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

Explanation

A. Genitourinary: This system pertains to the urinary tract and reproductive organs and is not directly related to increased appetite or thirst.

B. HematologiC. This system involves the blood and blood-forming organs such as the bone marrow, spleen, and lymph nodes. Increased appetite or thirst is not typically associated with hematologic issues.

C. EndocrinE. The endocrine system includes glands that secrete hormones, such as the pancreas, which regulates blood sugar levels. Increased appetite or thirst can be indicative of endocrine disorders like diabetes mellitus, where there may be abnormalities in insulin production or response.

D. NeurologiC. While the nervous system can indirectly influence appetite and thirst regulation, directly asking about increased appetite or thirst primarily pertains to the endocrine system's hormonal regulation

A. “The preschooler is developing a conscience." B. "The preschooler's morals are his or her own, right or wrong." C. "The preschooler sees morality as internal to self." D. “The preschooler has no sense of right and wrong."

Correct Answer is A

Explanation

A. “The preschooler is developing a conscience": This response acknowledges the ongoing development of morality in preschoolers. During the preschool years, children begin to

internalize rules and develop a sense of right and wrong, guided by their emerging conscience. They may start to show guilt or remorse when they do something wrong and may seek approval from adults.

B. "The preschooler's morals are his or her own, right or wrong": While preschoolers are

beginning to form their own sense of morality, it is not accurate to suggest that their morals are inherently right or wrong. Rather, they are in the process of learning and developing moral understanding.

C. "The preschooler sees morality as internal to self": This statement highlights the emerging understanding of morality as an internal guide for behavior. Preschoolers begin to recognize that certain actions are considered right or wrong, although their understanding may still be somewhat egocentric.

D. “The preschooler has no sense of right and wrong": This statement is incorrect. Preschoolers do start to develop a sense of right and wrong, although their understanding may be limited and influenced by their stage of cognitive and moral development.

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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?

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Correct Answer is A

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