Author Question: During a well-child exam,the parents of a 4-year-old child inform the nurse that they are thinking ... (Read 80 times)

Cooldude101 · **on:** Jun 27, 2018

During a well-child exam,the parents of a 4-year-old 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.

The best response from the nurse would be
1. Research has shown that childrenwith a television in their bedroom spend significantly less time playing outside than other children.
2. Research has shown that watchingeducational television shows improves a child's performance in school
3. Don't buy a television for yourchild's room;he is much too young for that.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

A concerned parent calls the school nurse because of changes in their 15-year-old adolescent's behavior.

In counseling these parents,the nurse would inform the parents that the behavior that is most likely to be abnormal and indicate possible substance abuse is the adolescent's
1. buying baggy,oversized clothingat thrift shops and dying her hair black.
2. becoming very involved with friendsand 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 latelyfrom teachers for sleeping in class.
4. becoming very moody,dramaticallycrying and weeping one minute and then cheerful and excited the next.

Leostella20 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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 thatdoes 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 dayis 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 theild's room is low,and the child will most likely be watching much more than two hours per day.

Answer to Question 2

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.