Nokea
When planning care for an autistic child, which nursing intervention is most appropriate?
- A. Providing interactive play activities
- B. Applying soft restraints while in bed
- C. Using a consistent caregiver
- D. Rocking the child as a calming technique
Correct Answer: C
Rationale: Consistency reduces anxiety in autistic children.
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During the initial physical examination, the nurse is most likely to detect which finding related to anorexia?
- A. Growth of fine body hair
- B. Bruises over the upper torso
- C. Hyperactive bowel sounds
- D. Club-shaped fingertips
Correct Answer: A
Rationale: Lanugo (fine body hair) develops in anorexia due to malnutrition.
Which of the following is the best indication that haloperidol (Haldol) is achieving a therapeutic effect?
- A. The client no longer hears voices.
- B. The client sleeps more than before.
- C. The client thinks of himself or herself as a good person.
- D. The client feels more energetic and rested.
Correct Answer: A
Rationale: Reduction in hallucinations indicates therapeutic efficacy.
Which nursing action is most appropriate for the mother at this time?
- A. Briefly take over bathing the newborn.
- B. Advise the mother to discontinue the bath.
- C. Give all future baths in the nursery.
- D. Point out the good job being done.
Correct Answer: A
Rationale: Taking over briefly supports the mother, reducing her anxiety while allowing her to remain involved.
When the gym owner asks the teenager if he would like a drug to help increase muscle mass, which factor will most likely influence a desire to accept?
- A. Several teammates are taking this drug.
- B. The team is having a winning season.
- C. His parents support his interest in football.
- D. He can afford to pay for a substantial supply.
Correct Answer: A
Rationale: Peer influence is a strong motivator for adolescents.
Which of the following are behavioral effects of anabolic steroids?
- A. Aggression and rage
- B. Confusion and doubt
- C. Anxiety and depression
- D. Paranoia and suicidal ideation
Correct Answer: A
Rationale: Aggression and rage are well-documented effects of steroid use.