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166 Exam 1 Concepts Of family Centered
Nursing For the Practical Nursing Newest
2025/2026 Actual Exam Complete 100
Questions And Correct Detailed Answers
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When admitting a child to the inpatient pediatric unit, the nurse should assess for which risk
factors that can increase the child's stress level associated with hospitalization? Select all that
apply.
1
Mild temperament
2
Lack of fit between parent and child
3
Below-average intelligence
4
Age
5
Gender - Answer ✓✓2, 3, 4, 5
Risk factors for increased stress level of a child to illness or hospitalization: "Difficult"
temperament; Lack of fit between child and parent; Age (especially between 6 months and 5
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years old); Male gender; Below-average intelligence; Multiple and continuing stresses (e.g.,
frequent hospitalizations).
A child is scheduled for a tonsillectomy and is afraid of the surgery. The child asks the nurse,
"Will I need another operation when I have a sore throat again?" Which response should the
nurse give to the child?
1
"Once your tonsils are taken out, you will not need the surgery again."
2
"You will need to repeat the surgery when you have another infection."
3
"You will need to have another surgery when you turn 14 years old."
4
"Once your tonsils are fixed, you will not have any more sore throats." - Answer ✓✓1
The child does not have enough knowledge about the tonsillectomy. Therefore the child may
have fear about the surgery. The nurse should explain to the child that once the tonsils are
removed, they do not need "fixing" again. It helps relieve the child's fear about the operation,
and the child may feel comfortable. Once the tonsillectomy has been done in the child, a
second operation is not required after another throat infection. There will actually not be a
need for repeating the operation at any age. The child needs to be instructed that there may
be other sore throats in the future. However, the child needs to be reassured that future sore
throats will not require surgery.
The nurse is discharging a young child from the hospital. The nurse should instruct the parents
to look for which posthospital child behaviors? Select all the apply.
1
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Tendency to cling to parents
2
Jealousy toward others
3
Demands for parents' attention
4
Anger toward parents
5
New fears such as nightmares - Answer ✓✓1, 3, 5
Young children's posthospital behaviors include: They show initial aloofness toward parents;
this may last from a few minutes (most common) to a few days. This is frequently followed by
dependency behaviors: tendency to cling to parents; demands for parents' attention; vigorous
opposition to any separation (e.g., staying at preschool or with a babysitter). Other negative
behaviors include: new fears (e.g., nightmares); resistance to going to bed, night waking;
withdrawal and shyness; hyperactivity; temper tantrums; food peculiarities; attachment to
blanket or toy; regression in newly learned skills (e.g., self-toileting). Posthospital behaviors
for older children include negative behaviors: emotional coldness followed by intense,
demanding dependence on parents; anger toward parents; jealousy toward others (e.g.,
siblings).
A child has recently been admitted to the hospital. The child's parents have not yet arrived at
the hospital. What behavior is the child exhibiting that leads the nurse to believe the child is
exhibiting the stage of protest? The child:
1
Screams and hits the nurse.
2
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Is withdrawn from others.
3
Has the habit of bed-wetting.
4
Sits in a corner with a toy. - Answer ✓✓1
Children often undergo separation anxiety when they are separated from their parents. This
separation anxiety manifests in different stages such as protest, despair, and detachment.
Protest is the first stage of separation anxiety, during which the child screams, cries, or hits
the other person for separating him or her from the parents. After this stage, the child enters
the stage of despair, where the child begins to withdraw from others and stay depressed.
During this stage, the child starts wetting the bed and sucking the thumb because of fear and
anxiety. After the stage of despair, the child enters the stage of detachment. The child starts
interacting with strangers and takes an increased interest in the surroundings or sits in a
corner and plays with a toy.
A child is hospitalized for treatment of the flu. Once the child's parents leave, the child starts
crying, looks for parents, attempts to leave, refuses to take medicine, hits other children, and
breaks toys. What should the nurse conclude from the child's behavior? The child is in the:
1
Protest stage.
2
Despair stage.
3
Denial stage.
4
Detachment stage. - Answer ✓✓1
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