ESSENTIALS OF PEDIATRIC NURSING 4TH EDITION KYLE CARMAN TEST BANK CHAPTER 9 HEALTH SUPERVISION MULTIPLE CHOICE

ESSENTIALS OF PEDIATRIC NURSING 4TH EDITION KYLE CARMAN TEST BANK CHAPTER 9 HEALTH SUPERVISION MULTIPLE CHOICE 1. Which child would have the most difficulty in coping with separation from parents because of hospitalization? a . The 3-month-old child b . The 16-month-old child c . The 4-year-old child d . The 7-year-old child ANS: B Separation anxiety occurs after age 6 months and is most pronounced in the toddler. DIF: Cognitive Level: Comprehension REF: 466-467 OBJ: 2 Estudy TOP: Separation Anxiety KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 2. A 2-year-old child has been crying constantly for his mother since he was hospitalized 3 days ago. The nurse understands that this behavior suggests: a . The toddler feels abandoned by his mother. b . The child still has not adjusted to his hospitalization. c . The child is not separated from his mother often. d . A poor mother-child bond exists. ANS: A Unless toddlers are extremely ill, their grief and sense of abandonment during hospitalization are obvious. DIF: Cognitive Level: Analysis REF: 465-466 OBJ: 2 TOP: Separation Anxiety KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 3. The statement that best corresponds to a preschoolers understanding of hospitalization is: a . A germ made me get sick. b . I got sick because I was mad at my brother. c . My tonsils are sick and they have to come out. d . I have a cast because I broke my leg. ANS: B The preschooler may feel guilty, particularly if an accident happens as a result of mischief on his or her part. DIF: Cognitive Level: Application REF: 476 OBJ: 6 TOP: The Hospitalized Preschooler KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 4. The parents of a hospitalized toddler are upset because she seems more interested in her toys when they come to visit her. The toddler is most likely in which stage of separation anxiety? Estudy a . Protest b . Despair c . Denial d . Attachment ANS: C In the stage of denial or detachment, the child appears to deny the need for the parents and becomes uninterested in their visits. DIF: Cognitive Level: Comprehension REF: 465-466 OBJ: 2 TOP: Separation Anxiety KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 5. The nurse must make a room assignment for a 16-year-old teenager with cystic fibrosis. An optimal roommate might be: a . A 4-year-old child who had an appendectomy b . A 10-year-old child with sickle cell disease in vasoocclusive crisis c . A 15-year-old teenager with type 1 diabetes mellitus d . To assign the adolescent to a private room ANS: C Estudy Adolescents usually do better in rooms with one or more roommates than in single rooms. The adolescent would do best with a roommate who is closest to his or her age and also lives with a chronic illness. DIF: Cognitive Level: Application REF: 477 OBJ: 8 TOP: The Hospitalized Adolescent KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 6. The parents of a hospitalized 9-month-old infant ask if their preschool child may visit his younger sibling. The nurse understands that: a . Most facilities do not allow visitors under age 12 years for infection control purposes. b . Seeing his younger sibling would probably frighten the preschooler and thus should be avoided. c . The sibling could view the infant from the doorway but not enter the room to prevent the spread of microorganisms. d . The preschooler needs to visit his infant sister to reassure himself that she is all right. ANS: D Siblings are affected by a childs hospitalization. Their ability to cope is influenced by their age, experience, and intactness of the family. DIF: Cognitive Level: Analysis REF: 474 OBJ: 3 TOP: Siblings-Parents Reaction to Hospitalization KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 7. A hospitalized toddler was drinking from a cup at home, but now refuses to drink from anything except his favorite bottle. This is because the toddler is: a . Dealing with the anxiety of hospitalization by regressing b . Demonstrating attention-seeking behaviors because of an overabundance of attention in the hospital c . Attempting to refocus the attention of the adults around him to avoid further painful procedures Estudy d . Exhibiting normal behavior for his age, as children often stop new behaviors after they feel they have mastered them ANS: A Hospitalization is frustrating for toddlers. They show their displeasure when illness restricts satisfaction of their desires. It is not unusual for a toddler who was drinking from a cup to refuse it in the hospital. DIF: Cognitive Level: Comprehension REF: 468 OBJ: 4 TOP: Regression KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 8. A nurse encourages a school-age child to draw a picture after a painful procedure. The best rationale for this intervention is that the nurse is: a . Attempting to reestablish rapport b . Providing a way for the child to express his feelings c . Encouraging quiet play d . Distracting the child from thinking about the pain ANS: B Following treatments, the nurse should encourage children to draw and talk about their drawings or to act out their feelings through puppet play. DIF: Cognitive Level: Comprehension REF: 490 OBJ: 7 TOP: The Hospitalized School-Age Child KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 9. The nurse suggests that the best time for parents to begin to prepare a 5-year-old for surgery and hospitalization is: a . As soon as the surgery is scheduled b . About 2 weeks before surgery Estudy c . About 4 days before surgery d . On the night before admission to the hospital