Nokea
After describing the procedure and medical necessity, the nurse asks a 14-year-old child to assent to a skin graft. Which statement accurately describes the requirements for this type of assent?
- A. The age of assent occurs at 12 years old.
- B. It is not necessary to obtain assent from a minor for a procedure.
- C. A minor can dissent to a procedure but his or her wishes are not binding.
- D. In some cases, such as cases of significant morbidity or mortality, dissent may need to be overridden.
Correct Answer: D
Rationale: In some cases, such as cases of significant morbidity or mortality, dissent may need to be overridden. The age of assent depends on the child's developmental level, maturity, and psychological state.
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A male infant delivered at 28 weeks gestation weighs 2 pounds, 12 ounces. When performing an assessment, the nurse would probably observe:
- A. Wide, staring eye
- B. Transparent, red skin
- C. An absence of lanugo
- D. A scrotum with descended testicles
Correct Answer: B
Rationale: Premature infants often have thin, transparent skin.
The nurse is aware that a pre-term neonate may have a potential nutritional problem because of:
- A. Poor sucking reflex
- B. A decreased metabolic rate
- C. Decreased caloric requirement
- D. Increased absorption of nutrients
Correct Answer: A
Rationale: Pre-term infants often have an immature sucking reflex.
After teaching a group of parents on childhood discipline, the nurse understands that which statement, made by a parent, demonstrates an understanding of spanking as a form of discipline?
- A. When responding to inappropriate behavior it is OK to lightly spank.
- B. Use a combination of spanking along with other methods of discipline.
- C. Use spanking as a last resort when time-out has failed.
- D. Use methods other than spanking to respond to inappropriate behavior.
Correct Answer: D
Rationale: Because of the negative consequences of spanking, and because it has been shown to be no more effective than other methods for managing inappropriate behavior, it is recommended that parents use methods other than spanking to respond to inappropriate behavior.
What is an appropriate statement for the nurse to make to a woman with a swollen eye and bruised cheek?
- A. I am required by law to notify the police department of your injuries.
- B. Women who are abused often have injuries like yours.
- C. You must leave your partner before you are injured again.
- D. It is important that you refrain from doing things that anger your partner.
Correct Answer: B
Rationale: Acknowledging patterns of abuse encourages disclosure.
On examination the hands and feet of a 6 hours old infant is cyanotic without signs of distress. The nurse should document these findings as:
- A. Potential for respiratory distress
- B. Poor oxygenation
- C. Cold stress
- D. Acrocyanosis
Correct Answer: D
Rationale: Acrocyanosis is a normal finding in newborns.