The nurse is conducting a psychosocial assessment of a child with asthma brought to the healthcare provider's office for a check-up Which psychosocial issues may be assessed? Select all that apply.

Past medical history

Transportation to healthcare facilities

Health maintenance needs

Future treatment plans

School’s response to the chronic illness

Health insurance coverage

Answer and Explanation

Correct Answer : B,C,D,E,F

A.   Past medical history is important but may not directly address current psychosocial concerns related to the child's asthma.
B.   Transportation to healthcare facilities can be a significant psychosocial issue, as it may impact access to care and treatment adherence.
C.   Assessing health maintenance needs can uncover barriers to care and support required for managing the chronic illness.
D.   The nurse should discuss with the child and the family the goals and expectations for the child's asthma control and quality of life. The nurse should also inform them about any new or alternative therapies that may be available or suitable for the child.
E.   The school's response to the chronic illness can affect the child's social and emotional well-being.
F.   Health insurance coverage may impact the child's access to necessary healthcare services and medications, influencing their psychosocial experiences.

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Correct Answer is D

Explanation

A. Conduction heat loss typically occurs through direct contact with a cooler surface, but in this scenario, the baby is under a radiant warmer, reducing the likelihood of conduction heat loss.
B. Axillary temperatures are generally accurate for newborns when measured properly.
C. A normal temperature for a neonate is between 97 and 99 degrees F (36 to 37 degrees C).
D. Brown adipose tissue is a specialized type of fat that generates heat by metabolizing fatty acids. It is abundant in full-term neonates, but scarce in preterm neonates, especially those born before 34 weeks' gestation. Therefore, preterm neonates have less ability to maintain their body temperature and are prone to hypothermia.

A. Magical thinking B. Transduction C. Centration D. Animism

Correct Answer is A

Explanation

A. This is a cognitive process in which children believe that their thoughts or wishes can cause events to happen. It is common in preschoolers who have not yet developed logical reasoning skills.

B. Transduction involves making connections between events that occur sequentially but may not have a causal relationship. The girl's statement doesn't demonstrate this.
C. Centration refers to focusing on only one aspect of a situation while ignoring others. The girl's statement involves attributing emotions to the sky rather than focusing solely on her own pain.
D. Animism is the attribution of life and feelings to inanimate objects.

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The nurse is conducting a psychosocial assessment of a child with asthma brought to the healthcare provider's office for a check-up Which psychosocial issues may be assessed? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A one-day-old neonate born at 32 weeks' gestation is in the neonatal intensive care unit under a radiant overhead warmer. The nurse assesses the morning axilla temperature as 95 degrees F (35 degrees C). What could explain the assessment finding?

Correct Answer is D

Explanation

The nurse is caring for a 5-year-old girl posttonsillectomy. The girl looks out the window and tells the nurse that it is raining and says. The sky is crying because it is sad that my throat hurts." The nurse understands that the girl is demonstrating which mental process?

Correct Answer is A

Explanation

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