When assessing a client diagnosed with Tourette's disorder, it would be most important for the nurse to assess for which of the following?
A) Inattention to detail
B) Verbal outbursts
C) Willful defiance of rules
D) Somatic complaints
Question 2
A nurse is caring for a child diagnosed with oppositional-defiant disorder. The nurse would expect which priority nursing diagnosis in the care plan?
A) Altered growth and development, related to genetic factors
B) Risk for injury, related to neurologic deficits
C) Noncompliance, related to low frustration level
D) Sleep pattern disturbance, related to fear of separation
The nurse assists the patient in reflecting on his feelings
The nurse needs to note the source of the patient health history
Nurse Sandy
It is important that parents repeat safety rules to preschoolers and monitor compliance with rules.
Testing the Achilles tendon reflex with client in a supine position
When exercising outdoors, especially on a hot, sunny day, it is important to stay adequately hydrate