Author Question: Which would be least effective in gaining the cooperation of a toddler during a physical ... (Read 50 times)

melina_rosy · **on:** Jun 28, 2018

Which would be least effective in gaining the cooperation of a toddler during a physical examination?

A) Tell the child that another child the same age wasn't afraid.
B) Allow the child to touch and hold the equipment when possible.
C) Permit the child to sit on the parent's lap during the examination.
D) Offer immediate praise for holding still or doing what was asked.

Question 2

The nurse is teaching the student nurse how to perform a physical assessment based on the child's developmental stage. Which statements accurately describes a recommended guideline for setting the tone of the examination for a school-age child?

A) Keep up a running dialogue with the caregiver, explaining each step as you do it.
B) Include the child in all parts of the examination; speak to the caregiver before and after the examination.
C) Speak to the child using mature language and appeal to his or her desire for self-care.
D) Address the child by name; speak to the caregiver and do the most invasive parts last.

jlaineee · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Ans: A
Toddlers are egocentric, and telling the toddler how well another child behaved or cooperated probably will not help gain this child's cooperation. Allowing the child to touch and hold the equipment, permitting the child to sit on the parent's lap during the exam, and offering praise immediately for cooperating would foster cooperation.

Answer to Question 2

Ans: B
For a school-age child, the nurse should include the child in all parts of the examination, and speak to the caregiver before and after the examination. For a newborn the nurse should keep up a running dialogue with the caregiver, explaining each step as it is done. The nurse should speak to the early teen using mature language and appeal to his or her desire for self-care. For an infant, the nurse should address the child by name, and speak to the caregiver and do the most invasive parts last.