Author Question: The school nurse completes an assessment of a six-year-old child to determine the services this ... (Read 51 times)

michelleunicorn · **on:** Jun 28, 2018

The school nurse completes an assessment of a six-year-old child to determine the services this child will need in the classroom. The child needs respiratory support with oxygen.

The child requires enteral tube feedings and intravenous medications during the school day. With these needs, the school nurse evaluates the child to be: 1. Medically fragile.
2. Developmentally delayed.
3. Mentally retarded.
4. Socially withdrawn.

Question 2

When a parent asks to be present during a procedure, the nurse should understand that:

1. The parent wants to ensure that nothing goes wrong with the child.
2. The parent is interested because he is also in the medical field.
3. The parent wants to support his child before, during, and immediately after the procedure.
4. The parent wants to ensure that the correct medication is being used.

juwms · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale 1: A child who is dependent on medical devices for survival or prevention of further disability is medically fragile. A child who is medically fragile is not necessarily developmentally delayed, mentally retarded, or socially withdrawn.
Rationale 2: There is no behavioral evidence to support a finding that the child is developmentally delayed.
Rationale 3: There is no evidence in the stem that suggests that this child is mentally retarded.
Rationale 4: The child who is socially withdrawn does not need any special equipment in the classroom.
Global Rationale:

Answer to Question 2

3
Rationale:
1. When a parent asks to be present for a procedure, he is doing so to be available to comfort the child, not to control the procedural outcome.
2. The parent might be in the medical field, but his primary concern is comforting his child during the procedure.
3. Many hospitals now allow parents to be present with their child during and after procedures. Parents often want to support their child, and their presence offers reassurance and comfort to the child.
4. The parent's first concern is comforting his child, not supervising the nursing staff.