Which of the following methods is most effective for a nurse to assess pain in a 4-year-old child?

Asking the child to rate their pain using descriptive words like 'mild,' 'moderate,' or 'severe

Using a faces pain scale to allow the child to point to the face that best represents their pain

Observing the child's facial expressions and body movements without any other assessment

Asking the child to rate their pain on a scale of one to ten, with ten being the worst

Answer and Explanation

The Correct Answer is B

A. Descriptive words might be confusing for a 4-year-old and may not accurately capture their experience of pain.

B. The faces pain scale is effective for young children as it uses visual cues that they can relate to, making it easier for them to express their pain level.

C. While observing the child’s behavior can provide insights, it does not give a direct assessment of pain.

D. Rating pain on a scale of one to ten may be difficult for a child this age, as they may not fully understand numerical values.

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Correct Answer is C

Explanation

A. While toddlers may show curiosity about bodies, this is not a defining characteristic of this developmental stage.

B. Imaginary playmates are more typical of preschoolers rather than toddlers, who engage more in parallel play.

C. The toddler stage is characterized by negative behaviors as children assert their autonomy, often expressing frustration through tantrums or defiance.

D. Erikson's stage of initiative versus guilt occurs during the preschool years, not in toddlers, who are in the stage of autonomy versus shame and doubt.

A. Early intervention program screening children for developmental delays B. Environmental policies to decrease the amount of air pollution in the area C. Well-child preventive health visits D. Free healthy pregnancy classes for expectant parents

Correct Answer is A

Explanation

A. Early intervention program screening children for developmental delays is a secondary prevention strategy that aims to identify and address delays as early as possible, thus minimizing their impact.

B. Environmental policies to decrease air pollution relate to primary prevention, as they aim to prevent health issues before they occur.

C. Well-child preventive health visits are part of primary prevention, focusing on maintaining health and preventing illness.

D. Free healthy pregnancy classes for expectant parents also represent primary prevention, promoting healthy behaviors to prevent developmental issues.

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Which of the following methods is most effective for a nurse to assess pain in a 4-year-old child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the psychosocial development of a toddler, The nurse should recognize that this stage is characterized by which of the following?

Correct Answer is C

Explanation

A public health nurse is working with local health care providers on programs to improve the growth and development of children in their community. Which of the following describes a secondary prevention intervention for a developmental delay (ASD)?

Correct Answer is A

Explanation

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