The nurse is preparing to see an adolescent patient to assess his ...

[clmills979]

The nurse is preparing to see an adolescent patient to assess his relationships with others. What should the nurse do when conducting this assessment?
 
  1. Let the parents know the nurse will share the information with them after the exam.
  2. Provide separate time to communicate with both the adolescent and the parents.
  3. Avoid asking the parents their opinions of the adolescent's friends.
  4. Tell the parents they are not allowed to come into the examination room.

Question 2

A 9-year-old child who has been followed in the same pediatric health care home since birth is at the health care center for a well-child visit.
 
  A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight. How should the nurse interpret these data? 1. The child is beginning a growth spurt.
  2. The child is obese, and needs dietary counseling.
  3. The parents are most likely below the 50th percentile for height and weight.
  4. As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.

[katkat_flores]

Answer to Question 1

2
Rationale 1: The nurse cannot share the information about the exam, as this is a breach of patient confidentiality.
Rationale 2: Provide time alone with both the adolescent and the parents so that everyone has time to talk freely and ask questions.
Rationale 3: The nurse should include the parents' opinions of their child's friends.
Rationale 4: The nurse cannot keep the parents out of the examination room, especially if the adolescent wants the parents there.
Global Rationale:

Answer to Question 2

2
Rationale:
1. This is not a growth spurt, since height is what is referred to by the term growth spurt.
2. These data show that the child is disproportionate in height and weight. This child's weight is very high in comparison with height. The child would appear obese. Dietary history and counseling are the first steps. This child also might need an endocrine evaluation.
3. No assumptions about the parents can be made from the data presented.
4. The statement about the adolescent growth spurt is incorrect for this age child.