There is no right or wrong here. Ask your child what is happening in this picture. Ask him how did this happen? Then ask, what will happen next? Have your child generate as many uses as possible.

Ask: How many new ways can you think to use a water bottle? Ask your child: Suppose you could be invisible for a day. What problems might that create? What would the benefits of being invisible be? Old Mother Hubbard Went to the cupboard To get her poor doggie a bone, When she got there The cupboard was bare So the poor little doggie had none.

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Choose Topic Physical examination discloses marked joint deformities in the hands, wrists, shoulders, and feet; the findings are unchanged from previous visits. The patient says, "I cannot continue to live as I am.

I've had it. A "Do you think you're depressed? I can help with that. B "Have you considered moving to an assisted living facility where your quality of life could be much better?

C "I know just how you feel. D "I'd like to refer you to a counselor. E "Would you like to tell me more about why you feel this way? Answer: E. A year-old boy is brought to the emergency department by a caregiver after sustaining a large knife wound to his left arm.

The caregiver reports that the patient cut himself with a knife, but it is unknown whether this was a suicide attempt. The patient lives in a group home with three other individuals and the caregiver; it is apparent from talking to the patient that he has limited intellectual capacity.

He has an appointed legal guardian who has been contacted and is due to arrive at the hospital in approximately 45 to 60 minutes. The patient's vital signs are temperature He appears pale and he has a large, blood-soaked towel wrapped around his left forearm.

Removal of the towel discloses a 9-cm laceration with obvious arterial hemorrhage and tendon exposure. Examinations of the chest and abdomen are unremarkable.

A pressure bandage is immediately applied and consultation is obtained with a surgeon, who wants to take the patient immediately to the operating room.

Which of the following statements is most accurate regarding consent for this patient? A The caregiver can legally provide consent. B The need for consent can be waived. C The patient is emancipated and can legally give consent.

D Psychiatric clearance should be obtained for patient consent. E Surgery must be delayed until the guardian arrives. Answer: B. A year-old man and a year-old woman come to the office for the first time for premarital evaluation and counseling. Neither of them has ever been sexually active, because they "want to wait" until after marriage to have sexual intercourse.

Other discussion reveals that they have never had blood transfusions, used illicit drugs, or drunk excessive amounts of alcohol. They have heard about the test for HIV antibody and wonder whether they should obtain this test before marriage. Compared with persons who have multiple risk factors for HIV, which of the following statements best applies to this couple?

A The negative predictive value of the test would be lower. B The positive predictive value of the test would be lower. C The sensitivity of the test would be higher. D The sensitivity of the test would be lower.

E The specificity of the test would be lower.

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