Exam 44: Reaction to Illness and Hospitalization

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 because of an endotracheal tube but that she will be able to talk when it is removed. This explanation is:

What represents the major stressor of hospitalization for children from middle infancy throughout the preschool years?

Four-year-old Brian appears to be upset by hospitalization. An appropriate intervention is to:

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 appropriate in the care plan for this parent who is experiencing guilt?

When a preschool child is hospitalized without adequate preparation,the nurse should recognize that the child may likely see hospitalization as:

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 an understanding that:

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." The nurse should recognize that:

An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler is to:

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 neighbors." The nurse's best assessment of this situation is that:

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?

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

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

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 stressors to be evident? Choose all that apply.

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?