Question 1

The nurse is providing care to a pediatric patient who is experiencing separation anxiety as a result of hospitalization.Which data indicate the patient is experiencing the &#34;despair&#34; stage?&#10;A) Lies quietly in bed&#10;B) Does not cry when parents return and leave again&#10;C) Appears to be happy and content with staff&#10;D) Screams and cries when parents leave&#10;

Accepted Answer

In the "despair" stage of separation anxiety, the child may become withdrawn, quiet, and show a lack of interest in their surroundings, which is indicated by lying quietly in bed.

Question 2

Which nursing actions are appropriate when providing care to a child who is hospitalized? (Select all that apply.)&#10;A) Teaching the family that the doctor is the decision maker in the child's care&#10;B) Educating the family about procedures performed on the child&#10;C) Providing emotional support to the child and the family&#10;D) Administering age-appropriate care to the child&#10;E) Communicating in a genuine fashion with the child's family and health-care providers&#10;

Accepted Answer

A) Teaching the family that the doctor is the decision maker in the child's care
B) Educating the family about procedures performed on the child
C) Providing emotional support to the child and the family
D) Administering age-appropriate care to the child
E) Communicating in a genuine fashion with the child's family and health-care providers

B) Educating the family about procedures performed on the child is appropriate as it helps the family understand what is happening to their child and may alleviate anxiety.

C) Providing emotional support to the child and the family is appropriate as hospitalization can be stressful and upsetting for both the child and the family.

D) Administering age-appropriate care to the child is appropriate as it ensures that the child's physical and developmental needs are met.

E) Communicating in a genuine fashion with the child's family and health-care providers is appropriate as it facilitates trust and rapport between all parties involved in the child's care.

Question 3

A preschool-aged child is admitted to the pediatric unit for surgery.The parents request to stay with their child.Which is the best response by the nurse?&#10;A) Tell the parents they can stay in the hospital but not on the unit&#10;B) Read the rules and regulations of rooming in with the child&#10;C) Let the parents know they are allowed to stay with the child&#10;D) Explain to the parents why they cannot stay with the child&#10;

Accepted Answer

It is best for the nurse to let the parents know that they are allowed to stay with their child. Rooming in with the child can provide comfort and emotional support to the child, and it can also help the parents to better understand and participate in their child's care.

Question 4

Which pediatric patient is at greatest risk for experiencing separation anxiety if the parents are unable to stay with the child at all times?&#10;A) A 3-month-old infant&#10;B) An 18-month-old toddler&#10;C) A 4-year-old,preschool-aged child&#10;D) A 6-year-old,school-aged child&#10;

Accepted Answer

Separation anxiety is most common in toddlers, specifically between the ages of 1 and 3 years old. This stage of development is characterized by a strong attachment to the primary caregiver and fear of being separated from them. Infants may also experience separation anxiety to a lesser extent, but it is less common in older children such as preschoolers and school-aged children.

Question 5

Which nursing action is most appropriate to reduce stress during the preoperative period for a 4-year-old patient?&#10;A) Explaining to the child that the surgery will fix her &#34;broken&#34; heart&#10;B) Waiting until the child is in the holding room to insert the Foley catheter&#10;C) Telling the child what will be seen,heard,and felt while awake prior to the procedure&#10;D) Asking the parents to wait in the waiting room when it is time to take the child to the holding area&#10;

Accepted Answer

Explaining to the child what will be seen, heard, and felt while awake prior to the procedure helps reduce fear of the unknown, which is a significant source of stress for children. Providing age-appropriate information about what to expect can help the child feel more secure and less anxious.

Question 6

For which topic,considered an adolescent stressor,should the nurse include interventions in the plan of care for a hospitalized teenage patient?&#10;A) Fear of the dark&#10;B) Separation anxiety&#10;C) Mutilation concerns&#10;D) Loss of privacy&#10;

Accepted Answer

Loss of privacy is a common stressor for adolescents, especially when hospitalized. It is important for the nurse to include interventions in the plan of care to address this concern, such as providing the patient with a private space, respecting their boundaries, and allowing them to make decisions about their care whenever possible. While fear of the dark, separation anxiety, and mutilation concerns may also be stressors for some adolescents, they may not be as relevant in a hospital setting and may require different interventions.

Question 7

Which nursing action is most appropriate to minimize stress for a pediatric patient who will have a planned hospitalization for a tonsillectomy and his or her family?&#10;A) Telling the client and family that everything will be fine&#10;B) Explaining to the client and family how the child will benefit from the surgery&#10;C) Telling the client and family that the surgeon is very good&#10;D) Giving the client and family a tour of the hospital unit or surgical area&#10;

Accepted Answer

Giving the client and family a tour of the hospital unit or surgical area can help familiarize them with the environment, which can minimize anxiety and stress. It can also provide an opportunity for the nurse to answer any questions or concerns they may have. Simply telling them everything will be fine or that the surgeon is good may not alleviate their fears and concerns. Explaining how the child will benefit from the surgery can be helpful but should be done in conjunction with a tour or other measures to minimize stress.

Question 8

Which nursing action is most appropriate when providing emergency care to a child whose parents do not wish to leave the room?&#10;A) Asking the health-care provider if the parents can stay with the child&#10;B) Allowing the parents to stay with the child&#10;C) Escorting the parents to the waiting room and assuring them that they can see their child soon&#10;D) Telling the parents that they do not need to stay with the child&#10;

Accepted Answer

In emergency situations, it is important to prioritize the comfort and emotional support of the child. Allowing the parents to stay with the child can provide the child with additional comfort and familiar faces during a potentially stressful situation. It is important to communicate with the parents about what is happening, but ultimately the decision to stay with the child should be respected unless it interferes with the care being provided.

Question 9

The nurse prepares a child to receive oxygen via a tent delivery system by allowing the child to place a teddy bear in and out of the tent and then rewarding the child with a sticker.Which practice is the nurse using?

A) Therapeutic play
B) Therapeutic rewards
C) Therapeutic interventions
D) Therapeutic communication

Accepted Answer

The nurse is using therapeutic play, which involves using play as a therapeutic tool to help children cope with healthcare experiences. The nurse is allowing the child to play with a teddy bear to familiarize them with the delivery system and then rewarding them with a sticker. This helps to decrease the child's anxiety and increase their compliance with the treatment.

Question 10

Which nursing actions are appropriate when providing care to a toddler-aged patient who is restrained to protect an incision after a surgical procedure? (Select all that apply.)&#10;A) Using the least restrictive method&#10;B) Obtaining an order containing the reason,the type of restraint,and a start/stop time&#10;C) Removing the restraints every 4 hours to assess skin&#10;D) Encouraging games and activities that promote growth and development&#10;E) Assessing hygiene and elimination needs frequently&#10;

Accepted Answer

Using the least restrictive method ensures the child's safety while minimizing discomfort. An order is necessary to ensure the restraint is justified and properly documented. Encouraging activities supports the child's development despite the restraint. Frequent assessment of hygiene and elimination needs is crucial for the child's comfort and health. Restraints should be checked more frequently than every 4 hours, so option C is incorrect.

Question 11

Which nursing action is appropriate for the parents of a hospitalized patient to enhance safety?&#10;A) Allowing the parent to sleep in the bed with the patient&#10;B) Keeping supplies on the bedside table to enhance their use&#10;C) Teaching the use of the call bell system&#10;D) Encouraging the child to walk barefoot to the bathroom&#10;

Accepted Answer

The answer of Which nursing action is appropriate for the...

Question 12

Which is a common fear for hospitalized pediatric patients between the ages of 6 and 18 months?&#10;A) Death&#10;B) Disfigurement&#10;C) Bodily mutilation&#10;D) Stranger anxiety&#10;

Accepted Answer

The answer of Which is a common fear for hospitalized...

Question 13

Which action is most appropriate when providing care to a hospitalized pediatric patient who is on contact precautions because of a communicable disease?&#10;A) Asking the parents to visit the child once per day&#10;B) Scheduling physical therapy for the child&#10;C) Providing age-appropriate stimulation for the child&#10;D) Discouraging the parents from holding their child during the visit&#10;

Accepted Answer

The answer of Which action is most appropriate when providing...

Question 14

Which tool should the nurse use to monitor pain in a toddler-aged patient?&#10;A) FACES pain scale&#10;B) FLACC pain scale&#10;C) Oucher pain scale&#10;D) Numeric pain scale&#10;

Accepted Answer

The answer of Which tool should the nurse use to...

Question 15

Which nursing actions are appropriate when teaching a pediatric patient how to administer an insulin injection? (Select all that apply.)&#10;A) Showing the child a syringe filled with water to practice on a favorite doll&#10;B) Showing the child a video of another child receiving an insulin injection&#10;C) Showing the child a picture of the beach to imagine jumping in the waves&#10;D) Showing the child how the injection will occur by pretending to inject self&#10;E) Showing the child how the injection occurs by allowing the child to watch another child receive the injection first&#10;

Accepted Answer

The answer of Which nursing actions are appropriate when teaching...

Question 16

The pediatric nurse is explaining the procedure for d&#233;briding a wound to a preschool-aged patient.Which is an age-appropriate method to describe this process?&#10;A) Use play to demonstrate the procedure&#10;B) Allow the child to see all of the equipment&#10;C) Allow the child to refuse the procedure&#10;D) Use pamphlets to describe the procedure&#10;

Accepted Answer

The answer of The pediatric nurse is explaining the procedure...

Question 17

Which strategy is most appropriate for administering a medication to a toddler-aged child who has a history of being difficult?&#10;A) Put the medication in a favorite drink in the child's sippy cup&#10;B) Notify the health-care provider to change the route to IV&#10;C) Hold the child down and squirt the medication into the corner of his mouth&#10;D) Allow the mother to administer the medication to the child&#10;

Accepted Answer

The answer of Which strategy is most appropriate for administering...

Question 18

Which pediatric patient can best tolerate separation from parents during hospitalization?&#10;A) A 3-month-old&#10;B) A 15-month-old&#10;C) A 24-month-old&#10;D) A 36-month-old&#10;

Accepted Answer

The answer of Which pediatric patient can best tolerate separation...

Question 19

Which nursing action is most appropriate when updating the family of a preschool-aged patient?&#10;A) Providing the update at the bedside&#10;B) Giving the parents a written report from the providers&#10;C) Stepping out of the room to discuss the information&#10;D) Asking the provider to discuss all of the information with the family&#10;

Accepted Answer

The answer of Which nursing action is most appropriate when...

Question 20

Which reactions should the nurse anticipate when providing care to a pediatric patient who is exhibiting the protest stage of separation anxiety? (Select all that apply.)&#10;A) Clinging to the parents&#10;B) Crying or acting aggressively&#10;C) Withdrawing from the environment&#10;D) Being disinterested when the family visits&#10;E) Exhibiting depression&#10;

Accepted Answer

The answer of Which reactions should the nurse anticipate when...

Deck 26: The Hospitalized Child