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When communicating with parents suspected of child abuse, what should the nurse be sure to do?
- A. Tell them the law requires reporting of the incident.
- B. Be sympathetic to their needs.
- C. Interact with them in a nonjudgmental manner.
- D. Suggest psychiatric counseling.
Correct Answer: C
Rationale: The nurse should maintain a nonjudgmental attitude toward the parents. The nurse does not have to tell the parents that she is reporting them. The nurse does not have to be sympathetic, she only has to be professional at all times. It is not the place of the nurse to suggest counseling.
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The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under which broader term?
- A. Child abandonment
- B. Child mismanagement
- C. Child maltreatment
- D. Child torment
Correct Answer: C
Rationale: Child maltreatment is a broad term used to describe neglect and abuse of children.
When discussing growth and development with the parents of a child, the nurse explains that nutrition is the single most important influence on:
- A. cognitive development.
- B. secondary sexual characteristics.
- C. the production of blood cells.
- D. the growth of bones and muscle.
Correct Answer: D
Rationale: Nutrition is probably the single most important influence on growth.
The parents ask about preparation of their toddler for hospital admission. When does the nurse suggest that the parents tell their toddler of the admission?
- A. A week prior
- B. 2 weeks prior
- C. The day of admission
- D. Only 2 or 3 days before
Correct Answer: D
Rationale: The nurse should suggest the toddler be told only days before. School-age children can be given more time to prepare. Adolescents should be told as far in advance as possible.
When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?
- A. Don't be concerned. Accidents happen.
- B. Let's put a diaper on your child until this gets better.
- C. The stress of hospitalization makes children regress a little.
- D. Your child will relearn 'potty-training' if you are patient.
Correct Answer: C
Rationale: It is not unusual for children to regress when hospitalized. Explaining that regression is normal during hospitalization will help allay the mother's anxiety.
What should be done before initiating a gavage feeding?
- A. Hold the feeding tube under water to check for bubbling.
- B. Check for gastric distention.
- C. Aspirate stomach contents.
- D. Ensure the sterility of feeding equipment.
Correct Answer: C
Rationale: Aspirating stomach contents and aspirating a small amount of air while listening for stomach gurgling are the best ways to ensure correct tube placement. Holding the feeding tube under water to check for bubbling is not an effective method to check tube placement. Gastric distention would be important following the feeding. A gavage feeding is not a sterile procedure.