UMB ABSN NU 435 Exam 1 Questions With
Correct Answers
1. A nurse is caring for four patients; three are toddlers and one is a
| | | | | | | | | | | | | | |
preschooler. Which represents the major stressor of hospitalization for
| | | | | | | | |
these four patients?
| |
a. Separation anxiety
| |
b. Loss of control
| | |
c. Fear of bodily injury
| | | |
d. Fear of pain - ANSWER✔✔✔-ANS: A
| | | | | |
The major stressor for children from infancy through the preschool
| | | | | | | | | |
years is separation anxiety, also called anaclitic depression. This is a
| | | | | | | | | | |
major stressor of hospitalization. Loss of control, fear of bodily injury,
| | | | | | | | | | |
and fear of pain are all stressors associated with hospitalization.
| | | | | | | | | |
However, separation from family is a primary stressor in this age group.
| | | | | | | | | | |
2. During the first 4 days of hospitalization, Eric, age 18 months, cried
| | | | | | | | | | | | |
inconsolably when his parents left him, and he refused the staff's
| | | | | | | | | | |
attention. Now the nurse observes that Eric appears to be "settled in"
| | | | | | | | | | | |
and unconcerned about seeing his parents. The nurse should interpret
| | | | | | | | | |
this as which statement?
| | |
a. He has successfully adjusted to the hospital environment.
| | | | | | | |
b. He has transferred his trust to the nursing staff.
| | | | | | | | |
,c. He may be experiencing detachment, which is the third stage of
| | | | | | | | | | | |
separation anxiety. |
d. Because he is "at home" in the hospital now, seeing his mother
| | | | | | | | | | | | |
frequently will only start the cycle again. - ANSWER✔✔✔-ANS: C
| | | | | | | | |
Detachment is a behavior manifestation of separation anxiety. | | | | | | | |
Superficially it appears that the child has adjusted to the loss. | | | | | | | | | | |
Detachment is a sign of resignation, not contentment. Parents should be | | | | | | | | | |
encouraged to be with their child. If parents restrict visits, they may
| | | | | | | | | | | | |
begin a pattern of misunderstanding the child's cues and not meeting
| | | | | | | | | | |
his needs. |
3. When a preschool child is hospitalized without adequate preparation,
| | | | | | | | |
how does the child often react to the hospitalization?
| | | | | | | | |
a. Sees it as a punishment
| | | | |
b. A threat to child's self-image
| | | | |
c. An opportunity for regression
| | | |
d. Loss of companionship with friends - ANSWER✔✔✔-ANS: A
| | | | | | | |
If a toddler is not prepared for hospitalization, a typical preschooler
| | | | | | | | | | |
fantasy is to attribute the hospitalization to punishment for real or
| | | | | | | | | | |
imagined misdeeds. Attributing the hospitalization to punishment for
| | | | | | | |
real or imagined misdeeds is a reaction typical of toddler and school-age
| | | | | | | | | | |
|children when threatened with loss of control.
| | | | | |
4. Which age group should the pediatric nurse recognize as being
| | | | | | | | | | |
vulnerable to events that lessen their feeling of control and power?
| | | | | | | | | |
,a. Infants
|
b. Toddlers
|
c. Preschoolers
|
d. School-age children - ANSWER✔✔✔-ANS: D
| | | | |
When a child is hospitalized, the altered family role, physical disability,
| | | | | | | | | | |
loss of peer acceptance, lack of productivity, and inability to cope with
| | | | | | | | | | | |
stress usurp individual power and identity. This is especially detrimental
| | | | | | | | | |
to school-age children, who are striving for independence and
| | | | | | | | |
productivity and are now experiencing events that lessen their control
| | | | | | | | | |
and power. Infants, toddlers, and preschoolers, although affected to
| | | | | | | | |
different extents by loss of power, are not as significantly affected as are
| | | | | | | | | | | |
|school-age children. |
5. A 10-year-old girl needs to have another intravenous (IV) line started.
| | | | | | | | | | | |
She keeps telling the nurse, "Wait a minute" and "I'm not ready." The
| | | | | | | | | | | | |
nurse should recognize this as which description?
| | | | | |
a. This is normal behavior for a school-age child.
| | | | | | | |
b. The behavior is not seen past the preschool years.
| | | | | | | | |
c. The child thinks the nurse is punishing her.
| | | | | | | |
d. The child has successfully manipulated the nurse in the past. -
| | | | | | | | | | | |
ANSWER✔✔✔-ANS: A |
The 10-year-old girl is attempting to maintain control. The nurse should
| | | | | | | | | | |
provide the girl with structured choices about when the IV will be
| | | | | | | | | | | |
inserted. Telling the nurse "Wait a minute" and "I'm not ready" can be
| | | | | | | | | | | | |
, characteristic behavior when an individual needs to maintain some
| | | | | | | | |
control over a situation.
| | |
6. What is a common initial reaction of parents to illness or injury and
| | | | | | | | | | | | | |
hospitalization in their child? | | |
a. Anger
|
b. Fear
|
c. Depression
|
d. Helplessness - ANSWER✔✔✔-ANS: D
| | | |
Recent research has identified common themes among parents whose
| | | | | | | | |
children were hospitalized, including feeling an overall sense of
| | | | | | | | |
helplessness, questioning the skills of staff, accepting the reality of
| | | | | | | | | |
hospitalization, needing to have information explained in simple | | | | | | | |
language, dealing with fear, coping with uncertainty, and seeking
| | | | | | | | |
reassurance from caregivers. Anger or guilt is usually the second
| | | | | | | | | |
reaction stage. Fear, anxiety, and frustrations also are common feelings.
| | | | | | | | | |
Parents may finally react with some form of depression related to the
| | | | | | | | | | | |
physical and emotional exhaustion associated with a hospitalized child.
| | | | | | | |
7. Amy, age 6 years, needs to be hospitalized again because of a chronic
| | | | | | | | | | | | | |
illness. The clinic nurse overhears her school-age siblings tell her, "We
| | | | | | | | | | |
are sick of Mom always sitting with you in the hospital and playing with
| | | | | | | | | | | | | |
you. It isn't fair that you get everything and we have to stay with the
| | | | | | | | | | | | | | |
neighbors." Which is the nurse's best assessment of this situation?
| | | | | | | | |
a. The siblings are immature and probably spoiled.
| | | | | | |
Correct Answers
1. A nurse is caring for four patients; three are toddlers and one is a
| | | | | | | | | | | | | | |
preschooler. Which represents the major stressor of hospitalization for
| | | | | | | | |
these four patients?
| |
a. Separation anxiety
| |
b. Loss of control
| | |
c. Fear of bodily injury
| | | |
d. Fear of pain - ANSWER✔✔✔-ANS: A
| | | | | |
The major stressor for children from infancy through the preschool
| | | | | | | | | |
years is separation anxiety, also called anaclitic depression. This is a
| | | | | | | | | | |
major stressor of hospitalization. Loss of control, fear of bodily injury,
| | | | | | | | | | |
and fear of pain are all stressors associated with hospitalization.
| | | | | | | | | |
However, separation from family is a primary stressor in this age group.
| | | | | | | | | | |
2. During the first 4 days of hospitalization, Eric, age 18 months, cried
| | | | | | | | | | | | |
inconsolably when his parents left him, and he refused the staff's
| | | | | | | | | | |
attention. Now the nurse observes that Eric appears to be "settled in"
| | | | | | | | | | | |
and unconcerned about seeing his parents. The nurse should interpret
| | | | | | | | | |
this as which statement?
| | |
a. He has successfully adjusted to the hospital environment.
| | | | | | | |
b. He has transferred his trust to the nursing staff.
| | | | | | | | |
,c. He may be experiencing detachment, which is the third stage of
| | | | | | | | | | | |
separation anxiety. |
d. Because he is "at home" in the hospital now, seeing his mother
| | | | | | | | | | | | |
frequently will only start the cycle again. - ANSWER✔✔✔-ANS: C
| | | | | | | | |
Detachment is a behavior manifestation of separation anxiety. | | | | | | | |
Superficially it appears that the child has adjusted to the loss. | | | | | | | | | | |
Detachment is a sign of resignation, not contentment. Parents should be | | | | | | | | | |
encouraged to be with their child. If parents restrict visits, they may
| | | | | | | | | | | | |
begin a pattern of misunderstanding the child's cues and not meeting
| | | | | | | | | | |
his needs. |
3. When a preschool child is hospitalized without adequate preparation,
| | | | | | | | |
how does the child often react to the hospitalization?
| | | | | | | | |
a. Sees it as a punishment
| | | | |
b. A threat to child's self-image
| | | | |
c. An opportunity for regression
| | | |
d. Loss of companionship with friends - ANSWER✔✔✔-ANS: A
| | | | | | | |
If a toddler is not prepared for hospitalization, a typical preschooler
| | | | | | | | | | |
fantasy is to attribute the hospitalization to punishment for real or
| | | | | | | | | | |
imagined misdeeds. Attributing the hospitalization to punishment for
| | | | | | | |
real or imagined misdeeds is a reaction typical of toddler and school-age
| | | | | | | | | | |
|children when threatened with loss of control.
| | | | | |
4. Which age group should the pediatric nurse recognize as being
| | | | | | | | | | |
vulnerable to events that lessen their feeling of control and power?
| | | | | | | | | |
,a. Infants
|
b. Toddlers
|
c. Preschoolers
|
d. School-age children - ANSWER✔✔✔-ANS: D
| | | | |
When a child is hospitalized, the altered family role, physical disability,
| | | | | | | | | | |
loss of peer acceptance, lack of productivity, and inability to cope with
| | | | | | | | | | | |
stress usurp individual power and identity. This is especially detrimental
| | | | | | | | | |
to school-age children, who are striving for independence and
| | | | | | | | |
productivity and are now experiencing events that lessen their control
| | | | | | | | | |
and power. Infants, toddlers, and preschoolers, although affected to
| | | | | | | | |
different extents by loss of power, are not as significantly affected as are
| | | | | | | | | | | |
|school-age children. |
5. A 10-year-old girl needs to have another intravenous (IV) line started.
| | | | | | | | | | | |
She keeps telling the nurse, "Wait a minute" and "I'm not ready." The
| | | | | | | | | | | | |
nurse should recognize this as which description?
| | | | | |
a. This is normal behavior for a school-age child.
| | | | | | | |
b. The behavior is not seen past the preschool years.
| | | | | | | | |
c. The child thinks the nurse is punishing her.
| | | | | | | |
d. The child has successfully manipulated the nurse in the past. -
| | | | | | | | | | | |
ANSWER✔✔✔-ANS: A |
The 10-year-old girl is attempting to maintain control. The nurse should
| | | | | | | | | | |
provide the girl with structured choices about when the IV will be
| | | | | | | | | | | |
inserted. Telling the nurse "Wait a minute" and "I'm not ready" can be
| | | | | | | | | | | | |
, characteristic behavior when an individual needs to maintain some
| | | | | | | | |
control over a situation.
| | |
6. What is a common initial reaction of parents to illness or injury and
| | | | | | | | | | | | | |
hospitalization in their child? | | |
a. Anger
|
b. Fear
|
c. Depression
|
d. Helplessness - ANSWER✔✔✔-ANS: D
| | | |
Recent research has identified common themes among parents whose
| | | | | | | | |
children were hospitalized, including feeling an overall sense of
| | | | | | | | |
helplessness, questioning the skills of staff, accepting the reality of
| | | | | | | | | |
hospitalization, needing to have information explained in simple | | | | | | | |
language, dealing with fear, coping with uncertainty, and seeking
| | | | | | | | |
reassurance from caregivers. Anger or guilt is usually the second
| | | | | | | | | |
reaction stage. Fear, anxiety, and frustrations also are common feelings.
| | | | | | | | | |
Parents may finally react with some form of depression related to the
| | | | | | | | | | | |
physical and emotional exhaustion associated with a hospitalized child.
| | | | | | | |
7. Amy, age 6 years, needs to be hospitalized again because of a chronic
| | | | | | | | | | | | | |
illness. The clinic nurse overhears her school-age siblings tell her, "We
| | | | | | | | | | |
are sick of Mom always sitting with you in the hospital and playing with
| | | | | | | | | | | | | |
you. It isn't fair that you get everything and we have to stay with the
| | | | | | | | | | | | | | |
neighbors." Which is the nurse's best assessment of this situation?
| | | | | | | | |
a. The siblings are immature and probably spoiled.
| | | | | | |
