Reaction to Hospitalization, Pain (All Ages)

Miscellaneous

100

During hospitalization children need sensitive and competent care. As a nurse what should your interventions focus on: (select all that apply) A. Eliminating or minimizing the stressors of separation, loss of control, and bodily injury B. Providing specific supportive strategies for family members C. Creating an environment for the child to the parent's needs D. Keeping only the parents informed throughout certain procedures/interventions

A. Eliminating or minimizing the stressors of separation, loss of control, and bodily injury B. Providing specific supportive strategies for family members

200

2. Which of the following is not a strategy to minimize the loss of control/autonomy when treating children? A. Promoting freedom of movement B. Maintaining the child's routine C. Promoting understanding D. Being close to the child and using a soft tone voice

D. Being close to the child and using a soft tone voice

300

3. T/F: The three phases of seperation anxiety are protest, despair, and detachment. A. True B. False

A. True

400

A child is scared and crying because he has to get an injection, as a nurse what can you do to comfort the child during the procedure? A. Give the child toys to play with during the procedure to distract him B. Ignore the child and give him the injection with him crying C. Give yourself an empty injection to show the child that it does not hurt D. Offer him a popsicle or candy as an incentive for getting the injection

D. Offer him a popsicle or candy as an incentive for getting the injection

500

Which of the following is used to minimize stress for the child? A. Expressive activities such as drawing/painting B. Singing to the child C. Letting the child watch TV whenever they want D. Giving the child treats on a consistent basis

A. Expressive activities such as drawing/painting

Pain Assessment

100

When using the Wong-Baker FACES Pain Rating Scale, the child your assessing should be: A. 2 years old and up B. 3 years old and up C. Able to speak their mind D. It doesn't matter how old because its used as a comparative scale

B. 3 years old and up

200

A nurse is planning to use the Color Tool pain rating scale for her 5 year old patient, before the child begins to color where his pain is what should she do first? A. Ask him to show on a scale of 0-10 how much his pain hurts B. Order 8 markers in order of least pain to most pain by using their colors C. Ask his parents what the child was doing when the pain started D. All of the above

B. Order 8 markers in order of least pain to most pain by using their colors

300

A nurse is starting her shift and is assigned to a 4 year old with vague abdominal pain. In order to plan the best care for her patient what should she do first? A. Look up in the EMR what the child's chief complaint was upon admission B. Ask the parents if the child could be faking C. Use the Wong-Baker FACES pain scale to get an idea of how bad the child's pain is D. Question the child about his pain

D. Question the child about his pain

400

Which of the following is NOT a type pediatric pain management strategy? A. Pharmacological B. Complimentary Pain Medicine (CAM) C. Disciplinary reduction D. Nonpharmacological

C. Disciplinary reduction

500

T/F: It should be assumed that children can understand descriptive words such as "pain" or "discomfort" when asking them about their own pain A. True B. False

B. False

Responses to Hospitalization

100

What are examples of stressors that children face when they are hospitalized? (select all that apply). A. Separation B. Sexual difficulties C. Pain D. Bodily injury

A. Separation C. Pain D. Bodily injury

200

When planning patient and family centered care, one of the five core principles is information sharing. What is the definition of information sharing? A. Engaging the patient and family as part of the health care team. B. Building confidence and recognizing strengths C. Adjusting services and interventions D. Communicating and listening in honest, whole and unbiased conversations.

D. Communicating and listening in honest, whole and unbiased conversations.

300

T/F: When a child is hospitalized, the hospitalization alters only the child’s normal routine. A. True B. False

B. False, when a child is hospitalized, the hospitalization alters the child’s and family’s normal routine.

400

There are three stages of separation anxiety, what are they in order? A. Loss of control, acceptance, relaxed B. Freaking out, loss of energy, hungry C. Protest, despair, detachment/denial D. Anger, lethargic, calm

C. Protest, despair, detachment/denial

500

During hospitalization, which age group has the greatest risk for loss of peer-group contact? A. Infant B. Adolescents C. School-age children D. Toddler

B. Adolescents

Behavioral Responses to Pain

100

Which of the following age groups would use words to express pain? (select all that apply) A. Newborns B. Young Child C. Adolescent D. Fetus

B. Young Child C. Adolescent

200

Which of the following age groups could have body rigidity as a pain response? A. Newborn B. School-age child C. Older Infant D. All the above

D. All the above

300

Which of the following age groups would try to “waste time” before procedures? A. Newborn B. Young child C. School-age child D. Older Infant

C. School-age child

400

Increased heart rate, blood pressure, and decreased blood oxygenation are physiologic alterations in which age groups? A. Newborn B. Young Child C. Adolescent D. All the above

D. All of the above

500

5) Which age group is most likely to be permissive of procedures, demonstrated through less vocalization and resistance? A. Newborn B. School-age child C. Fetus D. Adolescent

D. Adolescent

NCLEX Questions

100

Which of the following represents the major stressor of hospitalization for children from middle infancy throughout the preschool years? A. Fear of pain B. Loss of control C. Separation anxiety D. Fear of bodily injury

C. Separation anxiety

200

In regard to behavioral and physiological responses to pain, children: A. Remain constant from age to age B. Vary widely in their response C. Exhibit typical behaviors at each developmental stage D. Are unaffected by temperment

B. Vary widely in their response

300

When a preschool child is hospitalized without adequate preparation, the nurse should recognize that the child may likely see hospitalization as which of the following? A. Punishment B. Loss of parental love C. Threat to child’s self-image D. Loss of companionship with friends

A. Punishment

400

In regard to pain management, nurses tend to: A. Overtreat children's pain B. Undertreat children's pain C. Overestimate the existence of pain in children undergoing procedures D. Realize that children are more likely to become addicted with opiate analgesics

B. Undertreat children's pain

500

The Wong-Baker FACES Pain Rating Scale: A. Is easy to use but less reliable than other methods B. Is a rating of how children are feeling C. Has a coding system from 0.4 to 0.97 D. Consists of six cartoon faces

D. Consists of six cartoon faces