Question 1

The nurse is providing atraumatic care to children in a hospital setting. Which of the following are principles of this philosophy of care? Select all answers that apply.

Accepted Answer

A, B, F

Question 2

The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a child. Which of the following services would the CLS provide? Select all answers that apply.

Accepted Answer

C, D, E

Question 3

The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. Which of the following is an example of using atraumatic care for this child?

Accepted Answer

Inserting a saline lock minimizes the need for repeated needle sticks, reducing physical stress and pain, which aligns with the principles of atraumatic care.

Question 4

The nurse contacts a child life specialist (CLS) to work with children on a pediatric ward. What is the primary goal of the CLS?

Accepted Answer

The primary goal of a Child Life Specialist (CLS) is to decrease anxiety and fear during hospitalization and painful procedures. They use various techniques to help children cope with the stress and fear associated with medical environments and procedures.

Question 5

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?

Accepted Answer

Therapeutic hugging is a primary intervention used to keep a child safe during procedures like a lumbar puncture. It involves holding the child in a secure manner that restricts movement, ensuring the child remains still and safe during the procedure.

Question 6

The child life specialist (CLS) is preparing a 6-year-old child for a magnetic resonance imaging (MRI) scan. Which of the following statements reflects the use of atraumatic principles when explaining the procedure?

Accepted Answer

This statement uses atraumatic principles by acknowledging the child's potential fear of loud noises and reassuring them that the noises won't cause harm, thus reducing anxiety and promoting understanding.

Question 7

The nurse uses family-centered care to care for children in a pediatric office. Upon what concept is family-centered care based?

Accepted Answer

Family-centered care is based on the concept that the family is the constant in the child's life and serves as the primary source of strength and support.

Question 8

A nurse is promoting the use of family-centered care in a local community clinic. Which of the following are advantages or disadvantages of this type of care provision? Select all answers that apply.

Accepted Answer

Family-centered care focuses on involving the family in the patient's care, which can decrease anxiety, improve communication, and enhance pain management. It does not inherently lead to longer recovery times, higher healthcare costs, or more resources being utilized.

Question 9

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?

Accepted Answer

Children, especially younger ones, tend to rely more on nonverbal cues and may be silent when they are uncomfortable or scared, making it important for healthcare providers to be attuned to these nonverbal signals.

Question 10

The nurse is using verbal skills to explain the nursing care plan to parents of a 10-year- old child with cancer. Which of the following describes a guideline the nurse should follow to provide appropriate verbal communication?

Accepted Answer

The answer of The nurse is using verbal skills to...

Question 11

The nurse is incorporating nonverbal communication with verbal communication when explaining the treatment plan for a child with juvenile diabetes. Which of the following should the nurse do to communicate effectively with this family?

Accepted Answer

Sitting opposite the family and leaning forward slightly demonstrates attentiveness and engagement, which are key in effective communication. This posture indicates that the nurse is focused on the conversation and is actively listening to the family's concerns or questions about the treatment plan.

Question 12

The nurse is teaching the student nurse how to communicate effectively with children. Which one of the following methods would the nurse recommend?

Accepted Answer

Directing questions and explanations to the child helps in making the child feel respected and involved in their care. It fosters a sense of autonomy and helps in building trust between the healthcare provider and the child.

Question 13

The nurse is implementing care for a hospitalized toddler. What communication technique would the nurse use with the child to reflect the child's developmental level?

Accepted Answer

The answer of The nurse is implementing care for a...

Question 14

The nurse is caring for a 4-year-old boy with Ewing sarcoma who is scheduled for a computed axial tomography (CAT) scan tomorrow. Which of the following is the best example of therapeutic communication?

Accepted Answer

Describing what it is like to get a CAT scan using words he understands is the best example of therapeutic communication because it directly addresses the child's upcoming experience in a way that is understandable and relatable to him, helping to alleviate fear and anxiety.

Question 15

The nurse is caring for a 14-year-old boy with an osteosarcoma. Which of the following communication techniques would be least effective for him?

Accepted Answer

Offering a choice between juice or soda to take pills is a strategy more appropriate for younger children, not teenagers, who can handle more complex decision-making and discussions about their care.

Question 16

The nurse is educating a 16-year-old girl who has just been diagnosed with acute myelogenous leukemia. Which of the following statements best demonstrates therapeutic communication?

Accepted Answer

Assessing the adolescent's emotional status in private demonstrates therapeutic communication by focusing on the patient's feelings and providing a safe space for her to express her emotions, which is crucial for building trust and understanding her needs.

Question 17

The nurse is explaining a discharge plan to the parents of an infant being discharged from the hospital. Which of the following characteristics regarding adult learning should the nurse incorporate into her plan?

Accepted Answer

Adults are problem-focused in their learning, meaning they learn best when the information is relevant to solving a problem they currently face. This approach is practical and directly applicable to their life or work situations.

Quiz 30: Atraumatic Care of Children and Families