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?

Speak to the child using mature language and appeal to his or her desire for self-care.

Include the child in all parts of the examination: speak to the caregiver before and after the examination.

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

Address the child by name; speak to the caregiver and do the most invasive parts last.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is A

Explanation

A. “The preschooler is developing a conscience": This response acknowledges the ongoing development of morality in preschoolers. During the preschool years, children begin to

internalize rules and develop a sense of right and wrong, guided by their emerging conscience. They may start to show guilt or remorse when they do something wrong and may seek approval from adults.

B. "The preschooler's morals are his or her own, right or wrong": While preschoolers are

beginning to form their own sense of morality, it is not accurate to suggest that their morals are inherently right or wrong. Rather, they are in the process of learning and developing moral understanding.

C. "The preschooler sees morality as internal to self": This statement highlights the emerging understanding of morality as an internal guide for behavior. Preschoolers begin to recognize that certain actions are considered right or wrong, although their understanding may still be somewhat egocentric.

D. “The preschooler has no sense of right and wrong": This statement is incorrect. Preschoolers do start to develop a sense of right and wrong, although their understanding may be limited and influenced by their stage of cognitive and moral development.

A. Discouraging daily fruit juice intake B. Increasing the number of breastfeedings C. Discussing the child's feeding patterns D. Talking about solid food consumption

Correct Answer is C

Explanation

A. Discouraging daily fruit juice intakE. While excessive fruit juice intake can contribute to weight gain and dental caries, it's not the priority nursing intervention in this scenario.

B. Increasing the number of breastfeedings: Breastfeeding frequency may be appropriate, but without more information about the child's current feeding patterns and growth trajectory, it's not the priority intervention.

C. Discussing the child's feeding patterns: This is the priority intervention because it allows the nurse to assess the child's current feeding habits, including frequency, duration, and type of feedings, to determine if they are appropriate for the child's growth and development.

D. Talking about solid food consumption: Solid food introduction is typically recommended around 6 months of age, but the priority in this scenario is to assess the current feeding

patterns before discussing solid food introduction.

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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?

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Correct Answer is C

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