Nursing Care of Children Principles and Practice 3rd Edition by Susan R. James – Test Bank

Chapter 11: The Ill Child in the Hospital and Other Care Settings
MULTIPLE CHOICE

1. Which of the following situations poses the greatest challenge to the nurse working with a child and family?
a. Twenty-four hour observation
b. Emergency hospitalization
c. Outpatient admission
d. Rehabilitation admission

ANS: B

2. What is the primary disadvantage associated with outpatient and day facility care?
a. Increased cost
b. Increased risk of infection
c. Lack of physical connection to the hospital
d. Longer separation of the child from family

ANS: C

3. Which child would have the most difficulty with separation from family during hospitalization?
a. A 5-month-old infant
b. A 15-month-old toddler
c. A 4-year-old child
d. A 7-year-old child

ANS: B

4. What is the best explanation for a 2-year-old child who is quiet and withdrawn on the fourth day of a hospital admission?
a. The child is protesting her separation from her caregivers.
b. The child has adjusted to the hospitalization.
c. The child is experiencing the despair stage of separation.
d. The child has reached the stage of detachment.

ANS: C

5. A 3-year-old child cries, kicks, and clings to the father when the parents try to leave the hospital room. What is the nurse’s best response to the parents about this behavior?
a. “Your child is showing a normal response to the stress of hospitalization.”
b. “Your child is not coping effectively with hospitalization. We’ll need to get a psychologic consult from the doctor.”
c. “It is helpful for parents to stay with children during hospitalization.”
d. “You can avoid this if you wait to leave after your child falls asleep.”

ANS: A

6. The hospitalized preschooler fears mutilation and misunderstands illness. Which of the following is the best rationale for this?
a. The child has a fear that mutilation will lead to death.
b. The toddler’s imagination is very active, and he may believe the illness is a result of something he did.
c. The child has a general understanding of body integrity at this age.
d. The child will not have fear related to an IV catheter initiation but will have fear of an impending surgery.

ANS: B

7. Which is the most developmentally appropriate intervention when working with the hospitalized adolescent?
a. Encourage peers to call and visit when the adolescent’s condition allows.
b. Be sure the adolescent wears a hospital gown or pajamas throughout the hospitalization.
c. Discourage questions and concerns about the effects of the illness on the adolescent’s appearance.
d. Ask the parents how the adolescent usually copes in new situations.

ANS: A

8. The nurse is discussing toddler development with the mother of a -year-old child. Which statements by the mother indicate she has an understanding of how to help the child succeed in a developmental task?
a. “I always help my daughter complete tasks to help her achieve a sense of accomplishment.”
b. “I provide many opportunities for my daughter to play with other children her age.”
c. “I consistently stress the difference between right and wrong to my daughter.”
d. “I encourage my daughter to do things for herself when she can.”

ANS: D

9. Which of the following interventions would help a hospitalized toddler feel a sense of control?
a. Assign the same nurses to care for the child.
b. Put a cover over the child’s crib.
c. Require parents to stay with the child.
d. Follow the child’s usual routines for feeding and bedtime.

ANS: D

10. Why is observation for 24 hours in an acute-care setting often appropriate for children?
a. Longer hospital stays are more costly.
b. Children become ill quickly and recover quickly.
c. Children feel less separation anxiety when hospitalized for 24 hours.
d. Families experience less disruption during short hospital stays.

ANS: B