Chapter 30 PrepU Questions
Clarifying
A 6-year-old reports pain in the stomach upon eating. The nurse replies, "Let me see if I have this right. Every time you eat anything, you get a pain in your tummy?" The nurse is using which technique of therapeutic communication?
play an allergy trivia game with the child
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?
Observe the parent set up and administer the infusion.
A home care nurse is teaching a parent how to administer a clotting factor infusion to their child. How can the nurse best evaluate the effectiveness of the teaching?
Dolls and puppets
A nurse caring for a preschooler scheduled for abdominal surgery the next day needs to teach about the dressing and drainage tube that the child will have after surgery. Which would be the best technique for the nurse to use?
Sing to the infant.
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?
Assess the child frequently and use pharmacologic and nonpharmacologic methods of pain relief as needed.
A nurse is attempting to reduce pain that a child is experiencing after an emergency appendectomy. What intervention can the nurse provide to meet this goal?
demonstration
A nurse is preparing to teach an 8-year-old child recently diagnosed with diabetes how to give an insulin injection. Which is the best technique for the nurse to use?
Assign a core primary nurse.
A nurse manager on a pediatric unit is making assignments for the day. The nurse's goals are atraumatic care for pediatric clients and minimizing parent-child separation. What method of care delivery should the nurse implement?
Approach the toddler while the toddler is being held by the parent.
A parent brings a toddler to the clinic for treatment of a possible ear infection. How will the nurse communicate effectively with this child?
"Tell me about the symptoms your child is experiencing"
A parent calls the pediatric clinic and tells the nurse "I think my child is having a sickle cell crisis. Should I bring the child to the office?" What is the nurse's best response?
The underlying premise refers to the concept of "do no harm."
A recently licensed nurse asked the charge nurse what it means to provide atraumatic care to hospitalized children. Which response by the charge nurse would be accurate?
tell the child, "It's OK to cry, but I need you to hold still."
An urgent care nurse is cleaning a forehead laceration on a 7-year-old. The mother is present. The child is crying and screaming. The nurse should:
a few days
How far in advance should nurses recommend that a school-ager be prepared for elective surgery?
using medical terminology to answer the client's questions
The registered nurse (RN) and licensed practical nurse (LPN) are caring for a adolescent clients. The RN will intervene if the LPN is seen in which situation while caring for a client?
The LPN holds down the child while another nurse starts an IV.
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?
learning style
The school-age child with a new colostomy will require teaching by the nurse to learn to care for the ostomy. In order for the nurse to teach the child effectively, what is most important for the nurse to know about the child?
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?
Provide a sign language interpreter. Write out instructions for the older child. Use pictures to communicate. Face the child when speaking.
The nurse educator is providing a class to the nurses on how to communicate with children who have hearing impairments. What communication techniques should be taught in this class? Select all that apply.
Some noncompliance should be expected due to the adolescent's desire for independence, expression of personal values, and peer acceptance.
The nurse has worked diligently with an adolescent to meet the adolescent's teaching-learning needs and promote the adolescent's use of adaptations for managing the illness that suit preferences and lifestyle. Even so, there is evidence of noncompliance. How does the nurse interpret this situation?
Nod head while the mother speaks.
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?
Coordinate the activities to deal with the complex health care system
The nurse is assessing the needs of a family with a young child recently diagnosed with muscular dystrophy. The nurse determines case management should be a priority for this family as it will best prioritize which overall goal?
involving the child and family in decision-making
The nurse is caring for a 14-year-old boy who has just been diagnosed with a malignant tumor on his liver. Which intervention is most important to this child and family?
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?
"You sound worried. Let's talk about tomorrow."
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?
"This little tube will go in your nose and down into your belly." "When they come to get you, you will get on a special rolling bed." "They are going to give you some special medicine to help the doctor see what is happening inside your belly."
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.
dolls
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?
Include the parent in the medical decision-making.
The nurse is preparing to reduce a young parent's anxiety about a child needing hospitalization. Which action should the nurse prioritize?
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?
Encourage everyone in the family to use good handwashing techniques.
The nurse is teaching the caregivers of a child with cystic fibrosis. What is most important for the nurse to teach this family?
Talking one-on-one with the interpreter at numerous points throughout the session with the family present.
The nurse is working with an interpreter to meet the health needs of a family with limited skills in the dominant language. Which action is not recommended?
Allow the toddler to blow bubbles in the room
The nurse notes a 2-year-old toddler with pneumonia is breathing shallow. Which method is best for the nurse to use to teach the toddler how to perform deep breathing exercises?
"I forgot my glasses, so I'll read this when I get home and let you know if I have questions."
The nurse suspects poor literacy skills in a child's family member when which statement is made?
Allow opportunity for the adolescent to express feelings.
When teaching an adolescent about home care after hospitalization, what is most important for the nurse to do?