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NEW QUESTION 21
Parents of young children often need anticipatory guidance from the nurse. Parents may have little knowledge regarding growth and development. Which of the following toys and
activities would the nurse suggest as appropriate for a toddler?

• A. Pull-toys, large ball, dolls, sand and water play, music
• B. Simple card games, puzzles, bicycle, television
• C. Mobiles, rattle, squeeze toys
• D. Cutting, pasting, string beads, music, dolls

Answer: A

Explanation:
(A) These activities are suited for the preschool-age child (3-5 years old). The activities are not safe for a toddler. (B) Infants (0-1 year) like these toys. (C) These activities provide the toddler (1-3 years old) with a variety of physical activities for play. (D) The toddler lacks the physical and cognitive abilities for these activities. The tasks are far better suited for the school-age child.

NEW QUESTION 22
An alcoholic client who is completing the inpatient segment of a substance abuse program was placed on disulfiram (Antabuse) drug therapy. What should the nurse include in the discharge instructions?

• A. Disulfiram is most effective when prescribed as late as possible in a recovery program.
• B. If disulfiram is taken and alcohol ingested, the client experiences nausea, vomiting and elevated blood pressure.
• C. Disulfiram works on the desensitization principle.
• D. The effects of disulfiram can be triggered by alcohol 5 days to 2 weeks after the drug is discontinued.

Answer: D

Explanation:
(A) When alcohol is ingested with disulfiram therapy, the client experiences nausea, vomiting, and a potentially serious drop in blood pressure. (B) Disulfiram is most successful when used early in the recovery process while the individual makes major lifestyle changes necessary for long-term recovery. (C) Disulfiram works on the classical conditioning principle. (D) The effects of disulfiram can be felt when alcohol is ingested 1-2 weeks after disulfiram is discontinued.

NEW QUESTION 23
As a nurse works with an adolescent with cystic fibrosis, the nurse begins to notice that he appears depressed and talks about suicide and feelings of worthlessness. This is an important factor to consider in planning for his care because:

• A. He needs to be confronted with his feelings and forced to work through them
• B. No threat of suicide should be ignored or challenged in any way
• C. He needs to be observed carefully for signs that his depression has been relieved
• D. It may be a bid for attention and an indication that more diversionary activity should be planned for him

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Threats of suicide should always be taken seriously. (B) This client has a life-threatening chronic illness. He may be concerned about dying or he may actually be contemplating suicide. (C) Sometimes clients who have made the decision to commit suicide appear to be less depressed. (D) Forcing him to look at his feelings may cause him to build a defense against the depression with behavioral or psychosomatic disturbances.

NEW QUESTION 24
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