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The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except:

A.

disclose the information before the child knows or suspects.

B.

be comfortable with your sexual preference first.

C.

have the discussion in a quiet place where interruptions are unlikely.

D.

explain how your relationship with the child changes because of the discussion.

A twenty-one year old man suffered a concussion and the MD ordered a MRI. The patient asks, “Will they allow me to sit up during the MRI?” The correct response by the nurse should be.

A.

“I will have to talk to the doctor about letting you sit upright during the test.”

B.

“You will be positioned in the reverse Trendelenburg position to maximizethe view of the brain.”

C.

“The radiologist will let you know.”

D.

“You will have to lie down on your back during the test.”

The Token Economy is a type of therapy that focuses on:

A.

play therapy.

B.

behavior modification.

C.

milieu therapy.

D.

associative.

A two-year old has been in the hospital for 3 weeks and seldom seen family members due to isolation precautions. Which of the following hospitalization changes is most like to be occurring?

A.

Guilt

B.

Trust

C.

Separation anxiety

D.

Shame

A nurse runs into the significant other of a patient with end stage AIDS crying during her smoke break. Which of the following is most appropriate action for the nurse to take?

A.

Allow her to grieve by herself.

B.

Tell her go ahead and cry, after all your husband’s pretty bad off.

C.

Tell her you realize how upset she is, but you don’t want to talk about it now.

D.

Approach her, offering tissues and encourage her to verbalize her feelings.

A client has experienced a CVA with right hemiparesis and is ready for discharge from the hospital to a long-term care facility for rehab. To provide optimal continuity of care, the nurse should do all of the following except:

A.

document current functional status.

B.

have the physician phone a report to the receiving facility.

C.

copy appropriate parts of the medical record for transport to the receiving facility.

D.

phone a report to the facility.

A nurse teaching a patient with COPD pulmonary exercises should do which of the following?

A.

Teach pursed-lip breathing techniques.

B.

Encourage repetitive heavy lifting exercises that will increase strength.

C.

Limit exercises based on respiratory acidosis.

D.

Take breaks every 10-20 minutes with exercises.