ANSWERS /ALREADY GRADED A+
1.The nurse is caring for a school-age child in need of a blood transfusion to improve
his rare condition. The family are Jehovah's Witnesses and will not allow it due to their
religious beliefs. What action should the nurse take?
a. Examine personal beliefs and how they differ from the patient's. Provide
nonjudgmental care.
b. Refuse to care for the patient.
c. Tell the patient's family that they are killing their child with their decision.
d. Say nothing and ignore the internal conflict.: a. Examine personal beliefs and
how they differ from the patient's. Provide nonjudgmental care.
2.A nurse is giving preoperative instruction for a preschool-age patient with Japanese-
speaking parents who cannot understand the English language. To effectively
communicate with someone who speaks a different language, which intervention
should the nurse implement?
,a. Make eye contact and speak where the parents can see you better.
b. Speak more slowly and use sign language.
c. Use an interpreter to translate.
d. Speak in a louder tone of voice using simple words.: c. Use an interpreter to
translate.
3.The pediatric nurse works as part of a collaborative team to provide health care to
patients. What should the nurse identify as integral parts of a multidis- ciplinary
relationship? Select all that apply.
a. Health-care providers work as a team and share information as appropriate.
b. Respect any differences of opinion.
c. The senior member should get the final say in any disagreement.
d. The patient's best interest is kept in mind by all care providers.
e. Ethics consultations should be avoided when there are differences.: a. Health-
care providers work as a team and share information as
appropriate.
b. Respect any differences of opinion.
d. The patient's best interest is kept in mind by all care providers.
,4.A nurse is caring for a preschool child who has recently undergone chemotherapy.
The patient's appetite has been poor, and the family asks, "May we bring in some
chicken noodle soup? It is what he is asking for and all he will eat when he is sick." How
should the nurse respond?
a. "No, it is not appropriate to bring in outside food."
b. "Yes, anything that is special to him that he will eat and that is not restricted is
allowed."
c. "Yes, but it must be sent through the hospital's dietary department to be
approved."
d. "No, he is on a very strict diet and we must monitor everything that goes
into his food.": b. "Yes, anything that is special to him that he will eat and
that is not restricted is allowed."
5.The nurse is developing a therapeutic relationship with the patient and family. To
do this, the nurse should take into account what practices? Select all that apply.
a. Recognizing appropriate boundaries
b. Keeping information confidential
c. Becoming friends with the patient
, d. Building mutual respect and trust
e. Keeping all of the patient's secrets: a. Recognizing appropriate boundaries
b.Keeping information confidential
d. Building mutual respect and trust
6.A nurse is caring for a school-age child with asthma who comes in regularly. The nurse
notices unusual bruising on the child's upper arm as well as an abrasion to the left
cheek. The child states, "Please don't tell anyone, you know my dad. He didn't mean to.
I just made him mad is all. He won't do it anymore, he promised." What action should
the nurse take?
a.Tell the child, "I understand, but you need to contact 911 if it happens again."
b. Tell the child, "I can't keep secrets like that. I have to report this as part of my job."
c. Tell the child, "You should have told someone right away. Now it's too late."
d. Tell the child, "Just call me if you are ever in trouble and I will help you.": b. Tell
the child, "I can't keep secrets like that. I have to report this as part of
my job."
7.A nurse is caring for a toddler whose parents only speak Spanish. The nurse needs to
obtain consent to perform an emergency appendectomy. What options are
recommended if an interpreter is not readily available? Select all that apply.