C HAPTER 21: T HE C HILD ’ S E XPERIENCE OF
H OSPITALIZATION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The mother of a hospitalized toddler states, He cries when I visit. Maybe I
should just stay away. What is the nurses best response ?
a. Perhaps you are right. He onl y gets upset when you have to leave.
b. It is important that you are here. This is a common reaction in
children when they are separated from their parents.
c. It might be easier for your child if you would stay with him, but this
decision is up to you.
d. We take good care of him and he seems fine when you are not here.
ANS: B
During the second stage of separation anxiet y (despair), the child is
quiet, is not crying, and is sad and depressed. The child will revert to
protest when the parent arrives for a visit.
DIF: Cognitive Level: Application REF: Page 481 OBJ: 3
TOP: Separation Anxiet y KEY: Nursing Process
Step: Implementation MSC: NC LEX: Psychosocial
Integrit y: Psychosocial Adaptation
,2. What should the nurse, preparing to collect an admission history from
parents who have recentl y emigrated from Russia, keep in mind?
a. Eye-to-eye contact is considered disrespectful.
b. Touching the childs head means the nurse is superior.
c. Smiling is inappropriate in a serious situation.
d. Staring is a sign of the nurses rudeness.
ANS: C
In Russia, a smile indicates happiness and is inappropriate in a serious
or sad situation.
DIF: Cognitive Level: Comprehension REF: Page 486
TOP: Fostering Intercultural Communication KEY:
Nursing Process Step: Planning MSC: NC LEX:
Psychosocial Integrity: Psychosocial Adaptation
3. Which nursing action would facilitate rapport with a child and the childs
parents during the admission process?
a. Direct the parents to undress the child.
b. Answer questions in a calm and matter -of-fact way.
c. Perform assessments and ask questions as quickl y as possible.
d. Express concern about the seriousness of the childs condition.
ANS: B
The nurse tries not to appear rushed. A matter -of-fact attitude must be
maintained regardless of the childs conditi on.
, DIF: Cognitive Level: Application REF: Page 487 OBJ: 5
TOP: Nurses Role in Hospital Admission KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Psychosocial Integrity: Psychosocial Adaptation
4. When a 2-year-old returns to her hospital room followi ng a diagnostic
procedure, her parents are not available, and the child is crying loudl y.
Which technique is most appropriate to alleviate the childs distress?
a. Rock the child gently to sleep.
b. Play with the child using pop -up toys.
c. Role play with the child to act out her feelings.
d. Ask the child to draw a picture about her feelings.
ANS: B
Distractions such as blowing bubbles, looking through a kaleidoscope,
and playing with pop -up toys may help reduce anxiet y and pain.
DIF: Cognitive Level: Application REF: Page 490 TOP:
The Hospitalized Toddler KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y:
Psychosocial Adaptation
5. A 4-year-old begins to cry when his mother tells him it is time for his
operation. The nurse understands this i s an expected reaction. On which
particular fear of the preschooler does the nurse base this understanding?
a. Loss of control
b. Restricted mobilit y
c. Unfamiliar routines
d. Invasive procedures
H OSPITALIZATION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The mother of a hospitalized toddler states, He cries when I visit. Maybe I
should just stay away. What is the nurses best response ?
a. Perhaps you are right. He onl y gets upset when you have to leave.
b. It is important that you are here. This is a common reaction in
children when they are separated from their parents.
c. It might be easier for your child if you would stay with him, but this
decision is up to you.
d. We take good care of him and he seems fine when you are not here.
ANS: B
During the second stage of separation anxiet y (despair), the child is
quiet, is not crying, and is sad and depressed. The child will revert to
protest when the parent arrives for a visit.
DIF: Cognitive Level: Application REF: Page 481 OBJ: 3
TOP: Separation Anxiet y KEY: Nursing Process
Step: Implementation MSC: NC LEX: Psychosocial
Integrit y: Psychosocial Adaptation
,2. What should the nurse, preparing to collect an admission history from
parents who have recentl y emigrated from Russia, keep in mind?
a. Eye-to-eye contact is considered disrespectful.
b. Touching the childs head means the nurse is superior.
c. Smiling is inappropriate in a serious situation.
d. Staring is a sign of the nurses rudeness.
ANS: C
In Russia, a smile indicates happiness and is inappropriate in a serious
or sad situation.
DIF: Cognitive Level: Comprehension REF: Page 486
TOP: Fostering Intercultural Communication KEY:
Nursing Process Step: Planning MSC: NC LEX:
Psychosocial Integrity: Psychosocial Adaptation
3. Which nursing action would facilitate rapport with a child and the childs
parents during the admission process?
a. Direct the parents to undress the child.
b. Answer questions in a calm and matter -of-fact way.
c. Perform assessments and ask questions as quickl y as possible.
d. Express concern about the seriousness of the childs condition.
ANS: B
The nurse tries not to appear rushed. A matter -of-fact attitude must be
maintained regardless of the childs conditi on.
, DIF: Cognitive Level: Application REF: Page 487 OBJ: 5
TOP: Nurses Role in Hospital Admission KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Psychosocial Integrity: Psychosocial Adaptation
4. When a 2-year-old returns to her hospital room followi ng a diagnostic
procedure, her parents are not available, and the child is crying loudl y.
Which technique is most appropriate to alleviate the childs distress?
a. Rock the child gently to sleep.
b. Play with the child using pop -up toys.
c. Role play with the child to act out her feelings.
d. Ask the child to draw a picture about her feelings.
ANS: B
Distractions such as blowing bubbles, looking through a kaleidoscope,
and playing with pop -up toys may help reduce anxiet y and pain.
DIF: Cognitive Level: Application REF: Page 490 TOP:
The Hospitalized Toddler KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y:
Psychosocial Adaptation
5. A 4-year-old begins to cry when his mother tells him it is time for his
operation. The nurse understands this i s an expected reaction. On which
particular fear of the preschooler does the nurse base this understanding?
a. Loss of control
b. Restricted mobilit y
c. Unfamiliar routines
d. Invasive procedures
