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A school age child is having trouble passing Math. Which of the following
statements made by the mother concerns you most regarding the child's
developmental needs? Select all that apply:
A. "His aunt thinks he should have IQ and learning disability testing, so we're
looking into that."
B. "He does very well in all other subjects, so his average grade will be fine."
C. "We're checking into getting him a tutor in Math."
D. "I'm really not worried, but want him to have every opportunity to succeed, so
we're talking to his Math teacher."
E. "His father and I are going to ask him why he can't seem to get Math
concepts."
B, E
Which of the following nursing assessments used by the new graduate
demonstrates adequate understanding when assessing an anorexic disordered
patient. Select all that apply:
A. Have patients wear a patient gown only when weighing.
,B. Awaken patients at different times early in the morning before patients arise to
weigh.
C. Have the patient keep a weight diary.
D. Have patient void before he/she weighs.
A, B, D
Clients who participate in out-patient mental health groups often follow a
recovery model of care. What information might the nurse teach during social
skills training?
A. How to make eye contact when speaking with someone.
B. How to apply for a job.
C. How to use deep breathing exercises to minimize hallucinations.
D. How to develop a list of important phone numbers for an emergency.
A. How to make eye contact when speaking with someone.
The nurse is teaching a patient recently started on Clozapine. The nurse should
include which of the following teaching points about the medication before
discharge? Select all that apply:
A. You must report a fever of >100 degrees to HCP.
B. You will need a monthly clozapine level.
C. You must report if you develop a shuffled gait or pill rolling tremors to your
HCP.
D. You will need weekly lab work to assess WBC count.
, A, C, D
The nurse is caring for a client who has HIV/AIDS. The client comes to the HIV
clinic accompanied by his mother who states, "It's like he's become someone
else." The nurse's first response should be:
A. "Is he depressed?"
B. "How has he changed?"
C. "What do you expect?"
D. "This disease would change you too."
B. "How has he changed?"
The nurse is teaching an education group about Extrapyramidal Side Effects.
Which of the antipsychotic medications are most likely to cause EPS?
A. Atypical antipsychotics, such as clozapine.
B. Typical antipsychotics, such as haloperidol.
C. Long-acting medication, such as risperidone depot injection.
D. Lithium.
B. Typical antipsychotics, such as haloperidol.
A college student quid attending classes, locked himself in his dorm room, and
was yelling out the window at students passing by and threatening to "take them
out" with a hunting rifle. Based upon this background information, which nursing
intervention will be a priority when the client is admitted to the psychiatric unit?