CH. 30 Prep U - Atraumatic Care of Children & Families

A nurse is providing teaching on safety to a group of parents whose children are diagnosed with hemophilia. Which statement made by a parent requires follow-up by the nurse? A. "Our child always wears a helmet and body padding when playing football." B. "We make sure our toddler wears a helmet and knee pads." C. "Our child has a medical alert bracelet that is worn at all times." D. "We had a trampoline but got rid of it after our child was diagnosed."

A. "Our child always wears a helmet and body padding when playing football."

The nurse is educating a 4-year-old child about what to expect during an upcoming procedure. Which statement(s) is appropriate for the nurse to use? Select all that apply. A. "When they come to get you, you will get on a special rolling bed." B. "I am going to give you this shot and it will put you to sleep." C. "This little tube will go in your nose and down into your belly." D. "You will end up in the 'ICU' where you will wake up with some electrodes on your chest." E. "They are going to give you some special medicine to help the doctor see what is happening inside your belly."

A. "When they come to get you, you will get on a special rolling bed." C. "This little tube will go in your nose and down into your belly." E. "They are going to give you some special medicine to help the doctor see what is happening inside your belly."

The nurse is caring for a child who appears fearful and is reluctant to talk. The nurse uses therapeutic communication skills to interact with the child. What initial goal does the nurse accomplish when using these skills to communicate with the child? A. Assess the perception of the problem. B. Provide a plan of action. C. Inform the child of priority problems. D. Assist the child to control emotions.

A. Assess the perception of the problem.

A 4-year-old adopted child has begun to ask questions about when she was born. Which suggestions by the clinic nurse would be considered the most appropriate answer for this child related to her birth? Select all that apply. A. Explain to the child that she grew inside another woman, but after the birth she was given to her adoptive mom and dad to raise. B. Inform the child that her biological mom was in prison and would not be able to care for her for a long time. C. Avoid criticizing the biological parents but reinforce how much the adoptive mom and dad love them. D. Tell the child that her biological mom could not care for her after birth because she was HIV positive. E. Explain that her biological mom could not care for her so she was given away.

A. Explain to the child that she grew inside another woman, but after the birth she was given to her adoptive mom and dad to raise. C. Avoid criticizing the biological parents but reinforce how much the adoptive mom and dad love them.

The registered nurse (RN) and licensed practical nurse (LPN) are caring for a hospitalized child. Which action by the LPN will cause the RN to intervene? A. The LPN holds down the child while another nurse starts an IV. B. The LPN attempts to follow the child's home schedule as best as possible. C. The LPN lets the child keep her security blanket during a lumbar puncture. D. The LPN requests minimal laboratory blood draws.

A. The LPN holds down the child while another nurse starts an IV.

The nurse is educating an 8-year-old client newly diagnosed with type 1 diabetes on how to administer insulin. Which finding best indicates the nurse's education was successful? A. The child demonstrates good technique in self-injection of insulin. B. The child is able to draw the correct amount of insulin up in the syringe. C. The parents of the child demonstrate good technique in administering insulin to their child. D. The child lists five foods to ingest when determining that blood glucose levels are too low.

A. The child demonstrates good technique in self-injection of insulin.

During the change of shift report, the nurse reports concerns about the parents of a hospitalized child understanding the written literature provided concerning the child's plan of treatment. Which observations would provide support to this concern? Select all that apply. A. The child's mother provides little responses to information provided. B. The child's medical record contains information indicating the family frequently misses appointments. C. The child's mother asks for additional resources to review about the planned treatment. D. The child's mother asks many questions. E. The child's mother asks the nurse to complete paperwork for her.

A. The child's mother provides little responses to information provided. B. The child's medical record contains information indicating the family frequently misses appointments. E. The child's mother asks the nurse to complete paperwork for her.

The nurse is assessing the learning needs for a 12-year-old boy with a chronic health condition, as well as his parents. Which aspect would be least pertinent to a learning needs assessment? A. The family belongs to a mainline traditional faith community. B. Discovering that the father is highly health care literate. C. Finding that the mother relies on American Sign Language. D. The nurse concludes that the parents are emotionally distraught.

A. The family belongs to a mainline traditional faith community.

A 10-year-old child with sickle-cell anemia is frequently in the pediatric center of a hospital. What intervention can the nurse provide that will allow the child the sense of control that meets the goals promotes atraumatic care? A. Provide appropriate pain management. B. Maintain the child's home routine related to activities of daily living. C. Promote family-centered care. D. Advocate for minimal laboratory blood draws.

B. Maintain the child's home routine related to activities of daily living.

A nurse is assigned to care for a 6-month-old infant hospitalized with diarrhea and dehydration. Because the infant does not have developed speech, what can the nurse do to communicate with the infant? A. Use a stuffed animal to tell a story. B. Sing to the infant. C. Write on a whiteboard. D. Use puppets to communicate with the infant.

B. Sing to the infant.

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? A. Praise the adolescent often. B. Speak directly to the adolescent and consider the client's input in the decisions about care and education. C. Provide information and allow the adolescent to process and ask questions. D. Offer choices whenever possible.

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

The child life nurse practitioner has been assigned to assist the hospitalized child and the child's parents. Which interventions are appropriate for the child life specialist to perform? Select all that apply. A. Giving the child an influenza vaccination. B. Talking to the family about a scheduled diagnostic test. C. Speaking to the physician as the child's advocate. D. Showing the child where the pediatric playroom is located. E. Starting the child's intravenous line.

B. Talking to the family about a scheduled diagnostic test. C. Speaking to the physician as the child's advocate. D. Showing the child where the pediatric playroom is located.

The nurse is caring for a 14-year-old girl with terminal cancer and her family. Which intervention provides the best therapeutic communication? A. presenting options for treatment B. informing the child in terms she can understand C. supporting the child's desires for treatment D. recognizing the parents' desire to use all options

B. informing the child in terms she can understand

Nursing students are learning about the importance of therapeutic communication in their pediatric course. The nursing instructor identifies a need for further teaching when a student makes which statement? A. "It is good to sit, not stand when listening." B. "It is good to lean forward when listening." C. "It is best to stand when listening to a child to demonstrate knowledge." D. "It is best to stoop to a child's level when listening."

C. "It is best to stand when listening to a child to demonstrate knowledge."

The nurse is caring for a 7-year-old child scheduled for a tonsillectomy the next day. The client states, "I really wish I was not having surgery tomorrow. I am not excited about this. Maybe I will be better by tomorrow." Which response by the nurse is most appropriate? A. "I hope you are better tomorrow, too." B. "I had my tonsils removed at your age and everything was just fine." C. "You sound worried. Let's talk about tomorrow." D. "Would you like to go see an operating room?"

C. "You sound worried. Let's talk about tomorrow."

The nurse is caring for a parent of a 10-month-old infant. The parent is upset and states, "I have so many questions, but the doctor seems too busy to answer my questions." What is the best action by the nurse? A. Ask the parent if he or she would like the nurse to ask the health care provider the questions when the provider visits next. B. Encourage the parent to remain at the infant's bedside so as not to miss any future consultant visits. C. Assist the parent in preparing a list of questions for the health care provider's next visit. D. Explain to the parent that the health care provider will be back and will answer questions at that time.

C. Assist the parent in preparing a list of questions for the health care provider's next visit.

A 9-year-old child is newly diagnosed with asthma. The nurse plans to teach the child about triggers related to the diagnosis. What would be the best approach for this child? A. Have the health care provider teach the child this information B. Show the child a video about planning for allergic-reactions C. Play an allergy trivia game with the child D. Give the child a list of foods he or she cannot eat

C. Play an allergy trivia game with the child

A nursing instructor is teaching a class about the basic functions of families. The instructor determines the class is successful when the students correctly choose which statement as a basic function of the family? A. It is primarily the younger members who teach the older members in a family. B. All adult members share the financial responsibilities. C. Reproduction remains an important function of many families. D. Couples today are more concerned about unplanned pregnancies.

C. Reproduction remains an important function of many families.

A child is hospitalized with complications related to hemophilia. The health care provider has discussed the child's plan of care with the parents, but they continue to ask questions. What action will the nurse take? A. Encourage the parents to focus their attention on their child. B. Notify the health care provider that the parents still have questions. C. Reassure the parents that they have been fully briefed on their child's treatment. D. Answer the parents' questions as completely as possible.

D. Answer the parents' questions as completely as possible.

The nurse needs to assess a 4-year-old child's tympanic membrane with an otoscope. What action would make this procedure the safest? A. Restraining the child with soft wrist restraints B. Explaining the procedure to the child, emphasizing the importance of not moving during the assessment C. Using the technique of distraction during the assessment of the tympanic membrane D. Asking the parent to use therapeutic hugging during this assessment

D. Asking the parent to use therapeutic hugging during this assessment

The nurse is preparing to teach a 9-year-old child how to do active range-of-motion exercises. Which technique would be most appropriate to use? A. Suggest the child tell the nurse how he or she wants the range-of-motion exercises to be done. B. Allow the child to review instructional pamphlets as the nurse is teaching. C. Tell the child different ways to perform the technique so the child can choose. D. Demonstrate the technique by performing it the same way each time

D. Demonstrate the technique by performing it the same way each time

The nurse is preparing a 4-year-old to go visit an older sibling in the pediatric intensive care unit (PICU). What teaching method would best help in this child's preparation? A. story B. pictures C. video D. dolls

D. dolls