Essentials of Pediatric Nursing 4th Edition Kyle –
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Chapter 10, Health Assessment of Children
1. The nurse is conducting a health history for a 9-year-old child with stomach pains. What is a
recommended guideline when approaching the child for information?
a. Wear a white examination coat when conducting the interview.
b. Allow the child to control the pace and order of the health history.
c. Use quick deliberate gestures to get your point across.
d. Do not make physical contact with the child during the interview.
ANS: B
Feedback:
The nurse should elicit the child’s cooperation by allowing him or her control over the pace
and order of the health history, or anything else that the child can control while still
allowing the nurse to obtain the information needed. A white examination coat or all-white
uniform may be frightening to children, who may associate the uniform with painful
experiences or find it too unfamiliar. The nurse should use slow deliberate gestures rather
than very quick or grand ones, which may be frightening to shy children. The nurse should
make physical contact with the child in a nonthreatening way at first by briefly cuddling
newborns before returning them to caregivers, laying a hand on the head or arm of toddlers
and preschoolers, and warmly shaking the hand of older children and teens to convey a
gentle demeanor.
PTS: 1 REF: p. 258, Approaching the Child
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive LeveN
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2. For which children would the nurse conduct an immediate comprehensive health history?
a. A child who is brought to the emergency room with labored breathing
b. A child who is a new client in a pediatric office
c. A child who is a routine client and presents with signs of a sinus infection
d. A child whose condition is improving
ANS: B
Feedback:
The purpose of the examination will determine how comprehensive the history must be. A
comprehensive history would be performed for a new child in a pediatric office or a child
who is admitted to the hospital. Also, if the healthcare provider or nurse practitioner rarely
sees the child or if the child is critically ill, a complete and detailed history is in order, no
matter what the setting. The child who has received routine health care and presents with a
mild illness may need only a problem-focused history. In critical situations, some of the
history taking must be delayed until after the child’s condition is stabilized.
PTS: 1 REF: p. 259, Determining the Type of History Needed
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NAT: Client Needs: Safe and Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
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