the nurse understands that blocks to therapeutic communication include what select all that apply

ATI RN

ATI Nursing Care of Children

1. The nurse understands that blocks to therapeutic communication include what? (Select all that apply.)

A. Socializing
B. All are applicable
C. Using clichés
D. Defending a situation

Correct answer: B

Rationale: Socializing, using clichés, and defending a situation are all barriers to effective therapeutic communication. Silence is a useful tool in therapeutic communication.

2. The nurse manager is compiling a report for a hospital committee on the quality of nursing-sensitive indicators for a nursing unit. Which does the nurse manager include in the report?

A. The average age of the nurses on the unit
B. The salary ranges for the nurses on the unit
C. The education and certification of the nurses on the unit
D. The number of nurses who have applied but were not hired for the unit

Correct answer: C

Rationale: The education and certification of nurses are key nursing-sensitive indicators that reflect the quality of care provided on the unit.

3. What disease should be suspected in a 3-day-old infant presenting with abdominal distention, vomiting, and failure to pass meconium?

A. Pyloric stenosis
B. Intussusception
C. Hirschsprung disease
D. Celiac disease

Correct answer: C

Rationale: Hirschsprung disease should be suspected in a newborn with abdominal distention, vomiting, and failure to pass meconium. This condition arises from a congenital absence of nerve cells in a portion of the colon, leading to severe constipation and intestinal obstruction. Pyloric stenosis typically presents with non-bilious projectile vomiting in the first few weeks of life. Intussusception classically manifests with sudden onset of colicky abdominal pain and currant jelly stools. Celiac disease may present with chronic diarrhea, failure to thrive, and abdominal distention but is less likely in this scenario.

4. Why is it difficult to assess a child’s dietary intake?

A. No systematic assessment tool has been developed
B. Biochemical analysis for assessing nutrition is expensive
C. Families usually do not understand much about nutrition
D. Recall of food consumption is frequently unreliable

Correct answer: D

Rationale: The correct answer is D. Recall of food intake, especially amounts eaten, is often unreliable. While systematic tools like the 24-hour recall and dietary history questionnaires exist, recall can still be challenging in accurately assessing a child's dietary intake. Choices A, B, and C are incorrect because systematic assessment tools do exist, biochemical analysis is not the primary method for dietary assessment, and families' understanding of nutrition may vary but is not the main reason for the difficulty in assessing a child's dietary intake.