A new client arrives for a first visit to the pediatric clinic. The nurse will prioritize which step in this appointment?

Determining the chief complaint.

Interviewing the caregiver.

Obtaining biographical data.

Recording the health history.

Answer and Explanation

The Correct Answer is A

Choice A reason: Determining the chief complaint identifies the primary reason for the visit, guiding the assessment and care plan for the child. This aligns with pediatric nursing triage principles, making it the prioritized step to ensure focused, efficient care during the first visit to the clinic.

Choice B reason: Interviewing the caregiver provides context but follows identifying the chief complaint, which directs the conversation. The complaint sets the visit’s focus, making this secondary and incorrect compared to prioritizing the reason for the child’s visit in the initial pediatric clinic appointment.

Choice C reason: Obtaining biographical data is administrative and less urgent than addressing the child’s health concern. The chief complaint drives the clinical encounter, making this less critical and incorrect compared to prioritizing the identification of the primary issue in the first clinic visit.

Choice D reason: Recording the health history is important but comes after understanding the chief complaint, which shapes the history-taking. Identifying the complaint ensures relevance, making this subsequent and incorrect compared to the prioritized step of determining the reason for the child’s visit.

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Correct Answer is B

Explanation

Choice A reason: Complying with a babysitter despite being upset shows adaptability, not initiative, which involves self-directed tasks. Attempting to clean cereal reflects proactive behavior, making this less indicative and incorrect compared to an activity demonstrating the 4-year-old’s initiative in the developmental assessment.

Choice B reason: Trying to sweep spilled cereal and crying when failing demonstrates initiative, as the 4-year-old independently attempts a task, a hallmark of Erikson’s initiative stage. This aligns with pediatric developmental milestones, making it the correct activity to document for assessing the child’s growth and development status.

Choice C reason: Refusing to hold hands while crossing the street indicates defiance, not initiative, which involves purposeful self-started activities. Cleaning cereal better reflects initiative, making this incorrect, as it shows autonomy rather than the proactive behavior expected in the initiative stage of development.

Choice D reason: Blaming a broken dish on a fictional friend shows guilt avoidance, not initiative, which involves taking on tasks independently. Attempting a cleanup task is more indicative, making this incorrect compared to the proactive behavior of sweeping cereal in the 4-year-old’s developmental assessment.

A. Playing together in an activity without organization. B. Playing in an organized group with each other. C. Playing apart from others without being part of a group. D. Playing independently and are side by side.

Correct Answer is D

Explanation

Choice A reason: Playing together without organization is associative play, more typical of preschoolers, not toddlers, who engage in parallel play. Side-by-side independent play is toddler-specific, making this incorrect, as it misidentifies the developmental play stage of toddlers in the in-service training session.

Choice B reason: Organized group play is cooperative play, seen in older children, not toddlers, who lack the social skills for it. Parallel play side by side is typical, making this incorrect, as it does not reflect the independent nature of toddler play in the nurses’ training.

Choice C reason: Playing apart without group involvement is solitary play, less common in social settings for toddlers, who prefer parallel play. Side-by-side play is more characteristic, making this incorrect compared to the typical toddler behavior of independent play in proximity during the session.

Choice D reason: Toddlers engage in parallel play, playing independently side by side without interaction, a hallmark of their developmental stage. Nurses choosing this example show understanding, aligning with pediatric play theories, making it the correct choice for a successful in-service training on toddler play.

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A new client arrives for a first visit to the pediatric clinic. The nurse will prioritize which step in this appointment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity?

Correct Answer is B

Explanation

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

Correct Answer is D

Explanation

A young child has been admitted with a diagnosis of enterobiasis (pinworm infection). This child will most likely have a history of:

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with Kwashiorkor. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of Kwashiorkor?

The nurse is working with a group of chronically ill school-aged children and their caregivers. Which strategy would be most effective in helping the children reach their self-care treatment goals?