The parent of an 8-year-old says, "My child is in constant motion and talks all the time. My child isn't interested in toys, but is out of bed every morning before I am and into trouble." The child's problem is most consistent with
a. anxiety disorder.
b. Asperger's disorder.
c. pervasive developmental disorder.
d. ADHD.
D
The excessive motion, distractibility, and excessive talkativeness are seen in ADHD. The behaviors presented in the scenario do not suggest the other possible choices. Developmental delays would be seen if pervasive developmental disorder or Asperger's disorder were present.
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The nurse is caring for a patient after abdominal surgery in the PACU. The patient's blood pressure has increased and the patient is restless. The patient's oxygen saturation is 97%. What cause for this change in status should the nurse first suspect?
A) The patient is hypothermic. B) The patient is in shock. C) The patient is in pain. D) The patient is hypoxic.
The nurse has identified collaborative problems while creating a list of nursing diagnoses for a client. Collaborative problems are those problems that:
a. are managed through the use of interventions prescribed by other health care practitioners. b. indicate the client's desire to attain a higher level of wellness. c. result from the nurse's intuition that a problem could occur. d. indicates risk factors exist that will result in a problem if not managed.
While waiting for the physician to arrive at the clinic, the nurse checked all the blood pressures of clients taking beta-blockers. A Chinese gentleman's blood pressure was so low that the nurse arranged for him to be seen first
What might be the probable reason for his low blood pressure? A. Chinese people can be more sensitive to the effects of beta-blockers. B. Perhaps the gentleman never really had hypertension. C. The client had taken too much of the medication each day. D. The client may not have told the physician all the other medications he was taking.
A young, married female client is attracted to a male nurse. The client falsely accuses the male nurse of sexual harassment. The nursing supervisor recognizes the defense mechanism of:
1. Projection 2. Splitting 3. Suppression 4. Displacement