YOU
The nurse working in an outpatient surgery center for children should understand that
A. children’s anxiety is minimal in such a center.
B. waiting is not stressful for parents in such a center.
C. accurate and complete discharge teaching is the responsibility of the surgeon.
D. families need to be prepared for what to expect after discharge.
D. families need to be prepared for what to expect after discharge.
In helping a child to adapt to a hospitalization experience, the best approach would be to
A. allow the child to bring in all of his favorite toys to the hospital so as to represent a more familiar environment.
B. let the parents bring in food from home that the child is used to eating for all meals.
C. establish a daily routine and schedule with the child and parent to help maintain consistency.
D. allow the child to select his room on the unit.
C. establish a daily routine and schedule with the child and parent to help maintain consistency.
A toddler is hospitalized for an upcoming surgical procedure. Which method might provide the best way to inform the child about the surgery?
A. By using anatomical drawings as illustrations and allowing the child to color them with markers.
B. Allowing the child to dress up using surgical gown and mask.
C. Having the child sign his name with an “X” on an actual surgical consent form.
D. Taking the child to the operating theater to view a surgery.
B. Allowing the child to dress up using surgical gown and mask.
A 4-year-old child is scheduled for cardiac surgery in a week. The child’s parents call the hospital to ask how to prepare the child for the upcoming hospitalization and surgical procedure. The nurse’s reply should be based on the knowledge that
A. preparation at this age will only increase the child’s stress.
B. preparation needs to be at least 2 to 3 weeks before hospitalization to be effective.
C. children who are prepared experience less fear and stress during hospitalization.
D. children who are prepared experience overwhelming fear by the time hospitalization occurs.
C. children who are prepared experience less fear and stress during hospitalization.
Nurses counseling parents regarding the home care of the child with a cardiac defect before corrective surgery should stress the
A. importance of reducing caloric intake to decrease cardiac demands.
B. importance of relaxing discipline and limit-setting to prevent crying.
C. need to be extremely concerned about cyanotic spells.
D. desirability of promoting normalcy within the limits of the child’s condition.
D. desirability of promoting normalcy within the limits of the child’s condition.
With regard to separation anxiety displayed in a child who is hospitalized, which behavior would indicates the stage of despair?
A. Child clings to parents for comfort.
B. Child tells nurses and staff to “go away.”
C. Child is constantly crying and sobbing.
D. Child no longer cries.
D. Child no longer cries.
A child has a long standing history of abuse which has triggered many emotional problems. Which type of therapy would be indicated to possibly help the child explore these emotional problems?
A. Dramatic play
B. Therapeutic play
C. Play therapy
D. Creative expression
C. Play therapy
A nurse has been assigned as the home health nurse for a technologically dependent child. The nurse recognizes that the background of this family differs widely from the nurse’s own. The nurse views some of their lifestyle choices as less than ideal. What is the most appropriate nursing intervention?
A. Assign the nurse a different family to follow.
B. Respect the differences.
C. Assess why the family is different.
D. Determine whether the family is dysfunctional.
B. Respect the differences.
Working with parents in preparation for discharge of a hospitalized child who will need to have wet to dry dressing changes performed at home will require that the nurse include which element in the plan of care?
A. Arrange for home health nurse to change dressings as the parents may not understand the complexity of the task.
B. Arrange for a step by step training sequence for wet to dry dressing changes with the parents of the child with return demonstration to evaluate understanding.
C. Provide the parents with a detailed instruction sheet regarding the dressing change procedure as the method of instruction.
D. Arrange for follow up with the child’s pediatrician prior to the next scheduled dressing change so that the parents can receive further instruction.
B. Arrange for a step by step training sequence for wet to dry dressing changes with the parents of the child with return demonstration to evaluate understanding.
Which behavior would most likely be manifested in a young child experiencing the protest phase of separation anxiety?
A. Inactivity
B. Exhibit loud crying
C. Depression and sadness
D. Forming superficial relationships
B. Exhibit loud crying
Prior to accepting an assignment as a home health nurse, the nurse must realize that
A. the family is in charge.
B. all decisions are made by the health care provider.
C. the family will adapt their lifestyle to the needs of the nurse.
D. independent decisions regarding emergency care of the child are made by the nurse.
A. the family is in charge.
A 12-year-old child is admitted for an emergency appendectomy and rushed into surgery. The parents tell the nurse that they also have a 4-year-old son at home and wonder if they should tell him about his older brother being in the hospital. The best response by the nurse to this query would be to?
A. Tell the parents to refrain from telling the 4-year-old as he will not be able to understand the concepts of hospitalization and surgery.
B. Have the parents go home and bring their 4-year-old back to the hospital so he can be present throughout this family stress experience.
C. It is important to tell their 4-year-old son about his older brother using words and terms that he can understand at his age.
D. Have the parents bring their son in during visiting hours and arrange for a tour of the hospital unit.
C. It is important to tell their 4-year-old son about his older brother using words and terms that he can understand at his age.
A child with a serious chronic illness will soon be discharged home. The case manager requests that the family provide total care for the child for a couple of days while the child is still hospitalized. Based on the principles of family-centered care, which statement addresses this principle?
A. Appropriate because families are usually eager to get involved.
B. Appropriate because it can be beneficial to the transition from hospital to home.
C. Inappropriate because of legal issues when parents care for their children on hospital property.
D. Inappropriate because the family will have to assume the care soon enough and this may increase their stress unnecessarily.
B. Appropriate because it can be beneficial to the transition from hospital to home.
A home health nurse is caring for a 2-week-old infant and notes on assessment that the infant has a string tied around the wrist. The nurse checks for adequate circulation. The most appropriate nursing intervention by the nurse is to
A. ask the parents to remove the string.
B. report the parents to Social Services for child endangerment.
C. remove the string and inform the parents that the string is dangerous.
D. ask the parents the meaning of the string and leave the string in place.
D. ask the parents the meaning of the string and leave the string in place.
A ventilator-dependent child is being discharged home from the hospital. Prior to discharge, the home health care nurse discusses the development of an emergency plan with the family. The most essential component of the plan is
A. acquisition of a backup generator.
B. designation of an emergency shelter.
C. notifying the power company that the child is on life support.
D. provision for alternate heating and cooling source if power is lost.
E. notifying emergency medical services that child is on life support.
A. acquisition of a backup generator.
An adolescent is admitted to the hospital for a fractured femur. The most appropriate nursing intervention(s) in caring for this adolescent is/are to (Select all that apply.)
A. provide written material about the hospital.
B. provide an opportunity for the adolescent to try on surgical attire.
C. explain the upcoming surgery to the adolescent using anatomically correct models.
D. offer flexible routines to encourage interaction.
E. provide education for the parents of what to teach so they can share with their adolescent.
B. provide an opportunity for the adolescent to try on surgical attire.
C. explain the upcoming surgery to the adolescent using anatomically correct models.
D. offer flexible routines to encourage interaction.