The nurse asks the parents of a child about the family health history. The father asks the nurse why she needs this information. The nurse would explain that the family health history is gathered for what reason?

Identifying risk factors in families decreases the child’s risk of developing the same conditions or health problems.

By establishing family behavior, the nurse forces the parents to alter their care of their child and make them healthier.

The nurse needs to know everything about a family to take care of the child.

The number of family members that have a certain health problem will help the nurse know if the child will have the same problem.

Answer and Explanation

The Correct Answer is A

Choice A reason: Family health history identifies genetic and environmental risk factors, enabling preventive measures to reduce the child’s likelihood of developing similar conditions. This aligns with pediatric health assessment goals, making it the correct explanation for gathering family health history data during the clinical encounter.

Choice B reason: Family history does not force parental behavior changes but informs risk assessment. Suggesting coercion is inaccurate, as the goal is prevention through awareness, making this incorrect compared to identifying risk factors as the primary reason for collecting health history from the parents.

Choice C reason: Needing to know “everything” is overly broad and impractical. Family health history specifically targets relevant risk factors for the child’s health, not all family details, making this vague and incorrect for the focused purpose of gathering targeted medical history during the assessment.

Choice D reason: The number of affected family members informs risk but does not definitively predict the child’s health outcomes. Identifying risk factors for prevention is the broader goal, making this too narrow and incorrect for the primary reason for collecting family health history in pediatric care.

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Correct Answer is D

Explanation

Choice A reason: Asking the child about seeing her mother places an unfair burden on her, especially post-accident when she may be distressed. Verifying legal contact permissions ensures compliance with custody agreements, making this inappropriate and incorrect compared to confirming authorized visitors in this sensitive situation.

Choice B reason: Directing the mother to the room without checking custody status risks violating legal restrictions, potentially escalating conflict. Confirming who is allowed contact protects the child, making this hasty and incorrect compared to the nurse’s responsibility to verify permissions in a divorce-related hospital scenario.

Choice C reason: Asking the mother about her permission may be unreliable, as agitation could lead to inaccurate claims. Checking official records ensures adherence to custody orders, making this inadequate and incorrect compared to the nurse’s duty to verify authorized contact for the hospitalized child objectively.

Choice D reason: Checking who is allowed contact verifies legal custody arrangements, ensuring the child’s safety and compliance with court orders in a divorce situation. This aligns with pediatric hospital protocols, making it the most appropriate action to address the mother’s demand while protecting the injured daughter.

A. “Sterilize a pair of narrow tweezers. While someone else holds the child’s head still, carefully insert the tweezers and remove the paper if there is any.” B. “Wait for a day or two to see if the child’s ears seem irritated. If they do, bring her in.” C. “The child should be seen by a care provider. Don’t put anything in her ear and bring her in right away.” D. “Wash her ear out using warm water and an ear syringe then the paper will flush out with the water.”

Correct Answer is C

Explanation

Choice A reason: Using tweezers risks ear canal injury or pushing paper deeper in a 2-year-old, potentially causing trauma. Professional evaluation ensures safe removal, making this dangerous and incorrect compared to advising immediate medical attention to address the potential foreign object in the child’s ear safely.

Choice B reason: Delaying care for irritation risks complications like infection or eardrum damage from a foreign object in a 2-year-old. Immediate provider assessment is safer, making this inadequate and incorrect compared to prioritizing prompt medical evaluation for the child’s potential ear issue.

Choice C reason: Immediate care provider evaluation ensures safe removal of any paper, preventing ear damage or infection in a 2-year-old. Advising against inserting objects protects the child, aligning with pediatric safety protocols, making this the correct response to address the caregiver’s concern effectively.

Choice D reason: Washing the ear with a syringe may push paper deeper or injure a 2-year-old’s delicate ear canal. Professional intervention is needed, making this risky and incorrect compared to seeking immediate medical evaluation to safely address the potential foreign object in the child’s ear.

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The nurse asks the parents of a child about the family health history. The father asks the nurse why she needs this information. The nurse would explain that the family health history is gathered for what reason?

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Naxlex Comprehensive Predictor Exams

The daughter of a divorced couple is hospitalized for injuries received in an automobile accident. The custodial father is at work when the mother arrives extremely agitated and demanding to see her daughter immediately. Which action will be most appropriate for the nurse to take at this time?

Correct Answer is D

Explanation

The caregiver of a 2-year-old calls the clinic concerned that her child may have pushed paper into her ears, and she asks the nurse what to do. The mother found the child pushing on her ears with torn paper on the floor in front of her. What would be the appropriate response by the nurse?

Correct Answer is C

Explanation

The nurse is discussing the ears and hearing in a child with a group of peers. Which statement is most accurate related to this topic?

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