A parent diagnosed with schizophrenia and 13-year-old child live in a homeless shelter. The child formed a trusting relationship with a shelter volunteer. The child says, "My three friends and I got an A on our school science project."
The nurse can assess that the child:
a. displays resiliency.
b. has a passive temperament.
c. is at risk for posttraumatic stress disorder.
d. uses intellectualization to deal with problems.
ANS: A
Resiliency enables a child to handle the stresses of a difficult childhood. Resilient children can adapt to changes in the environment, take advantage of nurturing relationships with adults other than parents, distance themselves from emotional chaos occurring within the family, learn, and use problem-solving skills.
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A patient wants to talk with her physician about things that she can do to improve her health. This behavior is an example of:
a. locus of control c. outcome expectations b. self-responsibility d. efficacy expectations
A nursing colleague has confided that she drinks heavily. She explained that the amount she drinks is increasing and that she has symptoms of withdrawal. You are aware that there has
been no evidence of social or interpersonal problems nor have there been any problems noted in work. In this case, the colleague's problem might be classified as: 1. Alcohol abuse. 2. Alcohol dependence. 3. Alcoholism. 4. Obsessive-compulsive dependent behavior. 5. Substance abuse.
A client in labor wants to have a medication-free birth. What should the nurse include when discussing alternatives to pain medication with this client?
1. Emphasize that no medication will be given. 2. Review that the use of medications allows for rest and less fatigue. 3. Explain that pain relief will allow a more enjoyable birth experience. 4. Summarize how maternal pain and stress can have a more adverse effect on the fetus than would a small amount of analgesia.
Where is antidiuretic hormone (ADH) synthesized, and where does it act?
a. Hypothalamus; renal tubular cells b. Renal tubules; renal collecting ducts c. Anterior pituitary; posterior pituitary d. Posterior pituitary; loop of Henle