At what age children smile at faces
- A. Newborns
- B. 1 month
- C. 2 months
- D. 3 months
Correct Answer: C
Rationale: Social smiling at faces begins around 2 months, per developmental milestones.
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The A, B, C, and Ds of a complete and comprehensive nutritional assessment includes:
- A. Assessment data, biochemical data, clinical data and dietary data
- B. Ancestral cultural data, biochemical data, clinical data and dietary data
- C. Anthropometric data, biological data, chemical data and dietary data
- D. Anthropometric data, biochemical data, clinical data and dietary data
Correct Answer: D
Rationale: Nutritional assessment (D) includes Anthropometric, Biochemical, Clinical, Dietary data.
Which of the following statements is correct regarding identifying patients at risk for HIV infection?
- A. All patients should be considered as being at risk for HIV infection
- B. Only homosexual patients should be considered at risk for HIV infection
- C. Only patients who use intravenous drugs should be considered at risk for HIV infection
- D. A monogamous heterosexual woman is not considered at risk for HIV infection
Correct Answer: A
Rationale: HIV risk is not limited to specific groups; universal screening is recommended.
An older adult with Lewy body dementia lives with family and attends a day care center. A nurse at the day care center noticed the adult had a disheveled appearance, strong odor of urine, and bruises on the limbs and back. What type of abuse might be occurring?
- A. Psychological
- B. Financial
- C. Physical
- D. Sexual
Correct Answer: C
Rationale: Lewy body dementia results in cognitive impairment. The assessment of physical abuse would be supported by the nurses observation of bruises. Physical abuse includes evidence of improper care as well as physical endangerment behaviors, such as reckless behavior toward a vulnerable person that could lead to serious injury. No data substantiate the other options.
The psychological test measure personality dynamics is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: The TAT explores personality dynamics through narrative responses.
Police bring a patient to the emergency department after an automobile accident. The patient is ataxic with slurred speech and mild confusion. The blood alcohol level is 400 mg/dl (0.4 mg %). Considering the relationship between behavior and blood alcohol level, which conclusion can the nurse draw? The patient:
- A. rarely drinks alcohol.
- B. has a high tolerance to alcohol.
- C. has been treated with disulfiram (Antabuse).
- D. has recently ingested both alcohol and sedative drugs.
Correct Answer: B
Rationale: The correct answer is B: the patient has a high tolerance to alcohol. At a blood alcohol level of 400 mg/dl, most individuals would exhibit severe symptoms such as unconsciousness or coma. However, this patient only shows mild symptoms of ataxia, slurred speech, and confusion, indicating a high tolerance to alcohol. This high tolerance suggests that the patient regularly consumes large amounts of alcohol, leading to an adaptation in the body's response to alcohol.
Choice A is incorrect because a blood alcohol level of 400 mg/dl is indicative of significant alcohol consumption, contradicting the statement that the patient rarely drinks alcohol. Choice C is incorrect as disulfiram is used to treat alcohol dependence, not tolerance. Choice D is incorrect since sedative drugs would exacerbate the effects of alcohol, causing more severe symptoms than what is observed in this case.