Deck 30: Atraumatic Care of Children and Families

Question 1

The nurse is providing atraumatic care to children in a hospital setting. Which of the following are principles of this philosophy of care? Select all answers that apply.

A) Avoid or reduce painful procedures
B) Avoid or reduce physical distress
C) Minimize parent-child interactions
D) Provide child-centered care
E) Minimize child control
F) Use core primary nursing

Answer 1

Avoid or reduce painful procedures
Avoid or reduce physical distress
Use core primary nursing

Question 2

The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a child. Which of the following services would the CLS provide? Select all answers that apply.

A) Medical preparation for tests, surgeries, and other medical procedures
B) Support before and after, but not during, medical procedures
C) Activities to support normal growth and development
D) Grief and bereavement support
E) Emergency room interventions for children and families
F) Only inpatient consultations with families

Answer 2

Activities to support normal growth and development
Grief and bereavement support
Emergency room interventions for children and families

Question 3

The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. Which of the following is an example of using atraumatic care for this child?

A) Use restraint or "holding down" of the child during the procedure to prevent injury.
B) Have the parent stand near and/or rub the child's feet during the procedure.
C) Insert a saline lock if the child will require multiple doses of parenteral medications.
D) Avoid using numbing techniques for multiple blood draws or IV insertion.

Answer 3

Insert a saline lock if the child will require multiple doses of parenteral medications.

Question 4

The nurse contacts a child life specialist (CLS) to work with children on a pediatric ward. What is the primary goal of the CLS?

A) Decrease anxiety and fear during hospitalization and painful procedures
B) Keep children who are hospitalized distracted from pain
C) Perform medical procedures using atraumatic principles
D) Act as a liaison between the nurse and the child

Question 5

The nurse is preparing a child and his family for a lumbar puncture. Which of the following would be a primary intervention instituted by the CLS to keep the child safe?

A) Distraction methods
B) Stimulation methods
C) Therapeutic hugging
D) Therapeutic touch

Question 6

The child life specialist (CLS) is preparing a 6-year-old child for a magnetic resonance imaging (MRI) scan. Which of the following statements reflects the use of atraumatic principles when explaining the procedure?

A) "You will be taken to a magnetic resonance imaging machine for an x-ray of yourliver."
B) "You may hear some loud noises when you are lying in the machine, but theywon't hurt you."
C) "You have nothing to worry about; the MRI machine is safe and will not causeyou any pain."
D) "Let's just get you to the x-ray department for your test and you'll see how simpleit is."

Question 7

The nurse uses family-centered care to care for children in a pediatric office. Upon what concept is family-centered care based?

A) The family is the constant in the child's life and the primary source of strength.
B) The care provider is the constant in the child's life and the primary source of strength.
C) The child must be prepared to be his or her own source of strength during times of crisis.
D) The wishes of the family should direct the nursing care plan for the child.

Question 8

A nurse is promoting the use of family-centered care in a local community clinic. Which of the following are advantages or disadvantages of this type of care provision? Select all answers that apply.

A) Recovery times are longer.
B) Anxiety is decreased.
C) Communication is improved.
D) Health care costs are increased.
E) Pain management is enhanced.
F) More health care resources are utilized.

Question 9

The nurse knows that effective communication with children and their parents is critical to providing atraumatic quality nursing care. Which of the following statements accurately describes the communication patterns of children?

A) Communication patterns are similar from one child to the next.
B) Children often use more words than adults to describe their fears.
C) Children rely more on nonverbal communication and silence.
D) Parents more often require affective communication rather than neutral communication.

Question 10

The nurse is using verbal skills to explain the nursing care plan to parents of a 10-year- old child with cancer. Which of the following describes a guideline the nurse should follow to provide appropriate verbal communication?

A) Use closed-ended questions that do not restrict the child's or parent's answers.
B) Allow the focus to change without redirecting the conversation.
C) Restate the child's and parents comments in your own words.
D) Paraphrase the child's or parent's feelings to demonstrate empathy.

Question 11

The nurse is incorporating nonverbal communication with verbal communication when explaining the treatment plan for a child with juvenile diabetes. Which of the following should the nurse do to communicate effectively with this family?

A) Relax; maintain an open posture, with the arms crossed.
B) Sit opposite the family and lean forward slightly.
C) Use eye contact sparingly to avoid embarrassment.
D) Speak a verbal yes or no; do not use head nods.

Question 12

The nurse is teaching the student nurse how to communicate effectively with children. Which one of the following methods would the nurse recommend?

A) Position self above the child's level to denote authority.
B) If possible, communicate with the child apart from the parent.
C) Direct questions and explanations to the child.
D) Use the medical terms for body parts and medical care.

Question 13

The nurse is implementing care for a hospitalized toddler. What communication technique would the nurse use with the child to reflect the child's developmental level?

A) Allow the child extra time to complete thoughts.
B) Communicate solely through play.
C) Provide simple but honest and straightforward responses.
D) Remain nonjudgmental to avoid alienation.

Question 14

The nurse is caring for a 4-year-old boy with Ewing sarcoma who is scheduled for a computed axial tomography (CAT) scan tomorrow. Which of the following is the best example of therapeutic communication?

A) Telling him he will get a shot when he wakes up tomorrow morning
B) Telling him how cool he looks in his baseball cap and pajamas
C) Using family-familiar words and soft words when possible
D) Describing what it is like to get a CAT scan using words he understands

Question 15

The nurse is caring for a 14-year-old boy with an osteosarcoma. Which of the following communication techniques would be least effective for him?

A) Letting him choose juice or soda to take pills
B) Seeking the teenager's input on all decisions
C) Discussing the benefits of chemotherapy with him
D) Avoiding undue criticism of noncompliance

Question 16

The nurse is educating a 16-year-old girl who has just been diagnosed with acute myelogenous leukemia. Which of the following statements best demonstrates therapeutic communication?

A) Discussing the treatment plan in detail for the next few weeks
B) Using medical terms when describing the disease
C) Assessing the adolescent's emotional status in private
D) Talking about clothing and the stores where she shops

Question 17

The nurse is explaining a discharge plan to the parents of an infant being discharged from the hospital. Which of the following characteristics regarding adult learning should the nurse incorporate into her plan?

A) Adults are dependent learners.
B) Adults are problem focused.
C) Adults are future focused.
D) Adults do not value past learning.