单项选择题When caring for an adolescent client diagnosed with depression, the nurse should remember that depression manifests differently in adolescents and adults. In an adolescent, signs and symptoms of depression are likely to include which of the following

A.Helplessness, hopelessness, hypersomnolence, and anorexia.
B.Truancy, a change of friends, social withdrawal, and oppositional behavior.
C.Curfew breaking, stealing from family members, truancy, and oppositional behavior.
D.Hypersomnolence, obsession with body image, and valuing of peers' opinions.


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2.单项选择题A client with a retinal detachment does not understand what happened to his eye and asks the nurse's explanation. Which of the following would be the nurse's best response to describe the pathology of retinal detachment

A."The optic nerve is damaged when it is exposed to vitreous humor. "
B."A tear in the retina permits the escape of vitreous humor from the eye. "
C."The two layers of the retina separate, allowing fluid to enter between them. "
D."Retinal injury produces inflammation and edema that increase intraoeular pressure. "

3.单项选择题Which of the following goals would be appropriate for the client with hepatitis B

A.The client will verbalize the importance of using sedatives to provide adequate rest.
B.The client will avoid social activities with friends after discharge from the hospital.
C.The client will adhere to measures to prevent the spread of infection to others.
D.The client will adhere to a low sodium, low protein diet.

4.单项选择题Mr. Smith has had a cast applied to his arm as an outpatient in the emergency room. Which of the following home care instructions should the nurse advice for his cast care

A.Use a ruler to reach inside and scratch under the cast.
B.Apply a heating pad to the arm for 24 hours after the injury.
C.Use powder on the skin around the cast.
D.Smell the cast for foul odors.

5.单项选择题The nurse is caring for several clients who have eating disorders. Based on appearance, how would the nurse distinguish bulimic clients from anorectic clients

A.By their teeth.
B.By body size and weight.
C.By looking for Mallory-Weiss tears.
D.The clients are indistinguishable upon physical examination.

7.单项选择题A multigravid client in active labor is about to deliver. The nurse has no help immediately available. What should the nurse do first

A.Prepare a clean area on which to deliver the neonate.
B.Lower the head of the bed to a flat position.
C.Have the client push with a contraction.
D.Ask the client to take a deep breath and hold it.

8.单项选择题Which of the following health-promoting activities should the nurse teach the client with a new laryngectomy

A.Cleanse the mouth three times a day.
B.Avoid taking tub baths.
C.Develop an aggressive program of exercise to increase airway functioning.
D.Dehumidify the air for comfort.

9.单项选择题The client exhibits signs of sleep disturbance. Which intervention should the nurse try first

A.Administer sleeping medication before bedtime.
B.Provide the client with normal sleep aids, such as pillows, back rubs, and snacks.
C.Ask the client each morning to describe the quality of sleep during the previous night.
D.Teach the client relaxation techniques, such as guided imagery, meditation, and progressive muscle relaxation.

10.单项选择题The nurse administers a preoperative intramuscular medication at the ventrogluteal site. The nurse will inject the medication into which muscle

A.Rectus femoris.
B.Gluteus maximus.
C.Gluteus minimus.
D.Vastus lateralis.