For which children would the nurse conduct an immediate comprehensive health history?

A child who is brought to the emergency room with labored breathing

A child who is a new client in a pediatric office

A child who is a routine client and presents with signs of a sinus infection

A child whose condition is improving

Answer and Explanation

The Correct Answer is A

A. A child who is brought to the emergency room with labored breathing: Labored breathing can indicate a serious respiratory problem that requires immediate assessment and intervention.

Conducting a comprehensive health history is crucial to gather information about the child's medical history, current symptoms, and any potential underlying conditions that could be contributing to the breathing difficulty.

B. A child who is a new client in a pediatric officE. While it is important to obtain a comprehensive health history for new clients in a pediatric office, it may not require immediate attention unless the child presents with acute symptoms or concerns.

C. A child who is a routine client and presents with signs of a sinus infection: While a child presenting with signs of a sinus infection may require a comprehensive health history to guide treatment, it may not necessitate immediate attention unless the symptoms are severe or accompanied by complications.

D. A child whose condition is improving: If a child's condition is improving, conducting a comprehensive health history may not be immediately necessary unless there are lingering concerns or new symptoms that arise during follow-up visits.

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Correct Answer is A

Explanation

A. They follow rules out of a sense of being a "good person.": According to Kohlberg, at the conventional stage of moral development, individuals are motivated to follow rules and laws to maintain social order and to be perceived as good members of society.

B. They follow rules out of fear of being punisheD. Fear of punishment is more characteristic of the preconventional stage of moral development, where individuals make moral decisions based on avoiding punishment or seeking reward.

C. They follow rules in order to receive praise from caretakers: Seeking praise from caretakers may influence behavior, but it does not reflect the underlying motivation for following rules according to Kohlberg's theory.

D. They follow rules because it is in their nature to do so: While some individuals may have a predisposition to follow rules, Kohlberg's theory focuses on the moral reasoning behind rule- following rather than inherent tendencies

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

Correct Answer is A

Explanation

A. Speak to the child using mature language and appeal to his or her desire for self-care. - School-age children are typically more independent and responsive to mature communication. Acknowledging their desire for self-care fosters cooperation during the examination process.

B. Include the child in all parts of the examination: speak to the caregiver before and after the examination. - While involving the child in the examination process is important, school-age children may prefer direct communication rather than primarily interacting with caregivers.

C. Keep up a running dialogue with the caregiver, explaining each step as you do it. - While

involving caregivers in the examination process is important, maintaining a dialogue primarily with them may not fully engage the child during the assessment.

D. Address the child by name; speak to the caregiver and do the most invasive parts last. - While considering the child's comfort and addressing them directly is essential, school-age children

may respond better to direct communication rather than deferring to caregivers for discussion

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For which children would the nurse conduct an immediate comprehensive health history?

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Naxlex Comprehensive Predictor Exams

The nurse explains to parents of school-age children that according to Kohlberg's theory of moral development, their child is at the conventional stage of moral development. Which is the nurse's best explanation for the motivation for school-age children to follow rules?

Correct Answer is A

Explanation

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

Correct Answer is A

Explanation

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