A nurse is going to visit a homebound person described as the "oldest old." The nurse would expect
1. The client to have Alzheimer's disease
2. The person to be more than 85 years old.
3. The client will have a chronic disease
4. The client will be in an assisted-living community.
ANS: 2
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A post surgical patient tells the nursing assistant (NA) her pain is an 8 on a 10 scale. The NA tells the nurse the patient is exaggerating and does not need pain medication. The nurse's best response is:
A) Pain often comes and goes with post surgical patients; please ask her about the pain again in about 30 minutes. B) We need to provide pain medications because it is the law and we must always follow the law. C) Professionally, I believe "pain is what ever the patient says it is." D) Patients often misreport pain "to get our attention when we are busy."
While working at the triage desk in the local emergency department, which of the following patients is likely having a medical emergency and needs to be seen first?
A) A 17-year-old high school student who has a red, itchy eye B) A 55-year-old truck driver complaining of sudden onset of ocular pain and blurred vision C) A 45-year-old school teacher complaining of a red eye that is draining yellow secretions D) An infant with red eyes who is irritable and refusing to eat
Using Piaget's theory of cognitive development, the nurse expects preschoolers will: Standard Text: Select all that apply
1. Be egocentric and fail to see another's point of view. 2. Focus on many aspects of a given situation at once. 3. Assume everyone else in their world sees things as they do. 4. Believe they have magical powers of thought to control the universe. 5. Understand cause-and-effect relationships
Which of these is a secondary sexual characteristic?
a. Female breast development b. Production of sperm c. Maturation of ova d. Secretion of gonadotropin-releasing hormone