PEDS EXAM 3 AND ANSWERS.
Which creative communication technique involves using the language of children to
probe areas of their thinking while bypassing conscious inhibitions or fears?
Storytelling
Facilitative response
Sentence completion
Third-person technique - Answers-Storytelling
Which manifestation is a sign of information overload in a patient or family member?
Asking direct questions
Requesting an interpreter
Frequently looking at the clock
Directing the focus of discussion - Answers-Frequently looking at the clock
The nurse manager is concerned about a nurse working in the long-term acute care
pediatric unit being under involved in patient care. Which action by the nurse would lead
the nurse manager to this conclusion?
Avoiding talking to the parent
Inviting the child to social events
Providing personal information
Competing with other staff for care - Answers-Avoiding talking to the parent
The nurse manager is observing a nurse on the pediatric unit and notices that the nurse
is becoming over involved with patients. Which action by the nurse would lead the nurse
manager to come to this conclusion? Select all that apply.
Buying candy for the child
Scheduling home visits
Inviting the parents for tea
Asking to trade assignments
Providing a cell phone number to the child and family - Answers-Buying candy for the
child
Scheduling home visits
Inviting the parents for tea
Providing a cell phone number to the child and family
The nurse gives a 3-year-old child admitted for surgery a hug after having blood drawn.
Which meaning would this action communicate to the child? Select all that apply.
Trust
Caring
,Security
Warmth
Comfort - Answers-Trust
Caring
Security
Warmth
Comfort
Which strategy would the nurse consider when planning care for a young child from a
culture that is different from the dominant culture of the care setting? Select all that
apply.
Obtaining interpreter services
Determining dietary preferences
Using play activities during care
Incorporating cultural practices
Learning words of common items - Answers-Obtaining interpreter services
Determining dietary preferences
Using play activities during care
Incorporating cultural practices
Learning words of common items
The nurse is obtaining information from a 16-year-old female patient who reports
missing her menstrual cycle. Which setting would be most effective to facilitate
communication with the patient?
Examination room in private
Conference room with parents
Hospital room with a roommate
Nurses' station while obtaining laboratory results - Answers-Examination room in private
A 15-year-old patient being seen in the emergency department with dyspnea and
hypoxia admits to vaping heavily for the past several months. Which teaching method
would work best to help a patient this age quit vaping?
Parental discussion
Educational classes
Written instructions
Peer support groups - Answers-Peer support groups
Which guideline would the nurse consider when communicating with children? Select all
that apply.
Be honest only when it is helpful for the child
Avoid extended eye contact and other threatening gestures
Hurry through the examination to help the child cope with the experience
, Communicate through transitional objects such as dolls and puppets
Minimize or ignore fearful reactions by children to enhance coping skills - Answers-
Avoid extended eye contact and other threatening gestures
Communicate through transitional objects such as dolls and puppets
Which strategy would be appropriate when communicating with a 17-year-old patient
who speaks a language other than the dominant language used in the care setting?
Using the parents to interpret
Using a professional interpreter
Asking a chaplain who speaks the language to interpret
Providing an English-speaking communication board - Answers-Using a professional
interpreter
The parents of a 12-year-old child with diminished hearing bring their child to the
emergency department because of nausea and vomiting. Which strategy would the
nurse consider when communicating with the child? Select all that apply.
Using a sign language interpreter
Developing a communication board
Encouraging a family member to stay
Determining if the child uses hearing aids
Using a dry-erase marker and a white board - Answers-Using a sign language
interpreter
Developing a communication board
Encouraging a family member to stay
Determining if the child uses hearing aids
Using a dry-erase marker and a white board
Which strategy would the nurse consider when caring for a child who is profoundly
hearing impaired and uses sign language?
Arranging for an interpreter
Conversing only with parents
Keeping the call light in the same place
Explaining how monitors and alarms work - Answers-Arranging for an interpreter
The nurse is giving a change-of-shift report to the next nurse in a pediatric unit. Which
statement by the nurse indicates impartiality?
"You need to watch those parents in room 8. They hover and watch everything you do."
"No wonder the child in room 6 had scabies. You should see what the parents look like."
"The parents in room 4 have so many body piercings and tattoos. I'm sure they do
drugs."
Which creative communication technique involves using the language of children to
probe areas of their thinking while bypassing conscious inhibitions or fears?
Storytelling
Facilitative response
Sentence completion
Third-person technique - Answers-Storytelling
Which manifestation is a sign of information overload in a patient or family member?
Asking direct questions
Requesting an interpreter
Frequently looking at the clock
Directing the focus of discussion - Answers-Frequently looking at the clock
The nurse manager is concerned about a nurse working in the long-term acute care
pediatric unit being under involved in patient care. Which action by the nurse would lead
the nurse manager to this conclusion?
Avoiding talking to the parent
Inviting the child to social events
Providing personal information
Competing with other staff for care - Answers-Avoiding talking to the parent
The nurse manager is observing a nurse on the pediatric unit and notices that the nurse
is becoming over involved with patients. Which action by the nurse would lead the nurse
manager to come to this conclusion? Select all that apply.
Buying candy for the child
Scheduling home visits
Inviting the parents for tea
Asking to trade assignments
Providing a cell phone number to the child and family - Answers-Buying candy for the
child
Scheduling home visits
Inviting the parents for tea
Providing a cell phone number to the child and family
The nurse gives a 3-year-old child admitted for surgery a hug after having blood drawn.
Which meaning would this action communicate to the child? Select all that apply.
Trust
Caring
,Security
Warmth
Comfort - Answers-Trust
Caring
Security
Warmth
Comfort
Which strategy would the nurse consider when planning care for a young child from a
culture that is different from the dominant culture of the care setting? Select all that
apply.
Obtaining interpreter services
Determining dietary preferences
Using play activities during care
Incorporating cultural practices
Learning words of common items - Answers-Obtaining interpreter services
Determining dietary preferences
Using play activities during care
Incorporating cultural practices
Learning words of common items
The nurse is obtaining information from a 16-year-old female patient who reports
missing her menstrual cycle. Which setting would be most effective to facilitate
communication with the patient?
Examination room in private
Conference room with parents
Hospital room with a roommate
Nurses' station while obtaining laboratory results - Answers-Examination room in private
A 15-year-old patient being seen in the emergency department with dyspnea and
hypoxia admits to vaping heavily for the past several months. Which teaching method
would work best to help a patient this age quit vaping?
Parental discussion
Educational classes
Written instructions
Peer support groups - Answers-Peer support groups
Which guideline would the nurse consider when communicating with children? Select all
that apply.
Be honest only when it is helpful for the child
Avoid extended eye contact and other threatening gestures
Hurry through the examination to help the child cope with the experience
, Communicate through transitional objects such as dolls and puppets
Minimize or ignore fearful reactions by children to enhance coping skills - Answers-
Avoid extended eye contact and other threatening gestures
Communicate through transitional objects such as dolls and puppets
Which strategy would be appropriate when communicating with a 17-year-old patient
who speaks a language other than the dominant language used in the care setting?
Using the parents to interpret
Using a professional interpreter
Asking a chaplain who speaks the language to interpret
Providing an English-speaking communication board - Answers-Using a professional
interpreter
The parents of a 12-year-old child with diminished hearing bring their child to the
emergency department because of nausea and vomiting. Which strategy would the
nurse consider when communicating with the child? Select all that apply.
Using a sign language interpreter
Developing a communication board
Encouraging a family member to stay
Determining if the child uses hearing aids
Using a dry-erase marker and a white board - Answers-Using a sign language
interpreter
Developing a communication board
Encouraging a family member to stay
Determining if the child uses hearing aids
Using a dry-erase marker and a white board
Which strategy would the nurse consider when caring for a child who is profoundly
hearing impaired and uses sign language?
Arranging for an interpreter
Conversing only with parents
Keeping the call light in the same place
Explaining how monitors and alarms work - Answers-Arranging for an interpreter
The nurse is giving a change-of-shift report to the next nurse in a pediatric unit. Which
statement by the nurse indicates impartiality?
"You need to watch those parents in room 8. They hover and watch everything you do."
"No wonder the child in room 6 had scabies. You should see what the parents look like."
"The parents in room 4 have so many body piercings and tattoos. I'm sure they do
drugs."
