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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Imitating adult behavior to be nice does not explain the child’s withdrawal and concern when the father is away. Fear of loss better accounts for these anxiety-driven behaviors post-accident, making this less fitting and incorrect for the child’s emotional response to the traumatic event.
Choice B reason: The child’s withdrawal and concern when the father is away suggest fear of losing him after the accident, a common reaction in young children. This aligns with pediatric psychology evidence on trauma response, making it the correct factor explaining the child’s behavior in this context.
Choice C reason: Fear of personal injury is less likely than fear of losing the father, given the child’s focus on the father’s absence. Withdrawal reflects attachment anxiety, not self-protection, making this less accurate and incorrect compared to the loss-related emotional response observed in the child.
Choice D reason: Believing he caused the accident is possible but less supported without evidence of guilt statements. Fear of loss better explains the child’s withdrawal and concern for the father’s absence, making this speculative and incorrect for the primary behavioral factor affecting the 5-year-old.
Correct Answer is B
Explanation
Choice A reason: A cool mist humidifier may help croup but is inadequate for a child with a barking cough, fever, and cyanosis (blue around the mouth), indicating severe respiratory distress. Immediate ER evaluation is critical, making this insufficient and incorrect for the urgent symptoms described in the scenario.
Choice B reason: A barking cough, fever, and cyanosis suggest severe croup or airway obstruction, requiring urgent medical evaluation. Bringing the child to the ER immediately ensures timely intervention for potential respiratory compromise, aligning with pediatric emergency protocols, making it the correct recommendation for the caregiver.
Choice C reason: Cold air exposure may temporarily relieve croup but is unsafe for a cyanotic child with fever, indicating severe distress. Immediate ER care is needed to address potential airway issues, making this risky and incorrect for managing the child’s critical symptoms in this urgent situation.
Choice D reason: Steam may help mild croup but delays care for a child with cyanosis, signaling severe respiratory compromise. Immediate ER evaluation is essential to prevent deterioration, making this inadequate and incorrect compared to the urgent need for professional assessment in the emergency department.
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