A mother brings her child to the well-child clinic. She is distraught because the child tested well below normal on a school-administered intelligence (IQ) test. Which action by the nurse is the most appropriate?
A.
Advise the mother to have the test repeated next year.
B.
Assess cultural background and economic status.
C.
Facilitate a referral to a developmental specialist.
D.
Reassure the mother that IQ tests are often wrong.
ANS: B
Many IQ tests have been criticized for not considering the impact of culture or socioeconomic status. The nurse should assess these factors before proceeding further. Simply reassuring the mother that IQ tests are often wrong does nothing to help her with her concern and sounds paternalistic. That statement could also cause confusion; as the school administered the test, the mother might not believe the nurse.
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