Author Question: You are the nurse working with a child who is fearful, has difficulty trusting the staff, and says ... (Read 69 times)

burchfield96 · **on:** Jun 27, 2018

You are the nurse working with a child who is fearful, has difficulty trusting the staff, and says very little.

Which of the following methods would be best for you to try in order to get this child to relax, focus on your message, and respond verbally? a. taking turns reading a book
b. using a puppet or stuffed toy in third-party communication
c. asking the mother to talk to the child and get the answers you want
d. asking the health care practitioner for an order to medicate the child with a mild tranquilizer

Question 2

Head injuries are categorized as primary or secondary in nature. Which of the following injuries is an example of both primary and secondary head injury?

a. hitting the windshield of a car that was hit from behind
b. being hit with a baseball bat
c. falling out of a tree onto a hard surface
d. a severe blow in a boxing match

ankilker · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B

Feedback
A Incorrect. Taking turns reading a book would not be a best method for you to try in order to get this child to relax, focus on your message, and respond verbally.
B Correct. Because play is familiar and a daily form of natural behavior, children do not associate it with stress, anxiety or fear. Using a puppet or stuffed toy in third-party communication would be best for you to try in order to get this child to relax, focus on your message, and respond verbally.
C Incorrect. Asking the mother to talk to the child and get the answers you want would not be a best method for you to try in order to get this child to relax, focus on your message, and respond verbally.
D Incorrect. Medicating the child would not be a best method for you to try in order to get this child to relax, focus on your message, and respond verbally.

Answer to Question 2

A

Feedback
A Correct. Primary head injuries are those in which damage is sustained at the time of the injury and include skull fractures, contusions, and intracranial hematomas. Secondary head injuries refer to the consequences of the primary injury and include increased intracranial pressure, infection, and cerebral edema. An example of both primary and secondary head injury is hitting the windshield of a car that was hit from behind. The acceleration injury from the initial impact is called coup. The counter or deceleration injury is called contrecoup.
B Incorrect. Being hit with a baseball bat is an example of a primary head injury producing a coup injury.
C Incorrect. Falling out of a tree onto a hard surface is an example of a primary head injury
D Incorrect. A severe blow in a boxing match is a primary head injury. The mechanism of injury, or external force to the head or neck, is the result of a direct blow to the head.