Author Question: During a well-child exam, the parents of a preschool-age child inform the nurse that they are ... (Read 88 times)

Charlie · **on:** Jun 28, 2018

During a well-child exam, the parents of a preschool-age child inform the nurse that they are thinking of buying a television for their child's bedroom and ask for advice as to whether this is appropriate.

Which response by the nurse is the most appropriate?
1. Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children, and physical inactivity in children has been linked to many chronic diseases such as obesity and type 2 diabetes.
2. Research has shown that watching educational television shows improves a child's performance in school.
3. Don't buy a television for your child's room; he is much too young for that.
4. It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day.

Question 2

Concerned parents call the school nurse because of changes in their 15-year-old adolescent's behavior. Which behavior would the nurse indicate as indicative of adolescent substance abuse?

1. Buying baggy, oversized clothing at thrift shops and dying her hair black
2. Becoming very involved with friends and in activities related to the basketball team that she is on; never seeming to be home; and, when she is home, preferring to be in her room with the door shut
3. Receiving numerous detentions lately from teachers for sleeping in class
4. Becoming very moody, dramatically crying and weeping one minute and then being cheerful and excited the next

meganmoser117 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale: Young children need to be physically active at this age. Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children, and physical inactivity in children has been linked to many chronic diseases such as obesity and type 2 diabetes is the best response because it gives the parents an evidence-based rationale for not placing a television in the child's room. Don't buy a television for your child's room; he is much too young for that does not give parents a rationale and may seem opinionated to them. While there may be some truth in the comment Research has shown that watching educational television shows improves a child's performance in school, this statement may encourage increased television watching by the child, and the child's developmental need for physical activity is greater than the benefit that he may obtain by watching educational programs. It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day is correct in that limiting television viewing to less than two hours per day is appropriate, but the probability of this occurring with a television in the child's room is low, and the child will most likely be watching much more than two hours per day.

Answer to Question 2

Correct Answer: 3
Rationale: Mood swings, experimenting with clothes and hair, periodically distancing themselves from their parents, and preferring involvement with their peers are all normal adolescent behaviors. Even though most teens do prefer staying up late, they are not usually so tired that they would fall asleep during the day, especially while engaged in classroom activities. This behavior is abnormal and may indicate involvement with substance abuse or an underlying pathology.