Chapter 30: Atraumatic Care of Children and Families 5-8

touch

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? reassurance touch silence supportive statements

family-centered care.

A nurse is providing care to a client and actively involves the client's family members in the care planning and implementation, dealing with the client and family as a unit. The nurse is engaging in: holistic care. culturally competent care. family-centered care. community-based care.

Set limits for care.

An adolescent client has been making sexual comments to the nurse. How should the nurse best respond to these comments? State the comments are unacceptable. Have a nurse of the same sex care for client. Ask for another assignment. Set limits for care.

"I understand you are angry, but please don't shout or slam doors."

An adolescent who plays catcher on the baseball team begins shouting at the nurses, slams the doors, and refuses to talk to anyone after being given the news that his right arm will require surgery. Which response by the nurse would be the most appropriate in this situation? "Stop shouting at the nurses. We're only trying to help you." "I am really sorry about your arm, but surgery is needed to correct the problem." "Once surgery is over you'll be back playing baseball in no time." "I understand you are angry, but please don't shout or slam doors."

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

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? Tell the child different ways to perform the technique so the child can choose. Demonstrate the technique by performing it the same way each time. Allow the child to review instructional pamphlets as the nurse is teaching. Suggest the child tell the nurse how he or she wants the range-of-motion exercises to be done.

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

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. The child's mother asks many questions. The child's mother asks for additional resources to review about the planned treatment. The child's mother provides little responses to information provided. The child's medical record contains information indicating the family frequently misses appointments. The child's mother asks the nurse to complete paperwork for her.

Examine her own feelings concerning cultures

The nurse from a rural area moves to a large city to work in a family clinic where there are families from a variety of different cultures. The nurse should prioritize which goal as she begins working in this new environment? Use each family's culture as a guideline for care Encourage the family to compromise with similarities Examine her own feelings concerning cultures Ask the families about their cultural beliefs

The family belongs to a mainline traditional faith community.

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? The family belongs to a mainline traditional faith community. The nurse concludes that the parents are emotionally distraught. Discovering that the father is highly health care literate. Finding that the mother relies on American Sign Language.

informing the child in terms she can understand

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

having a child life specialist interact with the toddler before and during the procedure

The nurse is caring for a toddler who is scheduled for an outpatient lumbar puncture. Which action by the nurse would be appropriate? explaining the procedure with a picture and diagram to ensure cooperation of the toddler having a child life specialist interact with the toddler before and during the procedure reminding the toddler that privacy will be maintained by a gown or blanket during the procedure educating the parents to begin preparing the toddler for the procedure about 1 week in advance

limited amount of available resources

The nurse is caring for a young pregnant couple who are members of an extended family. The nurse anticipates the greatest challenge for this family will involve which factor? lack of support people in a crisis a parent wishing he or she had more education limited amount of available resources a child developing a chronic illness

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

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. "I forgot my glasses today and can't seem to read this form." "I'm going to take a few notes while you're teaching us." "The receptionist told me that we missed another appointment." "I guess I just forgot to give her the medication the way you told me to." "I'm going to take these instructions home to read them."

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

The child with cancer spends time watching TV and talking very little about a new chemotherapy regimen 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 don't seem concerned about the new treatment regimen." "Are you worried about the new treatment plan?" "You haven't said anything about your feelings toward the new treatment plan." "You must be scared of taking a new chemo."

asking the interpreter questions not meant for the family

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? allowing too little appointment time for the translation using a person who is not a professional interpreter asking the interpreter questions not meant for the family using an older sibling to communicate with the parents

"You will lie on a special bed that moves in the machine but you can still see out."

The nurse is explaining a diagnostic procedure to a 7-year-old girl before the procedure begins. Which statement by the nurse best utilizes the principles of atraumatic care? "You will lie on a special bed that moves in the machine but you can still see out." "The technician needs to take several tubes of blood from you." "The big machine will look inside you to see why you are sick so just hold still." "I don't think you will be in the X-ray department very long."

extended

The community health nurse is assessing a new client who reports having recently moved to the area and living with an aunt and her parents. The nurse determines this client resides in which type of family structure? immediate extended communal blended

Speak clearly using short sentences and provide pauses for interpretation and responses. Ask the client and family to provide return demonstration of inhaler use to ensure understanding. When providing written discharge or follow-up information, ask the interpreter to translate in the family's language.

The nurse is providing discharge teaching for an 8-year-old child after admission with an asthma exacerbation. The child is accompanied by a parent who does not speak the dominant language. How will the nurse complete the discharge teaching? Select all that apply. Request that the family bring a friend who is bilingual to assist with discharge teaching interpretation. Focus on the interpreter during the conversation and allow them to fully convey any expression or emotion from the child and parent. Speak clearly using short sentences and provide pauses for interpretation and responses. Ask the client and family to provide return demonstration of inhaler use to ensure understanding. When providing written discharge or follow-up information, ask the interpreter to translate in the family's language.

Finding a company to provide a helmet for the child to wear daily.

The nurse is providing tertiary care to a young, uninsured family who has a child with frequent seizures. Which action by the nurse would demonstrate tertiary care? Performing a well-child checkup, noting weight gain Educating the parents regarding appropriate play activities for the child Finding a company to provide a helmet for the child to wear daily. Nutritional guidance for healthy meals for the family.

Standing beside the child when doing the teaching.

The nurse is teaching a 6-year-old girl and parent about home care for an eye infection. Which communication techniques would be least effective with this child? Listening attentively to the child while giving time to finish thoughts and ideas. Talking directly to the child even though the parent makes comments. Asking permission to touch the child before doing so. Standing beside the child when doing the teaching.

1Show the child how to correctly perform the procedure 2Given time to practice and increase proficiency 3Have the child perform a return demonstration of the procedure 4Evaluate the child's performance of the procedure

The nurse is teaching a child how to self-administer insulin. Place the steps in the order the nurse will complete them when teaching the child. Use each option once. Have the child perform a return demonstration of the procedure Show the child how to correctly perform the procedure Given time to practice and increase proficiency Evaluate the child's performance of the procedure

Provide literature for the parents to read and then have them ask questions.

The nurse is teaching the parents of a newborn with a metabolic problem about the disorder and its treatment. What is the least effective teaching technique? Explain the disorder in common terms. Discuss how to handle a possible emergency situation. Provide literature for the parents to read and then have them ask questions. Use the USDAs "MyPlate" diagram to teach necessary nutrition alterations.

appearing out of control of the situation and/or themselves.

When caring for hospitalized teens, nurses should choose their words and actions carefully since adolescents typically are concerned about: mobility restrictions. appearing out of control of the situation and/or themselves. mutilation of their body. separation from peers and family.