What are signs and symptoms of the stage of despair in relation to separation anxiety in young children? (Select all that apply.)
a. Withdrawn from others
b. Uncommunicative
c. Clings to parents
d. Physically attacks strangers
e. Forms new but superficial relationships
f. Regresses to early behaviors
ANS: A, B, F
Manifestations of the stage of despair seen in children during a hospitalization may include withdrawing from others, being uncommunicative, and regressing to earlier behaviors. Clinging to parents and physically attacking a stranger should be seen during the stage of protest, and forming new but superficial relationships is seen during the stage of detachment.
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A) The patient had requested the side rails be left down. B) The nurse assumed that the family would watch the patient. C) This is breach of duty resulting in patient harm. D) There will probably be a suit brought by the family.
The nurse is caring for a female client with cholelithiasis. Which assessment findings from the client's history and physical examination may have contributed to development of the condition? (Select all that apply.)
a. Body mass index (BMI) of 46 b. Vegetarian diet c. Drinking 4 ounces of red wine nightly d. Pregnant with twins e. History of metabolic syndrome f. Glycosylated hemoglobin level of 15%
During a health clinic assessment, the client describes his life as "in crisis." He reports that he has just been fired from his job, his wife has told him she wants a divorce, and he has been sick with a respiratory illness for 1 month
What statement, made by the nurse, reveals understanding of the care of a client in crisis? A) "Once you reach the crisis state, you might remain there for several months until you recover." B) "People generally find it easier to work through a crisis if someone is working with them." C) "Experiencing a crisis is never positive, so we must work to relieve your anxiety as soon as possible." D) "Men often handle crisis better individually, while women do better with a counselor."
The physician's prescription reads potassium chloride (KCl) 30 mEq to be added to 1000 mL normal saline and to be administered over a 10-hour period. The label on the medication bottle reads 4 mEq (KCl)/mL
The nurse prepares how many milliliters of potassium chloride (KCl) to administer the correct dose of medication? (Enter the answer in the space provided.)