The nurse knows that effective communication with children and their parents is critical to
providing atraumatic quality nursing care. Which of the following statements accurately
describes the communication patterns of children? correct answers Children rely more on
nonverbal communication and silence.
Children often use fewer words than adults and may rely more on nonverbal communication and
silence. Communication patterns can vary greatly from one child to the next. Some 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).
The nurse uses family-centered care to care for children in a pediatric office. Upon what concept
is family-centered care based? correct answers The family is the constant in the child's life and
the primary source of strength.
The nurse contacts a child life specialist (CLS) to work with children on a pediatric ward. What
is the primary goal of the CLS? correct answers Decrease anxiety and fear during hospitalization
and painful procedures.
The CLS is a specially trained individual who provides programs that prepare children for
hospitalization, surgery, and other procedures that could be painful. 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
The nurse is assessing the temperature of a diaphoretic toddler who is crying and being
uncooperative. What would be the best method to assess temperature in this child? correct
answers Axillary method
, The nurse performing a health history on a child asks the parents if their child has experienced
increased appetite or thirst. What body system is the nurse assessing with this question? correct
answers Endocrine
Indicators of problems with the endocrine system include increased thirst, excessive appetite,
delayed or early pubertal changes, and problems with growth. For the genitourinary system the
nurse would assess urinary patterns and genitals. For the hematologic system the nurse would
assess lymph nodes, skin color, and bruising. Signs of neurologic problems include numbness,
tingling, difficulty learning, altered mood or ability to stay alert, tremors, tics, and seizures
The nurse is explaining the difference between active and passive immunity to the student nurse.
Which of the following statements accurately describes a characteristic of the process of
immunity? correct answers Passive immunity can be obtained by injection of exogenous
immunoglobulins.
The nurse is administering a hepatitis B vaccine to a child. What is the classification of this type
of vaccine? correct answers Recombinant vaccines
The nurse is preparing a child and his family for a lumbar puncture. Which of the following
would be a primary intervention instituted by the CLS to keep the child safe? correct answers
Therapeutic hugging
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.
When the home care nurse visits a 78-year-old female patient who is recently widowed and finds
that the home is cluttered with trash and the patient appears sad and disheveled, the nurse should
assess the patient for symptoms of correct answers Depression