Carman Essentials of Pediatric Nursing 3rd Ed - Ch. 8 Atraumatic Care of Children and Families Exam
Questions Answered Correctly Graded A+
The nurse is assessing the learning needs of the parents of 5-year-old girl who is scheduled for surgery.
Which nonverbal cue should the nurse use to show interest in what the family members are saying?
a. Sit straight with feet flat on the floor
b. Look at child when the father is talking
c. Nod head while the mother speaks
d. Stand several steps away from parents - Answers Answer: c
Nodding the head while the other person speaks indicates interest in what they are saying. When
children and parents feel they are being heard, it builds trust. Sitting straight with feet flat on the floor,
looking away from the speaker, and keeping distance from the family may send a message of disinterest.
The nurse is caring for a 3-year-old boy who must have a lumbar puncture. Which action provides the
greatest contribution toward atraumatic care?
a. Having a child-life nurse practitioner play with the child
b. Explaining the lumbar puncture procedure
c. Letting the child take his teddy bear with him
d. Keeping the parents calm in front of the child - Answers Answer: a
Having a child life specialist play with the child would provide the greatest support for the child and
make the greatest contribution to atraumatic care. It is important to explain the procedure to the child
and parents, let the child have a favorite toy and keep the parents calm, but these interventions are not
as effective for atraumatic care.
The nurse is caring for a 14-year-old boy, and his parents, who has just been diagnosed with a malignant
tumor on his liver. Which intervention is most important to this child and family?
a. Arranging an additional meeting with the nurse practitioner
b. Discussing treatment options with the child and parents
c. Involving the child and family in decision making
d. Describing postoperative home care for the child - Answers Answer: c
Since the child has just been diagnosed, concerns about postoperative home care would be least
important. Arranging an additional meeting with the specialist and discussing treatment options may be
, necessary at some point, but involving the child and family in decision making is always a goal and is a
part of family-centered care.
The child life nurse practitioner has been assigned to assist the hospitalized child and the child's parents.
Which interventions are appropriate for the child life specialist to perform? Select all that apply.
a. Talking to the family about a scheduled diagnostic test
b. Giving the child an influenza vaccination
c. Starting the child's intravenous line
d. Showing the child where the pediatric play room is located
e. Speaking to the physician as the child's advocate - Answers Answer: a, d, e
The child life specialist commonly assists with nonmedical preparation for diagnostic testing, provides
tours, assists in play therapy, and is the child's advocate. The child's nurse gives medication, vaccines,
and starts intravenous lines.
The child has been admitted to a pediatric unit in a hospital. Which nursing interventions use atraumatic
care principles? Select all that apply.
a. Requesting that parents assist the nurse by "holding the child down"
b. Applying a numbing cream prior to starting the child's intravenous line
c. Asking the child if he would like to take a bath before or after he takes his medication
d. Encouraging the family to bring in the child's favorite stuffed animal from home
e. Showing the parent how to unfold the chair in the child's room into a bed - Answers Answer: b, c, d, e
When following the principles of atraumatic care, it is appropriate to apply numbing cream prior to
starting the child's intravenous line. It is appropriate to empower the child with choices about care, if
possible. It is appropriate for the child to have a security item present in the hospital. It is helpful for the
family if the parent is able to stay with the child because it helps make the environment less stressful.
The nurse should avoid using the phrase "holding the child down" and replace this with "therapeutic
hugging."
The nurse is educating a 15-year-old girl with Graves disease and her family about the disease and its
treatment. Which method of evaluating learning is least effective?
a. Having the child and family demonstrate skills
b. Asking closed-ended questions for specific facts
c. Requesting the parent to teach the child skills
Questions Answered Correctly Graded A+
The nurse is assessing the learning needs of the parents of 5-year-old girl who is scheduled for surgery.
Which nonverbal cue should the nurse use to show interest in what the family members are saying?
a. Sit straight with feet flat on the floor
b. Look at child when the father is talking
c. Nod head while the mother speaks
d. Stand several steps away from parents - Answers Answer: c
Nodding the head while the other person speaks indicates interest in what they are saying. When
children and parents feel they are being heard, it builds trust. Sitting straight with feet flat on the floor,
looking away from the speaker, and keeping distance from the family may send a message of disinterest.
The nurse is caring for a 3-year-old boy who must have a lumbar puncture. Which action provides the
greatest contribution toward atraumatic care?
a. Having a child-life nurse practitioner play with the child
b. Explaining the lumbar puncture procedure
c. Letting the child take his teddy bear with him
d. Keeping the parents calm in front of the child - Answers Answer: a
Having a child life specialist play with the child would provide the greatest support for the child and
make the greatest contribution to atraumatic care. It is important to explain the procedure to the child
and parents, let the child have a favorite toy and keep the parents calm, but these interventions are not
as effective for atraumatic care.
The nurse is caring for a 14-year-old boy, and his parents, who has just been diagnosed with a malignant
tumor on his liver. Which intervention is most important to this child and family?
a. Arranging an additional meeting with the nurse practitioner
b. Discussing treatment options with the child and parents
c. Involving the child and family in decision making
d. Describing postoperative home care for the child - Answers Answer: c
Since the child has just been diagnosed, concerns about postoperative home care would be least
important. Arranging an additional meeting with the specialist and discussing treatment options may be
, necessary at some point, but involving the child and family in decision making is always a goal and is a
part of family-centered care.
The child life nurse practitioner has been assigned to assist the hospitalized child and the child's parents.
Which interventions are appropriate for the child life specialist to perform? Select all that apply.
a. Talking to the family about a scheduled diagnostic test
b. Giving the child an influenza vaccination
c. Starting the child's intravenous line
d. Showing the child where the pediatric play room is located
e. Speaking to the physician as the child's advocate - Answers Answer: a, d, e
The child life specialist commonly assists with nonmedical preparation for diagnostic testing, provides
tours, assists in play therapy, and is the child's advocate. The child's nurse gives medication, vaccines,
and starts intravenous lines.
The child has been admitted to a pediatric unit in a hospital. Which nursing interventions use atraumatic
care principles? Select all that apply.
a. Requesting that parents assist the nurse by "holding the child down"
b. Applying a numbing cream prior to starting the child's intravenous line
c. Asking the child if he would like to take a bath before or after he takes his medication
d. Encouraging the family to bring in the child's favorite stuffed animal from home
e. Showing the parent how to unfold the chair in the child's room into a bed - Answers Answer: b, c, d, e
When following the principles of atraumatic care, it is appropriate to apply numbing cream prior to
starting the child's intravenous line. It is appropriate to empower the child with choices about care, if
possible. It is appropriate for the child to have a security item present in the hospital. It is helpful for the
family if the parent is able to stay with the child because it helps make the environment less stressful.
The nurse should avoid using the phrase "holding the child down" and replace this with "therapeutic
hugging."
The nurse is educating a 15-year-old girl with Graves disease and her family about the disease and its
treatment. Which method of evaluating learning is least effective?
a. Having the child and family demonstrate skills
b. Asking closed-ended questions for specific facts
c. Requesting the parent to teach the child skills
