When examining a 16-year-old male teenager, the nurse should: ...

[neverstopbelieb]

When examining a 16-year-old male teenager, the nurse should:
 
  a. Discuss health teaching with the parent because the teen is unlikely to be interested in promoting wellness.
  b. Ask his parent to stay in the room during the history and physical examination to answer any questions and to alleviate his anxiety.
  c. Talk to him the same manner as one would talk to a younger child because a teen's level of understanding may not match his or her speech.
  d. Provide feedback that his body is developing normally, and discuss the wide variation among teenagers on the rate of growth and development.

Question 2

The nurse is preparing to examine a 4-year-old child. Which action is appropriate for this age group?
 
  a. Explain the procedures in detail to alleviate the child's anxiety.
  b. Give the child feedback and reassurance during the examination.
  c. Do not ask the child to remove his or her clothes because children at this age are usually very private.
  d. Perform an examination of the ear, nose, and throat first, and then examine the thorax and abdomen.

[onowka]

Answer to Question 1

ANS: D
During the examination, the adolescent needs feedback that his or her body is healthy and developing normally. The adolescent has a keen awareness of body image and often compares him or herself with peers. Apprise the adolescent of the wide variation among teenagers on the rate of growth and development.

Answer to Question 2

ANS: B
With preschool children, short, simple explanations should be used. Children at this age are usually willing to undress. An examination of the head should be performed last. During the examination, needed feedback and reassurance should be given to the preschooler.