Which strategies can a nurse teach to parents of a child experiencing uncomplicated school refusal? Select all that apply
a. The child should be allowed to stay home until the anxiety about going to school is resolved.
b. Parents should be empathetic yet firm in their insistence that the child attends school.
c. A modified school attendance may be necessary.
d. Parents need to pick the child up at school whenever the child wants to come home.
e. Parents need to communicate with the teachers about the situation.
B, C, E
In uncomplicated cases of school refusal, the parent needs to return the child to school as soon as possible. If symptoms are severe, a limited period of part-time or modified school attendance may be necessary. For example, part of the day may be spent in the counselor's or school nurse's office, with assignments obtained from the teacher. Parents should be empathetic yet firm and consistent in their insistence that the child attend school. Parents should not pick the child up at school once the child is there. The principal and teacher should be told about the situation so that they can cooperate with the treatment plan.
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The nurse is auscultating the area to the right of the sternum at the second intercostal space. The nurse is listening to which of the following valves?
1. Aortic 2. Mitral 3. Tricuspid 4. Pulmonic