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NSG 6435 Final Exam Study Guide • 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 paren ...

NSG 6435 Final Exam Study Guide • 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. ........continued

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