Question 1

The nurse working in the emergency room monitors the admission of children. Statistically, for which one of the following disorders would children younger than 5 years most commonly be admitted?

Accepted Answer

Children younger than 5 years are most commonly admitted to hospitals for respiratory disorders. This age group is particularly susceptible to respiratory infections and conditions such as bronchiolitis and pneumonia, which are leading causes of hospital admissions among young children.

Question 2

The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she has begun sucking her thumb and changing her speech patterns to those of a toddler. What condition is the girl manifesting?

Accepted Answer

Regression is a defense mechanism leading individuals to revert to earlier stages of development and exhibit behaviors more characteristic of those stages, especially under stress, which explains the girl's thumb sucking and toddler-like speech patterns.

Question 3

The nurse is caring for an 8-year-old boy hospitalized for a bone marrow transplant. His parents are in and out of his room throughout the day. Which of the following behaviors of the child would alert the nurse that he is in the second stage of separation anxiety?

Accepted Answer

In the second stage of separation anxiety, known as despair, the child may become withdrawn, quiet, and uninterested in activities such as playing and eating.

Question 4

The nurse is caring for a 4-year-old girl who has been hospitalized for over a week with severe burns. Which of the following would be a priority intervention to help satisfy this preschool child's basic needs?

Accepted Answer

Explaining necessary procedures in simple language that she will understand is a priority intervention to help satisfy this preschool child's basic needs.

Question 5

The nurse is caring for a hospitalized 13-year-old girl, who is questioning everything the medical staff is doing and is resistant to treatment. How should the nurse respond?

Accepted Answer

Offering to work together with the patient on planning the day and treatments respects the patient's autonomy and encourages collaboration, which is an effective strategy for engaging adolescents in their care.

Question 6

The nurse is caring for a 10-year-old boy who is in traction. The boy has a nursing diagnosis of deficient diversional activity related to confinement in bed that is evidenced by verbalization of boredom and lack of participation in play, reading, and schoolwork. Which of the following would be the best intervention?

Accepted Answer

Enlisting the aid of a child life specialist is the best intervention because these professionals are trained to understand and meet the unique needs of children in healthcare settings, including finding appropriate and engaging activities to help manage boredom and stress related to hospital stays and treatments.

Question 7

The nurse is caring for a 13-year-old girl hospitalized for complications from type 1 diabetes. The girl has a nursing diagnosis of powerlessness related to lack of control of multiple demands associated with hospitalization, procedures, treatments, and changes in usual routine. How can the nurse help promote control?

Accepted Answer

Offering the girl as many choices as possible helps promote a sense of control and empowerment, which can alleviate feelings of powerlessness.

Question 8

The nurse is caring for an 8-year-old girl who requires numerous venipunctures and injections daily. The nurse understands that the child is exhibiting signs of sensory overload and enlists the assistance of the child life specialist. What should the therapeutic play involve to best deal with the child's stressors?

Accepted Answer

The answer of The nurse is caring for an 8-year-old...

Question 9

After teaching a group of students about therapeutic play, the instructor determines that additional teaching is needed when the students identify which of the following as a characteristic?

Accepted Answer

Therapeutic play is characterized by its focus on coping, dramatization of emotions, and expression of feelings rather than using a highly structured format. It is designed to be flexible to meet the individual needs of the child, allowing for the expression and processing of feelings and experiences in a supportive environment.

Question 10

The mother of a hospitalized child reports that her daughter, who is having some difficulty eating, just had a 4-ounce cup of ice chips. The nurse documents this on the child's intake flow sheet as which of the following?

Accepted Answer

Ice chips are generally documented as half their volume when melted, so 4 ounces of ice chips would be documented as 2 ounces of fluid.

Question 11

The nurse is preparing a nursing care plan for a child hospitalized for cardiac surgery. Which of the following are examples of interventions that nurses perform in the "building a trusting relationship" stage? Select all answers that apply.

Accepted Answer

The answer of The nurse is preparing a nursing care...

Question 12

The nurse is preparing a hospitalized 7-year-old girl for a lumbar puncture. Which of the following actions would help reduce her stress related to the procedure? Select all answers that apply.

Accepted Answer

A) Pretending to perform the procedure on her doll can help the child understand what will happen in a comforting and familiar context. D) Teaching her the steps of the procedure in terms she can understand helps demystify the process and gives her a sense of control. F) Introducing her to the healthcare personnel helps build trust and reduce anxiety about being handled by strangers.

Question 13

The nurse is performing an admission of a 10-year-old boy. Which of the following actions will help the nurse establish a trusting and caring relationship with the child and his family? Select all answers that apply.

Accepted Answer

Initiating introductions, maintaining appropriate eye contact, and using age-appropriate communication help establish trust and rapport with the child and family.

Question 14

The nurse is caring for an 11-year-old girl preparing to undergo a magnetic resonance imaging (MRI) scan. Which of the following statements would best help prepare the girl for the test and decrease anxiety?

Accepted Answer

Option B is the best choice because it provides an honest yet reassuring explanation of what the child can expect during the MRI scan. It acknowledges the loud noise produced by the machine but also offers a solution (headphones) to help mitigate the discomfort. This approach can help reduce anxiety by setting realistic expectations and providing a coping mechanism.

Question 15

The nurse is caring for a 10-year-old girl who is in an isolation room. Which of the following interventions would be a priority intervention for this child?

Accepted Answer

Providing age-appropriate toys and games is a priority to ensure the child's emotional and developmental needs are met while in isolation.

Question 16

An adolescent is scheduled for outpatient arthroscopic surgery on his knee next week. As part of preparing him for the procedure, which action would be most appropriate?

Accepted Answer

Providing detailed explanations of the procedure at least a week in advance allows the adolescent time to understand, ask questions, and mentally prepare for the surgery, which is crucial for reducing anxiety and promoting cooperation.

Question 17

The nurse is providing developmentally appropriate care for a toddler hospitalized for observation following a fall down the steps. Which of the following measures might the nurse consider when caring for this child? Select all answers that apply.

Accepted Answer

The answer of The nurse is providing developmentally appropriate care...

Question 18

The nurse is ordered to apply restraints to a toddler who keeps pulling at the tubes in his arm. Which of the following criteria must occur to ensure proper use of these restraints? Select all answers that apply.

Accepted Answer

The answer of The nurse is ordered to apply restraints...

Question 19

The nurse is enlisting the parents' assistance for therapeutic hugging prior to an otoscopic examination. What should the nurse emphasize to the parents?

Accepted Answer

Therapeutic hugging is a technique used to safely secure a child while allowing for a necessary medical examination or procedure. It involves the parent or caregiver holding the child to minimize movement and provide comfort. Emphasizing the need to keep the child's hands down and head still directly relates to the goal of therapeutic hugging, which is to ensure the child remains still and safe during the otoscopic examination.

Question 20

The nurse is caring for a 7-year-old boy who needs his left leg immobilized. What is the priority nursing intervention?

Accepted Answer

The priority is to first explain to the child the importance of keeping his leg still, as understanding can often lead to cooperation without the need for restraints.

Quiz 33: Caring for Children in Diverse Settings