A couple brings their child to the well-child clinic for guidance ...

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A couple brings their child to the well-child clinic for guidance in improving the child's school performance. The nurse assesses the child and finds that favorite activities are running, playing basketball, and building models.
 
  Which conclusion is most appropriate for the nurse to make based on the assessment findings?
  A.
  Hyperactive and may need medication
  B.
  Learns best through bodily activity
  C.
  Needs firm structure for completing schoolwork
  D.
  Normal activity; school performance will improve with time

Question 2

A mother brings her child to the well-child clinic. She is distraught because the child tested well below normal on a school-administered intelligence (IQ) test. Which action by the nurse is the most appropriate?
 
  A.
  Advise the mother to have the test repeated next year.
  B.
  Assess cultural background and economic status.
  C.
  Facilitate a referral to a developmental specialist.
  D.
  Reassure the mother that IQ tests are often wrong.

[bitingbit]

Answer to Question 1

ANS: B
According to Howard Gardner, there are eight forms of intelligence: bodily-kinesthetic, interpersonal, intrapersonal, linguistic, logical-mathematical, musical, naturalistic, and spatial. Although children possess all eight forms, they typically develop one to a greater degree. Using this form of intelligence is best to help the child learn. By assessing the child's hobbies and interests, the nurse gains insight into which form a child uses. This child prefers the bodily-kinesthetic form of intelligence, and using bodily motion in learning activities will improve learning. The other answers are not accurate.

Answer to Question 2

ANS: B
Many IQ tests have been criticized for not considering the impact of culture or socioeconomic status. The nurse should assess these factors before proceeding further. Simply reassuring the mother that IQ tests are often wrong does nothing to help her with her concern and sounds paternalistic. That statement could also cause confusion; as the school administered the test, the mother might not believe the nurse.