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 C

Explanation

A. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines." - This

statement is incorrect. There is no direct correlation between vaccines and SIDS. In fact, research has shown that vaccines are not a cause of SIDS.

B. "SIDS rates have been rising over the last 10 years." - This statement is misleading. SIDS rates have actually been decreasing over the past few decades due to increased awareness and preventive measures.

C. "Placing your child on her back when sleeping will decrease the risk of SIDS." - This statement is accurate. Placing infants on their backs to sleep is one of the most effective

strategies for reducing the risk of SIDS, according to recommendations from pediatric health organizations.

D. "Sleep apnea is the main cause of SIDS." - This statement is incorrect. While sleep apnea is a sleep-related breathing disorder, it is not the main cause of SIDS. SIDS is a complex phenomenon with multiple contributing factors, but sleep position plays a significant role in reducing its risk.

A. Negative behaviors characterized by the need for autonomy B. Demonstrations of sexual curiosity C. Imaginary playmates D. Erikson's stage of initiative versus guilt

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

Correct Answer is C

Explanation

A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following?

Correct Answer is D

Explanation

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