Where in the health history should the nurse describe all details related to the chief complaint?

Correct Answer: C

Rationale: The nurse should describe all details related to the chief complaint under the "Present illness" section of the health history. This section focuses specifically on the patient's current health problem, including the onset, duration, severity, aggravating or alleviating factors, and associated symptoms. It provides a comprehensive understanding of the chief complaint and helps guide further assessment and treatment interventions. The "Chief complaint" section typically contains a concise statement from the patient regarding the main reason for seeking healthcare.

Correct Answer: B

Rationale: The nurse is testing the girl's cerebellar function by asking her to do the "finger-to-nose" test. The cerebellum is the part of the brain that plays a crucial role in coordinating movement, balance, and posture. In the finger-to-nose test, the child is asked to touch her own nose and then the nurse's finger repeatedly. A properly functioning cerebellum helps control and coordinate these precise movements. If there are issues with the cerebellar function, the child might have difficulty performing this task accurately, indicating a potential problem with motor coordination and balance.

Correct Answer: A

Rationale: At 12 months of age, children are generally starting to become more mobile and interested in exploring their surroundings. Large push-pull toys are a great option for encouraging physical activity and helping with gross motor skills development. These toys can help the child practice walking, crawling, and hand-eye coordination. Push-pull toys also provide kinetic stimulation which is important for the child's overall physical development at this age. Other play activities mentioned in the options, such as finger paints or cradle gym, may be suitable for older children as they require more fine motor skills and coordination. Stick horse, on the other hand, is more appropriate for older children who have better developed gross motor coordination.

Correct Answer: C

Rationale: According to the Centers for Disease Control and Prevention (CDC), motor vehicle–related fatalities are the leading cause of death from unintentional injuries for females aged 1 to 14. This is a significant risk factor for young girls in this age group, highlighting the importance of road safety measures and injury prevention strategies. Factors such as proper car seat usage, seat belt use, and safe driving practices are crucial in reducing the number of motor vehicle-related fatalities among young females aged 1 to 14.

Correct Answer: c

Rationale: In evidence-based practice, formulating a clear clinical question is crucial for effective decision-making. The correct order for clarifying the scope of the problem and clinical topic of interest is: C) Population. The first step in formulating a clinical question is identifying the specific population or patient group relevant to the issue being addressed. This step helps focus the question and tailor the search for evidence to that particular group. Understanding the population allows for a more precise and targeted approach to finding relevant information. The other options (A) Intervention, (B) Outcome, and (D) Time are important components of a clinical question but come after defining the population. Once the population is identified, the nurse can then consider the intervention, outcome, and timeframe related to the clinical question. These elements further refine the question and guide the search for evidence to inform decision-making in patient care. In an educational context, understanding the process of formulating a clinical question is essential for nurses to effectively apply evidence-based practice in their daily clinical practice. By following a structured approach, nurses can ensure that their questions are well-defined, leading to more successful searches for evidence and ultimately better patient outcomes.