The nurse has determined that a child is growing. An example of growth in a child would be the:
a. child's weight increases from 10 pounds to 15 pounds.
b. child is able to pick up a block.
c. child is toilet trained.
d. child has a temper tantrum.
ANS: A
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The nurse is attempting to develop nursing diagnoses for her patient. The nurse understands that nursing diagnoses: (Select all that apply.)
a. identify actual or potential problems as well as responses to a problem. b. require naming patient problems using nursing diagnostic labels. c. utilize objective data since subjective data are often inaccurate. d. includes unvalidated data to determine an accurate and thorough diagnosis. e. are similar to medical diagnoses since they both are labels for diseases.
The community health nurse who refers services and assistance to frail older adults in the home is functioning in the role of:
a. educator. b. care provider. c. collaborator. d. case manager.
As breakfast trays are served, a Catholic patient asks the nurse to take it away, because a priest is coming to administer Communion. The response by the nurse should be:
1. "You really need this nutrition. I have to leave it for you. Regardless, you must eat." 2. "I will leave the tray in the kitchen and you may call me to bring it back when it is time." 3. "You must eat your breakfast before it gets cold. If the priest comes, tell him to wait for you." 4. "Communion is only another piece of bread, so it will go just fine with your eggs."
A nursing instructor presents a case study in which a 3-year-old child is in constant motion and is unable to sit still during story time. The instructor asks a student to evaluate this child's behavior
Which student response indicates an appropriate evaluation of the situation? A. "This child's behavior must be evaluated according to developmental norms." B. "This child has symptoms of attention deficit hyperactivity disorder." C. "This child has symptoms of the early stages of autistic disorder." D. "This child's behavior indicates possible symptoms of oppositional defiant disorder."