Final answer:
A medical assistant interviewing a child with severe leg bruises must create a safe environment, observe for signs of distress, perform a basic examination, and be sensitive to potential neurological or abuse issues.
Step-by-step explanation:
Conducting a Patient Interview with a Child
When a medical assistant conducts an interview with an 8-year-old boy who has severe bruises on his right leg, it is crucial to approach the situation with sensitivity and professionalism. It's important to create a welcoming environment, wherein the child feels safe and comfortable. Throughout the interview, the medical assistant should observe the child's behavior and note any signs of distress or discomfort. The assistant may perform a basic examination, asking the child to do simple movements to evaluate any functional impairment. If during the interview, the child reports sensations such as "pins and needles" or has trouble feeling touches, this could indicate neurological concerns, prompting further medical investigation.
If cognitive or language deficits become apparent, the medical assistant can delve deeper into the mental status of the child. However, in situations of potential abuse, as suggested by the severe bruises, it is essential to proceed with caution, prioritizing the child's well-being and ensuring appropriate reporting mechanisms are followed according to local laws and regulations.