The nurse is teaching the student nurse how to perform a physical assessment based on the child's developmental stage. Which statement accurately describes a recommended guideline for setting the tone of the examination for a school-age child?

Speak to the child using mature language and appeal to his or her desire for self-care.

Include the child in all parts of the examination: speak to the caregiver before and after the examination.

Keep up a running dialogue with the caregiver, explaining each step as you do it.

Address the child by name; speak to the caregiver and do the most invasive parts last.

Answer and Explanation

The Correct Answer is A

A. Speak to the child using mature language and appeal to his or her desire for self-care. - School-age children are typically more independent and responsive to mature communication. Acknowledging their desire for self-care fosters cooperation during the examination process.

B. Include the child in all parts of the examination: speak to the caregiver before and after the examination. - While involving the child in the examination process is important, school-age children may prefer direct communication rather than primarily interacting with caregivers.

C. Keep up a running dialogue with the caregiver, explaining each step as you do it. - While

involving caregivers in the examination process is important, maintaining a dialogue primarily with them may not fully engage the child during the assessment.

D. Address the child by name; speak to the caregiver and do the most invasive parts last. - While considering the child's comfort and addressing them directly is essential, school-age children

may respond better to direct communication rather than deferring to caregivers for discussion

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Correct Answer is C,A,D,B

Explanation

Correct Answer:C, A, D, B.

C. Inspection:The initial step in an abdominal assessment is to inspect the abdomen visually. This allows the nurse to observe for any abnormalities in skin color, shape, and

movement without causing discomfort or altering findings that could be affected by palpation or auscultation.

A. Auscultation:Following inspection, auscultation is performed before any palpation. This is because palpation can stimulate bowel sounds, which may alter the nurse's ability to accurately assess the bowel activity and vascular sounds.

D. Superficial palpation:After auscultation, superficial palpation is done to detect tenderness, distension, or superficial masses. It is gentle and less likely to cause discomfort or alter deeper structures.

B. Deep palpation: The final step is deep palpation, which is used to examine the organs and structures that are deeper within the abdominal cavity. It is performed last to prevent any potential discomfort or alteration in the patient's condition that could interfere with the earlier steps of the assessment.

A. "Do you enjoy reading a book?" B. "Are you happy with your teacher?" C. "Do you like your new school?" D. “What are your new classmates like?"

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.

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The nurse is teaching the student nurse how to perform a physical assessment based on the child's developmental stage. Which statement accurately describes a recommended guideline for setting the tone of the examination for a school-age child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Correct Answer is C,A,D,B

Explanation

The nurse is performing a health history on a 6-year-old boy who is having trouble adjusting to school. Which question would be most likely to elicit valuable information?

Correct Answer is D

Explanation

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