NURSING > STUDY GUIDE > NSG 6435 FINAL EXAM STUDY GUIDE A+ SOLUTIONS (All)

NSG 6435 FINAL EXAM STUDY GUIDE A+ SOLUTIONS

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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 about 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

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