The nurse discovers welts on the back of a child whose parents identify as 1st generation Vietnamese. The mother states she rubbed the edge of a coin on her child's oiled back. The nurse should recognize that this is:

a cultural practice to treat temper tantrums.

a cultural practice to rid the body of disease.

a child discipline measure common in Asian cultures.

child abuse.

Answer and Explanation

The Correct Answer is B

Choice A reason: This is not correct because the mother's action is not intended to calm or punish the child for having a tantrum. It is a traditional healing method that aims to restore the balance of energy in the body.

Choice B reason: This is correct because the mother's action is a form of folk medicine known as coining or cao gio. It involves rubbing a coin or a spoon on the skin with oil or ointment to create red marks or bruises. It is believed to release the wind or bad energy that causes illness or pain.

Choice C reason: This is not correct because the mother's action is not a form of discipline or correction. It is a way of showing care and concern for the child's well-being.

Choice D reason: This is not correct because the mother's action is not abusive or harmful. It is a cultural practice that is based on a different understanding of health and disease. It may look alarming to outsiders, but it is not intended to hurt or injure the child.

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Correct Answer is C

Explanation

Choice A reason: Emancipation is the legal process of granting a minor the rights and responsibilities of an adult. It is not related to the process of obtaining agreement from a child for medical treatment or research.

Choice B reason: Informed consent is the process of obtaining permission from a competent individual for medical treatment or research, after providing them with adequate information about the risks and benefits. It is not applicable to children who are not legally capable of giving consent.

Choice C reason: Assent is the process of obtaining agreement from a child for medical treatment or research, after explaining the procedures and outcomes in a developmentally appropriate way. It is an ethical requirement for involving children in health care decisions that affect them.

Choice D reason: Confidentiality is the principle of protecting the privacy of personal information of patients or research participants. It is not the same as obtaining agreement from a child for medical treatment or research.

A. Does your Indian tribe believe in immunizing children? B. Do you attend Native American Pow Wows with the family? C. Have you consulted with your tribal healer about your child's illness? D. What herbal remedies have you given your child today?

Correct Answer is C

Explanation

Choice A reason: This is not a relevant question for the admission history, as it does not address the child's current condition or treatment plan. It may also be perceived as insensitive or judgmental by the parents.

Choice B reason: This is not a pertinent question for the admission history, as it does not relate to the child's medical history or needs. It may also be seen as intrusive or irrelevant by the parents.

Choice C reason: This is an appropriate question for the admission history, as it acknowledges the cultural beliefs and practices of the parents and the child. It also helps the nurse to identify any potential interactions or conflicts between the tribal healer's recommendations and the medical treatment.

Choice D reason: This is a valid question for the admission history, as it informs the nurse of any alternative therapies or substances that the child may have received or ingested. It also helps the nurse to assess the effectiveness and safety of the herbal remedies, and to prevent any adverse effects or interactions with the prescribed medications.

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The nurse discovers welts on the back of a child whose parents identify as 1st generation Vietnamese. The mother states she rubbed the edge of a coin on her child's oiled back. The nurse should recognize that this is:

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Naxlex Comprehensive Predictor Exams

Staff members working with school-aged children believe it is important for each child to understand and agree to medical treatment, especially when treatment is part of research protocols. The term for this process is:

Correct Answer is C

Explanation

A 3-year-old Native American child is admitted to the pediatric unit for emergency surgery. Which of the following questions should the nurse include when taking the admission history from the child's parents?

Correct Answer is C

Explanation

Shortly before a child's elective surgery, the parent tells the nurse, "I am having second thoughts about my child undergoing this surgery." The nurse respects the parent's concern and calls the surgeon. What ethical/moral principle is represented by this situation?

The parent of a toddler calls the nurse, asking about croup. What is a distinguishing manifestation of croup?

The mother of a 3-year-old who has been diagnosed with an ear infection states, "I can't understand why you won't give my child antibiotics. Can't you see that she is sick?" Which of the following responses by the nurse is appropriate at this time?

While caring for a 4-year-old, the nurse uses which tool to assess pain?

Which situation would be appropriate to refer to the hospital ethics committee?

Which of the following statements is true regarding how children experience pain relative to adults?

The nurse is using the FLACC scale to evaluate pain in a preverbal child. The nurse makes the following assessment: Face: occasional grimace; Leg: relaxed; Activity: squirming, tense; Cry: no cry; Consolability: content, relaxed. The nurse records the patient's pain using the FLACC assessment as:

The nurse is assessing a child with epiglottitis in the emergency department. The child has a sore throat and is drooling. Examining the child's throat using a tongue depressor might precipitate which of the following?