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 C
Explanation
A. Forward-facing in the front passenger seat: This position is not suitable for an infant. Infants should always be placed in a rear-facing car seat in the back seat of the vehicle to reduce the risk of injury in the event of a crash.
B. Rear-facing in the back seat next to a window: Placing an infant next to a window increases the risk for injury. The safest position for a car seat is in the center of the back seat
C. Rear-facing in the middle of the back seat: Although the manufacturer of the car seat will provide specifics regarding use, a child should remain in a rear-facing car seat until age 2 or until the child outgrows the height or weight limits of a rear-facing seat
D. Forward-facing in the back seat: Forward-facing car seats are appropriate for older children, typically after they have outgrown rear-facing car seats based on height and weight requirements.
Infants should always ride in a rear-facing car seat until they reach the maximum weight or height limit specified by the car seat manufacturer.
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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