CH 30 STUDY GUIDE
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 for specific facts
The nurse is educating the family of a 2-year-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's trust?
Asking the interpreter questions not meant for the family
The nurse is assessing the learning needs of the parents of 5-year-old girl who is scheduled for surgery. Which nonverbal cue should the nurse use to show interest in what the family members are saying?
Nod head while the mother speaks
The nurse is caring for a 3-year-old boy who must have a lumbar puncture. Which action provides the greatest contribution toward atraumatic care?
Having a child-life nurse practitioner play with the child
The nurse is caring for a 14-year-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 caring for a 14-year-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
The nurse is assessing the teaching needs of the parents of an 8-year-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 appointment.
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.
a. "I forgot my glasses today and can't seem to read this form." c. "The receptionist told me that we missed another appointment." d. "I guess I just forgot to give her the medication the way you told me to." e. "I'm going to take these instructions home to read them."
The nurse is teaching a 7-year-old girl about her upcoming tonsillectomy. Which techniques would be appropriate for this child? Select all that apply.
a. Allowing the child to do as much self care as possible c. Offering choices of drinks and gelatin after the procedure d. Explaining that anesthesia is a lot like falling asleep
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. Talking to the family about a scheduled diagnostic test d. Showing the child where the pediatric play room is located e. Speaking to the physician as the child's advocate
The child has been admitted to a pediatric unit in a hospital. Which nursing interventions use atraumatic care principles? Select all that apply.
b. Applying a numbing cream prior to starting the child's intravenous line c. Asking the child if he would like to take a bath before or after he takes his medication d. Encouraging the family to bring in the child's favorite stuffed animal from home e. Showing the parent how to unfold the chair in the child's room into a bed