Test bank for Nursing
Care of Children
Principles and Prac-
th
tice, 4 Edition
, Chapter 03: Communicating with Children
Test Bank
MULTIPLE CHOICE
1. Which information should the nurse include when preparing a 5-year-old child for a cardiac
catheterization?
a. A detailed explanation of the procedure
b. A description of what the child will feel and see during the procedure
c. An explanation about the dye that will go directly into his vein
d. An assurance to the child that he and the nurse can talk about the procedure when it is over
ANS: B
For a preschooler, the provision of sensory information about what to expect during the procedure will
enhance the child’s ability to cope with the events of the procedure and will decrease anxiety.
Explaining the procedure in detail is probably more than the 5-year-old child can comprehend and it
will produce anxiety. Using the word “dye” with a preschooler can be frightening for the child. The
child needs information before the procedure.
DIF: Cognitive Level: Application REF: pp. 44-45
OBJ: Nursing Process Step: Planning MSC: Health Promotion and Maintenance
2. Who are the “experts” in planning for the care of a 9-year-old child with a profound sensory
impairment who is hospitalized for surgery?
a. The child’s parents
b. The child’s teacher
c. The case manager
d. The primary nurse
ANS: A
The parents, as primary caregivers, can identify the child’s needs to help develop an effective,
individualized plan of care. The child’s teacher is not as “expert” as the child’s parents for planning
her care. The case manager is not as aware as the parents are of the child’s individual needs. The
primary nurse would use the child’s parents as resources in planning the best approach to the child’s
care.
DIF: Cognitive Level: Comprehension REF: p. 48
OBJ: Nursing Process Step: Planning MSC: Psychosocial Integrity
3. Which is an effective technique for communicating with toddlers?
a. Have the toddler make up a story from a picture.
b. Involve the toddler in dramatic play with dress-up clothing.
c. Repeatedly read familiar stories to the child.
d. Ask the toddler to draw pictures of his fears.
ANS: C
Ritualism is a characteristic of the toddler period. By repeating familiar stories and other rituals, the
toddler feels a sense of control, which facilitates communication. Most toddlers do not have the
vocabulary to make up stories. Dramatic play is associated with older children. Toddlers probably are
not capable of drawing or verbally articulating their fears.
DIF: Cognitive Level: Application REF: p. 44
OBJ: Nursing Process Step: Planning MSC: Health Promotion and Maintenance
Care of Children
Principles and Prac-
th
tice, 4 Edition
, Chapter 03: Communicating with Children
Test Bank
MULTIPLE CHOICE
1. Which information should the nurse include when preparing a 5-year-old child for a cardiac
catheterization?
a. A detailed explanation of the procedure
b. A description of what the child will feel and see during the procedure
c. An explanation about the dye that will go directly into his vein
d. An assurance to the child that he and the nurse can talk about the procedure when it is over
ANS: B
For a preschooler, the provision of sensory information about what to expect during the procedure will
enhance the child’s ability to cope with the events of the procedure and will decrease anxiety.
Explaining the procedure in detail is probably more than the 5-year-old child can comprehend and it
will produce anxiety. Using the word “dye” with a preschooler can be frightening for the child. The
child needs information before the procedure.
DIF: Cognitive Level: Application REF: pp. 44-45
OBJ: Nursing Process Step: Planning MSC: Health Promotion and Maintenance
2. Who are the “experts” in planning for the care of a 9-year-old child with a profound sensory
impairment who is hospitalized for surgery?
a. The child’s parents
b. The child’s teacher
c. The case manager
d. The primary nurse
ANS: A
The parents, as primary caregivers, can identify the child’s needs to help develop an effective,
individualized plan of care. The child’s teacher is not as “expert” as the child’s parents for planning
her care. The case manager is not as aware as the parents are of the child’s individual needs. The
primary nurse would use the child’s parents as resources in planning the best approach to the child’s
care.
DIF: Cognitive Level: Comprehension REF: p. 48
OBJ: Nursing Process Step: Planning MSC: Psychosocial Integrity
3. Which is an effective technique for communicating with toddlers?
a. Have the toddler make up a story from a picture.
b. Involve the toddler in dramatic play with dress-up clothing.
c. Repeatedly read familiar stories to the child.
d. Ask the toddler to draw pictures of his fears.
ANS: C
Ritualism is a characteristic of the toddler period. By repeating familiar stories and other rituals, the
toddler feels a sense of control, which facilitates communication. Most toddlers do not have the
vocabulary to make up stories. Dramatic play is associated with older children. Toddlers probably are
not capable of drawing or verbally articulating their fears.
DIF: Cognitive Level: Application REF: p. 44
OBJ: Nursing Process Step: Planning MSC: Health Promotion and Maintenance
