Nokea
An 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response?
- A. This small machine will measure your systolic and diastolic pressure.
- B. The armband will hug your arm and tell me how well your blood is going through your arm.
- C. The armband will cut off your circulation for a while and then we can hear when it comes back.
- D. When you are ill we need to know if your blood is still moving in your body.
Correct Answer: B
Rationale: Because children are upset by unfamiliar procedures, it is best to explain each step in simple terms. It is best not to mention anything that may increase anxiety.
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The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports. What response by the nurse is the most appropriate?
- A. Although the actual reports are not shared, I can tell you the blood sugar is 200 mg.
- B. I'll write them down for you and bring them to your room.
- C. Come to the conference room where we can have privacy while you look at them.
- D. I'll notify the health care provider that you wish to see the reports.
Correct Answer: C
Rationale: With a family-centered care approach, hospitals welcome parents, and parents have access to information 24 hours a day.
What should be the focus of a practice where the pediatric nurse uses a developmental approach?
- A. Stimulation of the child to reach expected norms
- B. Age-centered care plans
- C. Strengths and abilities of the child
- D. Characteristics for the particular age
Correct Answer: C
Rationale: A developmental approach emphasizes the child's strengths and abilities and considers individuality. It builds on what the child can do instead of focusing on what the child cannot do.
When the pediatric nurse is attempting to establish a trusting relationship with a child, what is the most important and lasting thing to do?
- A. Convey respect.
- B. Talk with the child.
- C. Be honest.
- D. Talk with family.
Correct Answer: C
Rationale: To establish a trusting relationship, the most important thing is to be honest.
The nurse clarifies that the family-centered care approach terminates which policies?
- A. Rigid visiting hours
- B. Freedom to choose which medications to take
- C. Exclusion of family during procedures
- D. Discouraging family to stay overnight
- E. Restricting parents from reading the chart
Correct Answer: A,C,D,E
Rationale: Family-centered care terminates all the restrictive policies of traditional hospitals. Medication orders should still be followed.
How should an infant be positioned after a feeding?
- A. On the stomach
- B. On the right side
- C. On the left side
- D. On the back
Correct Answer: B
Rationale: After feeding, the infant is positioned on the right side to direct the food into the stomach.