Exam (elaborations)

(Combined) Chapter 04 - Communication and Physical Assessment of the Child and Family [Wong's Essential Questions], Pediatric nursing NCLEX Chapter 3, Peds Exam 1 - Ch 3 Evolve, Ped's Ch. 1, Peds Final Exam Study Guide, All With Complete Solution. U

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Uploaded on February 27, 2024
Number of pages 42
Written in 2023/2024
Type Exam (elaborations)
Contains Questions & answers

combined chapter 04 communication and physical

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(Combined) Chapter 04 - Communication and Physical
Assessment of the Child and Family [Wong's Essential
Questions], Pediatric nursing NCLEX Chapter 3, Peds
Exam 1 - Ch 3 Evolve, Ped's Ch. 1, Peds Final Exam
Study Guide, All With Complete Solution. Updated
2024/2025.

Which statement explains why it can be difficult to assess a child's dietary
intake?

No systematic assessment tool has been developed for this purpose.

Biochemical analysis for assessing nutrition is expensive.

Families usually do not understand much about nutrition.

Recall of children's food consumption is frequently unreliable.
Recall of children's food consumption is frequently unreliable.

It is difficult for parents to recall exactly what their child has eaten. Concurrent food
diaries are somewhat more reliable. Systematic tools have been developed and are
available. Nutrients for different foods are known; the quantity and type of food
consumed are the facts that are difficult to ascertain. The family does not need
nutritional knowledge to describe what the child has eaten.
Superficial palpation of the abdomen is often perceived by the child as tickling.
Which measure by the nurse is most likely to minimize this sensation and
promote relaxation?

Palpate another area simultaneously.

Ask the child not to laugh or move if it tickles.

Begin with deeper palpation and gradually progress to superficial palpation.

Have the child "help" with palpation by placing his or her hand over the palpating
hand.
Have the child "help" with palpation by placing his or her hand over the palpating hand.

Having the child "help" allows the nurse to perform the assessment while including the

,child in his or her care. Palpating another area simultaneously would not promote
relaxation and would make it more difficult to perform the abdominal assessment.
Asking a child not to laugh or move if it tickles may only contribute to the child's laughter
or may prove frustrating to both the child and the nurse. Deeper palpation will enhance
the "tickling" sensation, not lessen it.
What is the most accurate method of determining the length of a child younger
than 12 months of age?

Standing height

Estimation of length to the nearest centimeter or 1/2 inch

Recumbent length measured in the prone position

Recumbent length measured in the supine position
Recumbent length measured in the supine position

The crown-heel length measurement is the most accurate measurement in infants.
Infants are generally unable to stand for obtaining a height measurement. Measurement
should not be estimated, because an accurate measurement is required to determine
growth. The infant should be measured in the supine position, not the prone position.
When interviewing a patient, which statement/action indicates that the nurse is
displaying empathy?

The nurse offers the patient a tissue when the patient is crying after hearing some
sad news before giving the patient medication.

The nurse and patient discuss their families and discover they each have two
brothers.

The patient appreciates that the nurse has sat by her bedside and held her hand
while they spoke about health concerns.

The nurse provided the patient's family with Advanced Directive Form to fill out
acknowledging that it has to be done in order to fulfill the patient's wishes.
The patient appreciates that the nurse has sat by her bedside and held her hand while
they spoke about health concerns.

Empathy convey that the person understands, is supportive and can view the situation
from the other person's perspective whereas sympathy is the acknowledgement of
another person's feelings or emotions without the context of understanding. Providing a
tissue to a patient is an example of sympathy. Finding out that the nurse and patient

,have similar number of family members does not convey either empathy or sympathy
but rather factual disclosure. The nurse providing an Advanced Directive Form is part of
one's nursing role.
Which observable behaviors would indicate to the nurse that the patient is
experiencing information overload?
Select all that apply.

Fidgeting constantly while seated in the chair

A period of silence noted between a question

The patient wanting to continue talking about one subject of interest

The patient is yawning repeatedly

The patient is scanning the environment avoiding eye contact while the nurse is
attempting to ask questions.
Fidgeting constantly while seated in the chair

The patient is yawning repeatedly

The patient is scanning the environment avoiding eye contact while the nurse is
attempting to ask questions.

Examples of information include but are not limited to: constant fidgeting, repetitive
yawning, and avoidance of eye contact while looking away from the interviewer and
scanning the environment. A period of silence noted between one question is not in
itself indicative of information overload unless the silence continues. The patient
wanting to focus on one subject of interest is not associated with information overload.
Guidelines for a nurse using an interpreter in developing a care plan for an 8-
year-old admitted to rule out epilepsy include

explaining to the interpreter what information is necessary to obtain from the
patient and family.

encouraging the interpreter to ask several questions at a time to make the best
use of time.

not giving the interpreter too much information so that the interview evolves.

discouraging the interpreter and client from discussing topics that are deemed
irrelevant to the original intent of the interview.
explaining to the interpreter what information is necessary to obtain from the patient and
family.

, The interpreter should be given guidance as to what information is necessary to obtain
during the interview. One question should be asked at a time, leaving sufficient time for
the family to answer. The interpreter should not have to guess what to ask and what
information to obtain during the interview. The interpreter should gain as much
information from the family as they are willing to share based on the questions posed.
Limits should not be placed on the interview.
The most appropriate method for a nurse to use to view the tonsils and
oropharynx of a 6-year-old child is to

ask child to open mouth wide and say "Ahh."

ask child to open mouth wide, and then place tongue blade in the center back
area of the tongue.

examine mouth when child is crying to avoid use of tongue blade.

pinch nostrils closed until child opens mouth, then insert tongue blade.
ask child to open mouth wide and say "Ahh."

If the child is cooperative, the child can open the mouth and move the tongue around for
the examiner. No tongue blade is necessary to visualize the tonsils and oropharynx if
the child cooperates. During crying, there is insufficient opportunity to completely
visualize the tonsils and oropharynx. It is traumatic to pinch the nostrils closed until the
child opens the mouth. There is no reason to use such measures, especially with
cooperative children.
An expectation of the patient in a health care setting in terms of charting and
documentation is that?

Information will be shared only with physicians in the hospital or clinic setting
regardless of whether they are taking care of the patient.

The use of nursing informatics requires that passwords be changed upon access
to maintain patient confidentiality.

The patient is assured that anyone in the hospital facility can access their chart.

Safeguard systems are in place within the hospital or clinic setting to help
maintain confidentiality of patient records.
Safeguard systems are in place within the hospital or clinic setting to help maintain
confidentiality of patient records.

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Exam (elaborations)

(Combined) Chapter 04 - Communication and Physical Assessment of the Child and Family [Wong's Essential Questions], Pediatric nursing NCLEX Chapter 3, Peds Exam 1 - Ch 3 Evolve, Ped's Ch. 1, Peds Final Exam Study Guide, All With Complete Solution. U

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