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 teaching parents about the types of behaviors children exhibit when living with chronic violence. Which statement made by the parents indicates further teaching is needed?

A. "We should watch for aggressive play."
B. "Our child may show lasting symptoms of stress."
C. "We know that our child will show caring behaviors."
D. "Our child may have difficulty concentrating in school."

Correct answer: C

Rationale: Children exposed to chronic violence may struggle with stress and concentration but are less likely to consistently exhibit caring behaviors without intervention and support.

3. 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.

4. What should the nurse include in the discharge instructions for the parents of an infant diagnosed with acute otitis media?

A. Keep the baby in an elevated position during sleep
B. Administer an antibiotic
C. Place the baby to sleep with a bottle
D. Administer acetaminophen (Tylenol) to relieve discomfort

Correct answer: D

Rationale: Acetaminophen (Tylenol) is recommended to help relieve the discomfort associated with acute otitis media, such as pain and fever. Elevating the baby's head during sleep can also help with drainage and relieve pressure, making choice A incorrect. Administering an antibiotic may be necessary for bacterial otitis media but is not usually the first-line treatment for acute otitis media, so choice B is incorrect. Placing the baby to sleep with a bottle can increase the risk of ear infections due to the pooling of milk around the Eustachian tube, so choice C is incorrect.

5. The nurse is discussing development and play activities with the parent of a 2-month-old boy. Which statement by the parent would indicate a correct understanding of the teaching?

A. I can give my baby a ball of yarn to pull apart or different textured fabrics to feel
B. I can use a music box and soft mobiles as appropriate play activities for my baby
C. I should introduce a cup and spoon or push-pull toys for my baby at this age
D. I do not have to worry about appropriate play activities at this age

Correct answer: B

Rationale: At 2 months, infants are most stimulated by visual and auditory activities, such as a music box or soft mobiles. These activities help in sensory development and are appropriate for this age.