问题
单项选择题
A 3-year-old child with Down syndrome is admitted to the pediatric unit with asthma. The child doesn't enunciate words well and holds onto furniture when he walks. The nurse should ask the mother
A．how long the child has been like this.
B．if the child can walk without holding onto furniture.
C．how the child's condition today differs from his normal condition.
D．if the child always drools.
答案
参考答案：C
解析：Identify the chief complaint from how the child was previously behaving at home. Asking how long the child has been like this may be interpreted poorly by the caregiver. Focus on what the child can do--and not on what he can't do--to preserve the family's self-esteem. Focusing on negative aspects of the child's behavior is inappropriate.