Hayden Clark Room 302
Hayden Clark, 6-year-old male, weighing 44 lbs., comes to school looking
disheveled, and not wearing a coat with the outside temperature in the low
40’s.
You responded correctly to 6 out of 6 ev
...
Hayden Clark Room 302
Hayden Clark, 6-year-old male, weighing 44 lbs., comes to school looking
disheveled, and not wearing a coat with the outside temperature in the low
40’s.
You responded correctly to 6 out of 6 evaluations:
Category Your response Explana
Pain Normal acuity Status assessment reports no indication of increased Pain acuity
Psych Normal acuity Status assessment reports does not give clear indication to increa
Safety Increased acuity Status assessment reports not wearing coat which places patient
Educational Needs Increased acuity Education needed for child and parents relating to clothing, hygie
Health Increased acuity Status assessment reports patient not wearing coat in 40-degree
LOC Normal acuity Status assessment reports no indication of increased LOC acuity
Physiological
Description
Your
Response E
Potential for delayed growth and
development
True Status assessment reports patient loo
temperature weather.
Risk for infection True Status assessment reports patient loo
temperature weather.
Safety
Description
Your
Response Explanatio
Anxiety True Status assessment reports no indication of Anxiety, only
Knowledge
deficit
False Status assessment reports patient looking disheveled, an
weather.
Love and belonging
Description Your Response
Compromised Family Coping True Patient is at risk for Com
Scenario 1
Hayden has come to the school nurse complaining of a stomachache.
You correctly ordered 5 out of 5 actions:
Your
order
Correct
order Step
1 1 The nurse asks Hayden to describe his stomachache Gives bas
stomacha
2 2 The nurse preforms an abdominal assessment Hayden. Provides f
3 3 The nurse asks Hayden what he had for breakfast, which
was nothing
Not eating
4 4 The nurse gives Hayden some crackers and milk to eat in
the nurse’s office
Reduces s
5 5 The nurse documents the findings, and notes that this
situation has happened several times in the past
There is a
should be
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