which is considered a block to effective communication

ATI RN

ATI Nursing Care of Children

1. Which is considered a block to effective communication?

A. Using silence
B. Using clichés
C. Directing the focus
D. Defining the problem

Correct answer: B

Rationale: Using clichés is a communication block because it can come across as dismissive or insincere, hindering meaningful dialogue.

2. The nurse is preparing to admit a 7-year-old child with Crohn disease. What clinical manifestations should the nurse expect to observe?

A. Pain is common.
B. Weight loss is severe.
C. All are correct.
D. Diarrhea is moderate to severe.

Correct answer: C

Rationale: The correct answer is C because Crohn's disease commonly presents with pain, severe weight loss, and moderate to severe diarrhea in affected individuals. Therefore, all the manifestations listed are typically observed in patients with Crohn's disease. Choice A alone is not sufficient as weight loss and diarrhea are also prominent symptoms. Choice B is incorrect as it only mentions weight loss, omitting other common manifestations. Choice D is also incorrect as it does not cover the full range of expected clinical signs in Crohn's disease.

3. A 2-year-old child has a chronic history of constipation and is brought to the clinic for evaluation. What should the therapeutic plan initially include?

A. Bowel cleansing
B. Dietary modification
C. Structured toilet training
D. Behavior modification

Correct answer: B

Rationale: Dietary modification is often the first step in managing chronic constipation in children, focusing on increasing fiber and fluid intake. Other interventions like bowel cleansing and toilet training may follow if dietary changes are insufficient.

4. What is the most common cause of acute gastroenteritis in children under 5 years?

A. Salmonella
B. Rotavirus
C. Norovirus
D. Shigella

Correct answer: B

Rationale: Rotavirus is the leading cause of acute gastroenteritis in children under 5 years. It leads to severe diarrhea and dehydration. Vaccination against rotavirus has significantly reduced the incidence of this disease, but it remains a major cause of morbidity in young children globally. Salmonella and Shigella can cause gastroenteritis, but they are less common in children under 5 years. Norovirus is also a common cause of gastroenteritis, but Rotavirus is the most prevalent in this age group.