The nurse is performing a health history on a 6-year-old boy who is having trouble adjusting to school. Which question would be most likely to elicit valuable information?
"Do you enjoy reading a book?"
"Are you happy with your teacher?"
"Do you like your new school?"
“What are your new classmates like?"
The Correct Answer is D
A. "Do you enjoy reading a book?"
While reading preferences can provide some insight into the child's interests, it may not directly address the issue of trouble adjusting to school.
B. "Are you happy with your teacher?"
Asking about the child's satisfaction with the teacher may provide some information, but it may not uncover the underlying issues contributing to the trouble adjusting to school.
C. "Do you like your new school?"
This question addresses the general perception of the school environment but may not necessarily uncover specific issues related to adjusting to school.
D. “What are your new classmates like?"
Asking about the child's interactions with classmates can provide valuable information about social dynamics, peer relationships, and potential sources of stress or difficulty adjusting to school. It allows the nurse to explore the child's experiences and perceptions within the school setting, which can help identify areas of concern and potential interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Body weight: Body weight is the most reliable indicator of fluid loss, as changes in weight directly reflect changes in fluid balance. Monitoring weight is essential for assessing dehydration and guiding fluid replacement therapy.
B. Skin integrity: While changes in skin turgor and skin integrity can be indicators of
dehydration, they are less reliable in infants, especially if they have certain skin conditions or are very young.
C. Respiratory ratE. Although increased respiratory rate can occur as a compensatory mechanism for metabolic acidosis associated with dehydration, it is not as reliable as changes in body weight for assessing fluid loss.
D. Blood pressurE. While blood pressure may be affected by severe dehydration, it is not as sensitive or practical as monitoring body weight for assessing fluid loss in infants.
Correct Answer is B
Explanation
A. Pulse rate is increased.
While there may be variations in pulse rate due to factors such as activity level and emotional state, a significant increase in pulse rate would not be a typical finding during an annual check- up for an 8-year-old child.
B. Breathing is diaphragmatic.
As children grow older, their respiratory patterns mature, and they develop diaphragmatic breathing, which is deeper and more efficient than the shallow breathing observed in infants. This change would be expected as the child gets older.
C. Secondary sex characteristics are present.
The development of secondary sex characteristics typically occurs during puberty, which begins around the ages of 9 to 13 in girls and 10 to 14 in boys. At 8 years old, it would be unlikely for significant secondary sex characteristics to be present.
D. Blood pressure has reached adult level.
Blood pressure in children gradually increases with age, but it does not reach adult levels until adolescence. At 8 years old, the child's blood pressure would still be within the pediatric range and would not resemble adult levels.
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