Author Question: Which strategy is not always appropriate for a pediatric physical examination? a. Take the ... (Read 30 times)

LaDunn · **on:** Jun 27, 2018

Which strategy is not always appropriate for a pediatric physical examination?

a. Take the history in a quiet, private place.
b. Examine the child from head to toe.
c. Exhibit sensitivity to cultural needs and dif-ferences.
d. Perform frightening procedures last.

Question 2

The father of a child recently diagnosed with developmental delay is very rude and hostile toward the nurses. This father was cooperative during the child's evaluation a month ago.

What is the best explanation for this change in parental behavior? a. The father is exhibiting symptoms of a psy-chiatric illness.
b. The father may be abusing the child.
c. The father is resentful of the time he is missing from work for this appointment.
d. The father is in the anger stage of the grief process.

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

Answer to Question 1

B
The classic approach to a physical examination is to begin at the head and proceed through the entire body to the toes. When examining a child, however, the examiner must tailor the physical assessment to the child's age and developmental level. The nurse should collect the child's health history in a quiet, private area and painful or frightening procedures should be left to the end of the examination. The nurse should always be sensitive to cultural needs and differences among children.

Answer to Question 2

D
After a child is diagnosed with a developmental delay, the family may feel grief. The grief process begins with a stage of disbelief and denial and then progresses to anger. It is not possible to determine that a parent is exhibiting symptoms of a psychiatric illness on the basis of a single situation. The scenario does not give any information to suggest child abuse. Although the father may have difficulty balancing his work schedule with medical appointments for his child, a more likely explanation for his behavior change is that he is grieving the loss of a normal child.