The nurse is admitting a 7-year-old child to the medical-surgical ...

[naturalchemist]

The nurse is admitting a 7-year-old child to the medical-surgical unit. The child answers questions with very short answers, makes little eye contact with the nurse, and looks to the parent to answer most questions.
 
  Which interventions would be appropriate during this admission assessment? Select all that apply.
 
  A) Tell the child that you are going to be their nurse so it would be best if they answered your questions.
  B) When asking questions, look at the child as well as the parent.
  C) Sit at the child's eye level during the admission questioning process.
  D) Stop asking questions for the present time and return later when the child feels more comfortable.
  E) Ask the child if they are always nervous around new people.

Question 2

The nurse is caring for a 9-year-old boy with achondroplasia. What will the nurse's assessment reveal?
 
  A) Narrow passages from the nose to the throat
  B) Slim stature, hypotonia, and a narrow face
  C) Craniosynostosis and a small nasopharynx
  D) Trident hand and persistent otitis media

[Jane]

Answer to Question 1

Ans: B, C
The goal is to establish rapport with the patient and encourage communication. It is common for young children to be shy, so it is acceptable for the nurse to ask both the child and parent questions until the child feels comfortable talking with the nurse. Sitting at eye level is less intimidating and may help in establishing a trusting relationship. Telling the child that they need to answer the questions appears as condemning the child's behavior. Admission questions are important and can't be delayed until a later time. Asking the child if they are nervous around new people is intimidating and may further block communication.

Answer to Question 2

Ans: D
Achondroplasia results in disordered growth with an average adult height of 4 feet for males or females. Other distinguishing symptoms are a separation between the middle and ring fingers, called trident hand, and persistent otitis media and middle ear dysfunction. Narrow passages from nose to throat are a symptom of CHARGE syndrome. Slim stature, hypotonia, and a narrow face are symptoms of Marfan syndrome. Craniosynostosis and a small nasopharynx are symptoms of Apert syndrome.

[naturalchemist]

Excellent

[juliaf]

TYSM