Chapter 15 Child Health Nursing Partnering With Children & Families, 3rd Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 15

Question 1

Type: MCSA

A group of children on one hospital unit are all suffering separation anxiety. When determining the stages of separation anxiety, the nurse recognizes that the child in the “despair” phase is the child who:

1. Lies quietly in bed.
2. Does not cry if his parents return and leave again.
3. Appears to be happy and content with staff.
4. Screams and cries when his parents leave.

Correct Answer: 1

Rationale 1: Children in the “despair” stage appear sad, depressed, or withdrawn. A child who is lying in bed might be exhibiting any of these.

Rationale 2: The young child who appears to be happy and content with everyone is in the “denial” stage, as is the child who does not cry if his parents return and leave again.

Rationale 3: The young child who appears to be happy and content with everyone is in the “denial” stage, as is the child who does not cry if his parents return and leave again.

Rationale 4: Screaming and crying are components of the “protest” stage.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 15-3

Question 2

Type: MCSA

In addition to separation anxiety, infants between six and 18 months of age also might display:

1. Fear of disfigurement.
2. Fear of death.
3. Stranger anxiety.
4. Fear of bodily injury.

Correct Answer: 3

Rationale 1: Infants do not fear disfigurement.

Rationale 2: Infants and toddlers do not fear death.

Rationale 3: In addition to separation anxiety, infants between six and 18 months of age might display stranger anxiety when confronted with strangers such as health care professionals.

Rationale 4: Infants and toddlers do not fear bodily injury.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 15-3

Question 3

Type: MCSA

The parents of a child who is critically injured wish to stay in the room while the child is receiving emergency care. The nurse should:

1. Ask the physician if the parents can stay with the child.
2. Allow the parents to stay with the child.
3. Escort the parents to the waiting room and assure them that they can see their child soon.
4. Tell the parents that they do not need to stay with the child.

Correct Answer: 2

Rationale 1: The physician does not make the decision whether the parents stay with the child; the parents make the decision.

Rationale 2: Parents should be allowed to stay with their child if they wish to do so. This position is supported by the Emergency Nurses Association and is a key aspect of family-centered care.

Rationale 3: Parents should be allowed to stay with their child if they wish instead of going to the waiting room where they lack privacy.

Rationale 4: The parents need to make the decision about staying with their child without input from the nurse.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 15-4

Question 4

Type: MCSA

The charge nurse on a hospital unit is developing plans of care related to separation anxiety. The charge nurse recognizes that the hospitalized child who is at greatest risk for experiencing separation anxiety when parents cannot stay is the:

1. Six-month-old.
2. 18-month-old.
3. Four-year-old.
4. Six-year-old.

Correct Answer: 2

Rationale 1: The six-month-old does not experience separation anxiety, which usually begins at around one year of age.

Rationale 2: The young toddler is at greatest risk. Toddlers are the group most at risk for a stressful experience when hospitalized. Separation from parents increases this risk greatly.

Rationale 3: The four-year-old is past the age when separation anxiety would be most prevalent.

Rationale 4: The six-year-old is attending school and is used to short periods of separation from parents.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 15-3