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92. A nurse is assessing a six-month-old infant during a routine well-baby check up. Observing which of the following symptoms should alert the nurse to refer the child for further evaluation?
94. A nurse is closely monitoring a female client who is admitted due for depression. The nurse determines which behavior as an indicator that the client is suicidal?
95. A nurse in the emergency room is caring for an eighteen-year-old girl who is a victim of sexual assault. The client is withdrawn and at times, becomes physically immobile. The nurse determines that: