The nurse notes the findings are normal. Which of the following client responses occurred in this situation? The client:
1. Swayed from side to side. 2. Had minimal swaying. 3. Felt moderately dizzy. 4. Had complete loss of balance.
The nurse is discussing the risk of poisoning with the mother of two toddlers and a preschool-age child. Which statement made by the mother indicates a need for more teaching by the nurse?
a. "I keep all medicines and chemicals in a locked cabinet." b. "The children take their medicine well when I tell them it is candy." c. "I have syrup of ipecac just in case anything does happen." d. "I always get child-resistant containers."
The nurse providing instructions to the client using an incentive spirometer tells the client to sustain the inhaled breath for 3 seconds
When the client asks the nurse about the rationale for this action, the nurse explains that the primary benefit is to: 1. Dilate the major bronchi. 2. Maintain inflation of the alveoli. 3. Increase surfactant production. 4. Enhance ciliary action in the tracheobronchial tree.
A medicine container that uses a rubber bulb to propel a spray of medication into the nose is a(n)
A. atomizer. B. metered-dose inhaler. C. steam inhaler. D. vaporizer.