Question 1

When assessing a child's reaction to illness,it is important for the nurse to

Accepted Answer

A)  observe the interaction between parent and child. 
B)  recognize that chronological age matches cognitive level. 
C)  realize that children are more comfortable with female health care providers. 
D)  recognize that the child's behavior will be age appropriate. 
A)  observe the interaction between parent and child. 
B)  recognize that chronological age matches cognitive level. 
C)  realize that children are more comfortable with female health care providers. 
D)  recognize that the child's behavior will be age appropriate. A

Question 2

The nurse is caring for a 2-year-old child on a pediatric unit.The child's parents have just left the unit for the night.The child is standing at the edge of the crib and crying.Which of the following interventions is most appropriate for the nurse to use?

Accepted Answer

A)  Limit the use of kinesthetic approaches when caring for the child. 
B)  Talk to the child about Mommy and Daddy and how much the child cares for them. 
C)  Maintain a flat affect when interacting with the child. 
D)  At first maintain a distance of 8 feet from the child. 
A)  Limit the use of kinesthetic approaches when caring for the child. 
B)  Talk to the child about Mommy and Daddy and how much the child cares for them. 
C)  Maintain a flat affect when interacting with the child. 
D)  At first maintain a distance of 8 feet from the child. B

Question 3

The pediatric nurse is working on an oncology unit with a terminally ill child.The nurse conveys respect to the child by

Accepted Answer

A)  interacting as a buddy to the child. 
B)  protecting the child from the truth about the terminal illness. 
C)  using the concept of mutuality. 
D)  being emotionally unavailable. 
A)  interacting as a buddy to the child. 
B)  protecting the child from the truth about the terminal illness. 
C)  using the concept of mutuality. 
D)  being emotionally unavailable. C

Question 4

A pediatric nurse is educating parents about how children cope with hospitalization.Which of the following statements by the nurse is correct?

Accepted Answer

A)  "The quiet, compliant child who never complains is comfortable on the nursing unit." 
B)  "The child who screams and cries is much more frightened of hospitalization than the quiet child." 
C)  "The 2-year-old child who asks for a bedtime bottle is showing signs of regression." 
D)  "The child who screams and cries may be less frightened than the quiet, overly compliant child who never complains." 
A)  "The quiet, compliant child who never complains is comfortable on the nursing unit." 
B)  "The child who screams and cries is much more frightened of hospitalization than the quiet child." 
C)  "The 2-year-old child who asks for a bedtime bottle is showing signs of regression." 
D)  "The child who screams and cries may be less frightened than the quiet, overly compliant child who never complains."

Question 5

When caring for a preschooler,the nurse understands that this child tends to interpret language in a literal way and that the child will not ask for clarification,leading to a misunderstanding of messages.The nurse recognizes a preschooler is in which of Piaget's cognitive stages of development?

Accepted Answer

A)  Concrete operations 
B)  Formal operations 
C)  Preoperational 
D)  Sensorimotor 
A)  Concrete operations 
B)  Formal operations 
C)  Preoperational 
D)  Sensorimotor

Question 6

A school-aged child is admitted to the hospital because of an accident during gymnastics.The child complains of not feeling her legs.The child's parents ask the nurse,"What is going to happen to our daughter? Will she walk again?" The best response by the nurse is

Accepted Answer

A)  "I'm sure everything will be okay. She is in good hands." 
B)  "The best thing you can do for your child is to act like everything is alright." 
C)  "You will have to ask the doctor; he is in surgery right now." 
D)  "You must have several fears and concerns. We will let you know the test results as soon as they are available." 
A)  "I'm sure everything will be okay. She is in good hands." 
B)  "The best thing you can do for your child is to act like everything is alright." 
C)  "You will have to ask the doctor; he is in surgery right now." 
D)  "You must have several fears and concerns. We will let you know the test results as soon as they are available."

Question 7

When communicating with a preschooler who is admitted to the hospital for a fractured arm,which is the best method for the nurse to describe the preschooler's impending surgery?

Accepted Answer

A)  Encourage the preschooler to put a bandage on a teddy bear's arm. 
B)  Explain what surgery will be like, using abstract terminology. 
C)  Explain to the preschooler how long the surgery will take and that it will be done by noon. 
D)  Inform the preschooler that fixing the fractured arm will make it possible to play sports in the future. 
A)  Encourage the preschooler to put a bandage on a teddy bear's arm. 
B)  Explain what surgery will be like, using abstract terminology. 
C)  Explain to the preschooler how long the surgery will take and that it will be done by noon. 
D)  Inform the preschooler that fixing the fractured arm will make it possible to play sports in the future.

Question 8

The nurse is caring for a postoperative preschooler who is crying and has been refusing to eat.The best communication strategy for the nurse to use is to

Accepted Answer

A)  avoid providing the child with simple explanations. 
B)  assign the child to a different nurse in order to optimize socialization. 
C)  give the child some clay, crayons, and paper. 
D)  encourage the child to express complex thoughts and feelings. 
A)  avoid providing the child with simple explanations. 
B)  assign the child to a different nurse in order to optimize socialization. 
C)  give the child some clay, crayons, and paper. 
D)  encourage the child to express complex thoughts and feelings.

Question 9

During the preoperational period the nurse recognizes that children

Accepted Answer

A)  ask numerous questions to clarify a message. 
B)  can process auditory information quickly. 
C)  can clearly distinguish between fantasy and reality. 
D)  misunderstand messages quite easily. 
A)  ask numerous questions to clarify a message. 
B)  can process auditory information quickly. 
C)  can clearly distinguish between fantasy and reality. 
D)  misunderstand messages quite easily.

Question 10

Which of the following is true in relation to the stress of having an ill child?

Accepted Answer

A)  Coping with uncertainty over the outcome is the most stressful factor for parents. 
B)  Factors connected with the child's illness causes more stress than alleviation of the child's pain. 
C)  Uncertainty about a critically ill child's current condition is considered to be a minor source of stress. 
D)  The parents' inability to comfort the child is more stressful than factors connected with the illness. 
A)  Coping with uncertainty over the outcome is the most stressful factor for parents. 
B)  Factors connected with the child's illness causes more stress than alleviation of the child's pain. 
C)  Uncertainty about a critically ill child's current condition is considered to be a minor source of stress. 
D)  The parents' inability to comfort the child is more stressful than factors connected with the illness.

Question 11

The nurse recognizes that guidelines for developing a workable limit-setting plan include having consequences that are

Accepted Answer

A)  applied after a detailed verbal exchange with the client. 
B)  person centered, not situation centered. 
C)  applied in a matter-of-fact manner, without lengthy discussion. 
D)  applied at a time negotiated between the nurse and client. 
A)  applied after a detailed verbal exchange with the client. 
B)  person centered, not situation centered. 
C)  applied in a matter-of-fact manner, without lengthy discussion. 
D)  applied at a time negotiated between the nurse and client.

Question 12

In mastering QSEN competency of patient-centered care,effective tools need to be

Accepted Answer

A)  cognitive, developmentally appropriate, and educational. 
B)  cultural, educational, interpersonal, and societal. 
C)  attitudinal, cognitive, and developmentally appropriate. 
D)  attitudinal, cultural, and developmentally appropriate. 
A)  cognitive, developmentally appropriate, and educational. 
B)  cultural, educational, interpersonal, and societal. 
C)  attitudinal, cognitive, and developmentally appropriate. 
D)  attitudinal, cultural, and developmentally appropriate.

Question 13

When communicating with hospitalized infants and toddlers,the nurse knows

Accepted Answer

A)  she should use long sentences with soothing words. 
B)  she cannot communicate with a preverbal infant. 
C)  moving to the child's eye level and maintaining eye contact are important. 
D)  she should pick up an 18-month-old infant immediately. 
A)  she should use long sentences with soothing words. 
B)  she cannot communicate with a preverbal infant. 
C)  moving to the child's eye level and maintaining eye contact are important. 
D)  she should pick up an 18-month-old infant immediately.

Question 14

The nurse is caring for a child with a severe illness who is demonstrating behaviors that are reminiscent of an earlier stage of development.When the child has toileting accidents,the nurse should

Accepted Answer

A)  recommend a urology consult. 
B)  obtain a urine sample and send it to the lab. 
C)  reassure the child's parents that this is common. 
D)  eliminate all fluids after dinner. 
A)  recommend a urology consult. 
B)  obtain a urine sample and send it to the lab. 
C)  reassure the child's parents that this is common. 
D)  eliminate all fluids after dinner.

Question 15

When admitting an adolescent to a hospital unit,the nurse knows she should keep in mind which of the following?

Accepted Answer

A)  The nurse should use the "three wishes" question to assess cognitive level. 
B)  When a teen asks a direct question, the teen does not really want the answer. 
C)  Teens recognize that life is a roller-coaster ride with ups and downs. 
D)  Teens are able to self-assess competency. 
A)  The nurse should use the "three wishes" question to assess cognitive level. 
B)  When a teen asks a direct question, the teen does not really want the answer. 
C)  Teens recognize that life is a roller-coaster ride with ups and downs. 
D)  Teens are able to self-assess competency.

Exam 18: Communicating With Children

When assessing a child's reaction to illness,it is important for the nurse to

The nurse is caring for a 2-year-old child on a pediatric unit.The child's parents have just left the unit for the night.The child is standing at the edge of the crib and crying.Which of the following interventions is most appropriate for the nurse to use?

The pediatric nurse is working on an oncology unit with a terminally ill child.The nurse conveys respect to the child by

A pediatric nurse is educating parents about how children cope with hospitalization.Which of the following statements by the nurse is correct?

When caring for a preschooler,the nurse understands that this child tends to interpret language in a literal way and that the child will not ask for clarification,leading to a misunderstanding of messages.The nurse recognizes a preschooler is in which of Piaget's cognitive stages of development?

A school-aged child is admitted to the hospital because of an accident during gymnastics.The child complains of not feeling her legs.The child's parents ask the nurse,"What is going to happen to our daughter? Will she walk again?" The best response by the nurse is

When communicating with a preschooler who is admitted to the hospital for a fractured arm,which is the best method for the nurse to describe the preschooler's impending surgery?

The nurse is caring for a postoperative preschooler who is crying and has been refusing to eat.The best communication strategy for the nurse to use is to

During the preoperational period the nurse recognizes that children

Which of the following is true in relation to the stress of having an ill child?

The nurse recognizes that guidelines for developing a workable limit-setting plan include having consequences that are

In mastering QSEN competency of patient-centered care,effective tools need to be

When communicating with hospitalized infants and toddlers,the nurse knows

The nurse is caring for a child with a severe illness who is demonstrating behaviors that are reminiscent of an earlier stage of development.When the child has toileting accidents,the nurse should

When admitting an adolescent to a hospital unit,the nurse knows she should keep in mind which of the following?

Theory Based Perspectives and Contemporary Dynamics

Professional Guides for Nursing Communication

Clinical Judgment and Ethical Decision Making

Clarity and Safety in Communication

Developing Therapeutic Communication Skills

Variation in Communication Styles

Intercultural Communication

Therapeutic Communication in Groups

Self Concept in Professional Interpersonal Relationships

Developing Therapeutic Relationships

Bridges and Barriers in Therapeutic Relationships

Communicating With Families

Resolving Conflicts Between Nurse and Client

Communicating to Encourage Health Literacy, health Promotion, and Prevention of Disease

Health Teaching and Coaching

Empowerment-Oriented Communication Strategies to Reduce Stress

Communicating With Clients Experiencing Communication Deficits

Communicating With Older Adults

Communicating With Clients in Crisis

Communicating With Clients and Families at the End of Life

Role Relationships and Interprofessional Communication

Communicating With Other Health Professionals

Communicating for Continuity of Care

Documentation in an Electronic Era

Communicating at the Point of Care: Application of Ehealth Information Technologies

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