Question 1

Which one of the following is a major stressor when children from middle infancy through the preschool years are hospitalized?

Accepted Answer

A)  Separation anxiety 
B)  Loss of control 
C)  Fear of bodily injury 
D)  Fear of pain 
A)  Separation anxiety 
B)  Loss of control 
C)  Fear of bodily injury 
D)  Fear of pain A

Question 2

Kimberly,age 3 years,is being admitted for about 1 week of hospitalization.Her parents tell the nurse that they are going to buy her "a lot of new toys because she will be in the hospital." The nurse's reply should be based on knowing which of the following statements?

Accepted Answer

A)  New toys make hospitalization easier. 
B)  New toys are usually better than older ones for children of this age. 
C)  At this age, children often need the comfort and reassurance of familiar toys from home. 
D)  Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt. 
A)  New toys make hospitalization easier. 
B)  New toys are usually better than older ones for children of this age. 
C)  At this age, children often need the comfort and reassurance of familiar toys from home. 
D)  Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt. C

Question 3

Because they strive for independence and productivity,which age group of children is particularly vulnerable to events that may lessen their feelings of control and power?

Accepted Answer

A)  Infants 
B)  Toddlers 
C)  Preschoolers 
D)  School-age children 
A)  Infants 
B)  Toddlers 
C)  Preschoolers 
D)  School-age children D

Question 4

Matthew,age 18 months,has just been admitted with croup.His parent is tearful and tells the nurse,"This is all my fault.I should have taken him to the doctor sooner so he wouldn't have to be here." What is the appropriate response for this parent who is experiencing guilt?

Accepted Answer

A)  Clarify the misconception about the illness. 
B)  Explain to the parent that the illness is not serious. 
C)  Encourage the parent to maintain a sense of control. 
D)  Assess further why the parent has excessive guilt feelings. 
A)  Clarify the misconception about the illness. 
B)  Explain to the parent that the illness is not serious. 
C)  Encourage the parent to maintain a sense of control. 
D)  Assess further why the parent has excessive guilt feelings.

Question 5

Samantha,age 5 years,tells the nurse that she "needs a Band-Aid" where she had an injection.What is the best nursing action?

Accepted Answer

A)  Apply a Band-Aid. 
B)  Ask her why she wants a Band-Aid. 
C)  Explain why a Band-Aid is not needed. 
D)  Show her that the bleeding has already stopped. 
A)  Apply a Band-Aid. 
B)  Ask her why she wants a Band-Aid. 
C)  Explain why a Band-Aid is not needed. 
D)  Show her that the bleeding has already stopped.

Question 6

Amy,age 6 years,needs to be hospitalized again because of a chronic illness.The clinic nurse overhears her school-age siblings tell her,"We are sick of Mom always sitting with you in the hospital and playing with you.It isn't fair that you get everything and we have to stay with the neighbours." What is the nurse's best assessment of this situation?

Accepted Answer

A)  The siblings are immature and probably spoiled. 
B)  Jealousy and resentment are common reactions to the illness or hospitalization of a sibling. 
C)  The family has ineffective coping mechanisms to deal with chronic illness. 
D)  The siblings need to better understand their sister's illness and needs. 
A)  The siblings are immature and probably spoiled. 
B)  Jealousy and resentment are common reactions to the illness or hospitalization of a sibling. 
C)  The family has ineffective coping mechanisms to deal with chronic illness. 
D)  The siblings need to better understand their sister's illness and needs.

Question 7

When a preschool child is hospitalized without adequate preparation,the nurse should recognize that the child will likely see hospitalization as which one of the following?

Accepted Answer

A)  A punishment 
B)  A threat to child's self-image 
C)  An opportunity for regression 
D)  Loss of companionship with friends 
A)  A punishment 
B)  A threat to child's self-image 
C)  An opportunity for regression 
D)  Loss of companionship with friends

Question 8

Four-year-old Brian appears to be upset by hospitalization.What is an appropriate intervention?

Accepted Answer

A)  Let him know that it is all right to cry. 
B)  Give him time to gain control of himself. 
C)  Show him how other children are cooperating. 
D)  Tell him what a big boy he is to be so quiet. 
A)  Let him know that it is all right to cry. 
B)  Give him time to gain control of himself. 
C)  Show him how other children are cooperating. 
D)  Tell him what a big boy he is to be so quiet.

Question 9

Ryan has just been unexpectedly admitted to the intensive care unit after abdominal surgery.The nursing staff has completed the admission process,and Ryan's condition is beginning to stabilize.When speaking with the parents,the nurses should expect which one of the following stressors to be evident?

Accepted Answer

A)  Familiar environment 
B)  Usual day-night routine 
C)  Provision of privacy 
D)  Inadequate knowledge of condition and routine 
A)  Familiar environment 
B)  Usual day-night routine 
C)  Provision of privacy 
D)  Inadequate knowledge of condition and routine

Question 10

The nurse is doing a prehospitalization orientation for Diana,age 7,who is scheduled for cardiac surgery.As part of the preparation,the nurse explains that she will not be able to talk right after the surgery because of an endotracheal tube,but that she will be able to when it is removed.Which of the following statements best describes this explanation?

Accepted Answer

A)  It is unnecessary. 
B)  It is the surgeon's responsibility. 
C)  It is too stressful for a young child. 
D)  It is an appropriate part of the child's preparation. 
A)  It is unnecessary. 
B)  It is the surgeon's responsibility. 
C)  It is too stressful for a young child. 
D)  It is an appropriate part of the child's preparation.

Question 11

The nurse is caring for an adolescent who had an external fixator placed after suffering a fracture of the wrist during a bicycle accident.Which statement by the adolescent would be expected about separation anxiety?

Accepted Answer

A)  "I wish my parents could spend the night with me while I am in the hospital." 
B)  "I think I would like my siblings to visit me, but not my friends." 
C)  "I hope my friends don't forget about visiting me." 
D)  "I will be embarrassed if my friends come to the hospital to visit." 
A)  "I wish my parents could spend the night with me while I am in the hospital." 
B)  "I think I would like my siblings to visit me, but not my friends." 
C)  "I hope my friends don't forget about visiting me." 
D)  "I will be embarrassed if my friends come to the hospital to visit."

Question 12

What is an appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler in the Critical Care Unit?

Accepted Answer

A)  Provide for privacy. 
B)  Encourage parents to room in. 
C)  Explain procedures and routines. 
D)  Encourage contact with children the same age. 
A)  Provide for privacy. 
B)  Encourage parents to room in. 
C)  Explain procedures and routines. 
D)  Encourage contact with children the same age.

Question 13

A 10-year-old girl needs to have another intravenous (IV)line started.She keeps telling the nurse,"Wait a minute," and,"I'm not ready." What should the nurse recognize about this behaviour?

Accepted Answer

A)  This is normal behaviour for a school-age child. 
B)  This behaviour is usually not seen past the preschool years. 
C)  The child thinks the nurse is punishing her. 
D)  The child has successfully manipulated the nurse in the past. 
A)  This is normal behaviour for a school-age child. 
B)  This behaviour is usually not seen past the preschool years. 
C)  The child thinks the nurse is punishing her. 
D)  The child has successfully manipulated the nurse in the past.

Question 14

Natasha,age 8 years,is being admitted to the hospital from the emergency department with an injury from falling off her bicycle.What will help her most in her adjustment to the hospital?

Accepted Answer

A)  Explain hospital routines such as mealtimes. 
B)  Use terms such as "honey" and "dear" to show a caring attitude. 
C)  Explain when parents can visit and why siblings cannot come to see her. 
D)  Orient her parents, because she is young, to her room and hospital facility. 
A)  Explain hospital routines such as mealtimes. 
B)  Use terms such as "honey" and "dear" to show a caring attitude. 
C)  Explain when parents can visit and why siblings cannot come to see her. 
D)  Orient her parents, because she is young, to her room and hospital facility.

Exam 44: Reaction to Illness and Hospitalization

Which one of the following is a major stressor when children from middle infancy through the preschool years are hospitalized?

Kimberly,age 3 years,is being admitted for about 1 week of hospitalization.Her parents tell the nurse that they are going to buy her "a lot of new toys because she will be in the hospital." The nurse's reply should be based on knowing which of the following statements?

Because they strive for independence and productivity,which age group of children is particularly vulnerable to events that may lessen their feelings of control and power?

Matthew,age 18 months,has just been admitted with croup.His parent is tearful and tells the nurse,"This is all my fault.I should have taken him to the doctor sooner so he wouldn't have to be here." What is the appropriate response for this parent who is experiencing guilt?

Samantha,age 5 years,tells the nurse that she "needs a Band-Aid" where she had an injection.What is the best nursing action?

When a preschool child is hospitalized without adequate preparation,the nurse should recognize that the child will likely see hospitalization as which one of the following?

Four-year-old Brian appears to be upset by hospitalization.What is an appropriate intervention?

The nurse is caring for an adolescent who had an external fixator placed after suffering a fracture of the wrist during a bicycle accident.Which statement by the adolescent would be expected about separation anxiety?

What is an appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler in the Critical Care Unit?

A 10-year-old girl needs to have another intravenous (IV)line started.She keeps telling the nurse,"Wait a minute," and,"I'm not ready." What should the nurse recognize about this behaviour?

Natasha,age 8 years,is being admitted to the hospital from the emergency department with an injury from falling off her bicycle.What will help her most in her adjustment to the hospital?

Contemporary Perinatal Nursing in Canada

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