Nokea
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.
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To minimize this child's apprehension about the bone marrow puncture, which nursing strategy is most appropriate?
- A. Explain the procedure shortly before it is done.
- B. Give the information as soon as the test is scheduled.
- C. Postpone teaching about the procedure until specific questions are asked.
- D. Wait for the physician to explain the procedure to the child and parents.
Correct Answer: A
Rationale: Explaining shortly before reduces anxiety while ensuring understanding.
Which of the following risk factors would the nurse expect to note when assessing the mother?
- A. The pregnancy was unplanned and unwanted.
- B. The baby's father abandoned the mother.
- C. The mother is an adolescent.
- D. The mother's socioeconomic status is low.
- E. The mother has a history of alcohol and drug abuse.
- F. The mother has dropped out of high school.
Correct Answer: A,C,D,E
Rationale: Unplanned pregnancy, adolescent motherhood, low socioeconomic status, and substance abuse are risk factors for failure to thrive.
Which strategy is most appropriate for developing a positive, therapeutic relationship with the injured child at the time of assessment?
- A. The nurse should make an effort to have prolonged eye contact with the child.
- B. The nurse should maintain a body position at the same level as the child.
- C. The nurse should separate the child from the parent during the interview.
- D. The nurse should ask the child direct questions about the parent.
Correct Answer: B
Rationale: A non-threatening posture at the child's level builds trust.
Which of the following behaviors exhibited by the child demonstrates the most severe reaction to prolonged hospitalization?
- A. Clinging to the parents
- B. Shaking the crib frantically
- C. Thrashing about
- D. Ignoring the parents
Correct Answer: D
Rationale: Ignoring parents indicates severe emotional withdrawal, a significant concern.
Which nursing instruction is most appropriate when teaching a client who self-administers haloperidol (Haldol)?
- A. Take the pills on an empty stomach.
- B. Do not skip meals while taking the drug.
- C. Stop taking the drug if sedation occurs.
- D. Rise slowly from a sitting position.
Correct Answer: D
Rationale: Rising slowly prevents orthostatic hypotension, a common side effect.