Question

Of the following behaviors, the behvior that indicates to the nurse that a child may be reluctant to participate and cooperate during a physical examination is:

a. talking to the nurse
b. making eye contact with the nurse.
c. allowing physical touching.
d. sitting on parent's lap, playing with a doll.

Answer 1

The behavior indicating reluctance to participate in a physical examination is a child sitting on their parent's lap and playing with a doll. This suggests a resistant attachment style and a need for comfort from the parent, pointing to reluctance in engaging with healthcare providers.

Step-by-step explanation:

In the context of a physical examination, certain behaviors may indicate a child's reluctance to participate and cooperate. Through understandings of attachment theory and observation of body language, healthcare professionals can assess a child's comfort level and willingness to engage in the examination process. The behavior that most clearly suggests reluctance is when a child is sitting on a parent's lap and playing with a doll, as per the question's options. This action often signifies that the child is seeking comfort and security from the parent and is not ready to interact or be examined by the nurse or other healthcare providers. This behavior corresponds to the concept of resistant attachment, where a child both seeks proximity to the caregiver and resists contact or interaction due to inconsistent caregiving responses. It is important for the nurse to recognize this behavior as a sign of possible reluctance and to approach the child in a manner that eases their discomfort, encourages trust, and fosters a more cooperative atmosphere for the examination.