*NURSING > STUDY GUIDE > NSG 6435 FINAL EXAM STUDY GUIDE A+ SOLUTIONS (All)
The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first? Introduce self. What action is most likely to encourage parents to talk a... bout their feelings related to their child’s illness? Use open-ended questions. What is the single most important factor to consider when communicating with children? The child’s developmental level What is an important consideration for the nurse who is communicating with a very young child? Use transition objects such as a doll. When introducing hospital equipment to a preschooler who seems afraid, the nurse’s approach should be based on which principle? The child may think the equipment is alive. Which age group is most concerned with body integrity? School-age child An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is to: Explain in simple terms how it works. When the nurse interviews an adolescent, it is especially important to: Allow an opportunity to express feelings. The nurse is having difficulty communicating with a hospitalized 6-year-old child. What technique might be most helpful? Ask the child to draw a picture. The nurse is taking a health history on an adolescent. What best describes how the chief complaint should be determined? Ask adolescent, “Why did you come here today?” Where in the health history should the nurse describe all details related to the chief complaint? Present illness The nurse is interviewing the mother of an infant. She reports, “I had a difficult delivery, and my baby was born prematurely.” This information should be recorded under which heading? Birth history When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. This should be considered because these milestones are: An important part of the child’s past growth and development. The nurse is taking a sexual history on an adolescent girl. The best way to determine whether she is sexually active is to: Ask her, “Are you having sex with anyone?” When doing a nutritional assessment on an Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. The nurse should recognize that this diet: May provide sufficient amino acids. Which parameter correlates best with measurements of the body’s total protein stores? Upper arm circumference An appropriate approach to performing a physical assessment on a toddler is to: Use minimal physical contact initially. With the National Center for Health Statistics (NCHS) criteria, which body mass index (BMI)–for-age percentile indicates a risk for being overweight? 85th percentile The nurse is using the NCHS growth chart for an African-American child. The nurse should consider that: The NCHS charts are accurate for U.S. African-American children. Which tool measures body fat most accurately? Calipers By what age do the head and chest circumferences generally become equal? 1 to 2 years The earliest age at which a satisfactory radial pulse can be taken in children is: 2 years Where is the best place to observe for the presence of petechiae in dark-skinned individuals? Oral mucosa When palpating the child [Show More]
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