Wong's Nursing Care of
Infants and Children
Chapter 21 Exams
Questions and Complete
Solution
Denning [Date] [Course title]
,What behavior should most likely be manifested in an infant experiencing the protest phase of
separation anxiety?
a. Inactivity
b. Depression and sadness
c. Inconsolable and crying
d. Regression to earlier behavior - Correct Answer: ANS: C
For older infants, being inconsolable and crying is seen during the protest phase of separation anxiety.
Inactivity is observed during the stage of despair. The child is much less active and withdraws from
others. Depression, sadness, and regression to earlier behaviors are observed during the phase of
despair.
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?
a. Infants
b. Toddlers
c. Preschoolers
d. School-age children - Correct 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 decrease their control and power. Infants, toddlers, and preschoolers, although
affected by loss of power, are not as significantly affected as school-age children.
Cognitive development influences response to pain. What age group is most concerned with the fear of
losing control during a painful experience?
a. Toddlers
b. Preschoolers
c. School-age children
d. Adolescents - Correct Answer: ANS: D
, Adolescents view illness as physiologic (an organ malfunction) as psychophysiologic (psychologic factors
that affect health). Adolescents usually approach pain with self-control. They are concerned with
remaining composed and feel embarrassed or ashamed of losing control. Toddlers and preschoolers
react to pain primarily as a physical, concrete experience. Preschoolers may try to escape a procedure
with verbal statements such as go away. Young school-age children may view pain as punishment for
wrongdoing. They age group fears bodily harm.
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?
a. Apply a Band-Aid.
b. Ask her why she wants a Band-Aid.
c. Explain why a Band-Aid is not needed.
d. Show her that the bleeding has already stopped. - Correct Answer: ANS: A
Children in this age group still fear that their insides may leak out at the injection site. The nurse should
be prepared to apply a small Band-Aid after the injection. No explanation should be required.
The psychosexual conflicts of preschool children make them extremely vulnerable to which threat?
a. Loss of control
b. Loss of identity
c. Separation anxiety
d. Bodily injury and pain - Correct Answer: ANS: D
The psychosexual conflicts of children in this age group make them vulnerable to threats of bodily injury.
Intrusive procedures, whether painful or painless, are threatening to preschoolers, whose concepts of
body integrity is still poorly developed. Loss of control, loss of identity, and separation anxiety are not
related to psychosexual conflicts.
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." How should the nurse interpret this situation?
a. The child is unusually brave.
b. He has learned that support does not help.
Infants and Children
Chapter 21 Exams
Questions and Complete
Solution
Denning [Date] [Course title]
,What behavior should most likely be manifested in an infant experiencing the protest phase of
separation anxiety?
a. Inactivity
b. Depression and sadness
c. Inconsolable and crying
d. Regression to earlier behavior - Correct Answer: ANS: C
For older infants, being inconsolable and crying is seen during the protest phase of separation anxiety.
Inactivity is observed during the stage of despair. The child is much less active and withdraws from
others. Depression, sadness, and regression to earlier behaviors are observed during the phase of
despair.
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?
a. Infants
b. Toddlers
c. Preschoolers
d. School-age children - Correct 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 decrease their control and power. Infants, toddlers, and preschoolers, although
affected by loss of power, are not as significantly affected as school-age children.
Cognitive development influences response to pain. What age group is most concerned with the fear of
losing control during a painful experience?
a. Toddlers
b. Preschoolers
c. School-age children
d. Adolescents - Correct Answer: ANS: D
, Adolescents view illness as physiologic (an organ malfunction) as psychophysiologic (psychologic factors
that affect health). Adolescents usually approach pain with self-control. They are concerned with
remaining composed and feel embarrassed or ashamed of losing control. Toddlers and preschoolers
react to pain primarily as a physical, concrete experience. Preschoolers may try to escape a procedure
with verbal statements such as go away. Young school-age children may view pain as punishment for
wrongdoing. They age group fears bodily harm.
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?
a. Apply a Band-Aid.
b. Ask her why she wants a Band-Aid.
c. Explain why a Band-Aid is not needed.
d. Show her that the bleeding has already stopped. - Correct Answer: ANS: A
Children in this age group still fear that their insides may leak out at the injection site. The nurse should
be prepared to apply a small Band-Aid after the injection. No explanation should be required.
The psychosexual conflicts of preschool children make them extremely vulnerable to which threat?
a. Loss of control
b. Loss of identity
c. Separation anxiety
d. Bodily injury and pain - Correct Answer: ANS: D
The psychosexual conflicts of children in this age group make them vulnerable to threats of bodily injury.
Intrusive procedures, whether painful or painless, are threatening to preschoolers, whose concepts of
body integrity is still poorly developed. Loss of control, loss of identity, and separation anxiety are not
related to psychosexual conflicts.
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." How should the nurse interpret this situation?
a. The child is unusually brave.
b. He has learned that support does not help.
