Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)

Buying toys for a hospitalized child

Asking questions if families are not participating in the care

Clarifying information for families

Spending off-duty time with children and families

Learning about the family's religious preferences

Answer and Explanation

Correct Answer : B,C,E

A. Buying toys for a child may be a kind gesture, but it does not directly contribute to building a therapeutic relationship.

B. Asking questions if families are not participating in care helps engage them and supports their involvement in the child’s care.

C. Clarifying information for families ensures that they understand their child's condition and care plan, fostering trust and communication.

D. Spending off-duty time with families may blur professional boundaries and is not recommended for maintaining a therapeutic relationship.

E. Learning about the family’s religious preferences helps the nurse provide culturally sensitive care and supports the family’s needs.

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Correct Answer is A

Explanation

A. Forceful vomiting in a child with a concussion could indicate increased intracranial pressure (ICP), which is a medical emergency. Vomiting is a common symptom of ICP, and prompt assessment is necessary to determine the severity of the concussion and prevent further complications.

B. Pain following halo traction is expected, and a pain score of 6 is moderate. The pain can be managed with appropriate interventions, and it does not indicate an immediate life-threatening situation.

C. Brown-colored urine in acute glomerulonephritis is concerning for hematuria, but it typically develops over several days and is not an acute emergency.

D. A headache in a patient with infective endocarditis could indicate a potential complication such as embolism or increased intracranial pressure, but it is not as immediately life-threatening as the signs of a concussion.

A. "Clinicians should participate in the discussion with the family about the child's prognosis." B. "Palliative care should be offered once a child has less than 6 months to live." C. "Parents who express hope of their child surviving are less accepting of palliative care." D. "Palliative care should be given separately from curative care."

Correct Answer is A

Explanation

A. Clinicians should be involved in discussions about the child’s prognosis to ensure that the family receives clear, compassionate information for decision-making.

B. Palliative care can and should be introduced earlier in the course of the illness, not just when the child is expected to live less than 6 months.

C. Parents expressing hope for survival do not necessarily reject palliative care. Palliative care can focus on comfort and quality of life even when there is still hope for recovery.

D. Palliative care should be integrated with curative care, as it can improve the quality of life while still pursuing treatment options.

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Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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