You are caring for a patient with an intellectual disability. This patient is normally very happy and cooperative and participates in activities. You have noticed recently he is withdrawn and does not want to participate in any activities, not even his favorite event, time in the model train room. You have seen a few scattered bruises within different stages of healing and have noticed he has a

decreased appetite. Simple noises make him flinch. When someone closed a door just now he ran to the corner and started rocking and crying softly. What are the implications?

What will be an ideal response?


Persons with intellectual disabilities must be protected from abuse and may be fearful or unable to communicate when it occurs. Signs of abuse include increased anxiety, changes in mood or behavior, frequent injuries, and injuries in different stages of healing. Notify the nurse of your observations and concerns immediately.

Nursing

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Which statement about glucocorticoids is the most accurate?

a. They influence carbohydrate, lipid, and protein metabolism. b. They are produced in decreased amounts during times of stress. c. They decrease serum sodium and glucose levels. d. They stimulate defense mechanisms to produce immunity.

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Which finding in an analysis of cerebrospinal fluid (CSF) is consistent with a diagnosis of bacterial meningitis?

a. CSF appears cloudy. b. CSF pressure is decreased. c. Few leukocytes are present. d. Glucose level is increased compared with blood.

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A nurse is teaching a patient about the proper use of herbs and supplements. Which of the following statements would be included?

A) "Look on the Internet for the products you want to try." B) "The federal government regulates supplements." C) "It doesn't matter how much you take." D) "The product may take a longer time to be effective."

Nursing

A newborn in the nursery has excessive drooling and coughing with associated cyanosis, which worsens when feeding is attempted. Based on these assessments, the nurse suspects this child to have:

a. Pyloric stenosis b. Biliary atresia c. Tracheoesophageal fistula d. Bowel obstruction

Nursing