Question 1

A nurse encourages a school-age child to draw a picture after a painful procedure. The best rationale for this intervention is that the nurse is:

Accepted Answer

A)   Attempting to reestablish rapport
B)   Providing a way for the child to express his feelings
C)   Encouraging quiet play
D)   Distracting the child from thinking about the pain B

Question 2

A 4-year-old begins to cry when his mother tells him it is time for his operation. The nurse understands this is an expected reaction because the preschooler is particularly fearful of:

Accepted Answer

A)   Loss of control
B)   Restricted mobility
C)   Unfamiliar routines
D)   Invasive procedures D

Question 3

The nurse notices that the mother of a child with cerebral palsy corrects and redoes many of the things the nurse does for her child. The most appropriate response to this mother would be:

Accepted Answer

A)   "Would you like to do all of your child's care?"
B)   "I'm doing the very best job that I can with your child."
C)   "Why don't you go have a cup of coffee. You are going to be exhausted if you don't take a break."
D)   "I'd be happy if you would share with me some of the special things you do for your child." D

Question 4

The nurse must make a room assignment for a 16-year-old teenager with cystic fibrosis. An optimal roommate might be:

Accepted Answer

A)   A 4-year-old child who had an appendectomy
B)   A 10-year-old child with sickle cell disease in vaso-occlusive crisis
C)   A 15-year-old teenager with type 1 diabetes mellitus
D)   To assign the adolescent to a private room

Question 5

The parents of a hospitalized 9-month-old infant ask if their preschool child may visit his younger sibling. The nurse understands that:

Accepted Answer

A)   Most facilities do not allow visitors under age 12 years for infection control purposes.
B)   Seeing his younger sibling would probably frighten the preschooler and thus should be avoided.
C)   The sibling could view the infant from the doorway but not enter the room to prevent the spread of microorganisms.
D)   The preschooler needs to visit his infant sister to reassure himself that she is all right.

Question 6

An 8-year-old child will be hospitalized for several weeks in skeletal traction to treat a fractured femur. In planning care for the child, the nurse realizes immobilization in this age group can generate feelings of:

Accepted Answer

A)   Loss of control
B)   Altered body image
C)   Shame and guilt
D)   Fear of bodily harm

Question 7

The nurse suggests to parents that they avail themselves of the outpatient surgical center for their child's upcoming surgery because the surgical center has the advantages of: Select all that apply.

Accepted Answer

A)   Lower cost
B)   Less incidence of nosocomial infections
C)   Reduction of parent-child separation
D)   Recuperation at home
E)   Decreased emotional impact of illnessF)  None of the above

Question 8

The mother of a hospitalized toddler states, "He cries when I visit. Maybe I should just stay away." The nurse's best response would be:

Accepted Answer

A)   "Perhaps you are right. He only gets upset when you have to leave."
B)   "It is important that you are here. This is a common reaction in children when they are separated from their parents."
C)   "It might be easier for your child if you would stay with him, but this decision is up to you."
D)   "We take good care of him and he seems fine when you are not here."

Question 9

A 2-year-old child has been crying constantly for his mother since he was hospitalized 3 days ago. The nurse understands that this behavior suggests:

Accepted Answer

A)   The toddler feels abandoned by his mother.
B)   The child still has not adjusted to his hospitalization.
C)   The child is not separated from his mother often.
D)   A poor mother-child bond exists.

Question 10

The parents of a hospitalized toddler are upset because she seems more interested in her toys when they come to visit her. The toddler is most likely in which stage of separation anxiety?

Accepted Answer

A)   Protest
B)   Despair
C)   Denial
D)   Attachment

Question 11

When a 2-year-old returns to her hospital room following a diagnostic procedure, her parents are not available and the child is crying loudly. The technique that is most appropriate to alleviate the child's distress is:

Accepted Answer

A)   Rock the child gently to sleep.
B)   Play with the child using pop-up toys.
C)   Role play with the child to act out her feelings.
D)   Ask the child to draw a picture about her feelings.

Question 12

A 13-year-old girl has been hospitalized for the past week. When discussing the girl's feelings about her illness, the nurse would expect the girl to express the most concern about:

Accepted Answer

A)   Invasive procedures
B)   Loss of control
C)   Appearance
D)   Separation from her boyfriend

Question 13

The nurse understands that no matter the reason for the young child being hospitalized, the basic fears are: Select all that apply.

Accepted Answer

A)   Separation
B)   Permanent scarring
C)   Pain
D)   Cost
E)   Body intrusion

Question 14

When the preschooler who is hospitalized for surgery to correct a poorly healed fracture says, "My doctor is going to unscrew my bent arm and screw on a new one," the nurse should ____________________ this misconception.

Accepted Answer

The answer of When the preschooler who is hospitalized for...

Question 15

The nurse explains the use of fentanyl has the advantages of:

Accepted Answer

A)   Being specifically designed for children
B)   Rapid onset
C)   Nonaddicting
D)   Long duration

Question 16

The nurse taking a developmental history will include information relative to: Select all that apply.

Accepted Answer

A)   Previous experience with hospitalization
B)   Cultural needs
C)   History of illness
D)   Allergies
E)   Child's nickname

Question 17

The nurse suggests that the best time for parents to begin to prepare a 5-year-old for surgery and hospitalization is:

Accepted Answer

A)   As soon as the surgery is scheduled
B)   About 2 weeks before surgery
C)   About 4 days before surgery
D)   On the night before admission to the hospital

Question 18

The mother of a 3-year-old tells the nurse that she will be in to visit tomorrow around 12:00 PM. The next morning, the child asks the nurse, "When is my mommy coming?" The best response for the nurse to make is:

Accepted Answer

A)   "Your mommy will be here around noon."
B)   "Your mommy will be here when you have lunch."
C)   "Mommy will be here very soon."
D)   "Your mommy is coming in 4 hours."

Question 19

Which child would have the most difficulty in coping with separation from parents because of hospitalization?

Accepted Answer

A)   The 3-month-old child
B)   The 16-month-old child
C)   The 4-year-old child
D)   The 7-year-old child

Question 20

The nurse, preparing to collect an admission history from parents who have recently immigrated from Russia, would keep in mind that:

Accepted Answer

A)   Eye-to-eye contact is considered disrespectful.
B)   Touching the child's head means the nurse is superior.
C)   Smiling is inappropriate in a serious situation.
D)   Staring is a sign of the nurse's rudeness.

Exam 21: The Childs Experience of Hospitalization