The nurse is teaching the student nurse how to perform a physical assessment based on the child's developmental stage. Which statements accurately describes a recommended guideline for setting the tone of the examination for a school-age child?
A) Keep up a running dialogue with the caregiver, explaining each step as you do it.
B) Include the child in all parts of the examination; speak to the caregiver before and after the examination.
C) Speak to the child using mature language and appeal to his or her desire for self-care.
D) Address the child by name; speak to the caregiver and do the most invasive parts last.
Ans: B
For a school-age child, the nurse should include the child in all parts of the examination, and speak to the caregiver before and after the examination. For a newborn the nurse should keep up a running dialogue with the caregiver, explaining each step as it is done. The nurse should speak to the early teen using mature language and appeal to his or her desire for self-care. For an infant, the nurse should address the child by name, and speak to the caregiver and do the most invasive parts last.
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