The nurse is assessing a 4-year-old child with a possible alteration in mental health. Which of the following could indicate such an alteration? Select all that apply
1. Eye contact
2. Appearance
3. Facial expressions
4. Head circumference
5. History of prenatal care and delivery
1, 2, 3, 5
Rationale:
1. Making eye contact with the nurse and caregiver is part of the child's overall affect and social skills. This could be altered in a child who has an alteration in mental health.
2. Appearance evaluates a child's affect, and the nurse must determine whether the appearance is appropriate for age and developmental level.
3. Affect can be determined by facial expression and response to nurse, helping to determine mental health.
4. Head circumference is not measured in a 4-year-old.
5. History of prenatal care and delivery can help determine potential alterations in mental health in a child.
You might also like to view...
A patient is receiving vancomycin (Vancocin) intravenously. The nurse will most likely administer the medication over a period of
A) 1 minute B) 10 minutes C) 30 minutes D) 60 minutes
A nurse is caring for a client with a sty on his left upper eyelid. What measure should
the nurse employ when caring for this client? A) Compress the sty to prevent spread of infection B) Apply pressure patching for 24 to 48 hours C) Apply warm, moist compresses over the eyelid D) Administer miotic drops as ordered
A process in which energy is emitted in particles or waves is
A. radon B. ozone C. combustion D. radiation
Physical disciplines should never be given by the homemaker/home health aide
a. True b. False