The nurse is reviewing the medical record for a school-age client ...

[Melani1276]

The nurse is reviewing the medical record for a school-age client prior to a scheduled health maintenance visit. Which data indicates the client is overweight?
 
  A) A BMI of > 85th percentile.
  B) A BMI of > 95th percentile.
  C) A 25 percentage point increase in weight in 6 months is categorized as being overweight, regardless of the baseline (e.g., 6 month's previous) percentile.
  D) A 35 percentage points in 6 months is categorized as being overweight, regardless of the baseline (e.g., 6 month's previous) percentile.

Question 2

A young female client presents to the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview.
 
  Which assessment question from the nurse is the most appropriate to gain understanding of the cause of the client's symptoms?
  A) What kind of problems are you having?
  B) Can you tell me what's been going on in your life lately?
  C) Is someone hurting you?
  D) Can you explain what your family life is like?

[ansleighelindsey]

Answer to Question 1

Answer: A

A child with a BMI greater than 85 is considered overweight. A child with a BMI greater than 95 is considered obese. Percentage of weight gain in a 6 month period regardless of baseline is not used to determine whether a client overweight or obese.

Answer to Question 2

Answer: C

A nurse who works with women should explicitly ask if the young adult is frightened or hurt by someone she knows. It is essential that nurses make assessment for domestic violence part of their routine. Generalized questions about family life, life problems, or events in the individual's life only allow for the topic of domestic abuse to be skirted and perhaps avoided altogether. The nurse needs to address it pointedly and directly.