UMB ABSN NU 435 Exam 1
Study online at https://quizlet.com/_63bvqg
1. 1. A nurse is caring for four pa- ANS: A
tients; three are toddlers and one is a The major stressor for children from infancy
preschooler. Which represents the ma- through the preschool years is separation anx-
jor stressor of hospitalization for these iety, also called anaclitic depression. This is a
four patients? major stressor of hospitalization. Loss of con-
a. Separation anxiety trol, fear of bodily injury, and fear of pain are all
b. Loss of control stressors associated with hospitalization. How-
c. Fear of bodily injury ever, separation from family is a primary stres-
d. Fear of pain sor in this age group.
2. 2. During the first 4 days of hospitaliza- ANS: C
tion, Eric, age 18 months, cried incon- Detachment is a behavior manifestation of sep-
solably when his parents left him, and aration anxiety. Superficially it appears that the
he refused the staff's attention. Now the child has adjusted to the loss. Detachment is a
nurse observes that Eric appears to be sign of resignation, not contentment. Parents
"settled in" and unconcerned about see- should be encouraged to be with their child. If
ing his parents. The nurse should inter- parents restrict visits, they may begin a pattern
pret this as which statement? of misunderstanding the child's cues and not
a. He has successfully adjusted to the meeting his needs.
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 hos-
pital now, seeing his mother frequently
will only start the cycle again.
3. 3. When a preschool child is hospital- ANS: A
ized without adequate preparation, how If a toddler is not prepared for hospitalization,
does the child often react to the hospi- a typical preschooler fantasy is to attribute the
, UMB ABSN NU 435 Exam 1
Study online at https://quizlet.com/_63bvqg
talization? hospitalization to punishment for real or imag-
a. Sees it as a punishment ined misdeeds. Attributing the hospitalization
b. A threat to child's self-image to punishment for real or imagined misdeeds
c. An opportunity for regression is a reaction typical of toddler and school-age
d. Loss of companionship with friends children when threatened with loss of control.
4. 4. Which age group should the pediatric ANS: D
nurse recognize as being vulnerable to When a child is hospitalized, the altered family
events that lessen their feeling of con- role, physical disability, loss of peer acceptance,
trol and power? lack of productivity, and inability to cope with
a. Infants stress usurp individual power and identity. This
b. Toddlers is especially detrimental to school-age children,
c. Preschoolers who are striving for independence and pro-
d. School-age children ductivity and are now experiencing events that
lessen their control and power. Infants, tod-
dlers, and preschoolers, although affected to
different extents by loss of power, are not as sig-
nificantly affected as are school-age children.
5. 5. A 10-year-old girl needs to have an- ANS: A
other intravenous (IV) line started. She The 10-year-old girl is attempting to maintain
keeps telling the nurse, "Wait a minute" control. The nurse should provide the girl with
and "I'm not ready." The nurse should structured choices about when the IV will be
recognize this as which description? inserted. Telling the nurse "Wait a minute" and
a. This is normal behavior for a "I'm not ready" can be characteristic behavior
school-age child. when an individual needs to maintain some
b. The behavior is not seen past the control over a situation.
preschool years.
c. The child thinks the nurse is punishing
her.
d. The child has successfully manipulat-
ed the nurse in the past.
, UMB ABSN NU 435 Exam 1
Study online at https://quizlet.com/_63bvqg
6. 6. What is a common initial reaction of ANS: D
parents to illness or injury and hospital- Recent research has identified common themes
ization in their child? among parents whose children were hospi-
a. Anger talized, including feeling an overall sense of
b. Fear helplessness, questioning the skills of staff,
c. Depression accepting the reality of hospitalization, need-
d. Helplessness ing to have information explained in simple
language, dealing with fear, coping with un-
certainty, and seeking reassurance from care-
givers. Anger or guilt is usually the second re-
action 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. 7. Amy, age 6 years, needs to be hos- ANS: B
pitalized again because of a chronic ill- Siblings experience loneliness, fear, and wor-
ness. The clinic nurse overhears her ry, as well as anger, resentment, jealousy, and
school-age siblings tell her, "We are sick guilt. The siblings experience stress equal to
of Mom always sitting with you in the that of the hospitalized child. There is no evi-
hospital and playing with you. It isn't fair dence that the family has maladaptive coping
that you get everything and we have to mechanisms.
stay with the neighbors." Which is the
nurse's best assessment of this situa-
tion?
a. The siblings are immature and proba-
bly spoiled.
b. Jealousy and resentment are com-
mon reactions to the illness or hospital-
ization of a sibling.
c. Family has ineffective coping mecha-
, UMB ABSN NU 435 Exam 1
Study online at https://quizlet.com/_63bvqg
nisms to deal with chronic illness.
d. The siblings need to better under-
stand their sister's illness and needs.
8. 8. What is an appropriate nursing inter- ANS: B
vention to minimize separation anxiety A toddler experiences separation anxiety sec-
in a hospitalized toddler? ondary to being separated from the parents. To
a. Provide for privacy avoid this, the parents should be encouraged
b. Encourage parents to room in to room in as much as possible. Maintaining
c. Explain procedures and routines routines and ensuring privacy are helpful inter-
d. Encourage contact with children the ventions, but they would not substitute for the
same age parents. Encouraging contact with children the
same age would not substitute for having the
parents present.
9. 9. Four-year-old Brian appears to be up- ANS: A
set by hospitalization. Which is an ap- Crying is an appropriate behavior for the up-
propriate intervention? set preschooler. The nurse provides support
a. Let him know it is all right to cry. through physical presence. Giving the child
b. Give him time to gain control of him- time to gain control is appropriate, but the
self. child must know that crying is acceptable. The
c. Show him how other children are co- preschooler does not engage in competitive
operating. behaviors.
d. Tell him what a big boy he is to be so
quiet.
10. 10. Latasha, age 8 years, is being admit- ANS: A
ted to the hospital from the emergency School-age children need to have control of
department with an injury from falling their environment. The nurse should offer ex-
off her bicycle. Which will help her most planations or prepare the child for those expe-
in her adjustment to the hospital? riences that are unavailable. The nurse should
a. Explain hospital schedules to her, refer to the child by the preferred name. Ex-
Study online at https://quizlet.com/_63bvqg
1. 1. A nurse is caring for four pa- ANS: A
tients; three are toddlers and one is a The major stressor for children from infancy
preschooler. Which represents the ma- through the preschool years is separation anx-
jor stressor of hospitalization for these iety, also called anaclitic depression. This is a
four patients? major stressor of hospitalization. Loss of con-
a. Separation anxiety trol, fear of bodily injury, and fear of pain are all
b. Loss of control stressors associated with hospitalization. How-
c. Fear of bodily injury ever, separation from family is a primary stres-
d. Fear of pain sor in this age group.
2. 2. During the first 4 days of hospitaliza- ANS: C
tion, Eric, age 18 months, cried incon- Detachment is a behavior manifestation of sep-
solably when his parents left him, and aration anxiety. Superficially it appears that the
he refused the staff's attention. Now the child has adjusted to the loss. Detachment is a
nurse observes that Eric appears to be sign of resignation, not contentment. Parents
"settled in" and unconcerned about see- should be encouraged to be with their child. If
ing his parents. The nurse should inter- parents restrict visits, they may begin a pattern
pret this as which statement? of misunderstanding the child's cues and not
a. He has successfully adjusted to the meeting his needs.
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 hos-
pital now, seeing his mother frequently
will only start the cycle again.
3. 3. When a preschool child is hospital- ANS: A
ized without adequate preparation, how If a toddler is not prepared for hospitalization,
does the child often react to the hospi- a typical preschooler fantasy is to attribute the
, UMB ABSN NU 435 Exam 1
Study online at https://quizlet.com/_63bvqg
talization? hospitalization to punishment for real or imag-
a. Sees it as a punishment ined misdeeds. Attributing the hospitalization
b. A threat to child's self-image to punishment for real or imagined misdeeds
c. An opportunity for regression is a reaction typical of toddler and school-age
d. Loss of companionship with friends children when threatened with loss of control.
4. 4. Which age group should the pediatric ANS: D
nurse recognize as being vulnerable to When a child is hospitalized, the altered family
events that lessen their feeling of con- role, physical disability, loss of peer acceptance,
trol and power? lack of productivity, and inability to cope with
a. Infants stress usurp individual power and identity. This
b. Toddlers is especially detrimental to school-age children,
c. Preschoolers who are striving for independence and pro-
d. School-age children ductivity and are now experiencing events that
lessen their control and power. Infants, tod-
dlers, and preschoolers, although affected to
different extents by loss of power, are not as sig-
nificantly affected as are school-age children.
5. 5. A 10-year-old girl needs to have an- ANS: A
other intravenous (IV) line started. She The 10-year-old girl is attempting to maintain
keeps telling the nurse, "Wait a minute" control. The nurse should provide the girl with
and "I'm not ready." The nurse should structured choices about when the IV will be
recognize this as which description? inserted. Telling the nurse "Wait a minute" and
a. This is normal behavior for a "I'm not ready" can be characteristic behavior
school-age child. when an individual needs to maintain some
b. The behavior is not seen past the control over a situation.
preschool years.
c. The child thinks the nurse is punishing
her.
d. The child has successfully manipulat-
ed the nurse in the past.
, UMB ABSN NU 435 Exam 1
Study online at https://quizlet.com/_63bvqg
6. 6. What is a common initial reaction of ANS: D
parents to illness or injury and hospital- Recent research has identified common themes
ization in their child? among parents whose children were hospi-
a. Anger talized, including feeling an overall sense of
b. Fear helplessness, questioning the skills of staff,
c. Depression accepting the reality of hospitalization, need-
d. Helplessness ing to have information explained in simple
language, dealing with fear, coping with un-
certainty, and seeking reassurance from care-
givers. Anger or guilt is usually the second re-
action 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. 7. Amy, age 6 years, needs to be hos- ANS: B
pitalized again because of a chronic ill- Siblings experience loneliness, fear, and wor-
ness. The clinic nurse overhears her ry, as well as anger, resentment, jealousy, and
school-age siblings tell her, "We are sick guilt. The siblings experience stress equal to
of Mom always sitting with you in the that of the hospitalized child. There is no evi-
hospital and playing with you. It isn't fair dence that the family has maladaptive coping
that you get everything and we have to mechanisms.
stay with the neighbors." Which is the
nurse's best assessment of this situa-
tion?
a. The siblings are immature and proba-
bly spoiled.
b. Jealousy and resentment are com-
mon reactions to the illness or hospital-
ization of a sibling.
c. Family has ineffective coping mecha-
, UMB ABSN NU 435 Exam 1
Study online at https://quizlet.com/_63bvqg
nisms to deal with chronic illness.
d. The siblings need to better under-
stand their sister's illness and needs.
8. 8. What is an appropriate nursing inter- ANS: B
vention to minimize separation anxiety A toddler experiences separation anxiety sec-
in a hospitalized toddler? ondary to being separated from the parents. To
a. Provide for privacy avoid this, the parents should be encouraged
b. Encourage parents to room in to room in as much as possible. Maintaining
c. Explain procedures and routines routines and ensuring privacy are helpful inter-
d. Encourage contact with children the ventions, but they would not substitute for the
same age parents. Encouraging contact with children the
same age would not substitute for having the
parents present.
9. 9. Four-year-old Brian appears to be up- ANS: A
set by hospitalization. Which is an ap- Crying is an appropriate behavior for the up-
propriate intervention? set preschooler. The nurse provides support
a. Let him know it is all right to cry. through physical presence. Giving the child
b. Give him time to gain control of him- time to gain control is appropriate, but the
self. child must know that crying is acceptable. The
c. Show him how other children are co- preschooler does not engage in competitive
operating. behaviors.
d. Tell him what a big boy he is to be so
quiet.
10. 10. Latasha, age 8 years, is being admit- ANS: A
ted to the hospital from the emergency School-age children need to have control of
department with an injury from falling their environment. The nurse should offer ex-
off her bicycle. Which will help her most planations or prepare the child for those expe-
in her adjustment to the hospital? riences that are unavailable. The nurse should
a. Explain hospital schedules to her, refer to the child by the preferred name. Ex-
