10TYK. Parents ask the nurse how they will know that their daughter has reached puberty. Which is the best response by the nurse?
1. “The first noticeable sign of puberty in females is appearance of the breast bud.”
2. “The growth spurt usually begins between ages 10 and 14.”
3. “The apocrine glands, found over most of the body, begin to produce sweat.”
4. “The adolescent will display significant mood swings.”
Get Solution
2CTC. Shireena, an 8-year-old, comes to your clinic with her mother, com-plaining of pain in both ears for about 4 days. Although she has a history of recurrent ear infections as a child and had tympanostomy tubes placed 3 years ago, her mother says she has not had an ear infection for at least 2 years. Shireena participated in summer day camp last week, which involved swimming in a local lake. She says, “I didn’t put my head under water. I know better than that!” The nurse practitioner diagnoses Shireena with acute external otitis media with swelling and exudate; she prescribes a topical antibiotic with cortico¬steroid (otic drops) three times a day for 10 days. As the clinic nurse, you provide Shireena and her mother with health education.
Based on knowledge of Shireena’s cognitive development, how would you approach her to discuss her condition? Describe how you will include both Shireena and her mother in the discussion.
Get Solution
2TYK. Four-year-old Angie, whose grandmother recently died, tells the nurse, “My grandma has wings just like angels. She flew to heaven yesterday and tomorrow she’ll be back.’’ Which is the nurse’s best response?
1. “She’s not coming back, honey.”
2. “It is normal for a little one to make believe.”
3. “You must miss your grandma a lot.”
4. “When people get old they die.”
Get Solution
3CTC. Shireena, an 8-year-old, comes to your clinic with her mother, com-plaining of pain in both ears for about 4 days. Although she has a history of recurrent ear infections as a child and had tympanostomy tubes placed 3 years ago, her mother says she has not had an ear infection for at least 2 years. Shireena participated in summer day camp last week, which involved swimming in a local lake. She says, “I didn’t put my head under water. I know better than that!” The nurse practitioner diagnoses Shireena with acute external otitis media with swelling and exudate; she prescribes a topical antibiotic with cortico-steroid (otic drops) three times a day for 10 days. As the clinic nurse, you provide Shireena and her mother with health education.
What strategies will you suggest to ensure compliance with the nurse practitioner’s orders? Discuss how Shireena can be actively involved in her medical treatment.
Get Solution
3TYK. Because near-drowning is one of the leading causes of vegetative state in young children, which is the best instruction for the nurse to teach parents?
1. Supervise children at all times when near any source of water.
2. Enroll children in swimming classes at an early age to ensure water safety.
3. Make bathroom doors and toilets easily accessible and appropriate for a toddler’s size.
4. Allow unsupervised play only in “kiddy pools” designated for young children.
Get Solution
4TYK. Which statement most accurately describes physical development during the school-age years?
1. Child’s weight almost triples.
2. Child acquires stereognosis.
3. Few physical changes occur during middle childhood.
4. Fat gradually increases, which contributes to the child’s heavier appearance
Get Solution
5TYK. Females experience an increase in weight and fat deposition during puberty. Which nursing action is most appropriate to this age group?
1. Give reassurance that these changes are normal.
2. Suggest dietary measures to control weight gain.
3. Recommend increased exercise to control weight gain.
4. Encourage low-fat diet to prevent fat deposition.
Get Solution
6TYK. A night shift nurse notices that a postpartum (after delivery of a baby) client is crying and rubbing her baby’s head. The mother states, “Look how lopsided my little Sam’s head is. It is all my fault. My mom told me that I should have laid down more instead of sitting. Now, Sam’s head is all smashed and funny looking.” Which is the best response by the nurse?
1. “Do you mean to tell me that your mother told you that? Are you serious?’’
2. “The head is soft and changed shape as it moved through the birth canal.”
3. “I will provide you with materials to read that will clear that up for you.”
4. ‘There is no need to cry. His head will return to normal in a few days.”
Get Solution
7TYK. During a physical examination a 24-month-old child clings to the parent and cries every time the nurse attempts to touch her. From knowledge of psychosocial development, the nurse makes which conclusion about the child?
1. The child is displaying normal toddler development.
2. The child needs further psychological evaluation.
3. The child is manipulative and should be taken from the parent to be examined.
4. The child is showing signs of regression.
Get Solution
8TYK. After falling off playground equipment, a 5-year-old is brought to the emergency department with a broken arm. The parents ask for ways to keep her occupied while wearing the cast. Which is the best response by the nurse?
1. “You will need to talk to the primary care provider about this.”
2. “Let her watch television or do puzzles and other quiet games.”
3. “Activities that do not involve the use of the arm or risk damage to the cast are okay.”
4. “She can ride a bike, jump rope, or play with friends if you watch her closely.”
Get Solution
9TYK. According to Piaget’s theory of cognitive development, the movement from intuitive reasoning to logical reasoning in school-age children is called the concrete operations phase. Which is an example of this phase?
1. A science-fair project comparing how fast different objects fall from a set height
2. Feeling responsible for wishing that a sibling would go away, and now that sibling is ill and hospitalized
3. Understanding how geometric figures might fit into a futuristic and idealistic world
4. Learning to ride a bike
Get Solution
1. “The first noticeable sign of puberty in females is appearance of the breast bud.”
2. “The growth spurt usually begins between ages 10 and 14.”
3. “The apocrine glands, found over most of the body, begin to produce sweat.”
4. “The adolescent will display significant mood swings.”
Get Solution
2CTC. Shireena, an 8-year-old, comes to your clinic with her mother, com-plaining of pain in both ears for about 4 days. Although she has a history of recurrent ear infections as a child and had tympanostomy tubes placed 3 years ago, her mother says she has not had an ear infection for at least 2 years. Shireena participated in summer day camp last week, which involved swimming in a local lake. She says, “I didn’t put my head under water. I know better than that!” The nurse practitioner diagnoses Shireena with acute external otitis media with swelling and exudate; she prescribes a topical antibiotic with cortico¬steroid (otic drops) three times a day for 10 days. As the clinic nurse, you provide Shireena and her mother with health education.
Based on knowledge of Shireena’s cognitive development, how would you approach her to discuss her condition? Describe how you will include both Shireena and her mother in the discussion.
Get Solution
2TYK. Four-year-old Angie, whose grandmother recently died, tells the nurse, “My grandma has wings just like angels. She flew to heaven yesterday and tomorrow she’ll be back.’’ Which is the nurse’s best response?
1. “She’s not coming back, honey.”
2. “It is normal for a little one to make believe.”
3. “You must miss your grandma a lot.”
4. “When people get old they die.”
Get Solution
3CTC. Shireena, an 8-year-old, comes to your clinic with her mother, com-plaining of pain in both ears for about 4 days. Although she has a history of recurrent ear infections as a child and had tympanostomy tubes placed 3 years ago, her mother says she has not had an ear infection for at least 2 years. Shireena participated in summer day camp last week, which involved swimming in a local lake. She says, “I didn’t put my head under water. I know better than that!” The nurse practitioner diagnoses Shireena with acute external otitis media with swelling and exudate; she prescribes a topical antibiotic with cortico-steroid (otic drops) three times a day for 10 days. As the clinic nurse, you provide Shireena and her mother with health education.
What strategies will you suggest to ensure compliance with the nurse practitioner’s orders? Discuss how Shireena can be actively involved in her medical treatment.
Get Solution
3TYK. Because near-drowning is one of the leading causes of vegetative state in young children, which is the best instruction for the nurse to teach parents?
1. Supervise children at all times when near any source of water.
2. Enroll children in swimming classes at an early age to ensure water safety.
3. Make bathroom doors and toilets easily accessible and appropriate for a toddler’s size.
4. Allow unsupervised play only in “kiddy pools” designated for young children.
Get Solution
4TYK. Which statement most accurately describes physical development during the school-age years?
1. Child’s weight almost triples.
2. Child acquires stereognosis.
3. Few physical changes occur during middle childhood.
4. Fat gradually increases, which contributes to the child’s heavier appearance
Get Solution
5TYK. Females experience an increase in weight and fat deposition during puberty. Which nursing action is most appropriate to this age group?
1. Give reassurance that these changes are normal.
2. Suggest dietary measures to control weight gain.
3. Recommend increased exercise to control weight gain.
4. Encourage low-fat diet to prevent fat deposition.
Get Solution
6TYK. A night shift nurse notices that a postpartum (after delivery of a baby) client is crying and rubbing her baby’s head. The mother states, “Look how lopsided my little Sam’s head is. It is all my fault. My mom told me that I should have laid down more instead of sitting. Now, Sam’s head is all smashed and funny looking.” Which is the best response by the nurse?
1. “Do you mean to tell me that your mother told you that? Are you serious?’’
2. “The head is soft and changed shape as it moved through the birth canal.”
3. “I will provide you with materials to read that will clear that up for you.”
4. ‘There is no need to cry. His head will return to normal in a few days.”
Get Solution
7TYK. During a physical examination a 24-month-old child clings to the parent and cries every time the nurse attempts to touch her. From knowledge of psychosocial development, the nurse makes which conclusion about the child?
1. The child is displaying normal toddler development.
2. The child needs further psychological evaluation.
3. The child is manipulative and should be taken from the parent to be examined.
4. The child is showing signs of regression.
Get Solution
8TYK. After falling off playground equipment, a 5-year-old is brought to the emergency department with a broken arm. The parents ask for ways to keep her occupied while wearing the cast. Which is the best response by the nurse?
1. “You will need to talk to the primary care provider about this.”
2. “Let her watch television or do puzzles and other quiet games.”
3. “Activities that do not involve the use of the arm or risk damage to the cast are okay.”
4. “She can ride a bike, jump rope, or play with friends if you watch her closely.”
Get Solution
9TYK. According to Piaget’s theory of cognitive development, the movement from intuitive reasoning to logical reasoning in school-age children is called the concrete operations phase. Which is an example of this phase?
1. A science-fair project comparing how fast different objects fall from a set height
2. Feeling responsible for wishing that a sibling would go away, and now that sibling is ill and hospitalized
3. Understanding how geometric figures might fit into a futuristic and idealistic world
4. Learning to ride a bike
Get Solution
No hay comentarios:
Publicar un comentario