Test Bank For Maternal Child Nursing Care, 7th
Edition by Shannon E. Perry, Marilyn J.
Hockenberry, Mary
The nurse is providing atraumatic care to children in a hospital setting.
Which of the following are principles of this philosophy of care? Select
all answers that apply.
A) Avoid or reduce painful procedures
B) Avoid or reduce physical distress
C) Minimize parent-child interactions
D) Provide child-centered care
E) Minimize child control
F) Use core primary nursing
(chapter 30) - ANSWER-A, B, F
Avoid or reduce painful procedures, Avoid or reduce physical distress,
Use core primary nursing
The nurse is consulting with a child life specialist (CLS) to help
minimize the stress of hospitalization for a child. Which of the following
services would the CLS provide? Select all answers that apply.
A) Medical preparation for tests, surgeries, and other medical procedures
B) Support before and after, but not during, medical procedures
C) Activities to support normal growth and development
D) Grief and bereavement support
E) Emergency room interventions for children and families
F) Only inpatient consultations with families - ANSWER-C, D, E
,2|Page
Activities to support normal growth and development., Grief and
bereavement support, Emergency room interventions for children and
families
The nurse is implementing interventions to prevent physical stressors for
a 9-year-old child receiving chemotherapy in the hospital. Which of the
following is an example of using atraumatic care for this child?
A) Use restraint or "holding down" of the child during the procedure to
prevent injury.
B) Have the parent stand near and/or rub the child's feet during the
procedure.
C) Insert a saline lock if the child will require multiple doses of
parenteral medications.
D) Avoid using numbing techniques for multiple blood draws or IV
insertion. - ANSWER-C) Insert a saline lock if the child will require
multiple doses of parenteral medications.
The nurse contacts a child life specialist (CLS) to work with children on
a pediatric ward. What is the primary goal of the CLS?
A) Decrease anxiety and fear during hospitalization and painful
procedures
B) Keep children who are hospitalized distracted from pain
C) Perform medical procedures using atraumatic principles
D) Act as a liaison between the nurse and the child - ANSWER-A)
Decrease anxiety and fear during hospitalization and painful procedures
The nurse is preparing a child and his family for a lumbar puncture.
Which of the following would be a primary intervention instituted by the
CLS to keep the child safe?
A) Distraction methods
B) Stimulation methods
C) Therapeutic hugging
D) Therapeutic touch - ANSWER-C) Therapeutic hugging
,3|Page
The child life specialist (CLS) is preparing a 6-year-old child for a
magnetic resonance imaging (MRI) scan. Which of the following
statements reflects the use of atraumatic principles when explaining the
procedure?
A) "You will be taken to a magnetic resonance imaging machine for an
x-ray of your
liver."
B) "You may hear some loud noises when you are lying in the machine,
but they won't
hurt you."
C) "You have nothing to worry about; the MRI machine is safe and will
not cause you
any pain."
D) "Let's just get you to the x-ray department for your test and you'll see
how simple it
is." - ANSWER-B) "You may hear some loud noises when you are lying
in the machine, but they won't
hurt you."
The nurse uses family-centered care to care for children in a pediatric
office. Upon what concept is family-centered care based?
A) The family is the constant in the child's life and the primary source of
strength.
B) The care provider is the constant in the child's life and the primary
source of
strength.
C) The child must be prepared to be his or her own source of strength
during times of
crisis.
D) The wishes of the family should direct the nursing care plan for the
child. - ANSWER-A) The family is the constant in the child's life and
the primary source of strength.
A nurse is promoting the use of family-centered care in a local
community clinic. Which of the following are advantages or
, 4|Page
disadvantages of this type of care provision? Select all answers that
apply.
A) Recovery times are longer.
B) Anxiety is decreased.
C) Communication is improved.
D) Health care costs are increased.
E) Pain management is enhanced.
F) More health care resources are utilized. - ANSWER-B, C, E
Anxiety is decreased., Communication is improved., Pain management
is enhanced.
The nurse knows that effective communication with children and their
parents is critical to providing atraumatic quality nursing care. Which of
the following statements accurately describes the communication
patterns of children?
A) Communication patterns are similar from one child to the next.
B) Children often use more words than adults to describe their fears.
C) Children rely more on nonverbal communication and silence.
D) Parents more often require affective communication rather than
neutral
communication. - ANSWER-C) Children rely more on nonverbal
communication and silence.
The nurse is using verbal skills to explain the nursing care plan to
parents of a 10-year-old child with cancer. Which of the following
describes a guideline the nurse should follow to provide appropriate
verbal communication?
A) Use closed-ended questions that do not restrict the child's or parent's
answers. B) Allow the focus to change without redirecting the
conversation.
C) Restate the child's and parents comments in your own words.
D) Paraphrase the child's or parent's feelings to demonstrate empathy. -
ANSWER-D) Paraphrase the child's or parent's feelings to demonstrate
empathy.