The nurse is conducting a health history for a 9-year-old child with stomach pains. What is a recommended guideline when approaching the child for information?
Use quick deliberate gestures to get your point across.
Allow the child to control the pace and order of the health history.
Do not make physical contact with the child during the interview.
Wear a white examination coat when conducting the interview.
The Correct Answer is B
A. Use quick deliberate gestures to get your point across.
Using quick gestures may intimidate or overwhelm the child, potentially hindering communication. It's essential to approach the child with patience and attentiveness.
B. Allow the child to control the pace and order of the health history.
Allowing the child to dictate the pace and sequence of the health history empowers them and helps build trust. It allows the child to express themselves comfortably and share relevant
information at their own pace.
C. Do not make physical contact with the child during the interview.
While respecting the child's personal space is important, appropriate physical contact, such as a reassuring touch or handshake, can help establish rapport and comfort during the interview.
D. Wear a white examination coat when conducting the interview.
Wearing a white coat may create a sense of formality and authority that could intimidate the child. Opting for attire that is approachable and friendly can help put the child at ease and facilitate open communication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Negative behaviors characterized by the need for autonomy: While toddlers may exhibit negative behaviors as they assert their independence, this is not the defining characteristic of psychosocial development during this stage.
B. Demonstrations of sexual curiosity: Sexual curiosity typically emerges during the preschool and early school-age years rather than during toddlerhood.
C. Imaginary playmates: Imaginary playmates are more commonly seen during the preschool years, not necessarily during toddlerhood.
D. Erikson's stage of initiative versus guilt: This stage, occurring during early childhood (ages 3 to 6 years), is characterized by the child's growing sense of initiative in exploring and interacting with the world balanced against the potential for feeling guilty about their actions. It involves developing a sense of purpose and direction in life while navigating feelings of competence versus inadequacy.
Correct Answer is ["A","B","E"]
Explanation
A. The use of car seats and other safety measures is crucial for the child's safety and is a standard part of a functional history to ensure that the child is being protected from common household and travel-related injuries.
B. The use of supplements and vitamins can significantly impact a child's health, especially at a developmental age, and should be monitored and recorded.
C. Prenatal and perinatal histories are typically reviewed during initial visits and not necessarily part of a routine functional history for a 2-year-old unless there are ongoing health issues related to birth.
D. The child's race and ethnicity are important for demographic data but are not typically part of a functional history unless there are specific cultural practices or genetic predispositions that affect the child's health.
E. The child's toileting habits are an important aspect of their development and daily functioning, and changes or issues in this area can indicate health concerns.
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