An adolescent female presents at a nurse practitioner's office ...

[robinn137]

An adolescent female presents at a nurse practitioner's office and requests a signature for working papers. The nurse reviews her chart and notes that the last physical examination was two years ago.
 
  In addition to providing the signature for the working papers, what else should the nurse use this visit?
  1. An opportunity to discuss birth-control measures
  2. A time to discuss exercise and sports participation
  3. A health-supervision opportunity
  4. A chance to discuss the importance of pursuing post secondary education

Question 2

Which health promotion activities can the nurse recommend to the parents of a preschool-age child in order to enhance the child's self-concept?
 
  1. Encourage a play date with a school-age child.
  2. Praise the child for staying dry at night.
  3. Tell the child there will be a punishment for bathroom accidents.
  4. Set aside time for the child each day.
  5. Discuss appropriate activities to engage in with the daycare provider.

[mistyjohnson]

Answer to Question 1

Correct Answer: 3
Rationale: All visits should be used as health-promotion and health-supervision visits. While discussing birth control, exercise, and future plans is important, these can be included in the overall health-supervision protocols.

Answer to Question 2

Correct Answer: 2,4,5

Rationale: Health promotion activities focus on development of a healthy self-concept in the toddler and young child by helping parents to set up successful play experiences, to praise the child for successes, to use effective limit-setting techniques, and to realize and appreciate the child's unique characteristics. Health maintenance seeks to avoid the poor self-image that can occur with constant criticism or expectations not in alignment with the toddler's or preschooler's developmental capabilities.