A Vietnamese immigrant family brings their 2-year-old child to a clinic with abdominal pain. The nurse notes dark red welts running up the child's arms and legs. When questioned about this, the father explains he did it with a quarter
The nurse knows coin rubbing:
A.
Represents a belief in external control.
B.
Represents a belief in internal control.
C.
Is based on release of demons.
D.
Is a form of child abuse.
ANS: B
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A client diagnosed with schizophrenia refuses to take medication, citing the right of autonomy. Under which circumstance would a nurse have the right to medicate the client against the client's wishes?
1. A client makes inappropriate sexual innuendos to a staff member. 2. A client constantly demands attention from the nurse by begging, "Help me get better." 3. A client physically attacks another client after being confronted in group therapy. 4. A client refuses to bathe or perform hygienic activities.
Clinical manifestations of increased intracranial pressure include which of the following? (Select all that apply.)
a. Lethargy d. Hypoglycemia b. Irritability e. Hyperglycemia c. Setting sun sign f. Poor feeding and sucking
Before a client has blepharoplasty, the nurse would assess the client for
a. ability to close eyes completely. b. extraocular movement in each eye. c. facial symmetry and muscle strength. d. near and distant vision in each eye.
Which action is best to reduce burns in the home?
a. Instruct patients to install smoke detec-tors, b. Tell patients to have their water heaters checked, c. Encourage patients to switch from gas to electric stoves, d. Teach patients not to smoke in their hous-es,