Question 1

Which strategy is most likely to encourage a child to express feelings about the hospital experience?&#10;A) Avoiding periods of silence&#10;B) Asking yes/no questions&#10;C) Sharing personal experiences&#10;D) Using open-ended questions

Accepted Answer

Open-ended questions encourage conversation.Periods of silence can serve to facilitate communication,but this is not the most effective meAnswer of getting the child to communicate.Yes/no questions are closed ended and do not encourage conversation.Talking about yourself shifts the focus of the conversation away from the child.

Question 2

An effective technique for communicating with toddlers is to&#10;A) have the toddler make up a story from a picture.&#10;B) involve the toddler in dramatic play with dress-up clothing.&#10;C) use picture books.&#10;D) ask the toddler to draw pictures of his fears.

Accepted Answer

Activities and procedures should be described as they are about to be done.Use picture books and play for demonstration.Toddlers experience the world through their senses.Most toddlers do not have the vocabulary to make up stories.Dramatic play is associated with older children.Toddlers probably are not capable of drawing or verbally articulating their fears.

Question 3

An 8-year-old girl asks the nurse how the blood pressure apparatus works.The most appropriate nursing action is to&#10;A) ask why the child wants to know.&#10;B) determine why the child is so anxious.&#10;C) explain in simple terms how it works.&#10;D) tell the child he or she will see how it works as it is used.

Accepted Answer

School-age children require explanations and reasons for everything.They are interested in the functional aspect of all procedures,objects,and activities.It is appropriate for the nurse to explain how equipment works and what will happen to the child.The nurse should respond positively for requests for information about procedures and health information.By not responding,the nurse may be limiting communication with the child.The child is not exhibiting anxiety,just requesting clarification of what will be occurring.The nurse must explain how the blood pressure cuff works so that the child can then observe during the procedure.

Question 4

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.)

A) Fluids will be given through tubing connected to a tiny tube inserted into your arm.
B) After surgery we will be doing dressing changes.
C) You will get a shot before surgery.
D) The doctor will give you medicine that will help you go into a deep sleep.
E) We will take you to surgery on a bed on wheels.

Accepted Answer

A preschool child needs simple concrete explanations that cannot be misinterpreted.An IV should be explained as fluids going into a tube connected to a small tube in your hand; anesthesia can be explained as a medicine that will help you go into a deep sleep (put to sleep should be avoided); and a stretcher can be described as riding on a bed with wheels.The term "dressing changes" is ambiguous and will not be understood by a preschooler.The term "get a shot" should not be used.A preschooler or young child is likely to misinterpret this information.

Question 5

What is an appropriate preoperative teaching plan for a school-age child?&#10;A) Begin preoperative teaching the morning of surgery.&#10;B) Schedule a tour of the hospital a few weeks before surgery.&#10;C) Show the child books and pictures 4 days before surgery.&#10;D) Limit teaching to 5 minutes and use simple terminology.

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 6

Which information should the nurse include when preparing a 5-year-old child for a cardiac catheterization?&#10;A) A detailed explanation of the procedure&#10;B) A description of what the child will feel and see during procedure&#10;C) An explanation about the dye that will go directly into his vein&#10;D) An assurance to the child that he and the nurse can talk about the procedure when it is over

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 7

When meeting a toddler for the first time,the nurse initiates contact by&#10;A) calling the toddler by name and picking the toddler up.&#10;B) asking the toddler for his or her first name.&#10;C) kneeling in front of the toddler and speaking softly to the child.&#10;D) telling the toddler that you are his or her nurse today.

Accepted Answer

More positive interactions occur when the toddler perceives the meeting in a nonthreatening way.Placing yourself at the toddler's level and speaking softly can be less threatening for the child.Picking a toddler up at an initial meeting is a threatening action and will more likely result in a negative response from the child.Toddlers are unlikely to respond to direct questions at a first meeting.Telling the toddler you are the nurse is not likely to facilitate or encourage cooperation.The toddler perceives you as a stranger and will find the action threatening.

Question 8

Which behavior is most likely to encourage open communication?&#10;A) Avoiding eye contact&#10;B) Folding arms across chest&#10;C) Standing with head bowed&#10;D) Soft stance with arms loose at the side

Accepted Answer

An open body stance and positioning such as loose arms at the side invite communication and interaction.Avoiding eye contact,folding the arms across the chest,and standing with the head bowed,are closed body postures and do not facilitate communication.

Question 9

What is the most important consideration for effectively communicating with a child?&#10;A) The child's chronologic age&#10;B) The parent-child interaction&#10;C) The child's receptiveness&#10;D) The child's developmental level

Accepted Answer

The child's developmental level is the basis for selecting the terminology and structure of the message most likely to be understood by the child.The child's age may not correspond with the child's developmental level; therefore it is not the most important consideration for communicating with children.Parent-child interaction is useful in planning communication with children,but it is not the primary factor in establishing effective communication.The child's receptiveness is a consideration in evaluating the effectiveness of communication.

Question 10

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?&#10;A) The nurse is displaying signs of overinvolvement.&#10;B) The nurse is a kind and generous person.&#10;C) The nurse feels a special closeness to the child.&#10;D) The nurse wants to make the child happy.

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.

Question 11

An important consideration for the nurse who is communicating with a 5-year-old child is to&#10;A) speak loudly, clearly, and directly.&#10;B) use picture or story books, or puppets.&#10;C) disguise own feelings, attitudes, and anxiety.&#10;D) initiate contact with child when parent is not present.

Accepted Answer

The answer of An important consideration for the nurse who...

Question 12

Which is the most appropriate question to ask when interviewing an adolescent to encourage conversation?&#10;A) &#34;Are you in school?&#34;&#10;B) &#34;Are you doing well in school?&#34;&#10;C) &#34;How is school going for you?&#34;&#10;D) &#34;How do your parents feel about your grades?&#34;

Accepted Answer

The answer of Which is the most appropriate question to...

Question 13

In planning care for a preschool-age child,the nurse knows that which open body postures encourage positive communication? (Select all that apply.)&#10;A) Leaning away from the preschooler&#10;B) Frequent eye contact&#10;C) Hands on hips&#10;D) Conversing at eye level&#10;E) Asking the parents to stay in the room

Accepted Answer

The answer of In planning care for a preschool-age child,the...

Question 14

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?&#10;A) &#34;You must never leave the child in the room alone with the side rails down.&#34;&#10;B) &#34;I am very concerned about your child's safety when you leave the side rails down.&#34;&#10;C) &#34;It is hospital policy that side rails need to be up if the child is in bed.&#34;&#10;D) &#34;When parents leave side rails down, they might be considered as uncaring.&#34;

Accepted Answer

The answer of What is the most appropriate response for...

Question 15

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.)

A) Obtain a thorough assessment of the child's self-care abilities.
B) Orient the child to various sounds in the environment.
C) Tell the child's parents to stay continuously with their child during hospitalization.
D) Allow the child to handle equipment as procedures are explained.
E) Encourage the child to use a dry erase board to write his needs.

Accepted Answer

The answer of While developing a care plan for a...

Question 16

Which behaviors by the nurse may indicate professional separation or underinvolvement? (Select all that apply.)&#10;A) Avoiding the child or his or her family&#10;B) Revealing personal information&#10;C) Calling in sick&#10;D) Spending less time with a particular child&#10;E) Asking to trade assignments

Accepted Answer

The answer of Which behaviors by the nurse may indicate...

Question 17

A positive,supportive communication technique that is effective from birth throughout adulthood is&#10;A) listening.&#10;B) physical proximity.&#10;C) environment.&#10;D) touch.

Accepted Answer

The answer of A positive,supportive communication technique that is effective...

Question 18

A nurse is caring for a child who does not speak English.The parents are able to understand and speak only limited English.What action by the nurse is best?&#10;A) Allow the patient's 12-year-old sister to interpret.&#10;B) See if there is another family member who can interpret.&#10;C) Use a professionally trained interpreter for this family.&#10;D) Use the Internet to translate written information in the native language.

Accepted Answer

The answer of A nurse is caring for a child...

Deck 4: Communicating with Children and Families