The school nurse is observing a young child who has episodes of rage toward peers during recess and at lunchtime. The advantage of conducting an assessment in this environment is:
1. This will assist in identifying the bullies who trigger the explosive episodes.
2. This provides an opportunity to collect data in the event that other children are injured and legal documentation is needed.
3. To provide data for the parents who are in denial about the problem.
4. This provides a picture of problems and strengths in a realistic context.
4
Rationale: Play has been described as "the work of children." Observing the child interacting with peers during recess and lunchtime enables the nurse to observe the child during unstructured play, which is part of the mental status assessment. The nurse is not observing the child due to a potential lawsuit, to help identify bullies, or to provide data for the parents who are in denial, but as part of a nursing assessment.
You might also like to view...
The nurse is providing care to a client who has a body temperature of 94 °F, an irregular heart rate, and low blood pressure. Which is the priority intervention for this client?
A) Elevate the client's legs. B) Provide a heating pad to the client's lower back. C) Elevate the head of the bed. D) Administer warmed intravenous fluids.
A student is preparing a spreadsheet. He plans to put data into the rectangles in the table. The student identifies these rectangles as which of the following?
A) Rows B) Columns C) Slots D) Cells
Captopril (Capoten) has been ordered for a client. The nurse teaches the client that ACE inhibitors have which common side effects?
a. Nausea and vomiting b. Dizziness and headaches c. Upset stomach d. Constant, irritating cough
The nurse is providing discharge instructions to a patient recovering from a total hip replacement. What should the nurse include in these instructions? Select all that apply.
A. Full recovery in up to six months B. Use and weight bearing of affected limb C. Possible complications such as infection or dislocation D. Continuing pain medications for only two days after discharge E. Not to do exercises if experiencing discomfort