A nurse is caring for a 10-year old child with Intellectual Developmental Disorder who has an IQ of 45. Which child capability would the nurse expect to observe? The child:

cannot answer the nurse when spoken to.

may need complete supervision when performing hand hygiene.

is allowed to use safety scissors with adult guidance.

follows directions independently when given an assignment.

Answer and Explanation

The Correct Answer is B

B. Children with IDD often require additional support and supervision in performing daily tasks, including personal hygiene routines like handwashing. Depending on the specific needs and abilities of the child, they may require varying levels of assistance and supervision.
A. Communication abilities can vary widely among children with IDD, and many may be able to understand and respond to simple questions or instructions, albeit with some difficulty.
C. Safety scissors are specifically designed for children to use safely, with features such as blunt tips and plastic blades to minimize the risk of injury. Allowing a child with IDD to use safety scissors with adult guidance can promote independence while ensuring safety.
D. Children with IDD often face challenges in following directions and completing tasks independently, particularly those with lower IQ scores.

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Correct Answer is B

Explanation

B. Oxazepam is a benzodiazepine and is often used for the management of alcohol withdrawal syndrome. It works by acting on the GABA receptors in the brain, which are the same receptors that alcohol affects, thus helping to alleviate withdrawal symptoms.
A. Fluoxetine is an antidepressant medication belonging to the class of selective serotonin reuptake inhibitors (SSRIs). It is primarily used to treat conditions like depression, anxiety disorders, obsessive- compulsive disorder (OCD), and bulimia nervosa. It is not typically used to manage alcohol withdrawal symptoms.
C. Buspirone is an anti-anxiety medication used to treat generalized anxiety disorder (GAD). It works differently from benzodiazepines and is not typically used to manage alcohol withdrawal symptoms.
D. Amitriptyline is a tricyclic antidepressant used to treat depression, neuropathic pain, and sometimes migraines. Like fluoxetine, it is not typically used to manage alcohol withdrawal symptoms.

A. denial. B. separation-individuation. C. splitting. D. reaction formation.

Correct Answer is C

Explanation

C. Splitting is characterized by viewing people and situations in extremes, either all good or all bad, without recognizing the complexity that usually exists in most circumstances. This black-and-white thinking can lead to rapidly shifting perceptions of others, as seen in the client's sudden change from idealizing the nurse to devaluing them.
A. Denial is a defense mechanism where the individual refuses to accept reality or acknowledge an aspect of reality that is apparent to others. In this scenario, the client is not denying any aspect of reality.
B. Separation-individuation is a developmental process where individuals establish autonomy and a sense of self separate from others, particularly from primary caregivers. This process is more relevant in infancy and early childhood.
D. Reaction formation is a defense mechanism where an individual behaves in a manner opposite to their true feelings or impulses. In this scenario, the client's expression of hatred towards the nurse does not appear to be a case of reaction formation, as there is no indication that the client actually harbors feelings of care or admiration towards the nurse.

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A nurse is caring for a 10-year old child with Intellectual Developmental Disorder who has an IQ of 45. Which child capability would the nurse expect to observe? The child:

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A client is admitted to a Chemical Addictions Unit to stop using alcohol and to learn about sobriety. The client asks the nurse what medication the doctor has prescribed for possible alcohol withdrawal. The nurse explains that the physician prescribed:

Correct Answer is B

Explanation

The nurse has recently set limits for a client with borderline personality disorder. The client tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see that I was mistaken. You are hateful." This outburst can be assessed as:

Correct Answer is C

Explanation

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