While assessing the blood pressure of a 4-year-old the child complains that the blood-pressure cuff is too tight and angrily says, That hurt, you big poo-poo head. What is the most appropriate response by the nurse?
A) Ignore the insult, apologize for hurting her, and loosen the cuff
B) Calmly explain that you don't mean to hurt her, loosen the cuff, and you tell her that is isn't nice to call you a poo-poo head
C) Explain that the cuff will only hurt for minute and ask the child's caregiver to please tell the child not to speak to you that way
D) Ask the child's caregiver to please take the child to the waiting room until she calms down
Question 2
The nurse observes two 4-year-old twins in the waiting room of the pediatric clinic. Which activity is an example of associative play between the twins?
A) Share the play kitchen; one washes dishes while the other pretends to make a salad
B) Watch a television program they decided together they would watch
C) Toss a ball back and forth between them
D) Curl up in separate chairs and look at picture books
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