Communication Strategies with Parents
If a parent continues to describe each child in detail during an interview, which guiding statement would be most appropriate for the nurse to use to redirect the focus?
B. "Let’s talk about the other children later. You were beginning to tell me about Rachel’s activities at school."
What is an effective communication strategy when working with a toddler who is fearful of medical equipment?
Allowing the toddler to touch and play with the equipment
Which site is appropriate for measuring blood pressure in a school-aged child?
C. Brachial artery
At what age is it typical for a child to start losing their baby teeth?
C. 6 years
With the National Center for Health Statistics criteria, which body mass index (BMI)-for-age percentiles should indicate the patient is at risk for being overweight?
a. 10th percentile
b. 75th percentile
c. 85th percentile
d. 95th percentile
c. 85th percentile
Children who have BMI-for-age greater than or equal to the 85th percentile and less than the 95th percentile are at risk for being overweight. Children who are greater than or equal to the 95th percentile are considered overweight. Children whose BMI is be-tween the 10th and 75th percentiles are within normal limits
How should a nurse address a parent's casual mention of a child's bedwetting to ensure the concern is properly addressed?
D. Ask follow-up questions to understand the extent and impact of the bedwetting
Which technique is most appropriate for communicating with a young child who is initially shy?
B. Communicate through transition objects like dolls or puppets
During a physical assessment, which factor is crucial to observe in children?
C. Their developmental milestones
What is an expected normal finding for a 2-year-old child?
B. Speaking in simple sentences
When documenting the findings of a child's physical examination, which detail is most critical to include?
B. Specific abnormal findings and their location
What is the most effective type of question to use when gathering information from parents about their child’s health and developmental status?
C. Open-ended questions
When interviewing older children, what is a key strategy for effective communication?
C. Include older children as active participants
Which statement best describes the nurse's role when using an interpreter during a health history interview?
C. The nurse should follow the same interviewing guidelines as without an interpreter
Which developmental milestone is typical for an 8-year-old child?
B. Understanding cause-and-effect relationships
What should a nurse do if a child is too sick to participate in play during an assessment?
B. Recognize the child’s condition and avoid play until they start to get better
How should a nurse react if they start to feel overwhelmed or overreact during an interaction with a child or parent?
B. Take a break if needed to regain composure
Which phrase should be avoided to prevent frightening a child during a medical procedure?
B. "We need to put a tube in your nose."
DAILY DOUBLE
What are the four major components of the history of the present illness?
B. Details of onset, complete interval history, present status, and reason for seeking help now
At what age should a child typically begin to walk independently?
B. 1 year
How should a nurse document a child’s chief complaint?
A. Using the parent’s exact words
What would you tell parent is the most appropriate way to measure the temperature of a 3-year-old child?
B. Axillary
How should a nurse address the use of scary words like “cut” or “tubes” with children?
B. Replace them with less frightening terms and analogies
What is the significance of measuring skinfold thickness and arm circumference in children?
B. To evaluate the body composition of muscle and adipose tissue
At what age is it typical for a child to develop the ability to hop on one foot?
C. 4 years
22. The nurse is assessing breath sounds on a child. Which are expected auscultated breath sounds? (Select all that apply.)
a. Wheezes
b. Crackles
c. Vesicular
d. Bronchial
e. Bronchovesicular
c. Vesicular
d. Bronchial
e. Bronchovesicular
Normal breath sounds are classified as vesicular, bronchovesicular, or bronchial. Wheezes or crackles are abnormal or adventitious sounds.