Nokea
Which of the following would be the first priority for nurses caring for autistic children?
- A. Assist the psychiatrist and mental health team in providing treatments to cure the disorder
- B. Determine which of the two different types of autism the child has
- C. Discourage and prevent self-destructive behavior
- D. Provide behavior modification tools, specifically limit setting and reward systems
Correct Answer: C
Rationale: Safety is the primary nursing intervention. Behavior modification tools are important, but safety comes first. Autism at this point is not curable. Determining the type of autism is not a nursing goal.
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To provide nursing care to abused children and their families, the nurse must first:
- A. Complete a comprehensive physical and mental assessment
- B. Recommend removal of the children from the family
- C. Refer each case to the appropriate social worker for follow-up
- D. Examine personal feelings regarding the trauma of child abuse and neglect
Correct Answer: D
Rationale: The correct answer is D because examining personal feelings regarding the trauma of child abuse and neglect is crucial for nurses to provide effective care without bias or judgment. Understanding one's emotions enables empathetic and non-judgmental care. Choice A is important but not the first step. Choice B should only be considered after a thorough assessment. Choice C is not the nurse's primary responsibility; they should actively participate in the care.
All of the following are ways that you can reduce your contributions to ground ozone pollution except
- A. Conserving energy at home and at school
- B. Carpooling more to reduce pollution
- C. Use low VOC paints
- D. Stop smoking
Correct Answer: D
Rationale: Stopping smoking reduces personal health risks but has minimal direct impact on ground-level ozone, unlike the other options.
A patient admitted to the eating disorders unit has yellow skin, the extremities are cold, and the heart rate is 42 bpm. The patient weighs 70 pounds; height is 5 feet 4 inches. The patient is quiet during the assessment, saying only, 'I will not eat until I lose enough weight to look thin.' Select the best initial nursing diagnosis.
- A. Anxiety related to fear of weight gain.
- B. Disturbed body image related to weight loss.
- C. Ineffective coping related to lack of conflict resolution skills.
- D. None of the above.
Correct Answer: D
Rationale: Rationale for Correct Answer (D): None of the above is the best initial nursing diagnosis because the patient's symptoms suggest a severe medical condition rather than psychological issues. The yellow skin, cold extremities, low heart rate, extreme low weight, and refusal to eat indicate severe malnutrition and possible organ failure. Therefore, the priority is to address the patient's immediate medical needs, such as restoring electrolyte balance and preventing further complications. Psychological assessments and diagnoses can follow once the patient's physical health is stabilized.
Summary of Other Choices:
A: Anxiety related to fear of weight gain - This choice focuses on psychological factors, but the patient's symptoms indicate severe physical malnutrition rather than anxiety.
B: Disturbed body image related to weight loss - While body image issues may be present, the patient's critical medical condition takes precedence over psychological concerns.
C: Ineffective coping related to lack of conflict resolution skills - This choice does not address the urgency of the patient's physical symptoms and is not the most
A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which nursing intervention should receive the highest priority?
- A. Conducting passive range-of-motion exercises
- B. Exposing the patient to auditory and visual stimuli
- C. Interacting with the patient as if he is responding
- D. Including the patient in a variety of milieu activities
Correct Answer: A
Rationale: The correct answer is A: Conducting passive range-of-motion exercises. This intervention is the highest priority because it addresses the physical needs of the patient by preventing complications such as muscle stiffness and contractures due to prolonged immobility. Passive range-of-motion exercises also promote circulation and prevent pressure ulcers. Choice B is incorrect because excessive stimuli can overwhelm the patient. Choice C is incorrect as it assumes the patient is responding when they may not be. Choice D is incorrect as the patient may not be ready or able to participate in activities due to their catatonic state.
Which of the following is the percentage of pre-school children who are diagnosed with a phonological disorder of unknown origin?
- A. 4%
- B. 5%
- C. 6%
- D. 3%
Correct Answer: D
Rationale: Phonological Disorder: Approximately 3% of pre-school children are diagnosed with this disorder of unknown origin, characterized by failure to use developmentally expected speech sounds.