Nokea
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.
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The nurse advises the parents of a child taking methylphenidate hydrochloride (Ritalin) that, to avoid potentiating the drug's effects, it is best if their child refrains from consuming which food?
- A. Citrus foods
- B. Cola beverages
- C. Processed meats
- D. Saturated fats
Correct Answer: B
Rationale: Caffeine in cola can enhance Ritalin's stimulant effects.
When crisis intervention is provided, which nursing action takes priority?
- A. Explaining the benefits of professional counseling
- B. Encouraging the survivors to talk about the event
- C. Reassuring the survivors that they will adapt
- D. Advising consulting a physician for drug therapy
Correct Answer: B
Rationale: Talking about the event helps process trauma and is a priority in crisis intervention.
The nurse is most correct to support the parents as they move through the grieving process. Place the following stages of the grieving process in the chronologic order in which they will most likely occur.
- A. Depression
- B. Anger
- C. Denial
- D. Bargaining
- E. Acceptance
Correct Answer: C,B,D,A,E
Rationale: The Kubler-Ross model typically follows the order: Denial, Anger, Bargaining, Depression, Acceptance.
Which of the following data best correlate with the profile of a person with anorexia nervosa?
- A. The teen is the middle child of three siblings.
- B. The teen is a high achiever in school and activities.
- C. The teen thinks that classmates are not friendly.
- D. The teen experienced many illnesses during childhood.
Correct Answer: B
Rationale: High achievement and perfectionism are common in anorexia profiles.
The nurse correctly explains that the behavior the preschooler is demonstrating is based on a need to feel what?
- A. Powerful
- B. Secure
- C. Confident
- D. Dependent
Correct Answer: B
Rationale: Preschoolers seek security in stressful situations.