m m m m m m m m m
by Shannon E. Perry, Marilyn J. Hockenberry, Mary Cat
m m m m m m m m
herine Cashion, 9780323776714, All Chapters (1-
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50) UPDATED
m
Themnursemismprovidingmatraumaticmcaremtomchildrenminmamhospitalmsetting.mWhichmofmth
emfollowingmaremprinciplesmofmthismphilosophymofmcare?mSelectmallmanswersmthatmapply.
A)mAvoidmormreducempainfulmprocedures
B)mAvoidmormreducemphysicalmdistress
C)mMinimizemparent-childminteractionsm
D)mProvidemchild-centeredmcare
E)mMinimizemchildmcontrol
F)mUsemcoremprimarymnursing
(chapterm30)m-mANSWERmmA,mB,mF
Avoidmormreducempainfulmprocedures,mAvoidmormreducemphysicalmdistress,mUsemcorempri
marymnursing
Themnursemismconsultingmwithmamchildmlifemspecialistm(CLS)mtomhelpmminimizemthemstress
mofmhospitalizationmformamchild.mWhichmofmthemfollowingmservicesmwouldmthem CLSmprovid
e?mSelectmallmanswersmthatmapply.
A)mMedicalmpreparationmformtests,msurgeries,mandmothermmedicalmprocedures
B)mSupportmbeforemandmafter,mbutmnotmduring,mmedicalmproceduresm
C)mActivitiesmtomsupportmnormalmgrowthmandmdevelopment
D)mGriefmandmbereavementmsupport
E)mEmergencymroomminterventionsmformchildrenmandmfamilies
F)mOnlyminpatientmconsultationsmwithmfamiliesm-mANSWERmmC,mD,mE
Activitiesmtomsupportmnormalmgrowthmandmdevelopment.,mGriefmandmbereavementmsupp
ort,mEmergencymroomminterventionsmformchildrenmandmfamilies
Themnursemismimplementingminterventionsmtompreventmphysicalmstressorsmformam9-year-
oldmchildmreceivingmchemotherapyminmthemhospital.mWhichmofmthemfollowingmismanmexam
plemofmusingmatraumaticmcaremformthismchild?
A)mUsemrestraintmorm"holdingmdown"mofmthemchildmduringmthemproceduremtompreventminjur
y.m
B)mHavemthemparentmstandmnearmand/ormrubmthemchild'smfeetmduringmthemprocedure.
C)mInsertmamsalinemlockmifmthemchildmwillmrequiremmultiplemdosesmofmparenteralmmedicatio
ns.
D)mAvoidmusingmnumbingmtechniquesmformmultiplembloodmdrawsmormIVminsertion.m-
mANSWERmmC)mInsertmamsalinemlockmifmthemchildmwillmrequiremmultiplemdosesmofmparenter
almmedications.
,Themnursemcontactsmamchildmlifemspecialistm(CLS)mtomworkmwithmchildrenmonmampediatricm
ward.mWhatmismthemprimarymgoalmofmthemCLS?
A)mDecreasemanxietymandmfearmduringmhospitalizationmandmpainfulmprocedures
B)mKeepmchildrenmwhomaremhospitalizedmdistractedmfrommpain
C)mPerformmmedicalmproceduresmusingmatraumaticmprinciplesm
D)mActmasmamliaisonmbetweenmthemnursemandmthemchildm-
mANSWERmmA)mDecreasemanxietymandmfearmduringmhospitalizationmandmpainfulmproced
ures
Themnursemismpreparingmamchildmandmhismfamilymformamlumbarmpuncture.mWhichmofmthemf
ollowingmwouldmbemamprimaryminterventionminstitutedmbymthemCLSmtomkeepmthemchildmsaf
e?m
A)mDistractionmmethods
B)mStimulationmmethods
C)mTherapeuticmhugging
D)mTherapeuticmtouchm-mANSWERmmC)mTherapeuticmhugging
Themchildmlifemspecialistm(CLS)mismpreparingmam6-year-
oldmchildmformammagneticmresonancemimagingm(MRI)mscan.mWhichmofmthemfollowingmstat
ementsmreflectsmthemusemofmatraumaticmprinciplesmwhenmexplainingmthemprocedure?
A)m"Youmwillmbemtakenmtomammagneticmresonancemimagingmmachinemformanmx-
raymofmyour
liver."
B)m"Yoummaymhearmsomemloudmnoisesmwhenmyoumaremlyingminmthemmachine,mbutmtheymw
on't
hurtmyou."
C)m"Youmhavemnothingmtomworrymabout;mthemMRImmachinemismsafemandmwillmnotmcausemy
ou
anympain."
D)m"Let'smjustmgetmyoumtomthemx-
raymdepartmentmformyourmtestmandmyou'llmseemhowmsimplemit
is."m-
mANSWERmmB)m"Yoummaymhearmsomemloudmnoisesmwhenmyoumaremlyingminmthemmachin
e,mbutmtheymwon't
hurtmyou."
Themnursemusesmfamily-
centeredmcaremtomcaremformchildrenminmampediatricmoffice.mUponmwhatmconceptmismfamily-
centeredmcarembased?
A)mThemfamilymismthemconstantminmthemchild'smlifemandmthemprimarymsourcemofmstrength.
B)mThemcaremprovidermismthemconstantminmthemchild'smlifemandmthemprimarymsourcemof
strength.
C)mThemchildmmustmbempreparedmtombemhismormhermownmsourcemofmstrengthmduringmtime
smof
crisis.
D)mThemwishesmofmthemfamilymshouldmdirectmthemnursingmcaremplanmformthemchild.m-
mANSWERmmA)mThemfamilymismthemconstantminmthemchild'smlifemandmthemprimarymsourcem
ofmstrength.
,Amnursemismpromotingmthemusemofmfamily-
centeredmcareminmamlocalmcommunitymclinic.mWhichmofmthemfollowingmaremadvantagesmor
mdisadvantagesmofmthismtypemofmcaremprovision?mSelectmallmanswersmthatmapply.
A)mRecoverymtimesmaremlonger.
B)mAnxietymismdecreased.
C)mCommunicationmismimproved.
D)mHealthmcaremcostsmaremincreased.
E)mPainmmanagementmismenhanced.
F)mMoremhealthmcaremresourcesmaremutilized.m-mANSWERmmB,mC,mE
Anxietymismdecreased.,mCommunicationmismimproved.,mPainmmanagementmismenhance
d.
Themnursemknowsmthatmeffectivemcommunicationmwithmchildrenmandmtheirmparentsmismcri
ticalmtomprovidingmatraumaticmqualitymnursingmcare.mWhichmofmthemfollowingmstatements
maccuratelymdescribesmthemcommunicationmpatternsmofmchildren?
A)mCommunicationmpatternsmaremsimilarmfrommonemchildmtomthemnext.
B)mChildrenmoftenmusemmoremwordsmthanmadultsmtomdescribemtheirmfears.
C)mChildrenmrelymmoremonmnonverbalmcommunicationmandmsilence.
D)mParentsmmoremoftenmrequiremaffectivemcommunicationmrathermthanmneutral
communication.m-
mANSWERmmC)mChildrenmrelymmoremonmnonverbalmcommunicationmandmsilence.
Themnursemismusingmverbalmskillsmtomexplainmthemnursingmcaremplanmtomparentsmofmam10-
year-
oldmchildmwithmcancer.mWhichmofmthemfollowingmdescribesmamguidelinemthemnursemshould
mfollowmtomprovidemappropriatemverbalmcommunication?
A)mUsemclosed-
endedmquestionsmthatmdomnotmrestrictmthemchild'smormparent'smanswers.mB)mAllowmthemfo
cusmtomchangemwithoutmredirectingmthemconversation.
C)mRestatemthemchild'smandmparentsmcommentsminmyourmownmwords.
D)mParaphrasemthemchild'smormparent'smfeelingsmtomdemonstratemempathy.m-
mANSWERmmD)mParaphrasemthemchild'smormparent'smfeelingsmtomdemonstratemempathy.
Themnursemismincorporatingmnonverbalmcommunicationmwithmverbalmcommunicationmwh
enmexplainingmthemtreatmentmplanmformamchildmwithmjuvenilemdiabetes.mWhichmofmthemfoll
owingmshouldmthemnursemdomtomcommunicatemeffectivelymwithmthismfamily?
A)mRelax;mmaintainmanmopenmposture,mwithmthemarmsmcrossed.
B)mSitmoppositemthemfamilymandmleanmforwardmslightly.m
C)mUsemeyemcontactmsparinglymtomavoidmembarrassment.m
D)mSpeakmamverbalmyesmormno;mdomnotmusemheadmnods.m-
mANSWERmmB)mSitmoppositemthemfamilymandmleanmforwardmslightly.
Themnursemismteachingmthemstudentmnursemhowmtomcommunicatemeffectivelymwithmchildr
en.mWhichmonemofmthemfollowingmmethodsmwouldmthemnursemrecommend?
A)mPositionmselfmabovemthemchild'smlevelmtomdenotemauthority.
B)mIfmpossible,mcommunicatemwithmthemchildmapartmfrommthemparent.
C)mDirectmquestionsmandmexplanationsmtomthemchild.
D)mUsemthemmedicalmtermsmformbodympartsmandmmedicalmcare.m-
mANSWERmmC)mDirectmquestionsmandmexplanationsmtomthemchild.
, Themnursemismimplementingmcaremformamhospitalizedmtoddler.mWhatmcommunicationmtec
hniquemwouldmthemnursemusemwithmthemchildmtomreflectmthemchild'smdevelopmentalmlevel
?m
A)mAllowmthemchildmextramtimemtomcompletemthoughts.
B)mCommunicatemsolelymthroughmplay.
C)mProvidemsimplembutmhonestmandmstraightforwardmresponses.
D)mRemainmnonjudgmentalmtomavoidmalienation.m-
mANSWERmmA)mAllowmthemchildmextramtimemtomcompletemthoughts.
Themnursemismcaringmformam4-year-
oldmboymwithmEwingmsarcomamwhomismscheduledmformamcomputedmaxialmtomographym(C
AT)mscanmtomorrow.mWhichmofmthemfollowingmismthembestmexamplemofmtherapeuticmcom
munication?
A)mTellingmhimmhemwillmgetmamshotmwhenmhemwakesmupmtomorrowmmorning
B)mTellingmhimmhowmcoolmhemlooksminmhismbaseballmcapmandmpajamas
C)mUsingmfamily-familiarmwordsmandmsoftmwordsmwhenmpossible
D)mDescribingmwhatmitmismlikemtomgetmamCATmscanmusingmwordsmhemunderstandsm-
mANSWERmmD)mDescribingmwhatmitmismlikemtomgetmamCATmscanmusingmwordsm hemunderst
ands
Themnursemismcaringmformam14-year-
oldmboymwithmanmosteosarcoma.mWhichmofmthemfollowingmcommunicationmtechniquesmw
ouldmbemleastmeffectivemformhim?
A)mLettingmhimmchoosemjuicemormsodamtomtakempills
B)mSeekingmthemteenager'sminputmonmallmdecisions
C)mDiscussingmthembenefitsmofmchemotherapymwithmhimm
D)mAvoidingmunduemcriticismmofmnoncompliancem-
mANSWERmmA)mLettingmhimmchoosemjuicemormsodamtomtakempills
Themnursemismeducatingmam16-year-
oldmgirlmwhomhasmjustmbeenmdiagnosedmwithmacutemmyelogenousmleukemia.mWhichmofmt
hemfollowingmstatementsmbestmdemonstratesmtherapeuticmcommunication?
A)mDiscussingmthemtreatmentmplanminmdetailmformthemnextmfewmweeks
B)mUsingmmedicalmtermsmwhenmdescribingmthemdisease
C)mAssessingmthemadolescent'smemotionalmstatusminmprivatem
D)mTalkingmaboutmclothingmandmthemstoresmwheremshemshopsm-
mANSWERmmC)mAssessingmthemadolescent'smemotionalmstatusminmprivate
Themnursemismexplainingmamdischargemplanmtomthemparentsmofmanminfantmbeingmdischarg
edmfrommthemhospital.mWhichmofmthemfollowingmcharacteristicsmregardingmadultmlearning
mshouldmthemnursemincorporatemintomhermplan?
A)mAdultsmaremdependentmlearners.
B)mAdultsmaremproblemmfocused.
C)mAdultsmaremfuturemfocused.
D)mAdultsmdomnotmvaluempastmlearning.m-mANSWERmmB)mAdultsmaremproblemmfocused.
(Chapterm31)