Communication and teaching with children and family

Question 1

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 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

Answer 1

B. A description of what the child will feel and see during procedure

Question 2

2. An important consideration for the nurse who is communicating with a very young child is to
   a. Speak loudly, clearly, and directly.
   b. Use transition objects, such as a puppet.
   c. Disguise own feelings, attitudes, and anxiety.
   d. Initiate contact with child when parent is not present.

Answer 2

B. Use transition objects such as a puppet

Question 3

3. An effective technique for communicating with toddlers is to
   a. Have the toddler make up a story from a picture.
   b. Involve the toddler in dramatic play with dress-up clothing.
   c. Use picture books.
   d. Ask the toddler to draw pictures of his fears

Answer 3

C. Use picture books

Question 4

4. What is the most important consideration for effectively communicating with a child?
   a. The child’s chronologic age
   b. The parent-child interaction
   c. The child’s receptiveness
   d. The child’s developmental level

Answer 4

D. the child’s developmental level

Question 5

5. Which behavior is most likely to encourage open communication?
   a. Avoiding eye contact
   b. Folding arms across chest
   c. Standing with head bowed
   d. Soft stance with arms loose at the side

Answer 5

D, Soft stance with arm loose at the side

Question 6

6. Which strategy is most likely to encourage a child to express his feelings about the hospital
experience?
a. Avoiding periods of silence
b. Asking direct questions
c. Sharing personal experiences
d. Using open-ended questions

Answer 6

D. Using open ended questions

Question 7

7. Which is the most appropriate question to ask when interviewing an adolescent to encourage
   conversation?
   a. “Are you in school?”
   b. “Are you doing well in school?”
   c. “How is school going for you?”
   d. “How do your parents feel about your grades?”

Answer 7

C. How is school going for you?

Question 8

8. What is the most appropriate response for the nurse to make to the parent of a 3-year-old
   child found in a bed with the side rails down?
   a. “You must never leave the child in the room alone with the side rails down.”
   b. “I am very concerned about your child’s safety when you leave the side rails down. The
   hospital has guidelines stating that side rails need to be up if the child is in the bed.”
   c. “It is hospital policy that side rails need to be up if the child is in bed.”
   d. “When parents leave side rails down, they might be considered as uncaring.”

Answer 8

B. I am very concerned about your child’s safety when you leave the side rails down. The hospital guidelines stating that side rails need to be up if the child is in the bed.

Question 9

9. Which therapeutic communication technique is being used in this nurse-client interaction?
   Client: “When I am anxious, the only thing that calms me down is alcohol.”
   Nurse: “Other than drinking, what alternatives have you explored to decrease anxiety?”
   A. Reflecting
   B. Making observations
   C. Formulating a plan of action
   D. Giving recognition

Answer 9

C. Formulating a plan of action

Question 10

10. Which therapeutic communication technique is being used in this nurse-client interaction?
    Client: “My father spanked me often.”
    Nurse: “Your father was a harsh disciplinarian.”
    A. Restatement
    B. Offering general leads
    C. Focusing
    D. Accepting

Answer 10

A. Restatement