Author Question: When taking the health history of a child whose family is at the poverty level and has no insurance, ... (Read 106 times)

tnt_battle · **on:** Jun 27, 2018

When taking the health history of a child whose family is at the poverty level and has no insurance, you discover that the child has been seen in the emergency room of the hospital ten times in the last 6 months.

During the interview, you would first try to find out from the family if: a. they use the emergency room for episodic health care or if the child has a regular health care provider
b. there is a history of child or spousal abuse or incestuous relationships in the family
c. the child has a chronic health problem with acute exacerbations presenting an emergency situation
d. the child is hyperactive or has a history of inattention to safety and suffers accidents on a regular basis

Question 2

The nurse working with a child who has autism will keep in mind that the typical response of a child with autism who is subjected to mild or moderate pain is best represented by which of the following statements?

a. beating the head against the wall and screaming loudly for the caregivers to help
b. impassivity to mild or moderate pain and sometimes loud howling in response to insignificant injuries
c. holding the head in the hands while sitting and facing away from others, usually in the corner of the room
d. barking, guttural responses, and facial tics while banging on various surfaces

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

Answer to Question 1

A

Feedback
A Correct. Upon the discovery that the child has been seen in the emergency room of the hospital ten times in the last 6 months, you would first try to find out from the family if they use the emergency room for episodic health care or if the child has a regular health care provider.
B Incorrect. Upon the discovery that the child has been seen in the emergency room of the hospital ten times in the last 6 months, you would not first try to find out from the family if there is a history of child or spousal abuse or incestuous relationships in the family.
C Incorrect. Upon the discovery that the child has been seen in the emergency room of the hospital ten times in the last 6 months, you would not first try to find out from the family if the child has a chronic health problem with acute exacerbations presenting an emergency situation.
D Incorrect. Upon the discovery that the child has been seen in the emergency room of the hospital ten times in the last 6 months, you would not first try to find out from the family if the child is hyperactive or has a history of inattention to safety and suffers accidents on a regular basis.

Answer to Question 2

B

Feedback
A Incorrect. Beating the head against the wall is an example of self-injurious bizarre body movements seen in some autistic children, but not a response to pain.
B Correct. Autistic children's altered response to pain includes impassivity to mild or moderate pain and sometimes loud howling in response to insignificant injuries.
C Incorrect. Holding the head in the hands while sitting and facing away from others, usually in the corner of the room is not a typical response to pain in the autistic child.
D Incorrect. Barking, guttural responses, and facial tics while banging on various surfaces is an example of the bizarre behaviors of some autistic children, but not a response to pain.