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Flashcards in Peds - Exam 1 - Questions Deck (4)
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1
Q

Which of the following is most likely to encourage parents to talk about their feelings related to their child’s illness?

a. Be sympathetic.
b. Ask direct questions.
c. Use open-ended questions.
d. Avoid periods of silence.

A

c. Use open-ended questions.

Open-ended questions require the parent to answer with more than a brief answer. Closed-ended questions should be avoided when attempting to elicit parents’ feelings. Sympathy is having feelings or emotions in common with another person rather than understanding those feelings (empathy). Sympathy is not therapeutic in the helping relationship. Direct questions may obtain limited information. In addition, they may be considered threatening by the parent. Silence can be an effective interviewing tool. It allows a sharing of feelings in which two or more people absorb the emotion in depth. Silence permits the interviewee to sort out thoughts and feelings and search for responses to questions.

Level of cognitive ability: Application
Area of client needs:Health Promotion and Maintenance/Prevention and Early Detection of Disease
Integrated process: Communication and Documentation
REF: p. 93

2
Q

Which one of the following approaches would be best to use to ensure a receptive response from a toddler?

a. Focus communication on the child and tell him or her how a procedure will feel.
b. Call the toddler’s name while picking up him or her.
c. Call the toddler’s name and say, “I am your nurse.”
d. Stand by the toddler, addressing him or her by name.

A

a. Focus communication on the child and tell him or her how a procedure will feel.

Toddlers see things only in relation to themselves and from their point of view. A stranger picking up a child up in an unfamiliar environment is very frightening for the toddler. Toddlers will not know the meaning of “nurse.” Unknown adults who call the toddler by name can frighten the child.

Level of cognitive ability: Comprehension
Area of client needs:Communication and Documentation
Integrated process: Nursing Process: Implementation
REF: p. 98

3
Q

When the nurse interviews an adolescent, which of the following is especially important?

a. Focus the discussion on the peer group.
b. Display a genuine interest in the adolescent.
c. Emphasize that confidentiality will always be maintained.
d. Use the same type of language as the adolescent.

A

b. Display a genuine interest in the adolescent.

Adolescents accept anyone who shows a genuine interest in them. Although peers are important to this age group, the focus of the interview should be on the adolescent. The nurse should clarify which information will be shared with other members of the health care team and any limits to confidentiality. The nurse should maintain a professional relationship with adolescents. To avoid misinterpretation of words and phrases that the adolescent may use, the nurse should clarify terms frequently.

Level of cognitive ability: Comprehension
Area of client needs:Health Promotion and Maintenance/Prevention and Early Detection of Disease
Integrated process: Communication and Documentation
REF: p. 97

4
Q

Which of the following approaches is the most appropriate when performing a physical assessment on a toddler?

a. Demonstrate use of equipment.
b. Perform traumatic procedures first.
c. Use minimum physical contact initially.
d. Always proceed in a head-to-toe direction.

A

c. Use minimum physical contact initially.

Parents can remove clothing, and the child can remain on the parent’s lap. The nurse should use minimum physical contact initially to gain the cooperation of the child. The nurse should introduce the equipment slowly. The child can inspect the equipment, but demonstrations are usually too complex for this age group. Traumatic procedures should always be performed last. These will most likely upset the child and inhibit cooperation. The head-to-toe assessment can be done in older children but usually must be adapted in younger children.

Level of cognitive ability: Comprehension
Area of client needs:Health Promotion and Maintenance/Growth and Development
Integrated process: Nursing Process: Assessment
REF: p. 112