The charge nurse is caring for a patient recently diagnosed with an anxiety disorder. The patient has an identical twin. The nurse knows that which condition increases the likelihood that the undiagnosed twin will suffer from the same disorder?
Select all that apply.
1. Genetics
2. Environment
3. Shared trauma
4. Psychological influences
5. Developmental influences
Answer: 1, 2, 4, 5
Explanation: Factors affecting mental illnesses include a combination of genetic, environmental, psychological, and developmental influences. Twin studies show that there is both a genetic and environmental component that plays a role in critical developmental phases of neurons that regulate emotions and affect individual resilience toward stress-related disorders. Not all individuals who are exposed to the same trauma will develop an anxiety disorder.
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The infant is suspected of having an esophageal atresia/tracheoesophageal fistula. While waiting for the pediatrician to see the infant, the nurse should: 1. Position the infant in semi-Fowler position. 2. Allow the infant to be taken to the mother's room for bonding. 3. Offer the infant formula feeding instead of breastfeeding. 4. Wrap the infant in blankets and place in a crib by the viewing window.
The nurse is aware that risk factors for the development of pancreatic cancer include: (Select all that apply.)
a. obesity. b. Jewish ethnicity. c. diabetes mellitus. d. hepatitis A. e. smoking.
The patient's nasogastric (NG) tube drains approximately 400 mL/day of yellow-green drainage. When the patient begins to complain of nausea, which intervention should the nurse implement first?
a. Irrigate the tube with 50 mL of water. b. Assess the patency of the NG tube. c. Replace the NG tube with a much larger tube. d. Elevate the patient's head and reassess.
A 3-year-old child is admitted to the pediatric unit. When planning the care for this child, the nurse remembers which of the following characteristics of a child this age:
a. A 3-year-old is less fearful than an infant b. A 3-year-old is not afraid of crossing the street c. A 3-year-old is afraid of bodily harm d. A 3-year-old can play cooperatively for long periods of time