The nurse is caring for a female patient who has recently been diagnosed with cancer and will soon begin chemotherapy.
Which of these statements would require additional follow-up and education?
A. I will be most susceptible to an infection between 7 and 12 days after chemotherapy.
B. I should try to get my annual teeth cleaning in before beginning chemotherapy.
C. I should wait until all my hair falls out to purchase a wig.
D. I should try to drink 8-10 glasses of water a day.
The nurse is caring for an elderly patient and providing education. Which of the following would be least appropriate?
A. The nurse breaks up the education into multiple shorter sessions.
B. The nurse provides supplemental written resources.
C. The nurse allows additional time after each instruction to allow the patient to process.
D. The nurse speaks in a loud voice.
The nurse is caring for a 4-year-old patient.
What is the most appropriate pain scale for the nurse to use during the assessment?
A. CRIES Pain Scale
B. FLACC Pain Scale
C. McGill Pain Scale
D. Wong-Baker Pain Scale
The nurse is assessing an 18-month-old.
Which of these statements made by the parent or caregiver would require follow-up?
A. I'm worried that my child is not using two-word phrases yet.
B. I'm letting my child use a spoon to eat.
C. My child has recently taken a few steps but does not seem stable when standing.
D. My child seems to have developed separation anxiety when I leave.
When caring for pediatric patients, the nurse should pay special attention to the psychosocial development stages credited to __________?
A. Erik Erikson
B. Robert Peck
C. Jean Piaget
D. Sigmund Freud
Around what age do children start to develop "stranger anxiety"?
A. 3 months
B. 9 months
C. 6 months
D. 12 months
A 6-year-old patient suddenly yells out, "I hate my daddy!"
What would be the LPN's best response?
A. "You are not alone. We all get angry at our parents sometimes."
B. "You don't mean that. Your daddy loves you so much."
C. "I understand you're upset. Why don't we call your daddy and see if we can talk this through?"
D. "You sound upset. What is making you feel this way?"
The LPN is meeting a newly hospitalized patient and suspects he may have depression.
Which question would best help her assess this?
A. "Are you depressed?"
B. "How do you feel about being here?"
C. "Does depression run in your family?"
D. "What activities do you enjoy?"
A female patient is about to begin her first chemotherapy treatment. She tells the LPN, "It sounds silly, but I'm just so afraid of how people will react to me once I lose all my hair. I always had such pretty hair... I know, stupid, right?"
What is the LPN's best response?
A. "Your hair will grow back right after treatment stops. And for many women, it grows back even thicker and shinier! For now, just focus on getting better."
B. "Don't worry. The way they make wigs these days, no one will be able to tell! Would you like me to help you pick one out?"
C. "Most people are pretty understanding about chemo hair loss, but I know it's hard. Have you joined our chemotherapy support group?"
D. "Many people have a hard time with chemo-related hair loss. Tell me a little more about your concerns."
A psychiatric patient asks, "Are we at my apartment in New York City? I don't want to leave my room because I'm afraid of getting mugged!"
What is the LPN's best response?
A. "No, we are in a hospital in Seattle, Washington. Why are you worried about being mugged? Have you been mugged before?"
B. "Tell me a little more about how you're feeling. Did you have an apartment in New York once?"
C. "It sounds like you are feeling scared or anxious. We are not at an apartment in New York, we are at a hospital in Seattle, Washington."
D. "Are you feeling anxious? Don't worry, you are safe and I won't let anything bad happen to you."
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