The nurse is caring for children in a healthcare provider's office where health supervision is practiced. Which are some points of focus of health supervision? Select all that apply.

Optimizing the child's level of functioning

Monitoring quality of care provided

Making referrals for all healthcare needs

Monitoring disease incidence

Teaching parents to prevent injury

Providing care developed from national guidelines

Answer and Explanation

Correct Answer : A,B,E,F

A.   Health supervision includes optimizing the child's physical, emotional, and developmental well-being to ensure the child reaches their maximum level of functioning.
B.   This involves evaluating the effectiveness and safety of the care delivered by the healthcare team and ensuring that it meets the standards and guidelines of evidence- based practice.
C.   Making referrals for all healthcare needs may not be feasible or necessary for every child in a healthcare provider's office.
D.   Monitoring disease incidence is part of public health surveillance but may not be a primary focus of health supervision within a healthcare provider's office.
E.   Teaching parents to prevent injury is an important aspect of health supervision, promoting safety and well-being for children.
F.   Providing care developed from national guidelines ensures evidence-based practice and standardization of care across healthcare settings.

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Correct Answer is ["C","D","E"]

Explanation

A. Providing praise when deserved is important for reinforcing positive behavior and fostering self-esteem.
B. Speaking to the child as an authority figure may create distance and hinder effective communication.
C. Talking face to face and being aware of body language can enhance communication and understanding between parents and adolescents.
D. Acknowledging uncertainty and not pretending to have all the answers can foster honesty and openness in communication.
E. Asking questions to understand the adolescent's perspective and feelings encourages dialogue and mutual understanding.
F. Admitting mistakes and modeling accountability is important for building trust and demonstrating humility in parent-adolescent relationships.

A. Letting him choose juice or soda to take pills B. Seeking the teenager's input on all decisions C. Avoiding undue criticism of noncompliance D. Discussing the benefits of chemotherapy with him

Correct Answer is A

Explanation

A. This technique might be appropriate for younger children, but not for teenagers who want more autonomy and respect. Letting him choose juice or soda might make him feel like he is being treated like a child, and not as a partner in his own care.
B. Seeking the teenager's input on decisions promotes autonomy and empowerment, which can be effective in adolescent healthcare.
C. Avoiding undue criticism of noncompliance is important for maintaining a supportive and trustful nurse-patient relationship, especially with adolescents.
D. The nurse should also discuss the benefits of chemotherapy with him, such as how it can kill cancer cells, shrink tumors, and improve his chances of survival. The nurse should explain the rationale and goals of chemotherapy in a clear and honest way, and answer any questions or concerns the teenager might have. By doing so, the nurse can help him understand the importance of adhering to the treatment plan, and motivate him to cope with the challenges.

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The nurse is caring for children in a healthcare provider's office where health supervision is practiced. Which are some points of focus of health supervision? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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