Maternity and Pediatrics Chapter 30 Atraumatic Care of Children and Families

Communication that is goal-directed, focused, and purposeful is considered _______________ communication.

therapeutic

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 " - " 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 nurse is educating a young child about what to expect during an upcoming procedure. Which statement are appropriate for the nurse to use? Select all that apply

- " This little tube will go in your nose and down to your belly. " - " When they come to get you, you'll get on a special rolling bed. " - " They're going to give you some special medicine to help the doctor see what's happening inside your belly."

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.

- allowing the child to do as much self care as possible - offering choices of drinks and gelatin after the procedure - explaining that anesthesia is a lot like falling asleep

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

- applying a numbing cream prior to starting the child's IV line - Asking the child if he would like to take a bath before or after he takes his medication - encouraging the family to bring in the child's favorite stuffed animal form home - 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 intervention are perform? Select all that apply

- talking to the family about a scheduled diagnosis test - showing the child where the pediatric play room is located - 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 techniques should the nurse use when communicating with this child? Select all that apply

- using terms that the child will likely understand - looking for non verbal cues - being patient with the child

The nurse is assessing the learning needs of the parents of 5- year old girl who is scheduled for surgery. Which nonverbal cues should the nurse use to show interest in what family members are saying ?

Nod head while the mother speaks

Which of the following communication technique matches the development level of an Adolescent. a. Using a soothing voice b. Prepare child just before procedure c. Use diagrams and illustration d. Use storytelling and play E. Define medical words as necessary

Define medical words as necessary

Which of the following communication technique matches the development level for Toddlers a. Using a soothing voice b. Prepare child just before procedure c. Use diagrams and illustration d. Use storytelling and play E. Define medical words as necessary

Prepare child just before procedure

Which of the following communication technique matches the development level for School-age children a. Using a soothing voice b. Prepare child just before procedure c. Use diagrams and illustration d. Use storytelling and play E. Define medical words as necessary

Use diagrams and illustration

Which of the following communication technique matches the development level of a Preschooler a. Using a soothing voice b. Prepare child just before procedure c. Use diagrams and illustration d. Use storytelling and play E. Define medical words as necessary

Use storytelling and play

Which of the following communication technique matches the development level of a Infant a. Using a soothing voice b. Prepare child just before procedure c. Use diagrams and illustration d. Use storytelling and play E. Define medical words as necessary

Using a soothing voice

Paying attention to what the child and parents are saying by nodding one's head and making eye contact is considered ______________________ listening.

active

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

Therapeutic care that decreases or eliminates the psychological and physical distress experienced by children and their families when receiving health care is referred to as ______________ care

atraumatic

A _________________ nurse practitioner helps ensure that children and families receive atraumatic care.

child life

The nurse is caring for a 3 year old boy who must have 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

Communicating with a family that speaks a different language than the nurse or with a child that is deaf may require the use of a reliable ____________.

interpreter

The nurse is caring for a 14 year old boy, and his parents, who has just been diagnosed with malignant tumor on his liver. Which intervention is most important to this child and family?

involving the child and family in decision making

Things such as eye contact and body position are part of ________________ communication.

nonverbal

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 protentional issue with the parent's health literacy?

the parents missed the last scheduled

Clarifying the parent's feelings by paraphrasing parts of a conversation is utilization of ___________________ communication

verbal