A pediatric home health care nurse is making an initial visit to ...

[pragya sharda]

A pediatric home health care nurse is making an initial visit to assess the parenting style for a family in preparation for treating a child with drugs to reduce hyperactivity.
 
  Which approach should the nurse use for this assessment?
  A) Ask the parents, How do you handle situations that require limit setting?
  B) Ask the child, What rule is hardest for you to obey?
  C) Observe the parent interacting with the child for 5 minutes.
  D) Ask the parents, What are the house rules?

Question 2

The nurse is planning care for a client demonstrating symptoms of depression. When assessing this client, which should the nurse use?
 
  A) More time talking with the client
  B) The client's family members, for answering the assessment questions
  C) Beck Depression Inventory
  D) Glasgow Coma Scale

[patma1981]

Answer to Question 1

Answer: A

Parental styles are best assessed while the family explains how it handles situations that require limit setting. A less complete picture of parenting style is obtained during a brief artificial observation. Asking the child which rule is hardest for him or her to follow will not give the nurse insight into parenting styles. Learning about rules is less helpful than is an explanation of enforcement efforts and success.

Answer to Question 2

Answer: C

The Beck Depression Inventory is a series of 21 questions that the client answers in order to self-rate the level of depression. It takes approximately 10 minutes for the client to complete. The nurse can use it to help with the assessment of this client. The Glasgow Coma Scale is not used to assess depression but rather level of responsiveness for neurological conditions. The nurse should not ask family members to answer assessment questions for the client. Assessment of clients with depression is often done in 15- to 20-minute increments because the client usually does not have the energy to talk much longer. For that reason, the nurse should not plan more time with the client to complete the assessment.

[pragya sharda]

Thanks for the timely response, appreciate it

[upturnedfurball]

Gracias!