Deck 47: Families Experiencing Stressors

Question 1

Which defense mechanisms should the nurse include in the parental teaching session regarding common pediatric responses to a life-threatening illness? (Select all that apply.)

A) Regression
B) Anticipating
C) Denial
D) Repression
E) Bargaining

Answer 1

Regression
Denial
Repression
Bargaining

Question 2

Which adolescent behavior reported by a parent should cause the nurse to suspect possible substance abuse?

A) Becoming very involved with friends and in activities related to basketball
B) Becoming moody,crying,and weeping 1 minute and then cheerful and excited the next
C) Receiving numerous detentions for sleeping in class
D) Wearing baggy,oversized clothing and dyeing the hair black

Answer 2

Receiving numerous detentions for sleeping in class

Question 3

The nurse is assessing a school-aged child who demonstrates physiological manifestations of a stress response.Which physiological manifestations result from the inhibition of the parasympathetic nervous system?

A) Dry oral mucous membranes
B) Increased heart rate
C) Increased respiratory rate
D) Hyperactive bowel sounds

Answer 3

Dry oral mucous membranes

Question 4

The nurse is speaking with a preschool-aged child whose sibling recently died.Which feelings should the nurse anticipate from the preschool-aged child?

A) The child may feel that his or her bad behavior caused the sibling's death as a punishment.
B) The child may feel that the sibling died as a result of a fight.
C) The child may feel that having bad thoughts about the sibling caused the death.
D) The child may feel that the sibling died because the parents did not like that sibling.

Question 5

The nurse is providing care to a child who was admitted to the pediatric intensive care unit (PICU)after a motor vehicle crash.Which interventions should the nurse include in the plan of care to allow the parents to participate in their child's care? (Select all that apply.)

A) Encouraging the parents to brush the child's hair
B) Teaching the parents how to perform range-of-motion exercises with their child
C) Allowing the parents to read to their child
D) Explaining the child's condition to the parents
E) Providing permission for the parents to remain at the child's bedside

Question 6

While caring for her critically ill child,a mother becomes distraught and begins to cry loudly while stroking the child's face.Which is the best response by the nurse?

A) Explaining the procedure that will occur with the treatment
B) Telling the mother that she needs to control herself for the benefit of her child
C) Taking the mother out of the room and comforting her
D) Distracting the mother by having her straighten the linens on the bed

Question 7

A pediatric patient arrives by life flight to the hospital after experiencing multiple traumas in a motor vehicle crash involving a suspected drunk driver.Which statement is most important for the nurse to make to the parents before they see their child?

A) "You should press charges against the drunk driver."
B) "Your child's condition is very critical; her face is swollen,and she might not look like herself."
C) "Your child's leg was crushed and might have to be amputated."
D) "Don't worry; everything will be okay.We will take excellent care of your child."

Question 8

Which finding indicates that an adolescent patient is experiencing spiritual strength?

A) Telling her family over the telephone that a diagnosis is bad
B) Reading religious-based materials
C) Wringing her hands and softy repeating,"I am not ready to die"
D) Crying while sitting in a chair alone

Question 9

Which initial parental feeling should the nurse anticipate when providing care to a pediatric patient who is the victim of trauma?

A) Hopelessness
B) Fear
C) Spiritual distress
D) Anger

Question 10

Which assessment findings indicate to the nurse that an adolescent patient is experiencing stress?

A) Chewing on a fingernail
B) Checking his or her cellular phone
C) Reading a magazine
D) Talking with others

Question 11

Which nursing actions are appropriate when responding to a pediatric patient's family member who threatens harm or violence? (Select all that apply.)

A) Attempting to talk the family member down
B) Engaging the assistance of a security guard
C) Knowing institutional codes
D) Notifying local law enforcement
E) Blocking the exit

Question 12

The nurse is leading a recovery group for parents who have lost a child.As the opening topic for the night's discussion,the nurse reviews information about the grief process with the parents and talks about how different people grieve.Which parental statement indicates the need for more education regarding the grieving process?

A) "I understand that everyone grieves differently."
B) "Looking back,I realize why I became so angry when the doctors didn't cure my daughter."
C) "It's been 6 months since my son died,so why isn't my wife ready to move on with our lives?"
D) "I'm glad you described some common grief reactions.I thought I was going crazy for a while."

Question 13

The nurse is working with the parents of a child with a chronic condition.Which statement made by the child's parents indicates the need for intervention related to overwhelming caregiver burden?

A) "My mother moved in and is helping us with the care of our family."
B) "I chose to quit my job to be home with my child,and my husband helps in the evening when he can."
C) "I have to care for my child day and night,which leaves little time for me."
D) "Our health insurer sent us a rejection letter for my child's brand-name medication,and we must fill out forms to get the generic."

Question 14

Which nursing intervention minimizes the stress and anxiety of hospitalization for a pediatric patient?

A) Explaining all procedures in detail before performing them
B) Controlling the environment of healing
C) Demonstrating staff competence by using multiple nurses for care
D) Letting the patient make the majority of decisions about the plan of care

Question 15

The mother of a dying 3-year-old child posts this message on Facebook: "Family and friends,Michael's heart is giving out.Looks like it will be tonight.He is surrounded by family and not in pain.I treasure every minute of being his mother.Pray for us." According to Elisabeth Kubler-Ross,which stage of grieving is the mother experiencing?

A) Denial
B) Acceptance
C) Bargaining
D) Depression

Question 16

Which is the priority nursing action when providing care to a child who demonstrates signs of escalating anxiety?

A) Isolating the child in a safe,quiet,and protective environment
B) Leaving the child alone in a room
C) Providing benzodiazepine
D) Phoning the pediatrician

Question 17

Which is an appropriate response by the nurse when providing care for an adolescent patient who is experiencing a situational crisis?

A) "I know just how you feel."
B) "I am sorry this happened to you."
C) "You should try to stay busy."
D) "It could have been worse."

Question 18

When planning interventions to address a pediatric patient and family in crisis,which action by the nurse is appropriate?

A) Developing the plan prior to meeting with the patient and family
B) Conducting a complete assessment
C) Determining follow-up
D) Focusing on long-term problems

Question 19

The nurse is caring for a client in crisis.While providing care,the nurse must communicate effectively with this client.Which statements about communicating with clients in crisis are true? (Select all that apply.)

A) Communication should be frequent.
B) Communication should be brief.
C) Communication should be simple.
D) Communication should be detailed.
E) Communication should be directive.

Question 20

Which intervention will help a patient who is demonstrating stress about being hospitalized and concern about the needs of the children at home?

A) Asking if anything is needed once the patient is discharged to home
B) Asking if there is anyone who can help with the family at home during recuperation
C) Finding out if the children can be sent to a grandparent's home until the client fully recovers
D) Suggesting a transfer to a long-term care facility to ensure a full recovery