The nurse is conducting a health history for a 9-year-old child with stomach pains. What is a recommended guideline when approaching the child for information?

Use quick deliberate gestures to get your point across.

Allow the child to control the pace and order of the health history.

Do not make physical contact with the child during the interview.

Wear a white examination coat when conducting the interview.

Answer and Explanation

The Correct Answer is B

A. Use quick deliberate gestures to get your point across.

Using quick gestures may intimidate or overwhelm the child, potentially hindering communication. It's essential to approach the child with patience and attentiveness.

B. Allow the child to control the pace and order of the health history.

Allowing the child to dictate the pace and sequence of the health history empowers them and helps build trust. It allows the child to express themselves comfortably and share relevant

information at their own pace.

C. Do not make physical contact with the child during the interview.

While respecting the child's personal space is important, appropriate physical contact, such as a reassuring touch or handshake, can help establish rapport and comfort during the interview.

D. Wear a white examination coat when conducting the interview.

Wearing a white coat may create a sense of formality and authority that could intimidate the child. Opting for attire that is approachable and friendly can help put the child at ease and facilitate open communication.

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Correct Answer is D

Explanation

A. "Do you enjoy reading a book?"

While reading preferences can provide some insight into the child's interests, it may not directly address the issue of trouble adjusting to school.

B. "Are you happy with your teacher?"

Asking about the child's satisfaction with the teacher may provide some information, but it may not uncover the underlying issues contributing to the trouble adjusting to school.

C. "Do you like your new school?"

This question addresses the general perception of the school environment but may not necessarily uncover specific issues related to adjusting to school.

D. “What are your new classmates like?"

Asking about the child's interactions with classmates can provide valuable information about social dynamics, peer relationships, and potential sources of stress or difficulty adjusting to school. It allows the nurse to explore the child's experiences and perceptions within the school setting, which can help identify areas of concern and potential interventions.

A. "Activity will increase the respiratory rate." B. "The rate and rhythm of breath are irregular in newborns." C. "Newborns are abdominal breathers." D. "Newborns do not expand their lungs fully with each respiration."

Correct Answer is B

Explanation

A. "Activity will increase the respiratory rate": While activity can indeed affect respiratory rate, counting for a full minute allows for a more accurate assessment of the newborn's baseline respiratory rate, regardless of activity level.

B. "The rate and rhythm of breath are irregular in newborns": This statement reflects an understanding of why a complete minute is necessary for counting the respiratory rate in newborns. Newborns often have irregular breathing patterns, so counting for a full minute helps ensure an accurate assessment of their respiratory rate.

C. "Newborns are abdominal breathers": While newborns primarily use their diaphragm to

breathe (abdominal breathing), this fact alone does not explain why the respiratory rate should be counted for a full minute.

D. "Newborns do not expand their lungs fully with each respiration": While newborns may not fully expand their lungs with each breath, this factor is not the primary reason for counting the respiratory rate for a full minute.

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The nurse is conducting a health history for a 9-year-old child with stomach pains. What is a recommended guideline when approaching the child for information?

Nursing Test Bank

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