CHILD NURSING 6th EDITION
CHAPTER 1-55 Actual Exam
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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 - ✔✔✔-ANS-C, D, E
,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. - ✔✔✔-ANS-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 - ✔✔✔-ANS-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 - ✔✔✔-ANS-C) Therapeutic hugging
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." - ✔✔✔-ANS-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. - ✔✔✔-ANS-A)
The family is the constant in the child's life and the primary source of strength.
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) - ✔✔✔-ANS-A, B, F
A nurse is promoting the use of family-centered care in a local community
clinic. Which of the following are advantages or disadvantages of this type of care provision?
Select all answers that apply.