Author Question: The nurse is talking with the caregivers about a child's developmental and health history. The child ... (Read 106 times)

crobinson2013 · **on:** Jun 27, 2018

The nurse is talking with the caregivers about a child's developmental and health history. The child interrupts to add something and the caregivers direct the child to be quiet.

The nurse's best course of action would be based mostly on which of the following ideas? a. Caregivers have the right to govern their own children.
b. Children are not as accurate as caregivers in the recall of developmental and health histories.
c. Children need to be included in their own health care as much as possible, considering age and development.
d. The caregivers are the decision makers in terms of care and will be paying for the cost of the care.

Question 2

Which of the following areas should the nurse caring for a child with Down syndrome focus on?

a. increasing socialization of the family and the child
b. building self-esteem and hygiene skills in the child
c. screening for anomalies, teaching of parents, and prevention of respiratory infection and accidents
d. training the child in areas such as speech, walking, toilet training, hygiene, and socialization

joshbk44 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C

Feedback
A Incorrect. While taking a health history, in the event the child interrupts to add some detail, the nurse's best course of action would not be based on the idea that caregivers have the right to govern their own children, and thus be allowed to direct the child to be quiet.
B Incorrect. While taking a health history, in the event the child interrupts to add some detail, the nurse's best course of action would not be based on the idea that children are not as accurate as caregivers in the recall of developmental and health histories.
C Correct. Because the historian in a pediatric history is less often the child and most likely the caregiver, it is very important to document the caregiver's relationship to the child. The child should be included in the history taking as appropriate for her or his age and development.
D Incorrect. While taking a health history, in the event the child interrupts to add some detail, the nurse's best course of action would not be based on the idea that the caregivers are the decision makers in terms of care and will be paying for the cost of the care.

Answer to Question 2

C

Feedback
A Incorrect. The nurse caring for a child with DS should not focus on increasing socialization of the family and the child.
B Incorrect. The nurse caring for a child with DS should focus on building self-esteem and hygiene skills in the child.
C Correct. The nurse caring for a child with DS should not focus on screening for anomalies, teaching of parents, and prevention of respiratory infection and accidents.
D Incorrect. The nurse caring for a child with DS should not focus on training the child in areas such as speech, walking, toilet training, hygiene, and socialization.