You are the nurse working with a preschool child who has just ...

[formula1]

You are the nurse working with a preschool child who has just drawn an interesting picture of his family. Your best action is to:
 
  a. ask the child to tell a story about the picture
  b. ask the child questions to ascertain the meaning of the picture
  c. interpret the picture and give the child a chance to approve or deny your interpretation
  d. get another child to tell you about the picture

Question 2

Which of the following is the classic sign of intensely high intracranial pressure and risk for brain herniation?
 
  a. projectile vomiting and severe headache
  b. veins that stand out noticeably on the face and the neck
  c. severe earache as well as neck and facial pain
  d. one dilated pupil and contralateral spasticity or flaccidity

[Cnarkel]

Answer to Question 1

A

Feedback
A Correct. Evaluating the drawings or having a child tell a story about the drawing allows the nurse a window into the child's inner self.
B Incorrect. Asking the child questions to ascertain the meaning of the picture is not your best action.
C Incorrect. Interpreting the picture and giving the child a chance to approve or deny your interpretation is not your best action.
D Incorrect. Getting another child to tell you about the picture is not your best action.

Answer to Question 2

D

Feedback
A Incorrect. Projectile vomiting and severe headache are not classic signs of intensely high intracranial pressure, and the child is not at risk for brain herniation.
B Incorrect. Veins that stand out noticeably on the face and the neck are not classic signs of intensely high intracranial pressure, and the child is not at risk for brain herniation.
C Incorrect. Severe earache as well as neck and facial pain are not classic signs of intensely high intracranial pressure, and the child is not at risk for brain herniation.
D Correct. The child with one dilated pupil and contralateral spasticity or flaccidity displays the classic sign of intensely high intracranial pressure and risk for brain herniation.