The nurse is preparing to complete a health surveillance appointment with a school-age client and parents. Which observations would necessitate the need for further assessment by the nurse? Select all that apply.

Question

Quizplus · Accepted Answer

A client who does not make eye contact may be exhibiting signs of anxiety or other mental health concerns that require further assessment. Visible bruises in various stages of healing could indicate physical abuse and require further assessment. A client who appears red in the face while walking to the exam room may have respiratory or cardiovascular difficulties that require further assessment. Clients holding or playing games with family members are appropriate observations and do not necessarily indicate a need for further assessment.

The Nurse Is Preparing to Complete a Health Surveillance Appointment