Author Question: A nurse is assessing an older school-age child recently admitted to the hospital. Which assessment ... (Read 78 times)

plus1 · **on:** Jun 27, 2018

A nurse is assessing an older school-age child recently admitted to the hospital. Which assessment indicates the child is in an appropriate stage of cognitive development?

a. Addition and subtraction ability
b. Ability to classify
c. Vocabulary
d. Play activity

Question 2

The nurse should expect a child who has frequent tension-type headaches to describe his headache pain with which statement?

a. There is a rubber band squeezing my head..
b. It's a throbbing pain over my left eye..
c. My headaches are worse in the morning and get better later in the day..
d. I have a stomachache and a headache at the same time..

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

Answer to Question 1

B
The ability to classify things from simple to complex and to identify differences and similarities are cognitive skills of the older school-age child; this demonstrates use of classification and logical thought processes. Subtraction and addition are appropriate cognitive activities for the young school-age child. Vocabulary is not as valid an assessment of cognitive ability as is the child's ability to classify. Play activity is not as valid an assessment of cognitive function as is the ability to classify.

Answer to Question 2

A
The child who has tension-type headaches may describe the pain as a band-like tightness or pressure, tight neck muscles, or soreness in the scalp. A common symptom of migraines is throbbing headache pain, typically on one side of the eye. A headache that is worse in the morning and improves throughout the course of the day is typical of increased intracranial pressure. Abdominal pain may accompany headache pain in migraines.