Chapter 6 Child Health Nursing Partnering With Children & Families, 3rd Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 6

Question 1

Type: MCSA

While the nurse is admitting a pediatric patient, the mother blurts out, “I think this hospital is the most disorganized, inefficient place I have ever been in!” The most therapeutic response for the nurse to make would be:

1. “This hospital and its staff are extremely competent, and you are receiving the best possible care.”
2. “Does your child have any allergies or take any medication routinely?”
3. “It happens to be very busy right now, and there are children much sicker than your child who need to be cared for first.”
4. “It sounds like you are upset with the care your child has received. Is that correct?”

Correct Answer: 4

Rationale 1: Disagreeing with the mother at this point would not be a therapeutic response.

Rationale 2: Asking another question instead of responding to the mother’s complaint is an example of ineffective communication techniques. This will do nothing to defuse the situation.

Rationale 3: Making excuses is not considered responding therapeutically.

Rationale 4: This response validates the mother’s perceptions, and it provides an opportunity for the mother to clarify her concerns with the nurse and keep the lines of communication open.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 6-1

 

Question 2

Type: MCSA

A nurse notices a client sitting at the edge of the chair, tapping her fingers, fidgeting, and blinking her eyes frequently. In planning this client’s care, the nurse should take into account that this client is most likely displaying nonverbal cues of:

1. Shyness.
2. Anxiety.
3. Anger.
4. Interest.

Correct Answer: 2

Rationale 1: A person experiencing shyness might hide her hands and have minimal eye contact with the other person.

Rationale 2: All of these nonverbal behaviors typically are expressed in a person who is experiencing feelings of anxiety.

Rationale 3: A person who is experiencing anger might appear rigid or tense, clench her fist, or tap her fingers.

Rationale 4: Someone who is interested typically looks the other person in the face, leans forward, has frequent eye contact, and/or touches the arm or hand of the other person.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 6-2

 

Question 3

Type: MCSA

While caring for an adolescent with cystic fibrosis, the nurse would best demonstrate friendliness and interest by engaging in which nonverbal behavior?

1. Sitting at eye level and leaning forward while speaking with the client.
2. Crossing the legs and leaning back slightly in the chair while talking with the client.
3. Making eye contact with the client only when necessary.
4. Standing over the client’s bed while talking with him.

Correct Answer: 1

Rationale 1: Sitting at eye level and leaning forward while speaking with the client is most likely to convey friendliness and warmth.

Rationale 2: Crossing the legs and leaning back slightly in the chair while talking with the client could be interpreted as withdrawal.

Rationale 3: Making eye contact with the client only when necessary could convey shyness or boredom.

Rationale 4: Standing over the client’s bed while talking with him might be perceived as dominating or intimidating to the client.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 6-2

 

Question 4

Type: MCSA

In order to prepare a six-year-old client for an intravenous catheter insertion, the nurse’s best response would be:

1. “If I were you, I would hold very still so that it will only take one stick.”
2. “It is okay to cry. I know that this hurts.”
3. “Why are you crying? I thought that you were a tough kid.”
4. “Don’t worry a bit; this is just like a little mosquito bite.”

Correct Answer: 2

Rationale 1: This statement may be confusing to the six-year-old child. In addition, it is telling the child what to do.

Rationale 2: This statement is an accepting response that lets a child know that it is okay to express feelings.

Rationale 3: This statement belittles the child’s expressed feelings. Children should not be told to not cry. Children and adults should be able to express their feelings.

Rationale 4: In order to maintain trust, it is important to be honest. To a child, an IV stick is not a mosquito bite. Telling a child not to worry will not make the child feel better.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 6-4