A nurse is planning care for a school-age child diagnosed with type 1 diabetes. Which insulin preparations are either rapid or short acting? (Select all that apply.).

The correct answer is choice B. Ask the adolescent, "Why did you come here today?".

Choice A rationale:

Using the adolescent's own words in correct medical terminology to determine the problem is essential for accurate documentation, but it might not be the initial step in determining the chief complaint. The approach in choice B provides an opportunity for the adolescent to express their primary concern in their own terms.

Choice B rationale:

Asking the adolescent, "Why did you come here today?" allows them to voice their main reason for the visit in their own words. This approach respects their autonomy and encourages open communication. It also helps to identify the primary issue from the adolescent's perspective.

Choice C rationale:

While asking for a detailed listing of symptoms is important for a comprehensive health history, it might not be the best way to initially determine the chief complaint. This approach could potentially overwhelm the patient and miss the opportunity for them to express their primary concern.

Choice D rationale:

Interviewing the parent away from the adolescent might be necessary in certain situations, but it is not the best method for determining the adolescent's chief complaint. The adolescent's input is crucial for understanding their own health concerns and developing a patient-centered approach.

The correct answer is choice C. They may lie to meet expectations set by others that they have been unable to attain.

Choice A rationale:

Lying resulting from the inability to distinguish between fact and fantasy is more characteristic of younger children and might not be as applicable to the 8 to 10-year-old age group.

Choice B rationale:

While cheating during games might be a behavior observed in children, it doesn't specifically address the characteristic of dishonesty outlined in the question for this age group.

Choice C rationale:

Children aged 8 to 10 years may lie to meet expectations set by others that they have been unable to attain. This is a manifestation of social pressure and the desire to avoid disappointing others or facing consequences for not meeting perceived expectations.

Choice D rationale:

Stealing due to a limited sense of property rights might apply more to younger children who are still developing their understanding of ownership and boundaries.