Nokea
In which disorder Child's speech is difficult to understand at age 4 or older:
- A. Speech sound disorder
- B. Speech disorder
- C. Voice disorder
- D. Resonance Disorders
Correct Answer: A
Rationale: Speech sound disorder involves persistent articulation issues beyond age 4.
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Joe, a Native American, goes to the emergency department (ED) because he has an oozing stasis ulcer on his leg. He is accompanied by the tribal shaman, who has been treating Joe on the reservation. As greeting, the physician extends his hand to the shaman, who lightly touches the physician's hand, then quickly moves away. How should the physician interpret this gesture?
- A. The shaman is snubbing the physician.
- B. The shaman is angry at Joe for wanting to go to the ED.
- C. The shaman does not believe in traditional medicine.
- D. The shaman does not feel comfortable with touch.
Correct Answer: D
Rationale: The shaman's brief touch and quick withdrawal likely reflect cultural discomfort or unfamiliarity with physical touch, common in some Native American cultures, aligning with option d.
What treatment does a nurse expect to initiate for a depressed patient who is agitated, vomiting, hyperthermic, hyperreflexive, and tachycardic?
- A. Serotonin syndrome: Anticonvulsants for seizures
- B. Clonazepam for myoclonus
- C. Lorazepam for restlessness and agitation
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A: Serotonin syndrome: Anticonvulsants for seizures. The patient's symptoms of agitation, vomiting, hyperthermia, hyperreflexia, and tachycardia are indicative of serotonin syndrome. Treatment involves stopping the offending medications, supportive care, and in severe cases, anticonvulsants for seizures. Choice B (Clonazepam) is incorrect as it is used for myoclonus, not the main symptoms presented. Choice C (Lorazepam) is incorrect as it is used for restlessness and agitation but not specifically for serotonin syndrome. Choice D (Palpitations) is incorrect as it is a symptom of serotonin syndrome, not a treatment.
As the registered nurse in the emergency department, you are taking care of an adolescent client who had just fractured their femur during gymnasium class at their high school. After casting, you will be discharging the client with crutches. Which of the following client goals that is paired with its learning domain should be included in the patient teaching plan for this client and the parents?
- A. Psychomotor domain: The client will slightly bend their elbows when holding the hand grips.
- B. Psychomotor domain: The client will rest their weight on the padded areas on the top of the crutches.
- C. Cognitive domain: The client will slightly bend their elbows when holding the hand grips.
- D. Cognitive domain: The nurse will tell the client how often the tips on the crutches must be replaced.
Correct Answer: A
Rationale: Psychomotor domain (A) involves physical skills like crutch use.
hat concept refers to the ways in which society conveys to the individual its norms or expectations of his/her behavior?
- A. socialization
- B. Gender schema
- C. Gender scripts
- D. Gender stereotypes
Correct Answer: A
Rationale: Socialization is the process by which society transmits norms and expectations to individuals.
One of the significant assumptions of ethnic sensitive practice includes ethnicity as a source of strain, discordance, and strife, as well as a source of cohesion, identity, and strength.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Ethnicity is seen as dual-natured, offering both challenges and strengths in family dynamics.