Author Question: A child who is starting school is being screened for certain developmental milestones. How the child ... (Read 53 times)

misspop · **on:** Jul 22, 2018

A child who is starting school is being screened for certain developmental milestones. How the child interacts with other children is most influenced by which of the following factors?

1. Temperament
2. Physical characteristics
3. Environment
4. Culture

Question 2

A client who is experiencing rheumatoid arthritis (RA) is about to be discharged after a week's stay in the hospital. The client tells the nurse, I can't believe how much better I am feeling now..

To achieve this feeling by the client, the nurse is aware that: 1. Keeping the client busy each day worked well.
2. Staggering care by other disciplines allowed the client to rest.
3. The client's disease process has been stopped.
4. The client appreciated the various levels of care given.

underwood14 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Temperament

Rationale:
Temperament is the way individuals respond to their external and internal environment, and it sets the stage for the interactive dynamics of growth and development. Physical characteristics include eye color and potential height but do not affect how children interact, for the most part. Environmental factors include family, religion, climate, culture, school, community, and nutrition; they do not play as significant a role in how the child responds to peers as temperament does. Culture is a one of the environmental factors.

Answer to Question 2

2. Staggering care by other disciplines allowed the client to rest.

Rationale:
When coordinating care for clients, the nurse should consider the client's ability to tolerate activity and provide blocks of time for rest. Keeping the client busy would work against the client's best interests and not produce the desired results for overall healing. RA is a chronic disease from which the client will not recover. While the client may appreciate the various levels of care, that appreciation would not account for how much better the client is feeling after the hospital stay.