Author Question: A nurse observes the parentchild interaction during the 6-year-old well-child checkup and notes that ... (Read 132 times)

asan beg · **on:** Jun 28, 2018

A nurse observes the parentchild interaction during the 6-year-old 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

Pediatric health care occurs along a continuum that reflects not only the settings of care, but also:

1. The recommendations of health care providers.
2. The home setting.
3. The complexity and range of care needed by individual children and their families.
4. Prenatal care.

amit · **Reply #1 on:** Jun 28, 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 wants to speak alone with the child, the nurse perhaps would escort the child to another area and speak briefly with the child.
2. It is not appropriate to refer them to counseling without a discussion with the parent.
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

3
Rationale:
1. The continuum of pediatric health care does not include the recommendations of health care providers.
2. The home setting is not included in the pediatric health care continuum.
3. Pediatric health care occurs along a continuum that reflects not only the various settings of care but also the complexity and range of care needed by individual children and their families. For example, all children need health promotion and maintenance services; some will also need care for chronic conditions, acute illnesses, and injuries.
4. Prenatal care is not considered part of the continuum of health care, since the main focus is on the health of the mother.