A new mother has brought in her week-old infant to the health care provider for a 1-week well-baby checkup. She is breastfeeding and has only been sleeping a couple of hours at a time during the night between feedings
She asks the nurse, "When can I expect the baby to sleep through the night?" What is the nurse's best response? a. "Are you feeling tired, maybe you are experiencing depression."
b. "Most children begin to sleep through the night around 3 months."
c. "Most children begin to sleep through the night around 6 months."
d. "Are you feeling tired? Maybe you are anemic?"
B
Infants usually develop a nighttime pattern of sleep by 3 months of age. The neonate and infant up to the age of 3 months average about 16 hours of sleep a day. A symptom of anemia or depression is fatigue, but this does not focus on the question the new mother asked about the baby sleeping.
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A grieving widow tells a psychiatric–mental health nurse, "I feel so tired and alone." The nurse who incorporates an understanding of symbolic interactionism in practice would not suggest which of the following to the client?
1. "You had a terrible loss. Feeling tired and alone must be very difficult for you." 2. "I would like to hear more about how you are feeling now." 3. "Try to get plenty of rest. Most people who suffer losses like yours need more sleep than usual to cope effectively." 4. "You seem sad. Can I sit with you for a while?"
Explanation: 1. This supports a diagnosis of risk for ineffective protection. 2. Caregiver role strain is the priority since the son needs to help the older patient who is hard of hearing and has difficulty completing activities of daily living. The son may become stressed with having to help the older patient as well as himself with care needs. 3. This supports a diagnosis of situational low
self-esteem. 4. This supports a diagnosis of social isolation. 1. Indicators of abuse screen 2. AMA assessment protocol 3. Adult protective services report 4. Brief abuse screen for the elderly 5. Hwalek-Sengstock elder abuse screening test
A nurse notes that the PR interval on a client's electrocardiograph (ECG) tracing is 0.14 second. What action does the nurse take?
a. Assess serum cardiac enzymes. b. Administer 1 mg epinephrine IV. c. Administer oxygen via nasal cannula. d. Document the finding in the client's chart.
When controlled substances are administered, which action is required by the nurse?
a. Discard and sign for unused quantities. b. Count the amount of medication daily. c. Keep narcotics to be given with other patient medications. d. Have a second nurse witness disposal of unused portions and sign the record.