Evolve HESI Practice Exam

An African-American grandmother states her grandson is suffering from "miseries." What should the nurse assess for?

1. Signs of common cold symptoms.

2. Inquire about the source and type of pain.

3. Check for emotional distress or anxiety.

4. Ask about dietary habits.

The correct answer is: Inquire about the source and type of pain.

When a grandmother refers to her grandson's condition as "miseries," it is crucial to explore what she means by that term. In many cultures, including in some African-American communities, expressions of discomfort or pain may be described using non-medical terminology or colloquial expressions. Therefore, inquiring about the source and type of pain allows the nurse to better understand the specific symptoms the child is experiencing. This approach opens the dialogue for the grandmother to describe not just physical symptoms but also any emotional or psychological discomfort, which can be equally important. Understanding the nuanced terminology used by the grandmother can help the nurse assess the grandson's condition more accurately and determine the appropriate interventions or referrals needed. While signs of common cold symptoms, emotional distress, or dietary habits are all relevant areas of assessment, starting with an inquiry about pain directly addresses the grandmother's expression of concern. It builds rapport and encourages further discussion about the child's health from a perspective that is culturally sensitive and comprehensive.