Maternal child Ch. 29 Complete Questions and Answers

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The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first? a. Introduce himself or herself. c. Explain the purpose of the interview. b... . Make the family comfortable. d. Give an assurance of privacy.Ans- ANS: A The first thing that nurses must do is to introduce themselves to the patient and family. Parents and other adults should be addressed with appropriate titles unless they specify a preferred name. During the initial part of the interview the nurse should include general conversation to help make the family feel at ease. Next, the purpose of the interview and the nurses role should be clarified. The interview should take place in an environment as free of distraction as possible. In addition, the nurse should clarify which Which action is most likely to encourage parents to talk about their feelings related to their childs illness? a. Be sympathetic. c. Use open-ended questions. b. Use direct questions. d. Avoid periods of silence.Ans- ANS: C Closed-ended questions should be avoided when attempting to elicit parents feelings. Openended questions require the parent to respond with more than a brief answer. Sympathy is having feelings or emotions in common with another person rather than understanding those feelings (empathy). Sympathy is not therapeutic in the helping relationship. Direct questions may obtain limited information. In addition, the parent may consider them threatening. Silence can be an effective interviewing tool. It allows sharing of feelings in which two or more people absorb the emotion in depth. What is the single most important factor to consider when communicating with children? a. The childs physical condition b. The presence or absence of the childs parent c. The childs developmental level Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 456 d. The childs nonverbal behaviorsAns- ANS: C The nurse must be aware of the childs developmental stage to engage in effective communication. The use of both verbal and nonverbal communication should be appropriate to the developmental level. Although the childs physical condition is a consideration, developmental level is much more important. The parents presence is important when communicating with young children, but it may be detrimental when speaking with adolescents. Nonverbal behaviors vary in importance based on the childs developmental level. What is an important consideration for the nurse who is communicating with a very young child? a. Speak loudly, clearly, and directly. b. Use transition objects such as a doll. c. Disguise own feelings, attitudes, and anxiety. d. Initiate contact with the child when the parent is not present.Ans- ANS: B Using a transition object allows the young child an opportunity to evaluate an unfamiliar person (the nurse). This facilitates communication with this age child. Speaking loudly, clearly, and directly tends to increase anxiety in very young children. The nurse must be honest with the child. Attempts at deception lead to a lack of trust. Whenever possible, the parent should be present for interactions with young children. When introducing hospital equipment to a preschooler who seems afraid, the nurses approach should be based on which principle? a. The child may think the equipment is alive. b. The child is too young to understand what the equipment does. c. Explaining the equipment will only increase the childs fear. d. One brief explanation is enough to reduce the childs fear.Ans- ANS: A Young children attribute human characteristics to inanimate objects. They often fear that the objects may jump, Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 457 bite, cut, or pinch all by themselves without human direction. Equipment should be kept out of sight until needed. The child should be given simple concrete explanations about what the equipment does and how it will feel to the child. Simple, concrete explanations help alleviate the childs fear. The preschooler will need repeated explanations as reassurance. Which age group is most concern [Show More]

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