peds communication

A nursing student is learning about teaching and how to evaluate is effectiveness. Which of the following statements made by the student identifies a need for further instruction?

"Evaluation is done as a final step of teaching only."

A 17-year-old drunk driver is brought to the hospital after a minor accident. Which statment by the nurse would be most effective in explaining the consequences of drinking?

"You are going to lose your driver's license because of the drinking and driving."

Which statement by the nurse is most appropriate when discussing general anesthesia with a 6-year-old?

"This will be a very special sleep."

Which statement by the nurse encourages therapeutic communication from a child scheduled for surgery?

"What are you worried about?"

The nurse is reinforcing teaching with the family caregivers of a child diagnosed with tuberculosis who is being treated with the drug rifampin. Which statement made by the caregivers indicates an understanding of this medication?

"While she is taking this medication, I won't worry if her tears look orange."

The child with cancer spends time watching TV and talking very little about a new chemotherapy regime that is to start next week. What is the best statement the nurse could use to help the child discuss feelings about the new treatment?

"You haven't said anything about your feelings toward the new treatment plan."

A nurse is providing some basic hygiene teaching to a preschooler who is continually developing upper respiratory infections from his time spent in day care. What is an example of assessing the child's learning needs?

Asking him what germs are

A 5-year-old girl tenses up when the nurse approaches to examine her. "Are you afraid?" the nurse asks her. The girl shakes her head in denial. As the nurse lifts the stethoscope to auscultate the girl's chest, however, the nurse notices that the girl tenses up again and grips the edge of the examination table tightly. "Oh—you are afraid of the stethoscope, aren't you?" the nurse replies. "It's okay—it doesn't hurt; see—reach out and touch it." Which communication technique is the nurse demonstrating here?

Empathy

A nurse is teaching a young patient about the importance of good nutrition for wound healing. When the patient states, "I will eat more protein and take my vitamins so I will get better faster," this patient is demonstrating which type of learning?

Cognitive

Why does the nurse complete a process recording?

For self-evaluation of therapeutic communication

A client who has been in the hospital with recurring episodes of asthma tells the admission nurse, "I hate being sick. It seems like I am in the hospital all the time." The nurse identifies the statement as which level of communication?

Fourth level

A 4-year-old is scheduled for major abdominal surgery. Which teaching should the nurse provide regarding pain?

Information on expected pain and ways to allieviate pain

The teaching session using pictures for a preschool child did not have an intended outcome. What way could the nurse modify the teaching session to best fit the child's developmental level? Select all that apply.

Offer rewards as each step is learned. Active participation by the preschooler.

The child states, "I never want to be a nurse or a doctor." The nurse recognizes this statement as reflecting what level of communication?

Shared personal ideas and judgments

A nurse greets a 14-year-old boy in the waiting room of the hospital. He approaches the nurse and stops about 5 feet away. He nods his head in response but does not say anything. Which best describes the distance the client has positioned himself from the nurse?

Social space

A 15-year-old client with type 1 diabetes has been noncompliant with the dietary regimen. When educating the adolescent, what is the most important thing the nurse can do to allow the adolescent to be in control and involved in the decision-making process?

Speak directly to the adolescent and consider the client's input in the decisions about care and education.

The nurse is teaching a 6-year-old girl and her mother about home care for an eye infection. Which of the communication techniques would be least effective with this child?

Standing beside the child when doing the teaching

A nurse is examining a 6-year-old boy. The nurse says, "Point to where it hurts the most." The boy points to his stomach. In this scenario, which is identified as the decoder?

The 6-year-old boy

A nurse is talking to a mother concerned about her 5-year-old son. She informs the nurse that he eats only cereal and peanut butter every day and fears that he is not getting proper nutrition. The nurse reassures the mother that even though he is eating a limited variety of foods, he is likely getting enough nutrition. Which type of teaching is this nurse practicing?

informal teaching

The parent of a preschool-aged child asks the nurse for ideas on preparing the child for abdominal surgery requiring general anesthesia. What would the nurse recommend for this parent? Select all that apply.

ncourage the child to ask questions and talk about fears Help the child select a couple of toys appropriate to take to the hospital Use play to demonstrate procedures on the child's toy dolls Schedule a tour, specific for children, of the hospital and surgical area

A child who has had several surgeries to correct a congenital defect is found crying after receiving the news another surgery will be needed. The nurse could best assist this child through what form of communication?

touch

The nurse is communicating with a family about their child's illness. Which communication technique would be considered a block to effective communication with the family?

using clichés

The nurse is planning a teaching session for a group of 12-year-old girls and has determined personal hygiene is a subject that would be of benefit to all. Which method of teaching would most appropriate for this group?

videos

A nurse caring for a young patient with sickle-cell crisis always establishes eye contact, uses a gentle tone of voice, listens carefully to whatever the patient says, and uses touch appropriately. Which of the following is the nurse demonstrating by these actions?

warmth