A nurse is assessing a 14-year-old boy who has been admitted for an exacerbation of sickle cell disease. The nurse is assessing the cognitive ability of the teen. The nurse must remember to include all of the following except:

1. Assessing the developmental age, not the chronological age.
2. Assessing the interactions between the patient and peers.
3. Assessing how the child responds to the physical assessment.
4. Assessing the physical maturation of the teen.


4
Feedback
1. Developmental age determines the cognitive ability of the teen. The chronological age does not take the cognitive ability into account.
2. Interactions will indicate the cognitive ability of the teen.
3. The physical assessment will give the nurse a chance to use questions and responses to assess the cognitive ability of the teen.
4. The physical maturation will not give an indication as to the cognitive ability of the teen.

Nursing

You might also like to view...

A nurse is caring for a client after joint replacement surgery. What action by the nurse is most important to prevent wound infection?

a. Assess the client's white blood cell count. b. Culture any drainage from the wound. c. Monitor the client's temperature every 4 hours. d. Use aseptic technique for dressing changes.

Nursing

A pregnant woman at 12 weeks' gestation calls you because she has begun minimal fresh vaginal spotting. She is distressed because her physician says she is not going to do anything for her but "wait and see

" Which of the following would you suggest? A) Advise her to ask for a second physician opinion. B) Tell her that medication to prolong a 12-week pregnancy usually is not advised. C) Explain that her doctor meant for her to maintain strict bed rest by "wait and see." D) Suggest she take an over-the-counter tocolytic just to feel secure.

Nursing

A 62-year-old teacher presents to the clinic for evaluation of the following symptoms: fever, headache, sinus congestion, sore throat, green nasal discharge, and cough. This cluster of symptoms is best explained by:

A) One disease process B) More than one disease process

Nursing

Why is participation in professional organizations essential for nurses?

A) It promotes the goals of the nursing profession. B) It provides a framework for communication with other nurses. C) It promotes life long learning. D) It promotes the advancement of the nursing profession.

Nursing