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. Spirituality: While spirituality can be important to some individuals, it is not universally the most crucial factor in adolescent self-esteem.
B. Strong authority figures: While supportive relationships with authority figures can contribute to self-esteem, they are not always the primary factor in shaping an adolescent's self-perception.
C. Morals and values: While having a strong sense of morals and values can positively influence self-esteem, they may not be the most critical factor for all adolescents.
D. Body imagE. During adolescence, body image plays a significant role in shaping self-esteem. Adolescents are often sensitive to physical appearance changes and may experience fluctuations in self-esteem based on how they perceive their bodies compared to societal ideals.
Correct Answer is C
Explanation
A. A Jewish male. While certain genetic factors may predispose individuals to hypertension, ethnicity or religious affiliation alone is not a direct risk factor for hypertension. Screening for hypertension should be based on individual risk factors and not solely on ethnicity or religion.
B. A white male. While hypertension can affect individuals of any race or ethnicity, it is less prevalent among white populations compared to African-American populations. However, hypertension can still occur in white males, especially if they have other risk factors such as obesity, family history, or unhealthy lifestyle habits.
C. An African-American male. African-American individuals, particularly males, have a higher prevalence of hypertension compared to other racial and ethnic groups. Genetic predisposition, as well as socio-economic factors and healthcare disparities, contribute to this increased risk.
Therefore, it is important to screen African-American males for hypertension, starting from adolescence, to ensure early detection and management.
D. An Asian female. While hypertension can affect individuals of Asian descent, the prevalence is generally lower compared to other racial and ethnic groups such as African-Americans. However, certain subgroups within the Asian population, such as South Asians, may have higher rates of hypertension due to genetic and lifestyle factors. Screening for hypertension should be based on individual risk factors rather than broad racial or ethnic categories.
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