Author Question: The nurse wants to assess the amount of pain a preadolescent with scoliosis experiences throughout ... (Read 74 times)

drink · **on:** Jun 27, 2018

The nurse wants to assess the amount of pain a preadolescent with scoliosis experiences throughout the day. Which tool should the nurse use to make this assessment?

A) Logs and diaries
B) FACES Pain Rating Scale
C) Adolescent Pediatric Pain Tool
D) Numerical or Visual Analog Scale

Question 2

The parents of a preschooler express concern to the nurse about their son's new habit of masturbating. Which of the following is an appropriate response to this concern?

A) Tell the child in a firm manner that this behavior is not acceptable.
B) When the child displays this behavior, place him in a time-out.
C) Treat the action in a matter-of-fact manner emphasizing safety.
D) Consult a psychotherapist to determine the reason for this behavior.

diana chang · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
Having children keep logs or diaries in which they note when pain occurs and the intensity of the pain each time it occurs can be useful for assessing children with chronic but intermittent pain. Examining such a diary not only reveals when pain occurs but also provide direction for pain management. The FACES tool is appropriate to assess the pain level of small children starting around age 3 years. Although appropriate for a preadolescent child, the Adolescent Pediatric Pain Tool assesses one episode of pain. The Numerical or Visual Analog Scale also assesses the amount of pain during one episode in time.

Answer to Question 2

C
Feedback:
Masturbation is a healthy and natural part of normal preschool development if it occurs in moderation. If the parent overreacts to this behavior, then it may occur more frequently. Masturbation should be treated in a matter-of-fact way by the parent. The child needs to learn certain rules about this activity: nudity and masturbation are not acceptable in public. The child should also be taught safety: no other person can touch the private parts unless it is the parent, doctor, or nurse checking to see when something is wrong.