Ch 26 H

Front 1

Which of the following behaviors would most likely be manifested in a young child experiencing the protest phase of separation anxiety?

Back 1

Clinging to parent

Front 2

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?

Back 2

School-age child

Front 3

Cognitive development influences response to pain. Which age-group is most concerned with the fear of losing control during a painful experience?

Back 3

Adolescent

Front 4

A child, age 4 years, tells the nurse that she “needs a Band-Aid” where she had an injection. Which of the following is the best nursing action?

Back 4

Apply a Band-Aid.

Front 5

The psychosexual conflicts of preschool children make them extremely vulnerable to which of the following threats?

Back 5

Bodily injury and pain

Front 6

A spinal tap must be done on a 9-year-old boy. While he is waiting in the treatment room, the nurse observes that he seems composed. When the nurse asks him if he wants his mother to stay with him, he says, “I am fine.” Which of the following is the best interpretation of this situation?

Back 6

Children in this age-group often do not request support, even though they need and want it.

Front 7

The mother of a 7-month-old infant newly diagnosed with cystic fibrosis is rooming in with her infant. She is breast-feeding and provides all the care except for the medication administration. The nurse includes in the care plan:

Back 7

Ensuring that the mother has time away from the infant.

Front 8

A 10-year-old girl needs to have another IV started. She keeps telling the nurse, “Wait a minute,” and, “I’m not ready.” The nurse should recognize that:

Back 8

This is expected behavior for a school-age child

Front 9

The parents of a 4-month-old infant cannot visit except on weekends. Which action by the nurse indicates an understanding of the emotional needs of a young infant?

Back 9

Assign her to the same nurse as much as possible.

Front 10

An 8-year-old girl is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. Which of the following will help her most in her adjustment to the hospital?

Back 10

Explain hospital schedules to her, such as mealtimes.

Front 11

A 13-year-old child with CF is a frequent patient on the pediatric unit. This admission, she is sleeping during the daytime and unable to sleep at night. A beneficial strategy for this child would be to:

Back 11

Negotiate a daily schedule that incorporates hospital routine, therapy, and free time.

Front 12

Two hospitalized adolescents are playing pool in the activity room. Neither of them seems very enthusiastic about the game. The nurse should recognize that:

Back 12

They may be enjoying themselves but have lower energy levels than healthy

Front 13

A 6-year-old child is admitted to the pediatric unit and requires bed rest. The nurse knows that having art supplies available:

Back 13

Lets the child express thoughts and feelings through pictures rather than words

Front 14

The parents of a 3-year-old admitted for recurrent diarrhea are upset that the practitioner has not told them what is going on with their child. The priority intervention for this family is:

Back 14

Help the family develop a written list of specific questions to ask the practitioner.

Front 15

The nurse is admitting a 7-year-old child to the pediatric unit for abdominal pain. To determine what the child understands about the reason for hospitalization, the nurse should:

Back 15

Ask the child why he came to the hospital today

Front 16

You are notified that a 9-year-old boy with nephrotic syndrome is being admitted. Only semiprivate rooms are available. The best roommate would be:

Back 16

Eight-year-old boy with a fractured femur

Front 17

The nurse is doing a prehospitalization orientation for a girl, age 7, who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that after the surgery, the child will be in the intensive care unit. This explanation is

Back 17

An appropriate part of the child’s preparation

Front 18

A 9-year-old boy has an unplanned admission to the intensive care unit after abdominal surgery. The nursing staff has completed the admission process, and his condition is beginning to stabilize. When speaking with the parents, the nurse should expect which of the following additional stressors to be evident?

Back 18

Insufficient knowledge of condition and routine

Front 19

A 6-year-old is being discharged home, which is 90 miles from the hospital, after an outpatient hernia repair. In addition to explicit discharge instructions, the nurse should provide:

Back 19

Prescribed pain medication before discharge