The nurse is discussing discipline issues with a group of caregivers of preschool-aged children who have a cognitive impairment. One father tells the group that after he tells his child to stop doing something, the child just continues. Parents in the group make the following statements. Which statement indicates an understanding of disciplining the cognitively impaired child?

Choice A reason: Cartilage is a connective tissue, not stored in bones, which house minerals like calcium. Minerals are critical for bone strength, making this incorrect, as it misidentifies the substances stored in the musculoskeletal system in the nurse’s understanding of bone physiology.

Choice B reason: Vitamins, like vitamin D, are stored in tissues, not bones, which store minerals for structural integrity. Minerals are the primary storage component, making this incorrect, as it does not reflect the physiological role of bones in the nurse’s musculoskeletal knowledge.

Choice C reason: Spinal fluid is contained in the central nervous system, not stored in bones, which hold minerals. Minerals support bone function, making this incorrect, as it confuses bone physiology with unrelated systems in the nurse’s understanding of the musculoskeletal system.

Choice D reason: Bones store minerals like calcium and phosphorus, essential for strength and metabolic functions. This aligns with musculoskeletal physiology, making it the correct answer for the nurse’s recognition of what is stored in bones as part of their anatomical knowledge.

Choice A reason: Determining the chief complaint identifies the primary reason for the visit, guiding the assessment and care plan for the child. This aligns with pediatric nursing triage principles, making it the prioritized step to ensure focused, efficient care during the first visit to the clinic.

Choice B reason: Interviewing the caregiver provides context but follows identifying the chief complaint, which directs the conversation. The complaint sets the visit’s focus, making this secondary and incorrect compared to prioritizing the reason for the child’s visit in the initial pediatric clinic appointment.

Choice C reason: Obtaining biographical data is administrative and less urgent than addressing the child’s health concern. The chief complaint drives the clinical encounter, making this less critical and incorrect compared to prioritizing the identification of the primary issue in the first clinic visit.

Choice D reason: Recording the health history is important but comes after understanding the chief complaint, which shapes the history-taking. Identifying the complaint ensures relevance, making this subsequent and incorrect compared to the prioritized step of determining the reason for the child’s visit.