For which children would the nurse conduct an immediate ...

[audragclark]

For which children would the nurse conduct an immediate comprehensive health history?
 
  A) A child who is brought to the emergency room with labored breathing
  B) A child who is a new client in a pediatric office
  C) A child who is a routine client and presents with signs of a sinus infection
  D) A child whose condition is improving

Question 2

The nurse is conducting a health history for a 9-year-old child with stomach pains. What is a recommended guideline when approaching the child for information?
 
  A) Wear a white examination coat when conducting the interview.
  B) Allow the child to control the pace and order of the health history.
  C) Use quick deliberate gestures to get your point across.
  D) Do not make physical contact with the child during the interview.

[kxciann]

Answer to Question 1

Ans: B
The purpose of the examination will determine how comprehensive the history must be. A comprehensive history would be performed for a new child in a pediatric office or a child who is admitted to the hospital. Also, if the physician or nurse practitioner rarely sees the child or if the child is critically ill, a complete and detailed history is in order, no matter what the setting. The child who has received routine health care and presents with a mild illness may need only a problem-focused history. In critical situations, some of the history taking must be delayed until after the child's condition is stabilized.

Answer to Question 2

Ans: B
The nurse should elicit the child's cooperation by allowing him or her control over the pace and order of the health history, or anything else that the child can control while still allowing the nurse to obtain the information needed. A white examination coat or all-white uniform may be frightening to children, who may associate the uniform with painful experiences or find it too unfamiliar. The nurse should use slow deliberate gestures rather than very quick or grand ones, which may be frightening to shy children. The nurse should make physical contact with the child in a nonthreatening way at first by briefly cuddling newborns before returning them to caregivers, laying a hand on the head or arm of toddlers and preschoolers, and warmly shaking the hand of older children and teens to convey a gentle demeanor.

[audragclark]

TYSM

[Laurenleakan]

Excellent