Question 1

For the child who speaks another language,the nurse must identify an interpreter who is proficient in both languages.The patient's 12-year-old brother has accompanied him to the hospital and would be an ideal candidate to interpret before any treatment or surgical procedure.Is this statement true or false?

Accepted Answer

Other children should not be used as interpreters under any circumstances.An adult family member,a friend of the family,or an interpreter service should be used whenever possible.This is necessary in order to explain procedures,teach new skills,and assess patient needs.

Question 2

A preschool age child is being admitted for some diagnostic tests and possible surgery.The nurse planning care should use which phrases when explaining procedures to the child? Select all that apply.

Accepted Answer

These phrases use language that is appropriate for a preschool-age child and provides a clear and concise explanation of the procedures.

Question 3

An effective technique for communicating with toddlers is to

Accepted Answer

Picture books are a great tool for communicating with toddlers because they provide visual aids to help them understand and engage with the material. The pictures can help to explain new concepts or ideas in a way that is easier for the toddler to comprehend, and can also encourage them to ask questions and participate in conversation. Additionally, reading books together can be a fun and bonding experience for both the toddler and the adult.

Question 4

In planning care for a preschool-age child,the nurse knows that which open body postures encourage positive communication? Select all that apply.

Accepted Answer

Hunched or leaning away from the child can be seen as dismissive or disinterested, while frequent eye contact and being at the child's eye level show engagement and interest. Hands on hips can be seen as confrontational rather than open. Asking parents to stay in the room may make the child feel dependent on them rather than building a relationship with the nurse.

Question 5

When meeting a toddler for the first time,the nurse initiates contact by

Accepted Answer

Kneeling at the toddler’s eye level and speaking softly to the child will establish rapport, trust, and comfort with the child. This approach will allow the child to feel less intimidated and overwhelmed by a stranger. Option A may be too sudden, Option B may be too overwhelming, and Option D may not necessarily be understood by the toddler.

Question 6

An important consideration for the nurse who is communicating with a very young child is to

Accepted Answer

Using transition objects, such as a puppet, can help create a relaxed and familiar environment, which will make it easier for the nurse to communicate with the child. It also provides a way for the child to express their emotions and thoughts. Speaking loudly and directly may intimidate the child, disguising own feelings, attitudes, and anxiety may hinder the development of trust and communication, and initiating contact with the child when the parent is not present may lead to distrust from the parent, therefore B is the best choice.

Question 7

Which behavior is most likely to encourage open communication?

Accepted Answer

A soft stance with arms loose at the side is the most non-threatening and open posture, which can encourage open communication. Avoiding eye contact and folding arms across the chest can be perceived as defensive or unapproachable, while standing with the head bowed may show a lack of confidence or interest in communicating.

Question 8

Which strategy is most likely to encourage a child to express his feelings about the hospital experience?

Accepted Answer

Using open-ended questions encourages children to express themselves freely and share their thoughts and feelings. This allows for a more in-depth conversation and can help the child feel more comfortable discussing their hospital experience. Avoiding periods of silence, asking direct questions, and sharing personal experiences can also be helpful, but using open-ended questions is the most effective strategy to encourage a child to express their feelings.

Question 9

Communication entails much more than words going from one person's mouth to another person's ears.A positive,supportive technique that is effective from birth throughout adulthood is

Accepted Answer

Touch is a positive, supportive communication technique that is effective from birth throughout adulthood, as it conveys empathy, comfort, and connection beyond verbal communication.

Question 10

While developing a care plan for a school-age child with a visual impairment,the nurse knows that which of the following actions are important in working with this special needs child? Select all that apply.

Accepted Answer

A thorough assessment of the child's self-care abilities helps tailor the care plan to their specific needs. Orienting the child to sounds helps them navigate their environment better. Allowing the child to handle equipment can reduce anxiety and increase understanding of procedures.

Question 11

An 8-year-old girl asks the nurse how the blood pressure apparatus works.The most appropriate nursing action is to

Accepted Answer

It is appropriate for the nurse to explain in simple terms how the blood pressure apparatus works to satisfy the curiosity of the child and provide her with age-appropriate education.

Question 12

What is the most important consideration for effectively communicating with a child?

Accepted Answer

A child's developmental level is the most important consideration for effectively communicating with them. This means understanding their cognitive, emotional, and social abilities to tailor your language and communication style to meet their needs. Chronologic age is not always an accurate indicator of a child's developmental level. Parent-child interaction and the child's receptiveness are important factors but are secondary to understanding the child's developmental level.

Question 13

Which information should the nurse include when preparing a 5-year-old child for a cardiac catheterization?

Accepted Answer

For a preschooler,the provision of sensory information about what to expect during the procedure will enhance the child's ability to cope with the events of the procedure and will decrease anxiety.Explaining the procedure in detail is probably more than the 5-year-old child can comprehend,and it will likely produce anxiety.Using the word "dye" with a preschooler can be frightening for the child.The child needs information before the procedure.

Question 14

Which is the most appropriate question to ask when interviewing an adolescent to encourage conversation?

Accepted Answer

The question "How is school going for you?" is open-ended and allows the adolescent to provide a more detailed response. It also shows a genuine interest in the adolescent's life and can lead to further conversation. The other options are closed-ended and may not elicit a detailed response.

Question 15

What is the most appropriate response for the nurse to make to the parent of a 3-year-old child found in a bed with the side rails down?

Accepted Answer

This response acknowledges the parent's actions and concerns for their child's safety while also educating them on hospital guidelines. It is not accusatory or judgmental, but rather informative and helpful. Option A is too command-like and does not address the parent's concerns or educate them. Option C is too focused on hospital policy and may not effectively communicate the importance of side rails for the child's safety. Option D is judgmental and could potentially harm the nurse-parent relationship.

Question 16

What is an appropriate preoperative teaching plan for a school-age child?

Accepted Answer

Preparatory material can be introduced to the school-age child several days (1 to 5)in advance of the event.Books,pictures,charts,and videos are appropriate.Preoperative teaching a few hours before surgery is more appropriate for the preschool child.Preoperative materials should be introduced 1 to 5 days in advance for school-age children.Preparation too far in advance of the procedure can be forgotten or cause undue anxiety for an extended period of time.A very short,simple explanation of the surgery is appropriate for a younger child such as a toddler.

Question 17

Trust is important in establishing and maintaining a therapeutic relationship.Maintaining the balance between appropriate involvement and professional separation is quite challenging.Which behaviors may indicate professional separation or underinvolvement? Select all that apply.

Accepted Answer

Avoiding the child or family, calling in sick, spending less time with a particular child, and asking to trade assignments can all indicate professional separation or underinvolvement, as they suggest a lack of engagement or avoidance in the therapeutic relationship.

Question 18

When a child broke her favorite doll during a hospitalization,her primary nurse bought the child a new doll and gave it to her the next day.What is the best interpretation of the nurse's behavior?

Accepted Answer

Buying gifts for individual children is a warning sign of overinvolvement.Nurses are kind and generous people,but buying gifts for individual children is unprofessional.Nurses may feel closer to some patients and families.This does not make giving gifts to children or families acceptable from a professional standpoint.Replacing lost items is not the nurse's responsibility.Becoming overly involved with a child can inhibit a healthy relationship.

Quiz 4: Communicating With Children and Families