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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A child who is brought to the emergency room with labored breathing: Labored breathing can indicate a serious respiratory problem that requires immediate assessment and intervention.
Conducting a comprehensive health history is crucial to gather information about the child's medical history, current symptoms, and any potential underlying conditions that could be contributing to the breathing difficulty.
B. A child who is a new client in a pediatric officE. While it is important to obtain a comprehensive health history for new clients in a pediatric office, it may not require immediate attention unless the child presents with acute symptoms or concerns.
C. A child who is a routine client and presents with signs of a sinus infection: While a child presenting with signs of a sinus infection may require a comprehensive health history to guide treatment, it may not necessitate immediate attention unless the symptoms are severe or accompanied by complications.
D. A child whose condition is improving: If a child's condition is improving, conducting a comprehensive health history may not be immediately necessary unless there are lingering concerns or new symptoms that arise during follow-up visits.
Correct Answer is A
Explanation
A. "Keep a night light on in your child's room." - This option addresses the child's fear of
monsters by providing a solution that offers comfort and reassurance without dismissing the child's concerns outright.
B. "Let your child sleep in your bed with you." - While this may temporarily alleviate the child's fear, it doesn't address the underlying issue or help the child learn coping mechanisms for dealing with fear.
C. "Tell your child that monsters are not real." - This response invalidates the child's feelings and may increase anxiety by dismissing their fears as irrational.
D. "Stay with your child until the child is asleep." - While staying with the child may provide comfort initially, it doesn't offer a long-term solution and may reinforce the fear by implying that there is something to be afraid of.
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