Question

The primary PNP is examining a child whose parents recently emigrated from a war-torn country in the Middle East. Which is a priority assessment when performing the patient history?

A) Immunization history
B) Dietary preferences
C) Exposure to violence or trauma
D) School performance

Answer 1

The priority is to assess the child for exposure to violence or trauma due to the significant psychological impact it can have, with immunization history being another critical component of the patient's health history.

Step-by-step explanation:

The priority assessment when performing the patient history for a child whose parents recently emigrated from a war-torn country in the Middle East would be C) Exposure to violence or trauma. This is due to the high likelihood of psychological and emotional impact such experiences can have on a child. This does not minimize the importance of the other options; however, exposure to trauma can have immediate and long-lasting effects that may influence the child's well-being and ability to integrate into new environments, including responsiveness to immunizations, dietary changes, and school performance.

Moreover, understanding the child's immunization history is also crucial, especially when coming from an area where access to healthcare might have been compromised. Conditions like malnutrition or a history of infections could point to secondary immunodeficiencies, which are critical to identify to ensure proper healthcare intervention.