The nurse is conducting a physical examination of a child following a comprehensive health history. What should be the focus of the physical examination?
Developmental age
The parents
The child
Chief complaint
The Correct Answer is C
A. Developmental age is an important aspect of the child's health but is not the primary focus of a physical examination following a health history.
B. While the parents' information is valuable, the focus of the physical examination is on the child, not the parents.
C. The child should be the focus of the physical examination to assess their current health status and to identify any immediate care needs.
D. The chief complaint is a critical component of the health history, but the physical examination should be comprehensive and focused on the child as a whole
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Related Questions
Correct Answer is B
Explanation
A. "Maintain a firm set of rules."
While having rules is important, maintaining a rigid approach without considering the adolescent's perspective can lead to conflict and resistance. Adolescents often appreciate having a voice and being heard.
B. Try to be open to his views."
This option acknowledges the importance of valuing the adolescent's opinions and perspectives. Encouraging open communication fosters trust and mutual respect between parents and their adolescent children.
C. "Remind him that he is still your little boy."
Using this approach may unintentionally undermine the adolescent's growing sense of
independence and identity. It's essential to recognize and respect their transition into young adulthood.
D. "Find out if his friends are worthy of him."
While it's important to be aware of the adolescent's social circle, framing it in terms of the
friends being "worthy" may come across as judgmental. It's more effective to focus on fostering healthy relationships and providing guidance on making positive social choices.
Correct Answer is A
Explanation
A. An anxiety reaction: The toddler's behavior of sitting quietly, sucking her thumb, and turning away from the nurse when approached after her mother leaves the room suggests anxiety. These
behaviors are common signs of distress or discomfort in young children, especially when separated from their primary attachment figure (in this case, the mother).
B. Regression: Regression involves reverting to earlier, more immature behaviors in response to stress or discomfort. While thumb sucking can be considered a form of regression, the behavior observed in this scenario is more indicative of anxiety rather than a broader regression in
developmental milestones.
C. Resentment toward the mother: There is no evidence in the scenario to suggest that the toddler is expressing resentment toward the mother. The behaviors observed are more likely related to
the child's emotional response to separation and hospitalization.
D. Developing autonomy: Developing autonomy typically involves asserting independence and exploring one's environment. The behaviors observed in the scenario are more indicative of anxiety and distress rather than autonomous behavior.
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