The nurse is conducting a psychosocial assessment of a child with asthma brought to the healthcare provider's office for a check-up Which psychosocial issues may be assessed? Select all that apply.

Past medical history

Transportation to healthcare facilities

Health maintenance needs

Future treatment plans

School’s response to the chronic illness

Health insurance coverage

Answer and Explanation

Correct Answer : B,C,D,E,F

A.   Past medical history is important but may not directly address current psychosocial concerns related to the child's asthma.
B.   Transportation to healthcare facilities can be a significant psychosocial issue, as it may impact access to care and treatment adherence.
C.   Assessing health maintenance needs can uncover barriers to care and support required for managing the chronic illness.
D.   The nurse should discuss with the child and the family the goals and expectations for the child's asthma control and quality of life. The nurse should also inform them about any new or alternative therapies that may be available or suitable for the child.
E.   The school's response to the chronic illness can affect the child's social and emotional well-being.
F.   Health insurance coverage may impact the child's access to necessary healthcare services and medications, influencing their psychosocial experiences.

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Correct Answer is B

Explanation

A. Dressing and undressing without help is an appropriate motor skill for a 5-year- old.
B. Drawing a person with three body parts is expected for a 3-year-old child, not a 5- year-old child. A 5-year-old child should be able to draw a person with six or more body parts, such as head, body, arms, legs, eyes, and mouth.
C. Beginning to tie her own shoelaces is a fine motor skill developmentally appropriate for a 5-year-old.
D. Copying a square on another piece of paper is normal developmental milestone for a 5-year-old child.

A. The mother rarely looks at her infant when the nurse is assessing the child. B. The mother voices pride in the academic accomplishments of her 7-year-old child. C. The mother utilizes the correct size of infant car seat for her 3-month-old child. D. The mother asks if the nurse has suggestions on ways to potty train her toddler. E. The mother becomes very frustrated and tells the nurse she can't handle her toddler's temper tantrum.

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

Explanation

A. The mother is experiencing multiple stressors that may affect her parenting abilities and emotional well-being. She may show signs of depression, such as lack of interest, detachment, irritability, or hopelessness.
B. Voicing pride in the academic accomplishments of her child suggests is highly unlikely. She will not be engaged with her children.
C. Utilizing the correct size of infant car seat is a basic safety measure and may not necessarily indicate the impact of recent stressors on parenting behaviors.
D. This is a possible effect of stress, as the mother may be more likely to seek help or advice from others due to her feeling overwhelmed and incompetent as a parent. Asking for suggestions is a way of showing openness, curiosity, and learning, which are important for the parent's growth and adaptation.
E. Becoming very frustrated and expressing difficulty handling her toddler's temper tantrum may be indicative of increased stress and reduced coping abilities due to recent stressors.

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The nurse is conducting a psychosocial assessment of a child with asthma brought to the healthcare provider's office for a check-up Which psychosocial issues may be assessed? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?

Correct Answer is B

Explanation

A mother of three brings her children in for their vaccinations. The mother tells the nurse that her mother recently died and her husband just lost his job due to his company downsizing. Which parenting behaviors is the nurse likely to observe? Select all that apply.

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

Explanation

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