Chapter 04 Communicating with Children and Families

Chapter 04  Communicating with Children and Families

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which information should the nurse include when preparing a 5-year-old child for a cardiac

catheterization?
a. A detailed explanation of the procedure
b. A description of what the child will feel and see during procedure
c. An explanation about the dye that will go directly into his vein
d. An assurance to the child that he and the nurse can talk about the procedure when

it is over

ANS: B
For a preschooler, the provision of sensory information about what to expect during the
procedure will enhance the child’s ability to cope with the events of the procedure and will
decrease anxiety. Explaining the procedure in detail is probably more than the 5-year-old child
can comprehend, and it will likely produce anxiety. Using the word “dye” with a preschooler
can be frightening for the child. The child needs information before the procedure.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: Table 4.3 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance

2. An important consideration for the nurse who is communicating with a 5-year-old child is to

a. speak loudly, clearly, and directly.
b. use picture or story books, or puppets.
c. disguise own feelings, attitudes, and anxiety.
d. initiate contact with child when parent is not present.

ANS: B
Using objects such as a puppet or doll allows the young child an opportunity to evaluate an
unfamiliar person (the nurse). This will facilitate communication with a child of this age.
Speaking in this manner will tend to increase anxiety in very young children as they may
interpret this as being yelled at. The nurse must be honest with the child. Attempts at
deception will lead to a lack of trust. Whenever possible, the parent should be present for
interactions with young children.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: Table 4.3 OBJ: Integrated Process: Communication and Documentation
MSC: Client Needs: Psychosocial Integrity

3. An effective technique for communicating with toddlers is to

a. have the toddler make up a story from a picture.
b. involve the toddler in dramatic play with dress-up clothing.
c. use picture books.
d. ask the toddler to draw pictures of his fears.

ANS: C

TestBankWorld.org

Activities and procedures should be described as they are about to be done. Use picture books
and play for demonstration. Toddlers experience the world through their senses. Most toddlers
do not have the vocabulary to make up stories. Dramatic play is associated with older
children. Toddlers probably are not capable of drawing or verbally articulating their fears.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: Table 4.3 OBJ: Integrated Process: Communication and Documentation
MSC: Client Needs: Health Promotion and Maintenance

4. What is the most important consideration for effectively communicating with a child?

a. The child’s chronologic age
b. The parent-child interaction
c. The child’s receptiveness
d. The child’s developmental level

ANS: D
The child’s developmental level is the basis for selecting the terminology and structure of the
message most likely to be understood by the child. The child’s age may not correspond with
the child’s developmental level; therefore it is not the most important consideration for
communicating with children. Parent-child interaction is useful in planning communication
with children, but it is not the primary factor in establishing effective communication. The
child’s receptiveness is a consideration in evaluating the effectiveness of communication.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 54 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

5. Which behavior is most likely to encourage open communication?

a. Avoiding eye contact
b. Folding arms across chest
c. Standing with head bowed
d. Soft stance with arms loose at the side

ANS: D
An open body stance and positioning such as loose arms at the side invite communication and
interaction. Avoiding eye contact, folding the arms across the chest, and standing with the
head bowed, are closed body postures and do not facilitate communication.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: Table 4.1 OBJ: Integrated Process: Communication and Documentation
MSC: Client Needs: Psychosocial Integrity