The nurse is assessing a 10-year-old child for cognitive ...

[michelleunicorn]

The nurse is assessing a 10-year-old child for cognitive development. The question by the nurse that would best determine cognitive development would be
 
  1. What books have you read lately?
  2. What classes are you taking andwhat are your grades in them?
  3. What is your least favorite class?
  4. What grade are you in?

Question 2

The nurse is taking a health history from a family of a 3-year-old child. The statement by the nurse that would be most likely to establish rapport and elicit an accurate response from the family is
 
  1. Does any member of your familyhave a history of asthma,heart disease,or diabetes?
  2. Hello,I would like to talk with youand get some information on you and your child.
  3. Tell me about the concerns thatbrought you to the clinic today.
  4. You will need to fill out these forms;make sure that the information is as complete as possible.

[Briannahope]

Answer to Question 1

Answer:2
Rationale: Asking about what kind of classes the child is taking and also the grades that the child is receiving in those classes would give the nurse the best indication of how the child is developing cognitively.Many children have not been encouraged to read books,and while the types of books read would be a good indication of cognitive development,lack of interest in reading would not necessarily indicate poor cognitive development.Determi ning classes the child does not enjoy would be helpful but is not the best determinant of poor cognitive development.Grade level is also a good indication of cognitive development,but there could be many reasons that a child has been held back in school that are not related to cognitive development.

Answer to Question 2

Answer:3
Rationale: Asking the parents to talk about their concerns is an open-ended question and one which is more likely to establish rapport and an understanding of the parent's perceptions.Giving the family a list of items to answer at once may be confusing to the parents.Giving an introduction before asking the parents for information is likely to establish rapport,but giving an explanation of why the information would be needed would be even more effective at establishing rapport and also for getting more accurate,pertinent information. Simply asking the parents to fill out forms is very impersonal,and more information is likely to be obtained and clarified if the nurse is directing the interview.

[michelleunicorn]

Gracias!

[kthug]

Excellent