Chapter 03: Communicating with Children

Chapter 03: Communicating with Children

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Which of the following information would 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

 

 

ANS:   B

 

	Feedback
A	Explaining the procedure in detail is probably more than the 5-year-old child can comprehend and it will produce anxiety.
B	For a preschooler, the provision of sensory information about what to expect during the procedure will enhance the child’s ability to cope with the events of the procedure and will decrease anxiety.
C	Using the word “dye” with a preschooler can be frightening for the child.
D	The child needs information before the procedure.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pg 59

OBJ:    Nursing Process Step: Planning

MSC:   NCLEX: Health Promotion and Maintenance

 

2. Who are the “experts” in planning for the care of a 9-year-old child with a profound sensory impairment who is hospitalized for surgery?

a.	The child’s parents
b.	The child’s teacher
c.	The case manager
d.	The primary nurse

 

 

ANS:   A

 

	Feedback
A	The parents, as primary caregivers, can identify the child’s needs to help develop an effective, individualized plan of care.
B	The child’s teacher is not as “expert” as her parents for planning her care.
C	The case manager is not as aware as the parents are of the child’s individual needs.
D	The primary nurse would use the child’s parents as resources in planning the best approach to the child’s care.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 60

OBJ:    Nursing Process Step: Planning         MSC:   NCLEX: Psychosocial Integrity

 

3. Which of the following is an effective technique for communicating with toddlers?

a.	Have the toddler make up a story from a picture.
b.	Involve the toddler in dramatic play with dress-up clothing.
c.	Repeatedly read familiar stories to the child.
d.	Ask the toddler to draw pictures of his fears.

 

 

ANS:   C

 

	Feedback
A	Most toddlers do not have the vocabulary to make up stories.
B	Dramatic play is associated with older children.
C	Ritualism is a characteristic of the toddler period. By repeating familiar stories and other rituals, the toddler feels a sense of control, which facilitates communication.
D	Toddlers probably are not capable of drawing or verbally articulating their fears.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pg 55

OBJ:    Nursing Process Step: Planning

MSC:   NCLEX: Health Promotion and Maintenance

 

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

 

 

ANS:   D

 

	Feedback
A	The child’s age may not correspond with the developmental level; therefore, it is not the most important consideration for communicating with children.
B	Parent-child interaction is useful in planning communication with children, but it is not the primary factor in establishing effective communication.
C	The child’s receptiveness is a consideration in evaluating the effectiveness of communication.
D	The child’s developmental level is the basis for selecting the terminology and structure of the message most likely to be understood by the child.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 54

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance