TEST BANK FOR ESSENTIALS OF PEDIATRIC NURSING 4TH BY KYLE
Chapter 8, Atraumatic Care of Children and Families
1. The nurse is providing atraumatic care to children in a hospital setting. What are principles
of this philosophy of care? Select all 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.
ANS: A, B, F
Feedback:
When using atraumatic care, the nurse would avoid or reduce painful procedures, avoid or
reduce physical distress, use core primary nursing, maximize parent–child interactions,
provide family-centered care, and provide opportunities for control, such as participating in
care, attempting to normalize daily schedule, and providing direct suggestions.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 204, Introduction, Box 8.1
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Cognitive Level: Understand
NOT: Multiple Select
2. The nurse is consulting with a child life specialist (CLS) to help minimize the stress of
hospitalization for a child. Which services would the CLS provide? Select all that apply.
a. Medical preparation for tests, surgeries, and other medical procedures
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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
ANS: C, D, E
Feedback:
The CLS would provide activities to support normal growth and development, grief and
bereavement support, and emergency room interventions for children and families. The CLS
would also provide nonmedical preparation for tests, surgeries, and other medical
procedures; support during medical procedures; and outpatient consultation with families
(American Academy of Pediatrics, Committee on Hospital Care and Child Life Council,
2014, reaffirmed 2018).
PTS:
NAT:
KEY:
BLM:
1
REF: p. 204, Utilizing the Child Life Specialist
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation
Cognitive Level: Understand
NOT: Multiple Select
3. The nurse is implementing interventions to prevent physical stressors for a 9-year-old child
receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this
child?
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TEST BANK FOR ESSENTIALS OF PEDIATRIC NURSING 4TH BY KYLE
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.
ANS: C
Feedback:
The nurse should insert a saline lock if the child will require multiple doses of parenteral
medications. During painful or invasive procedures, the nurse should avoid traditional
restraint or “holding down” of the child and use alternative positioning such as “therapeutic
hugging.” If therapeutic hugging is not an option, the nurse could have the parent stand near
the child’s head, not his feet to provide visual and verbal comfort. The nurse should also use
numbing techniques for blood draws or IV insertion.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 204, 205, Introduction, Table 8.1
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Cognitive Level: Apply
NOT: Multiple Choice
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 procedure.
b. Keep children who are hospitalized distracted from pain.
c. Perform medical procedures using atraumatic principles.
NURSthe
INnurse
G-Tand
ESTthe
BAchild.
NK.COM
d. Act as a liaison between
ANS: A
Feedback:
The CLS is a specially trained individual who provides programs that prepare children for
hospitalization, surgery, and other procedures that could be painful (Child Life Council,
2010a, 2010b). The goal of the CLS is to decrease the anxiety and fear while improving and
encouraging understanding and cooperation of the child. The CLS may use distraction
techniques and act as a liaison, but that is not the primary goal of the CLS role. The CLS
does not perform medical procedures.
PTS:
NAT:
KEY:
NOT:
1
REF: p. 205, Utilizing the Child Life Specialist
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Caring
BLM: Cognitive Level: Understand
Multiple Choice
5. The nurse is preparing a child and his family for a lumbar puncture. Which would be a
primary intervention instituted to keep the child safe?
a. Distraction methods
b. Stimulation methods
c. Therapeutic hugging
d. Therapeutic touch
ANS: C
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TEST BANK FOR ESSENTIALS OF PEDIATRIC NURSING 4TH BY KYLE
Feedback:
Therapeutic hugging (a holding position that promotes close physical contact between the
child and a parent or caregiver) may be used for certain procedures or treatments where the
child must remain still. Alternatively, distraction or stimulation (such as with a toy) can help
to gain the child’s cooperation, but therapeutic hugging would be used to keep the child safe
during the procedure. Therapeutic touch is an energy therapy used to promote healing and
decrease anxiety and stress and is not related to safety.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 205, Minimizing Physical Stress During Procedures
Client Needs: Safe and Effective Care Environment: Safety and Infection Control
Integrated Process: Nursing Process
Cognitive Level: Apply
NOT: Multiple Choice
6. The child life specialist (CLS) is preparing a 6-year-old child for a magnetic resonance
imaging (MRI) scan. Which statement 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 your
liver.”
b. “You may hear some loud noises when you are lying in the machine, but they
won’t hurt you.”
c. “You have nothing to worry about; the MRI machine is safe and will not cause you
any pain.”
d. “Let’s just get you to the x-ray department for your test and you’ll see how simple
it is.”
ANS: B
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Feedback:
When using atraumatic principles, the CLS would explain any sensations, such as noises
that will be experienced. The language should be simple and at the child’s developmental
age; using the technical term for the machine might frighten the child. Telling the child there
is nothing to worry about does not allay the child’s fears. Allowing the child to experience
the machine without explaining the sensations does not follow atraumatic principles.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 206, Before the Procedure
Client Needs: Safe and Effective Care Environment: Safety and Infection Control
Integrated Process: Teaching/Learning
Cognitive Level: Apply
NOT: Multiple Choice
7. The nurse uses family-centered care to provide 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.
ANS: A
Feedback:
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TEST BANK FOR ESSENTIALS OF PEDIATRIC NURSING 4TH BY KYLE
Family-centered care involves a partnership between the child, family, and healthcare
providers in planning, providing, and evaluating care. Family-centered care enhances
parents’ and caregivers’ confidence in their own skills and also prepares children and young
adults for assuming responsibility for their own healthcare needs. It is based on the concept
that the family is the constant in the child’s life and the primary source of strength and
support for the child.
PTS: 1
REF: p. 208, Preventing or Minimizing Child and Family Separation: Providing Childand Family-Centered Care
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Remember
NOT: Multiple Choice
8. The nurse knows that effective communication with children and their parents is critical to
providing atraumatic quality nursing care. Which statement 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.
ANS: C
Feedback:
Children often use fewer words than adults and may rely more on nonverbal communication
NURSpatterns
ING-Tcan
ESvary
TBAgreatly
NK.CO
M one child to the next. Some
and silence. Communication
from
children are very talkative, while others are quiet. Parents more often require neutral
communication (i.e., verbal communication that is related to assessing and solving
problems), whereas children more often desire affective communication (establishment of
rapport and trust, giving comfort).
PTS:
NAT:
KEY:
BLM:
1
REF: p. 209, Enhancing Communication
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation
Cognitive Level: Understand
NOT: Multiple Choice
9. The nurse is using verbal skills to explain the nursing care plan to parents of a 10-year-old
child with cancer. What 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 parent’s comments in your own words.
d. Paraphrase the child’s or parent’s feelings to demonstrate empathy.
ANS: D
Feedback:
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TEST BANK FOR ESSENTIALS OF PEDIATRIC NURSING 4TH BY KYLE
General guidelines for appropriate verbal communication include the following: paraphrase
the child’s or parent’s feelings to demonstrate empathy, use open-ended questions that do
not restrict the child’s or parent’s answers, redirect the conversation to maintain focus, and
demonstrate active listening by using the child’s or family’s own words.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 210, Verbal Communication
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation
Cognitive Level: Understand
NOT: Multiple Choice
10. The nurse is incorporating nonverbal communication with verbal communication when
explaining the treatment plan for a child with juvenile diabetes. What 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.
ANS: B
Feedback:
Guidelines for appropriate nonverbal communication include the following: sit opposite the
family and lean forward slightly; relax: maintain an open posture, with the arms uncrossed;
maintain eye contact; and nod your head to demonstrate interest.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 210, Nonverbal Communication
Client Needs: Safe and Effective Care Environment: Management of Care
NURTeaching/Learning
SING-TESTBANK.COM
Integrated Process:
Cognitive Level: Apply
NOT: Multiple Choice
11. The nurse is teaching the student nurse how to communicate effectively with children.
Which method 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.
ANS: C
Feedback:
To communicate effectively with children, the nurse should direct questions and
explanations to the child; position self at the child’s level; allow the child to remain near the
parent if needed, so the child can remain comfortable and relaxed; and use the child’s or
family’s terms for body parts and medical care when possible.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 211, Box 8.3
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
Cognitive Level: Understand
NOT: Multiple Choice
12. 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?
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TEST BANK FOR ESSENTIALS OF PEDIATRIC NURSING 4TH BY KYLE
a.
b.
c.
d.
Allow the child extra time to complete thoughts.
Communicate solely through play.
Provide simple but honest and straightforward responses.
Remain nonjudgmental to avoid alienation.
ANS: A
Feedback:
When working with toddlers and preschoolers, the nurse should allow them time to
complete their thoughts. Though language acquisition at this age is exponential, it often
takes longer for the young child to find the right words, particularly in response to a query.
Infants communicate nonverbally and often through play. School-age children need simple
but honest and straightforward responses, and nurses should be nonjudgmental with
adolescents to avoid alienating them and to keep lines of communication open.
PTS:
REF:
NAT:
KEY:
BLM:
1
p. 211, Developmental Techniques for Communicating with Children
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation
Cognitive Level: Apply
NOT: Multiple Choice
13. 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 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
RSto
INget
G-aTCAT
ESTscan
BANusing
K.Cwords
OM he understands
d. Describing what it N
isUlike
ANS: D
Feedback:
Describing what it is like to get a CAT scan using age-appropriate words is the best example
of therapeutic communication. It is goal-directed, focused, and purposeful communication.
Using family-familiar words and soft words is a good teaching technique. Telling him how
cool he looks in his baseball cap and pajamas is not goal-directed communication. Telling
the child he will get a shot when he wakes up could keep him awake all night.
PTS:
REF:
8.3
NAT:
KEY:
BLM:
1
p. 210, 212, Developmental Techniques for Communicating with Children, Table
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Cognitive Level: Apply
NOT: Multiple Choice
14. The nurse is caring for a 14-year-old boy with an osteosarcoma. Which communication
technique 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
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TEST BANK FOR ESSENTIALS OF PEDIATRIC NURSING 4TH BY KYLE
ANS: A
Feedback:
Letting the child choose juice or soda to take pills is the least effective communication
technique for an adolescent. It may provide some sense of control, but is not as effective as
seeking his input on all care decisions, including him during discussions of the benefits of
chemotherapy, and avoiding undue criticism of noncompliance.
PTS:
REF:
8.7
NAT:
KEY:
BLM:
1
p. 210, 218, Developmental Techniques for Communicating with Children, Table
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Cognitive Level: Apply
NOT: Multiple Choice
15. The nurse is educating a 16-year-old girl who has just been diagnosed with acute
myelogenous leukemia. Which statement 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
ANS: C
Feedback:
Therapeutic communication is goal directed and purposeful. Assessing the child’s emotional
status in private is goal directed and purposeful. Talking about clothing and shopping is not
therapeutic communication unless its purpose is to find head coverings or wigs to mask hair
NUwas
RSI
NGpresented.
-TESTBDiscussing
ANK.COM
loss and that information
not
the treatment plan for the next few
weeks in detail is too much information for someone who has just been diagnosed. Using
medical terms when describing the disease does not promote understanding.
PTS:
REF:
NAT:
KEY:
NOT:
1
p. 210, Developmental Techniques for Communicating with Children
Client Needs: Psychosocial Integrity
Integrated Process: Caring
BLM: Cognitive Level: Apply
Multiple Choice
16. The nurse is performing a cultural assessment of an Asian family that has a child
hospitalized for leukemia. What is the best technique for providing culturally competent
care for this family?
a. Research the culture and base care on findings.
b. Ask other Asians to explain their culture.
c. Just ask the family about their culture and listen.
d. Hire an interpreter to explain the family culture.
ANS: C
Feedback:
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TEST BANK FOR ESSENTIALS OF PEDIATRIC NURSING 4TH BY KYLE
Understanding and respecting the family’s culture helps foster good communication and
improves child and family education about health care. The best way to assess the family’s
cultural practices is to ask and then listen. Determine the language spoken at home and
observe the use of eye contact and other physical contact. Demonstrate a caring,
nonjudgmental attitude and sensitivity to the child’s and family’s cultural diversity. An
interpreter should be hired for a family who does not speak English.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 211, Communicating Across Cultures
Client Needs: Psychosocial Integrity
Integrated Process: Culture and Spirituality
Cognitive Level: Apply
NOT: Multiple Choice
17. The nurse is using a family interpreter to teach home care to the deaf parents of a child with
cystic fibrosis. Which technique of working with an interpreter is unique to this situation?
a. Ensuring the parents can read printed material
b. Using the child’s aunt as interpreter
c. Allowing time for interpretation and response
d. Expecting the interpreter to know the medical terms
ANS: B
Feedback:
Having an adult family member translate for the hearing-impaired parents is a good choice
as the family member is unlikely to upset family relationships as would be the case in
translating between spoken languages and cultures. It is not unique for interpreters, whether
for spoken languages or American Sign Language, to ensure that the parents can read
printed materials. Likewise, it is not unique for interpreters to need adequate time to
NURSIand
NG-the
TEparents’
STBANresponses,
K.COM and they cannot be expected to
interpret the nurse’s comments
know medical terminology.
PTS:
REF:
NAT:
KEY:
BLM:
1
p. 212, Communicating with Deaf or Hearing-Impaired Children and Families
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
Cognitive Level: Apply
NOT: Multiple Choice
18. The nurse is explaining a discharge plan to the parents of an infant being discharged from
the hospital. Which characteristic 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.
ANS: B
Feedback:
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TEST BANK FOR ESSENTIALS OF PEDIATRIC NURSING 4TH BY KYLE
Adults are problem focused and task oriented; they learn best when they perceive there is a
gap in their knowledge base and want information and skills to fill the gap. Adults are
self-directed; they value independence and want to learn on their own terms. Adults want an
immediate need satisfied; they learn best at a time when learning meets an immediate need.
Adults value past experiences and beliefs; they bring an accumulated wealth of experiences
to each healthcare encounter.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 214, Assessing Teaching and Learning Needs, Box 8.6
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
Cognitive Level: Apply
NOT: Multiple Choice
19. The nurse is educating the parents of a 7-year-old girl who has just been diagnosed with
epilepsy. Which teaching technique would be most appropriate?
a. Assessing the parents’ knowledge of the anticonvulsant medications
b. Demonstrating proper seizure safety procedures
c. Discussing the surgical procedure for epilepsy
d. Giving the parents information in small amounts at a time
ANS: D
Feedback:
Parents, when given a life-altering diagnosis, need time to absorb information and to ask
questions. Therefore, giving the parents information in small amounts at a time is best. The
child has just been diagnosed with epilepsy, and surgical intervention is not used unless
seizures persist in spite of medication therapy. Therefore, discussing surgery would be
inappropriate at this time. Assessing the parents’ knowledge of the anticonvulsant
URSING-gap
TEand
STBneed
ANKto.learn,
COM but it would be unreasonable to
medications identifies aNknowledge
think that they would understand the medications when the diagnosis had just been made.
Demonstrating proper seizure safety procedures is an effective way to present information to
an adult.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 215, 216, Planning Education, Table 8.4
Client Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Teaching/Learning
Cognitive Level: Apply
NOT: Multiple Choice
20. The nurse is enlisting the parents’ assistance for therapeutic hugging prior to an otoscopic
examination. What should the nurse emphasize to the parents?
a. “You will need to keep his hands down and his head still.”
b. “If this does not work, we will have to apply restraints.”
c. “If you are not capable of this, let me know so I can get some assistance.”
d. “I may need you to leave the room if your son will not remain still.”
ANS: A
Feedback:
The nurse needs to provide a specific explanation of the parents’ role and what body parts to
hold still in a safe manner. Implying that the parents may not be capable or may have to
leave the room is inappropriate. Telling the parents that restraints may be required is not
helpful, does not teach, and may be perceived as a threat.
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PTS:
NAT:
KEY:
BLM:
1
REF: p. 205, Minimizing Physical Stress During Procedures
Client Needs: Safe and Effective Care Environment: Safety and Infection Control
Integrated Process: Teaching/Learning
Cognitive Level: Apply
NOT: Multiple Choice
21. The nurse is preparing to perform a dressing change on a 13-year-old client who is being
treated for burns he received 2 weeks ago. The client prefers not to take pain medication
before the dressing change because it causes drowsiness. What nursing interventions would
provide atraumatic care? Select all that apply.
a. The nurse asks the client if he would like the television on during the dressing
change.
b. The nurse asks the client if a small group of nursing students can observe the
dressing change.
c. The nurse encourages the client to wear headphones to listen to music during the
dressing change.
d. The nurse encourages the parent to talk to the child about taking pain medication
prior to the procedure.
e. The nurse tells the client that the dressing change will not be performed unless
pain medication is taken.
ANS: A, C
Feedback:
Minimizing stress prior to and during a procedure helps provide atraumatic care. Since the
child chooses to not take pain medication, watching television or using headphones during
the procedure provides distraction to the discomfort of the procedure. Students observing
does not provide distraction. The child has chosen for the last 2 weeks to not receive pain
NUparent
RSINtalk
G-TtoEthe
STchild
BANKagain
.COdoes
M not provide atraumatic care.
medication, so having the
The nurse cannot force the child to take pain medication.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 205, 207, Box 8.2, During the Procedure
Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Nursing Process
Cognitive Level: Apply
NOT: Multiple Select
22. The nurse is admitting a 7-year-old child to the medical-surgical unit. The child answers
questions with very short answers, makes little eye contact with the nurse, and looks to the
parent to answer most questions. Which interventions would be appropriate during this
admission assessment? Select all that apply.
a. Tell the child that you are going to be their nurse so it would be best if they
answered your questions.
b. When asking questions, look at the child as well as the parent.
c. Sit at the child’s eye level during the admission questioning process.
d. Stop asking questions for the present time and return later when the child feels
more comfortable.
e. Ask the child if they are always nervous around new people.
ANS: B, C
Feedback:
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TEST BANK FOR ESSENTIALS OF PEDIATRIC NURSING 4TH BY KYLE
The goal is to establish rapport with the client and encourage communication. It is common
for young children to be shy, so it is acceptable for the nurse to ask both the child and parent
questions until the child feels comfortable talking with the nurse. Sitting at eye level is less
intimidating and may help in establishing a trusting relationship. Telling the child that they
need to answer the questions appears as condemning the child’s behavior. Admission
questions are important and can’t be delayed until a later time. Asking the child if they are
nervous around new people is intimidating and may further block communication.
PTS:
REF:
NAT:
KEY:
BLM:
1
p. 210, Developmental Techniques for Communicating with Children
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Cognitive Level: Apply
NOT: Multiple Select
23. The nurse has completed diabetic education regarding insulin administration to a
14-year-old child newly diagnosed with diabetes and his family. The nurse knows the
teaching was effective if the client and family:
a. can list appropriate sites for insulin administration.
b. have demonstrated correct insulin administration over the past several days.
c. indicate that they understand proper nutrition for a person with diabetes.
d. state that they understand hypoglycemic reaction signs and symptoms.
ANS: B
Feedback:
Demonstration is the best way to determine if teaching was effective in any situation.
Listing, identifying, and stating understanding of a concept are desirable, but these
NUway
RSItoNG
-TESTBunderstanding.
ANK.COM
behaviors are not the best
determine
PTS:
NAT:
KEY:
BLM:
1
REF: p. 218, Evaluating Learning
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Cognitive Level: Apply
NOT: Multiple Choice
24. The nurse is caring for a child who is scheduled to begin chemotherapy. When planning
education for the parents, what action by the nurse is most correct?
a. Obtain a large classroom to allow the nurse to stand at the front and present
information.
b. Obtain a small conference room and arrange the chairs in a circle for both the
nurse and family members to sit.
c. Provide written information to the family and allow them to review it, with
instructions to contact the nurse if there are additional questions.
d. Provide a video of information to the family, with instructions to contact the nurse
if there are additional questions.
ANS: B
Feedback:
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Teaching is an important function of the nurse. When providing education, it is important to
offer the information in an environment that is conducive to learning. A circular set of chairs
will allow the nurse to face the parents during the exchange. A large class that has the nurse
standing and the parents sitting does not provide the ability for a personal interaction needed
for this session. Giving the parents information in writing should be done in conjunction
with a face-to-face teaching session. Video information may be beneficial but does not
replace the face-to-face teaching session.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 204, 205, Introduction, Table 8.1
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Cognitive Level: Analyze
NOT: Multiple Choice
25. The nurse has obtained the services of an interpreter to assist with communicating with a
child and parents who have a limited understanding of English. Which behaviors may
impede the communication? Select all that apply.
a. The nurse speaks to the interpreter, who then translates the information to the
parents and child.
b. The nurse speaks with the parents and child, and then the interpreter translates the
information to the parents and child.
c. The nurse limits the sessions with the interpreter to 1 hour.
d. The nurse stops talking every 45 to 60 seconds to allow the interpreter to catch up
with the information provided.
e. The nurse avoids the use of slang in the exchange of information.
ANS: A, C, D
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Feedback:
When using an interpreter, the nurse should speak to the parents and child. Then, the
interpreter will translate the information to the family in their native language. This
promotes the relationship between the nurse and family. Exchanges with the interpreter
should be limited to 20 to 30 minutes. A 1-hour time period would be tiring and
counterproductive. The nurse should stop speaking about every 30 seconds to allow the
interpreter to catch up. The remaining actions are appropriate.
PTS:
NAT:
KEY:
BLM:
1
REF: p. 211, 213, Working with an Interpreter, Box 8.4
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation
Cognitive Level: Analyze
NOT: Multiple Select
26. The nurse is caring for a teen who will be hospitalized for physical rehabilitation for an
extended period of time after an auto accident. When working to promote a good working
relationship with the teen, what action by the nurse will be most beneficial?
a. Allow the teen to control the daily schedule.
b. Keep your word with regard to promises and statements made to the teen.
c. Allow the teen to make decisions about the plan of care.
d. Include the teen in the weekly interdisciplinary care conferences
ANS: B
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When working with teens, the establishment of trust and rapport is of the highest priority.
Establishing trust can best be done by demonstrating consistency and keeping promises
made to the teen. Control of the daily schedule may not be feasible. The teen can be allowed
to have an impact on some elements of the plan of care but this does not have a greater
importance than the establishment of trust. The teen may be able to attend care conferences
but this is not of the highest priority.
PTS:
REF:
NAT:
KEY:
NOT:
1
p. 210, 211, Developmental Techniques for Communicating with Children
Client Needs: Psychosocial Integrity
Integrated Process: Caring
BLM: Cognitive Level: Apply
Multiple Choice
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