The Nurse Is Assessing a Four-Year-Old Child with a Possible

Multiple Choice

The nurse is assessing a four-year-old child with a possible alteration in mental health. Which findings indicate a need for further investigation?

A) Fails to make eye contact
B) Flinches when touched on the arm
C) History of limited prenatal care and precipitant delivery
D) Head circumference has not changed in over one year
E) Flat facial expressions