A very concerned 14-year-old boy presents to the clinic because ...

[cnetterville]

A very concerned 14-year-old boy presents to the clinic because of an enlargement of his left breast.
 
  Except for the breast enlargement,the rest of the history and physical was reported as normal. The most appropriate intervention for the nurse to implement next would be to inform the child that
  1. a pediatric endocrine consult isbeing arranged.
  2. the health practitioner is arranging asurgical consult for their son.
  3. this is a normal finding in adolescentmales and that the breast tissue generally regresses by the time of full sexual maturity.
  4. his condition is related to a high fatdiet and that limiting fat intake usually will resolve the enlargement over a period of a couple of months.

Question 2

During an examination,a nurse asks a 5-year-old child to repeat his address. The nurse is most likely evaluating
 
  1. recent memory.
  2. language development.
  3. remote memory.
  4. social-skill development.

[dominiqueenicolee]

Answer to Question 1

Answer:3
Rationale:Gynecomastia,or breast enlargement,is a normal finding in adolescent males,is not related to diet or endocrine abnormalities,and does not require surgery.

Answer to Question 2

Answer:3
Rationale: Asking children to remember addresses,phone numbers,and dates assesses remote-memory development. To evaluate recent memory the nurse would have the child name something and then ask him to name it again in 10 to 15 minutes.Listening to how the child talks and his sentence structure evaluates the child's language development and assessing how he interacts with others evaluates social-skill development.