The nurse is assessing the neck of an 8-year-old child with Down syndrome. Which of the following findings would the nurse expect during the examination?
A) Webbing
B) Excessive neck skin
C) Lax neck skin
D) Shortened neck
C
Feedback:
Lax neck skin may occur with Down syndrome. Webbing or excessive neck skin folds may be associated with Turner syndrome. A shortened neck is expected in a child younger than age 4.
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An elderly patient with multi-infarct dementia is striking out with her arms and kicking at people who walk past in the hall. The nurse determines that the patient believes she is at home and that the other patients have broken into her home
The clinical nurse specialist suggests that staff use validation. Which of the following responses reflect this intervention? a. "I'm a nurse who has come to check on you. Tell me about your home.". b. "You are in a nursing home. The others here are patients, just like you are.". c. "I wish you could be home, but you have been sick and are in a nursing home.". d. "You are not at home. This is a nursing home. It is September 10th, 2010.".
Which activity done by a gerontological nurse would be considered outside the normal scope of gerontological nursing practice?
A) Addressing the pain that accompanies clients' aging through various sources B) Helping older adults explore the deeper meanings of experiences they have C) Providing care that facilitates integration, restoration, and balance in clients' lives D) Intervening in clients' family relationships that have become dysfunctional or estranged
What is the name for a provision of health care in an organized system to subscribing members in a geographical area with an agreed-on set of basic and preventive supplemental health maintenance and treatment services for a fixed, prepaid charge?
A) Preferred provider organizations (PPOs) B) A traditional third-party payer indemnity plan C) A health maintenance organization (HMO) D) Diagnostic-related groupings (DRGs)
When reporting signs and symptoms to your supervisor, you should
A. always state your opinion. B. report your assumptions. C. report objectively. D. report subjectively.