Nokea
The mother of a seven-year-old child is dying.
The nurse should anticipate that the seven-year-old child would have which of the following concepts of death?
- A. Death is punishment for his/her actions.
- B. Death is inevitable and irreversible.
- C. Death is temporary and gradual.
- D. Death as a concept based on past experience.
Correct Answer: A
Rationale: Strategy: Remember growth and development. (1) correct-seven-year-olds see death as a punishment (2) by age of 9, most children begin to develop an adult concept of death and begin to understand that death is irreversible (3) is a preschool child's concept of death (4) is an adolescent's concept of death
You may also like to solve these questions
The nurse is caring for a client with a history of Crohn’s disease.
- A. Which dietary instruction is most appropriate for a client with Crohn’s disease?
- B. High-fiber diet during remission.
- C. Low-residue diet during exacerbations.
- D. High-fat diet to increase calories.
- E. Avoid all dairy products.
Correct Answer: B
Rationale: A low-residue diet during Crohn’s disease exacerbations reduces bowel irritation. High-fiber is used in remission, high-fat diets worsen symptoms, and dairy is avoided only if intolerant.
The neonatal nurse is instructing the family of a newborn about an apnea monitor.
The nurse should be MOST concerned if a family member makes which of the following statements?
- A. We will be able to leave our baby for brief periods of time.'
- B. We plan to sleep by our baby's crib.'
- C. We can remove the monitor during our baby's bath.'
- D. A family member will closely watch the monitor all the time.'
Correct Answer: D
Rationale: Strategy: 'MOST concerned' indicates that you are looking for an incorrect statement. (1) appropriate behavior (2) appropriate behavior (3) appropriate behavior (4) correct-indicates a feeling that monitor may not let them know if their infant stops breathing
The nurse is observing a student nurse auscultate the lungs of a client. The nurse knows that the student nurse is correctly auscultating the right middle lobe (RML) if the stethoscope is placed in which of the following positions?
- A. Posterior and anterior base of right side.
- B. Right anterior chest between the fourth and sixth intercostals.
- C. Left of the sternum, midclavicular, at right fifth intercostal.
- D. Posterior chest wall, midaxillary, right side.
Correct Answer: B
Rationale: RML is found in the right anterior chest between the fourth and sixth intercostal spaces
Which of the following strategies would be MOST therapeutic as the nurse tries to analyze a bulimic client's eating habits and the circumstances that precipitate the client's eating problems?
- A. Observe family communication patterns at a 'monitored mealtime.'
- B. Distract the client at mealtime.
- C. Assign the client a food/feelings/thoughts/actions journal.
- D. Assign the client to write a 'lifeline' in relation to eating behaviors.
Correct Answer: C
Rationale: implementation, nurse is trying to analyze and understand what triggers the client's binging and purging activities, so therapeutic nursing intervention of assigning a thought/feelings/actions (T/F/A) journal relating to client's eating behaviors will be most helpful to the nurse and therapeutic to the client; after this information is gained and reviewed, collaboration by the nurse and client on other strategies such as delay and distraction techniques, stress reduction, and developing a 'lifeline' in relation to eating behaviors will further benefit the client
An elderly alcoholic client has been receiving a long-acting benzodiazepine (Librium) for two days for symptom management and reduction. The client states: 'Get those bugs off of me and clean them out of here.'
The nurse knows the client is exhibiting symptoms of
- A. a reaction to the sedative medication.
- B. a worsening course of the withdrawal syndrome.
- C. an exacerbation of the schizophrenia process.
- D. the process of aging and the effects of delirium.
Correct Answer: B
Rationale: Strategy: Think about each answer choice. (1) client has been medicated with benzodiazepines and did not experience untoward reactions (2) correct-client has most probably progressed to another level of abstinence withdrawal from polypharmacy chemical dependence; characteristic symptoms include tremors, increased heart rate, and fever, as well as psychological problems of confusion, delusions, and hallucinations (3) schizophrenic client usually experiences an episode of auditory hallucinations, not visual or tactile hallucinations (4) combination effect of the normal aging process and dementia could precipitate a similar reaction; however, the normal aging process does not produce delirium, but rather dementia