Peds chapter 8-14

infant's communication technique

use a soothing voice, respond to crying in timely manner, allow infant time to warm up, talk to the infant directly, communication through play, watch for signs of over-stimulation such as closing eyes, turning away, yawning and irritability

School-aged communication technique

use diagrams, illustrations, books, and videos, allow child to honestly express feelings, allow child to ask questions, prepare the child a few days in advanced.

Preschooler's communication technique

use storytelling and play, puppets, speak honestly, use simple, concrete terms, ask specific questions, allow the child to have choices as appropriate, imaginatively play, prepare about 1 hour before procedure.

The nurse is assessing the teaching needs of the parents of an 8-yr-old boy with leukemia. Which assessment should the nurse explore as a potential issue with the parent's health literacy?

the parents missed the last scheduled appt.

Nonverbal communication

things such as eye contact and body positions.

The child and her mother are receiving discharge instructions from the nurse. Which statements by the child's mother are "red flags" that the mother may have poor literacy skills? Select all that apply?

1. "I forgot my glasses today and can't seem to read this form." 2. "the receptionist told me that we missed another appointment." 3. "I guess I just forgot to give her the medication the way you told me to." 4. I'm going to take this instructions home to read them."

The nurse is educating a young child about what is expected during an upcoming procedure. Which statements are appropriate for the nurse to use? select all that apply:

1. "This little tube will go in our nose and down into your belly." 2. "When they come to get you, you'll get on a special rolling bed." 3. "they are going to give you some special medicine to help the doctor see what is happening inside your belly."

The nurse is teaching a 7-yr-old girl about her upcoming tonsillectomy. Which techniques would be appropriate for this child. Select all that apply

1. allowing the child to do as much self care as possible. 2. offering choices of drinks and gelatin after the procedure. 3. explaining that anesthesia is a lot like falling as sleep.

The child has been admitted to a pediatric unit in a hospital. Which nursing interventions use atraumatic care principles? Select all that apply

1. applying a numbing cream prior to starting the child's IV. 2. asking the child if he would like to take a bath before or after he takes his medication. 3. encouraging the family to bring in the child's favorite stuffed animal from home. 4. showing the parent how to unfold the chair in the child's room into a bed.

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?

1. taking to the family about a scheduled diagnostic test. 2. showing the child were the pediatric play room is located. 3. speaking to the physician as the child's advocate.

The nurse is preparing to educate the child about a procedure scheduled for the following morning. Which technique should the nurse use when communicating with this child? Select all that apply:

1. using terms that the child will likely understand. 2. looking for nonverbal cues. 3. being patient with the child.

The nurse is assessing the learning needs of the parent of 5-year-old girl who is scheduled for surgery. Which non-verbal cue should the nurse us to show interest in what the family members are saying.

Nod head while the mother speaks.

The nurse is caring for a 3-yr-old boy who must have a lumbar puncture. Which action provides the greatest contribution toward atraumatic care?

Having the child-life nurse practitioner play with the child.

Atraumatic

Therapeutic care that decreases or eliminates the psychological and physical distress experienced by children and their families when receiving health care.

The nurse is educating a 15-year-old girl with Graves disease and her family about the disease and its treatment. Which method of evaluating learning is least effective?

asking closed-ended questions

The nurse is educating the family of a 2-yr-old boy with bronchiolitis about the disorder and its treatment. The family parents speak only Chinese. Which action, involving an interpreter, can jeopardize the family trust?

asking the interpreter questions not meant for the family.

Ways to evaluate the success of a child and family education.

child or family will be able to demonstrate a skill, repeat information in their own words, answer open-ended questions, and act out the proper care procedure.

interpreter

communicating with a family that speaks a different language than the nurse or with a child that is deaf may required the use of a reliable ________________________.

Therapeutic communication

communication that is goal-directed, focused and purposeful.

Adolescent communication technique

define medical words as necessary, respect needs for privacy, ensure confidentiality, remain non-judgemental, listen to attentively and speak respectfully, use creativity and humor, do not force adolescent to talk, prepare the teen up to 1 week prior to procedure.

The nurse is caring for a 14-yr-old girl with terminal cancer and her family. Which intervention provides the best therapeutic communication?

informing the child in terms she can understand.

The nurse is carrying for a-yr-old boy, and his parents, who has just been diagnosed with a malignant tumor on his liver. Which intervention is most important to this child and family?

involving the child and family in decision making.

Child Life Nurse practitioner

is a nurse that helps ensure that children and families receive atraumatic care.

Therapeutic hugging

method of safely preventing a child from harm during a painful or uncomfortable procedure that decreases fear and anxiety. It provides atraumatic care during procedures such as injections, venipuncture, and other invasive procedures.

Active listening

paying attention to what the child and parents are saying by nodding one's head and making eye contact.

Toddler's communication technique

prepare the child just before procedure, approach toddler carefully, use the toddler's preferred words for objects or actions, they enjoy toys, stories and books, and participate in parallel play to help start communication.

Verbal communication

utilization of _________________________ includes clarifying the parent's feelings by paraphrasing parts of a conversation.