NUR 370 Final Study Questions With Correct
Answers
1. |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 |the |family |- |CORRECT |ANSWER✔✔-c. |Lack |of |physical |
connection |to |the |hospital
Outpatient |and |day |facility |care |do |not |provide |extended |care; |therefore |a |child |requiring |
extended |care |should |be |transferred |to |the |hospital, |causing |increased |stress |to |the |child |and |
parents. |This |type |of |care |decreases |cost |and |infection |and |minimizes |separation |between |the |
child |and |family.
2. |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 |- |CORRECT |ANSWER✔✔-b. |
Children |become |ill |quickly |and |recover |quickly
Children |become |ill |quickly |and |recover |quickly; |therefore |they |can |require |acute |care |for |a |
shorter |period |of |time. |A |child's |state |of |wellness, |rather |than |cost, |determines |the |length |of |
stay. |Separation |anxiety |is |primarily |a |factor |of |the |stage |of |development, |not |the |length |of |
hospital |stay. |Family |disruption |is |a |secondary |outcome |of |a |child's |hospitalization; |it |does |not |
determine |length |of |stay.
,3. |Having |explanations |for |all |procedures |and |selecting |their |own |meals |from |hospital |menus |
is |an |important |coping |mechanism |for |which |age-group?
a. |Toddlers
b. |Preschoolers
c. |School-Age |Children
d. |Adolescents |- |CORRECT |ANSWER✔✔-c. |School-Age |Children
School-age |children |are |developmentally |ready |to |accept |detailed |explanations. |School-age |
children |can |select |their |own |menus |and |become |actively |involved |in |other |areas |of |their |
care. |Toddlers |need |routine |and |parental |involvement |for |coping. |Preschoolers |need |simple |
explanations |of |procedures. |Detailed |explanations |and |support |of |peers |help |adolescents |
cope.
4. |Which |therapeutic |approach |will |best |help |a |7-year-old |child |cope |with |a |lengthy |course |of |
intravenous |antibiotic |therapy?
a. |arrange |for |the |child |to |go |to |the |playroom |daily
b. |Ask |the |child |to |draw |you |a |picture |of |himself |or |herself
c. |Allow |the |child |to |participate |in |injection |play
d. |Give |the |child |stickers |for |cooperative |behavior |- |CORRECT |ANSWER✔✔-c. |Allow |the |child |
to |participate |in |injection |play
Injection |play |is |an |appropriate |intervention |for |the |child |who |has |to |undergo |frequent |blood |
work, |injections, |intravenous |therapy, |or |any |other |therapy |involving |syringes |and |needles. |
The |hospitalized |child |should |have |opportunities |to |go |to |the |playroom |each |day |if |the |child's |
condition |warrants. |This |free |play |does |not |have |any |specific |therapeutic |purpose. |Children |
can |express |their |thoughts |and |beliefs |through |drawing. |Asking |the |child |to |draw |a |picture |of |
himself |or |herself |may |not |elicit |the |child's |feelings |about |the |treatment. |Rewards |such |as |
stickers |may |enhance |cooperative |behavior. |They |will |not |address |coping |with |painful |
treatments.
,5. |Home |care |is |being |considered |for |a |young |child |who |is |ventilator |dependent. |Which |factor |
is |most |important |in |deciding |whether |home |care |is |appropriate?
a. |Level |of |parent's |education
b. |Presence |of |two |parents
c. |Preparation |and |training |of |the |family
d. |Family's |ability |to |assume |all |health |care |costs |- |CORRECT |ANSWER✔✔-c. |Preparation |and |
training |of |the |family
One |of |the |essential |elements |is |the |family's |training |and |preparation. |The |family |must |be |
able |to |demonstrate |all |aspects |of |care |for |the |child. |In |many |areas, |it |cannot |be |guaranteed |
that |nursing |care |will |be |available |on |a |continual |basis, |and |the |family |will |have |to |care |for |the
|child. |The |amount |of |formal |education |reached |by |the |parents |is |not |the |important |issue. |The
|determinant |is |the |family's |ability |to |care |adequately |for |the |child |in |the |home. |At |least |two |
family |members |should |learn |and |demonstrate |all |aspects |of |the |child's |care |in |the |hospital, |
but |it |does |not |have |to |be |two |parents. |Few |families |can |assume |all |health |care |costs. |
Creative |financial |planning, |including |negotiating |arrangements |with |the |insurance |company |
and/or |public |programs, |may |be |required.
(pp. |645)
6. |What |should |the |nurse |identify |as |major |fears |in |the |preschool |child |who |is |hospitalized |
with |a |chronic |illness? |(Select |all |that |apply).
a. |Altered |body |image
b. |Separation |from |peer |group
c. |Bodily |injury
d. |Mutilation
e. |Being |left |alone |- |CORRECT |ANSWER✔✔-c, |d, |e.
c. |Bodily |Injury
e. |Being |left |alone
d. |Mutilation
, Body |injury, |mutilation, |and |being |left |alone |are |major |fears |of |the |preschooler. |Altered |body |
image |and |separation |from |peer |group |are |fears |of |the |adolescent.
The |major |stressor |for |children |from |infancy |through |the |preschool |years |is |separation |anxiety,
|also |called |anaclitic |depression. |This |is |a |major |stressor |during |hospitalization. |Preschoolers |
have |little |understanding |of |body |boundaries, |which |leads |to |fears |of |mutilation.
7. |The |nurse |comes |into |the |room |of |a |child |who |was |just |diagnosed |with |a |chronic |disability. |
The |child's |parents |begin |to |yell |at |the |nurse |about |a |variety |of |concerns. |The |nurse's |best |
response |is
a. |"What |is |really |wrong?"
b. |"Being |angry |is |only |natural."
c. |"Yelling |at |me |will |not |change |things."
d. |"I |will |come |back |when |you |settle |down." |- |CORRECT |ANSWER✔✔-b. |"Being |angry |is |only |
natural."
Parental |anger |after |the |diagnosis |of |a |child |with |a |chronic |disability |is |a |common |response. |
One |of |the |most |common |targets |for |parental |anger |is |members |of |the |staff. |The |nurse |should
|recognize |the |common |response |of |anger |to |the |diagnosis |and |allow |the |family |to |vent.
|"What |is |really |wrong?"/"Yelling |at |me |will |not |change |things"/"I |will |come |back |when |you |
settle |down" |will |place |the |parents |on |the |defensive |and |not |facilitate |communication.
8. |The |nurse |encourages |the |mother |of |a |toddler |with |acute |LTB |to |stay |at |the |bedside |as |
much |as |possible. |The |nurse's |rationale |for |this |action |is |primarily |that-
a. |Mothers |of |hospitalized |toddlers |often |experience |guilt.
b. |The |mother's |presence |will |reduce |anxiety |and |ease |child's |respiratory |efforts.
c. |Separation |from |mother |is |a |major |developmental |threat |at |this |age.
d. |The |mother |can |provide |constant |observations |of |the |child's |respiratory |efforts. |- |CORRECT |
ANSWER✔✔-b. |The |mother's |presence |will |reduce |anxiety |and |ease |child's |respiratory |efforts.
Answers
1. |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 |the |family |- |CORRECT |ANSWER✔✔-c. |Lack |of |physical |
connection |to |the |hospital
Outpatient |and |day |facility |care |do |not |provide |extended |care; |therefore |a |child |requiring |
extended |care |should |be |transferred |to |the |hospital, |causing |increased |stress |to |the |child |and |
parents. |This |type |of |care |decreases |cost |and |infection |and |minimizes |separation |between |the |
child |and |family.
2. |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 |- |CORRECT |ANSWER✔✔-b. |
Children |become |ill |quickly |and |recover |quickly
Children |become |ill |quickly |and |recover |quickly; |therefore |they |can |require |acute |care |for |a |
shorter |period |of |time. |A |child's |state |of |wellness, |rather |than |cost, |determines |the |length |of |
stay. |Separation |anxiety |is |primarily |a |factor |of |the |stage |of |development, |not |the |length |of |
hospital |stay. |Family |disruption |is |a |secondary |outcome |of |a |child's |hospitalization; |it |does |not |
determine |length |of |stay.
,3. |Having |explanations |for |all |procedures |and |selecting |their |own |meals |from |hospital |menus |
is |an |important |coping |mechanism |for |which |age-group?
a. |Toddlers
b. |Preschoolers
c. |School-Age |Children
d. |Adolescents |- |CORRECT |ANSWER✔✔-c. |School-Age |Children
School-age |children |are |developmentally |ready |to |accept |detailed |explanations. |School-age |
children |can |select |their |own |menus |and |become |actively |involved |in |other |areas |of |their |
care. |Toddlers |need |routine |and |parental |involvement |for |coping. |Preschoolers |need |simple |
explanations |of |procedures. |Detailed |explanations |and |support |of |peers |help |adolescents |
cope.
4. |Which |therapeutic |approach |will |best |help |a |7-year-old |child |cope |with |a |lengthy |course |of |
intravenous |antibiotic |therapy?
a. |arrange |for |the |child |to |go |to |the |playroom |daily
b. |Ask |the |child |to |draw |you |a |picture |of |himself |or |herself
c. |Allow |the |child |to |participate |in |injection |play
d. |Give |the |child |stickers |for |cooperative |behavior |- |CORRECT |ANSWER✔✔-c. |Allow |the |child |
to |participate |in |injection |play
Injection |play |is |an |appropriate |intervention |for |the |child |who |has |to |undergo |frequent |blood |
work, |injections, |intravenous |therapy, |or |any |other |therapy |involving |syringes |and |needles. |
The |hospitalized |child |should |have |opportunities |to |go |to |the |playroom |each |day |if |the |child's |
condition |warrants. |This |free |play |does |not |have |any |specific |therapeutic |purpose. |Children |
can |express |their |thoughts |and |beliefs |through |drawing. |Asking |the |child |to |draw |a |picture |of |
himself |or |herself |may |not |elicit |the |child's |feelings |about |the |treatment. |Rewards |such |as |
stickers |may |enhance |cooperative |behavior. |They |will |not |address |coping |with |painful |
treatments.
,5. |Home |care |is |being |considered |for |a |young |child |who |is |ventilator |dependent. |Which |factor |
is |most |important |in |deciding |whether |home |care |is |appropriate?
a. |Level |of |parent's |education
b. |Presence |of |two |parents
c. |Preparation |and |training |of |the |family
d. |Family's |ability |to |assume |all |health |care |costs |- |CORRECT |ANSWER✔✔-c. |Preparation |and |
training |of |the |family
One |of |the |essential |elements |is |the |family's |training |and |preparation. |The |family |must |be |
able |to |demonstrate |all |aspects |of |care |for |the |child. |In |many |areas, |it |cannot |be |guaranteed |
that |nursing |care |will |be |available |on |a |continual |basis, |and |the |family |will |have |to |care |for |the
|child. |The |amount |of |formal |education |reached |by |the |parents |is |not |the |important |issue. |The
|determinant |is |the |family's |ability |to |care |adequately |for |the |child |in |the |home. |At |least |two |
family |members |should |learn |and |demonstrate |all |aspects |of |the |child's |care |in |the |hospital, |
but |it |does |not |have |to |be |two |parents. |Few |families |can |assume |all |health |care |costs. |
Creative |financial |planning, |including |negotiating |arrangements |with |the |insurance |company |
and/or |public |programs, |may |be |required.
(pp. |645)
6. |What |should |the |nurse |identify |as |major |fears |in |the |preschool |child |who |is |hospitalized |
with |a |chronic |illness? |(Select |all |that |apply).
a. |Altered |body |image
b. |Separation |from |peer |group
c. |Bodily |injury
d. |Mutilation
e. |Being |left |alone |- |CORRECT |ANSWER✔✔-c, |d, |e.
c. |Bodily |Injury
e. |Being |left |alone
d. |Mutilation
, Body |injury, |mutilation, |and |being |left |alone |are |major |fears |of |the |preschooler. |Altered |body |
image |and |separation |from |peer |group |are |fears |of |the |adolescent.
The |major |stressor |for |children |from |infancy |through |the |preschool |years |is |separation |anxiety,
|also |called |anaclitic |depression. |This |is |a |major |stressor |during |hospitalization. |Preschoolers |
have |little |understanding |of |body |boundaries, |which |leads |to |fears |of |mutilation.
7. |The |nurse |comes |into |the |room |of |a |child |who |was |just |diagnosed |with |a |chronic |disability. |
The |child's |parents |begin |to |yell |at |the |nurse |about |a |variety |of |concerns. |The |nurse's |best |
response |is
a. |"What |is |really |wrong?"
b. |"Being |angry |is |only |natural."
c. |"Yelling |at |me |will |not |change |things."
d. |"I |will |come |back |when |you |settle |down." |- |CORRECT |ANSWER✔✔-b. |"Being |angry |is |only |
natural."
Parental |anger |after |the |diagnosis |of |a |child |with |a |chronic |disability |is |a |common |response. |
One |of |the |most |common |targets |for |parental |anger |is |members |of |the |staff. |The |nurse |should
|recognize |the |common |response |of |anger |to |the |diagnosis |and |allow |the |family |to |vent.
|"What |is |really |wrong?"/"Yelling |at |me |will |not |change |things"/"I |will |come |back |when |you |
settle |down" |will |place |the |parents |on |the |defensive |and |not |facilitate |communication.
8. |The |nurse |encourages |the |mother |of |a |toddler |with |acute |LTB |to |stay |at |the |bedside |as |
much |as |possible. |The |nurse's |rationale |for |this |action |is |primarily |that-
a. |Mothers |of |hospitalized |toddlers |often |experience |guilt.
b. |The |mother's |presence |will |reduce |anxiety |and |ease |child's |respiratory |efforts.
c. |Separation |from |mother |is |a |major |developmental |threat |at |this |age.
d. |The |mother |can |provide |constant |observations |of |the |child's |respiratory |efforts. |- |CORRECT |
ANSWER✔✔-b. |The |mother's |presence |will |reduce |anxiety |and |ease |child's |respiratory |efforts.
