[Exam 3] Chapter 30 – Atraumatic Care of Children and Families

Question 1

Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: What is a Child Life Specialist?

Answer 1

Specially trained individual who provides programs that prepare children for hospitalization, surgery, and other procedures that couple be painful

Question 2

Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: Services provided by CLS include?

Answer 2

Nonmedical Prep for tests/surgeries

Support during medical procedure

Therapeutic play

Sibling support

Grief and Bereavement support

Emergency room interventions for child/fam

Question 3

Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: Nursing care for preventing or minimizing physical stressors?

Answer 3

For injections, use numbing technique

During painful procedure, use therapeutic hugging]

Advocate for minimal lab draws

Question 4

Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: Nursing care for preventing or minimizing child and family separation?

Answer 4

Promote family-centered care

In hospital, provide comfortable accomdations

Allow family choice to stay or go during invasive procedure

Question 5

Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: Nursing care for promoting a sense of control?

Answer 5

Maintain childs home care routine in hospital

In hospital, use primary nursing

Encourage child to have security item present

Question 6

Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: Goal of CLS?

Answer 6

To decrease the child’s anxiety and fear while improving and encourage the child’s understanding and cooperation

Question 7

Preventing/Minimizing Physical Stressors - Utilizing Child Life Specialist: How does CLS provide engaging and uplifting events?

Answer 7

By coordinating special entertainment and activites

Question 8

Minimizing Physical Stressors During Procedures: Whaat is therapeutic hugging?

Answer 8

A holding position that promotes close physical contact between child and the parent. May b e used during certain procedures when child must remain still

Question 9

Minimizing Physical Stressors During Procedures: Example of therapeutic hugging?

Answer 9

Parent can hold the child in their lap snugly to prevent the child from moving during an injection or venipuncture

Question 10

Before the Procedure: Appropriate preparation for procedures helps with what?

Answer 10

Decrease families anxiety

Promote childs cooperation

Support child/family coping skills

Improve recovery

Question 11

Before the Procedure: General guidelines for preparing a child?

Answer 11

Provide description of and reason for procedure

Describe where procedure will occur and how long

Introduce equipment

Identity unusual sensations that may occur

Tell child its okay to cry or yell

Question 12

Before the Procedure: Major aspect of preparation involves what?

Answer 12

Play. Toys and dolls provide way to demonstrate procedures that wil occur

Question 13

Before the Procedure: What should you do first?

Answer 13

Gain trust and provide support while including childs parents. Be short and simple.

Question 14

During the Procedure: How can you encourage coperation?

Answer 14

By involving the child in decision making and allowing the child to select from a list or group of appropriate choices.

Question 15

During the Procedure: What should the child be allowed to express?

Answer 15

Feelings of anger, anxiety, fear, fustration or any other emotions

Question 16

During the Procedure: How should toddlers be restrained when they dont want the procedure?

Answer 16

Use alternative methods that provide comfort to child to keep them still during the procedure.

Question 17

After the Procedure: What should be done after the procedure?

Answer 17

Hold and comfort the child. Cuddle and soothe infants.

Question 18

After the Procedure: What activity may help express their frustration?

Answer 18

Activties such as pounding or throwing are helpful for children to discharge pent-up feelings and energy

Question 19

Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: What does family centered care involve?

Answer 19

Partnership between the child, family, and health care providers in planning, providing, and evaluating care

Question 20

Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: What does family-centered care enhance?

Answer 20

Parents and caregivers confiddence in their own skills and also prepares children and young adults for assuming responsibility for their own helath needs

Question 21

Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: Several core principles of family-centered care include?

Answer 21

Respect family

Identifcation of family strengths

Support families choices related to care

Empowerment of families

Question 22

Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: Positive outcomes of family-centered care?

Answer 22

Anxiety decreased

Childen are calmer

Recovery time shortened

Families confidence/problem-solving skills improved

Question 23

Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: Ways to increase collaboration between family?

Answer 23

Family advisory board, newsletter, conferences, or parent resource books.

Question 24

Preventing/Minimizing Child/Family Separation - Providing Child/Family Centered Care: Methods for increasing communication between health care team and family?

Answer 24

Mailboxes or dry erase boards for updating plan of care.

Question 25

Promising Sense of Control - Developmental Techniques for Communicating with Children: What to do if child is shy?

Answer 25

Talk to the parents first to give the child time to warm up for you

Question 26

Promising Sense of Control - Developmental Techniques for Communicating with Children: How should ypu speak to children?

Answer 26

Unhurried, quiet, yet confident maner. Communicate at childs eye level

Question 27

Promising Sense of Control - Developmental Techniques for Communicating with Children: How can you refer to white blood cells?

Answer 27

AS bad guy fighters

Question 28

Promising Sense of Control - Developmental Techniques for Communicating with Children: How to communicate with infants?

Answer 28

Primarily communicate through touch, sight, and hearing. can occur by cuddling, holding, rocking, or singing to the infant

Question 29

Promising Sense of Control - Developmental Techniques for Communicating with Children: How to communicate with toddler or preschooler?

Answer 29

Allow them time to compelte their thoughts. Takes longer for young child to find right words, especially with response to questions

Question 30

Promising Sense of Control - Developmental Techniques for Communicating with Children: How to communicate with school-age children?

Answer 30

Simple but honest and straightforward responses. when asked question, they may be eager to commmunicate.

Question 31

Promising Sense of Control - Communicating with Parents: What age should play puppets be used with?

Answer 31

With preschoolers

Question 32

Promising Sense of Control - Communicating with Parents: What communication method should school-age children use?

Answer 32

Use diagrapms, illustrations, books, and videos

Question 33

Teaching Children and Families: When does patient education occur?

Answer 33

When nurse shares information, knowledge, and skills with families, thus empowering them to take responsibility for their children health care

Question 34

Teaching Children and Families - Goals of Child/Fam Education: Goals here include?

Answer 34

Improve familiy health literacy Encourage communication with health care providers Improve health outcomes Encourave improvement of child

Question 35

Teaching Preschool Children: When teaching young children, nurse or family assumed part or all responsibility of what

Answer 35

what is learned, how it is learned, and when it is learned. Make sure to skillfully deliever timed information to promote trust

Question 36

Teaching School-Age Children: How should we speak to them?

Answer 36

Speak directly to them and include them in education plan. Teach them with parent.

Question 37

Teaching Adolescents: What are they sensitive about?

Answer 37

Maintaining body image and feelings of control and autonomy

Question 38

When providing atraumatic care to a child, which action would be the most appropriate? Applying restraints for any procedure that would be uncomfortable Keeping the lights on in the child’s room throughout the day and night Limiting the use of topical anesthetics for painful injections Allowing parents and children an informed choice about being together

Answer 38

Allowing parents and children an informed choice about being together

Question 39

A 2-year-old boy is scheduled to undergo an endoscopic procedure. His parents are asking when they should tell him about it. Based on the nurse’s understanding of the child’s developmental stage, when would be the most appropriate time to prepare the child for the procedure? About 1 week before the scheduled date A few days in advance of the scheduled date About 1 hour before the procedure is to occur Just before the procedure is to be performed

Answer 39

A few days in advance of the scheduled date

Question 40

When working with children and families, which is a critical strategy for promoting therapeutic communication? Detailed explanations Attentive listening Comforting touch Closed-ended question

Answer 40

Attentive listening

Question 41

The nurse is caring for a 2-year-old in the hospital, and the mother expresses concern that the toddler will be scared. Which response by the nurse would be most appropriate? “Don’t worry; we practice family-centered and atraumatic care here.” “We will do our best to minimize the stress that your child experiences.” “It will probably be upsetting for you as well, so you should stay home.” “Our practice of atraumatic care will eliminate all pain and stress for your child.

Answer 41

“We will do our best to minimize the stress that your child experiences.”

Question 42

When planning education for a child and parents, what is the first step the nurse should take? Decide which procedures and medications the child will be discharged on. Determine the child’s and family’s learning needs and styles. Ask the family if they have ever performed this type of procedure. Tell the child and family what the goals of the teaching session are.

Answer 42

Determine the child’s and family’s learning needs and styles.