Question 1

The nurse is assessing a pediatric patient in the emergency room for injuries sustained from a fall. The nurse asks the parents how the child was injured. Which response by the parent uses the most productive communication pattern?

Accepted Answer

Option D demonstrates accountability and direct communication about the incident, avoiding blame and focusing on the facts of the situation.

Question 2

The nurse is assessing a newborn who has been brought to the family clinic for her first well-child visit. The nurse accidentally drops a metal pan on the floor near the child. The child is startled, but the mother does not react. What is the most appropriate intervention at this time?

Accepted Answer

The mother's lack of reaction to the loud noise may indicate a hearing impairment. Asking if she needs an interpreter can help ensure effective communication and understanding.

Question 3

The nurse is providing discharge instructions to the family of a 14-year-old patient who was treated for an exacerbation of a chronic illness. The nurse recognizes that this will add stress to the family unit and has developed a plan of care based on the family-centered care model. Which intervention best addresses the crisis experienced by the family unit at this time?

Accepted Answer

Discussing treatment options and alternatives with the family directly involves them in the care process, acknowledges their role in decision-making, and supports the principles of family-centered care by respecting their knowledge, values, beliefs, and cultural backgrounds. This approach can help alleviate stress by ensuring the family feels informed, supported, and empowered to make decisions regarding their child's care.

Question 4

The nurse is providing care to a 17-year-old patient in the family practice clinic. The patient reports concern for the parents, as she is the last one of the four children to leave the home. She is concerned that her parents may "fall apart" when she leaves for college in the fall. What is the best response from the nurse based on the family systems theory?

Accepted Answer

The best response based on the family systems theory is to acknowledge that changes in one family member's life affect the entire family, but to also remind the patient that families are dynamic and capable of adapting to changes. This theory views the family as an interconnected system where each member's actions influence the whole.

Question 5

The nurse is performing a functional family assessment of a chronically ill pediatric patient. In what way can the nurse enhance communication with the family?

Accepted Answer

Completing a family APGAR questionnaire and sharing the results can enhance communication by providing insights into family dynamics and areas where support may be needed, fostering open dialogue.

Question 6

The emergency department nurse is providing care to a 3-year-old child who has suffered a major accident. The parents ask the nurse, "Is our child going to be okay?" What is the most effective communication response at this time?

Accepted Answer

The answer of The emergency department nurse is providing care...

Question 7

The nurse is providing care to a 10-year-old patient hospitalized for multiple injuries from a motor vehicle crash. Which nursing intervention is appropriate for communication with this child?

Accepted Answer

Including the child in decisions, like choosing food, helps them feel involved and respected, which is appropriate for their developmental stage.

Question 8

Identify one or more choices that best complete the statement or answer the question.
-The nurse is providing care to an 11-month-old child who is hospitalized with pneumonia. Which nursing interventions are appropriate for this child? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 9

In an acute care setting, the pediatric nurse is providing care to a 4-year-old patient with an exacerbation of cystic fibrosis. The nurse notes that there is little interaction between the patient and the older siblings when they visit. The siblings often seek to divert the staff's attention during their visits. What is the most appropriate nursing intervention at this time?

Accepted Answer

The answer of In an acute care setting, the pediatric...

Question 10

The nurse is assessing the family of a pediatric patient in the home-care setting. Which of the following family APGAR findings best correlates with the nursing diagnosis of caregiver role strain?

Accepted Answer

The choice that best correlates with caregiver role strain is when one parent (in this case, the mother) is primarily responsible for the care of the ill child and household tasks, while the other parent (the father) is working multiple jobs to support the family financially. This scenario indicates a high level of responsibility and potential stress on the primary caregiver, leading to caregiver role strain.

Question 11

The nurse is providing care to a 4-year-old child who is recovering from an orthopedic injury in the hospital. The nurse notes there are two siblings who are ages 6 years and 1 year. The father is the primary caregiver, and the mother is the primary wage earner. During the assessment, the nurse notes that the 6-year-old seems to be the primary nurturer of the 1-year-old, while the father tends to the 4-year-old, and the mother talks on her cell phone. Which nursing diagnosis is appropriate for this family?

Accepted Answer

The correct answer is A because the family is experiencing a disruption in their normal routine due to the hospitalization of the 4-year-old child. The father is the primary caregiver, and the mother is the primary wage earner. During the assessment, the nurse notes that the 6-year-old seems to be the primary nurturer of the 1-year-old, while the father tends to the 4-year-old, and the mother talks on her cell phone. This indicates that the family is not providing reciprocal support to each other, which is essential for coping with the stress of a hospitalized child.

Question 12

The nurse is assessing an infant during a well-baby visit in the family practice clinic. During this assessment, the nurse asks the mother several routine questions regarding the infant's progress and notes that the mother nods her head but is looking at her cell phone. Which response by the nurse is most appropriate in this situation?

Accepted Answer

Asking the mother to put the phone down and discuss her infant's progress is the most appropriate and direct approach to engage her in the conversation, ensuring that the assessment is thorough and that any concerns or questions she may have are addressed.

Question 13

The nurse assesses a toddler with an apparent ear infection in the emergency department. During the assessment, the nurse finds that the child is not up to date on immunizations or well-baby checkups. Upon further investigation, the nurse discovers that the family is uninsured and undocumented immigrants. What are the most likely barriers to effective communication at this time?

Accepted Answer

The possible language issue may affect the family's comprehension of instructions.

Question 14

The nurse is providing care to a 6-year-old child who is recovering from an infection after a round of chemotherapy in the hospital. The parents appear overwhelmed with the situation of wanting "quality time" and voice guilt over missing the healthy children's school functions when at the hospital. Which is an appropriate nursing goal for this family?

Accepted Answer

Meeting with a social worker to coordinate community resources can help the family manage their time and responsibilities, reducing stress and guilt.

Question 15

The nurse is providing care to a pediatric patient in the mental health facility. The nurse asks the patient to draw a picture of her family. What is the function of this activity?

Accepted Answer

This activity allows the child to express their perception and feelings about their family, which can provide insights into their emotional and psychological state.

Question 16

The nurse is assessing preschool twins during a well-child visit in the family clinic. Which of the following statements by the parents would indicate a healthy transition for the family per Duvall's family development theory?

Accepted Answer

The answer of The nurse is assessing preschool twins during...

Question 17

The nurse is providing care to a 5-year-old child who is recovering from a tonsillectomy in the hospital. The nurse notes that the 9-year-old sibling is tending to the psychosocial needs of the patient, while the parents discuss their marital conflicts in front of the children. Which nursing diagnosis is appropriate for this family?

Accepted Answer

The presence of marital conflicts being discussed in front of the children, along with a sibling attending to the psychosocial needs of the patient, indicates dysfunctional family processes. This situation suggests that the family dynamics are strained, affecting the children's well-being and potentially their roles within the family.

Question 18

The nurse is attempting to provide education to the family of a newborn in the home-care setting. Which nursing intervention will assess comprehension of the communication with the family?

Accepted Answer

Asking for a return demonstration is an effective way to assess comprehension because it allows the nurse to directly observe whether the family understands the instructions given. This method ensures that the family can correctly perform the tasks or procedures as explained.

Question 19

A nurse is providing care to an adolescent patient. Which statement by the nurse is most likely to enhance communication with the patient?

Accepted Answer

Asking open-ended questions like "What concerns do you have about your health?" encourages adolescents to talk more freely about their concerns, enhancing communication. It is non-judgmental and invites a broad range of responses, making it more likely for the patient to engage in the conversation.

Question 20

The nurse is assessing the psychosocial needs of a family that has a chronically ill child. During the interview process, the nurse notes that the grandmother answers for all the family members. What nursing intervention is most appropriate at this time?

Accepted Answer

The answer of The nurse is assessing the psychosocial needs...

Quiz 3: Family Dynamics and Communicating With Children and Families