Author Question: A nurse observes the parentchild interaction during a 6-year-old's well child checkup and notes that ... (Read 73 times)

rlane42 · **on:** Jun 27, 2018

A nurse observes the parentchild interaction during a 6-year-old's well child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse.

Which statement by the nurse would be most beneficial? 1. Perhaps you should leave the room so that I can speak with your child privately..
2. I am going to refer you for counseling, since your interactions with your child seem so negative..
3. Let's talk privately. Let's discuss the way you speak with your child and possible ways to be more positive..
4. Addressing the child, the nurse says, Are you unhappy when Mommy talks to you like this?

Question 2

Which of the following statements by the client verifies correct knowledge about vaginal herpes?

1. I should douche daily to prevent infection.
2. I could have another breakout during my period.
3. I am more likely to develop cancer of the cervix.
4. I should use sodium bicarbonate on the lesions to relieve discomfort.

ong527 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale:
1. Since the child is only 6 years old, it would be difficult to ask the parent to leave the room. If the nurse also wants to speak alone with the child, the nurse perhaps would escort the child to another area and speak briefly with the child.
2. Referring to counseling without a discussion with the parent is not appropriate.
3. The best approach to this encounter would be for the nurse to discuss concerns with the parent privately, since the nurse wants to help the parent develop a good relationship with the child. The child should not be a part of this conversation.
4. The nurse should not ask the child if she is unhappy with the parent.

Answer to Question 2

2
Rationale:
1. Douches do not prevent infection.
2. Menstruation seems to trigger recurrences of herpes.
3. There is no relation to herpes and cancer of the cervix.
4. Burow's (aluminum acetate) solution, not sodium bicarbonate relieves discomfort.