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 clichÃ©s
D. Defending a situation

Correct answer: B

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

2. What should the nurse explain about ringworm?

A. It is not contagious
B. It is a sign of uncleanliness
C. It is expected to resolve spontaneously
D. It is spread by both direct and indirect contact

Correct answer: D

Rationale: Ringworm is a fungal infection that spreads through direct and indirect contact. Good hygiene practices can help prevent its spread.

3. Why are neonates predisposed to problems with thermoregulation?

A. Renal function is not fully developed
B. Flexed posture favors heat loss
C. A large body surface area favors heat loss to the environment
D. A thick layer of subcutaneous fat provides excellent insulation

Correct answer: C

Rationale: Newborns have a large surface area relative to their body weight, making them more susceptible to heat loss and requiring careful thermoregulation. Choice A is incorrect because renal function is not directly related to thermoregulation. Choice B is incorrect because a flexed posture actually helps reduce heat loss by minimizing the surface area exposed to the environment. Choice D is incorrect because neonates have limited subcutaneous fat, which contributes to their susceptibility to heat loss.

4. The physician tells the parents of a 2-year-old that the child probably has RSV. The parents ask how the diagnosis will be confirmed. How should the nurse respond?

A. We will swab your child's nose and send the secretions for testing.
B. There is no specific test for RSV. The diagnosis is based on symptoms.
C. We will send a viral culture to an outside lab for testing.
D. There is no specific test for RSV. The diagnosis is based on symptoms.

Correct answer: A

Rationale: The correct answer is A. RSV is typically diagnosed by swabbing the nose and testing the secretions. This method helps confirm the presence of the respiratory syncytial virus. Choice B is incorrect because while symptoms are important in diagnosis, specific tests like swabbing for RSV do exist. Choice C is incorrect as sending a viral culture to an outside lab is not the primary method for diagnosing RSV. Choice D is a duplicate of choice B and is incorrect for the same reasons.

5. The nurse is caring for a 2-year-old child in the postoperative period. Which pain assessment tool is most appropriate for assessing pain intensity in a 2-year-old?

A. Poker chip tool
B. Oucher Scale
C. Faces Pain Rating Scale
D. FLACC Behavioral Pain Assessment Scale

Correct answer: D

Rationale: The FLACC Behavioral Pain Assessment Scale is the most suitable tool for assessing pain in 2-year-old children postoperatively. It assesses pain by evaluating facial expression, leg movement, activity, cry, and consolability, making it effective for non-verbal children. The Poker chip tool is not appropriate for this age group. The Oucher Scale and Faces Pain Rating Scale are more suitable for older children who can self-report pain levels.