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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "This is a primitive reflex known as the palmar grasp.": The palmar grasp reflex is a primitive reflex observed in newborns where they automatically grasp onto objects (or fingers) that touch
their palms. This reflex typically disappears by around 6 months of age.
B. "This is a protective reflex known as rooting.": Rooting is a reflex where newborns turn their head and open their mouth in response to cheek or mouth stimulation, facilitating breastfeeding. It is not related to grasping objects with the hands.
C. "This is a primitive reflex known as the plantar grasp.": The plantar grasp reflex is similar to the palmar grasp but occurs when pressure is applied to the sole of the foot. It is unrelated to grasping objects with the hands.
D. "This is a protective reflex known as the Moro reflex.": The Moro reflex, also known as the startle reflex, involves the newborn's arms and legs extending and then flexing in response to a sudden movement or loud noise. It is not related to grasping objects with the hands.
Correct Answer is A
Explanation
A. They follow rules out of a sense of being a "good person.": According to Kohlberg, at the conventional stage of moral development, individuals are motivated to follow rules and laws to maintain social order and to be perceived as good members of society.
B. They follow rules out of fear of being punisheD. Fear of punishment is more characteristic of the preconventional stage of moral development, where individuals make moral decisions based on avoiding punishment or seeking reward.
C. They follow rules in order to receive praise from caretakers: Seeking praise from caretakers may influence behavior, but it does not reflect the underlying motivation for following rules according to Kohlberg's theory.
D. They follow rules because it is in their nature to do so: While some individuals may have a predisposition to follow rules, Kohlberg's theory focuses on the moral reasoning behind rule- following rather than inherent tendencies
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