CHAPTER 16: CARE OF CHILDREN WHO ARE HOSPITALIZED

CHAPTER 16: CARE OF CHILDREN WHO ARE HOSPITALIZED

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Prior to the late 1950s governing parents visiting their hospitalized child were:

a.	very liberal, allowing unlimited visitation and rooming-in
b.	limited to the waking hours only
c.	very restrictive and often limited to only weekly visits or visits of a few hours each day
d.	limited to one parent only, allowing that parent unlimited visiting

 

 

ANS:  C

 

	Feedback
A	Incorrect. Prior to the late 1950s, visitation was strictly limited, not very liberal.
B	Incorrect. Prior to the late 1950s, the rules were restrictive, more concerned about the intense physical and emotional reactions to separation at the time of leave-taking than the time of day.
C	Correct. Prior to the publication of the Platt report in England, 1959, hospital rules governing parents visiting their hospitalized child were very restrictive and often limited to only weekly visits or visits of a few hours each day.
D	Incorrect. Prior to the late 1950s, the rules were restrictive, more concerned about the intense physical and emotional reactions to separation at the time of leave-taking than limiting the number of visitors.

 

 

PTS:   1                    REF:   p. 509 – History and Trends In Pediatrics and Pediatric Nursing

OBJ:   Cognitive Level: Comprehension

 

2. Which of the following documents described polices and practices in the care of hospitalized children and how detrimental were these to child development and recovery? (This document brought about change in visiting rules for parents visiting their hospitalized child.)

a.	Platt Report of 1959	c.	Lysaught report of 1970
b.	Brown Report of 1948	d.	Patient’s Bill of Rights

 

 

ANS:  A

 

	Feedback
A	Correct. The issuance of the Platt Report in England in 1959 was historic in describing existing policies and practices in the care of hospitalized children, how these practices adversely affected child development and recovery, and the kinds of changes necessary for child-centered pediatric care and education.
B	Incorrect. The Brown Report of 1948 has no connection with the policies and practices in the care of hospitalized children.
C	Incorrect. The Lysaught report of 1970 has no connection with the policies and practices in the care of hospitalized children.
D	Incorrect. The Patient’s Bill of Rights has no connection with the policies and practices in the care of hospitalized children.

 

 

PTS:   1                    REF:   p. 509 – History and Trends In Pediatrics and Pediatric Nursing

OBJ:   Cognitive Level: Knowledge

 

3. Which of the following nurses was the first to systematically study how children and parents cope with hospitalization and to document the effectiveness of nursing in allaying and managing the fears and concerns of children?

a.	Florence Erickson	c.	Gladys Sellew
b.	Dorothy Marlow	d.	Florence G. Blake

 

 

ANS:  D

 

	Feedback
A	Incorrect. Florence Erickson is remembered as an educator and researcher in the field of nursing and child development who emphasized the therapeutic use of play in the hospital (1914-2002).
B	Incorrect. Dorothy Marlow is remembered for her Textbook in Pediatric Nursing which uniquely arranged the content of child care by age groups alongside concepts of growth and development (1921-1992).
C	Incorrect. Gladys Sellew pioneered nursing work in the tenements, ghettos, and settlements of Cincinnati, Cleveland, Chicago and Washington, D.C. Her thesis was the first nursing research to be based upon an original investigation that used as its methodology participant observation (1887-1977).
D	Correct. Florence G. Blake was the first nurse to systematically study how children and parents cope with hospitalization and to document the effectiveness of nursing in allaying and managing the fears and concerns of children (1907-1982).

 

 

PTS:   1                    REF:   p. 509 – History and Trends In Pediatrics and Pediatric Nursing

OBJ:   Cognitive Level: Knowledge

 

4. Which of the following is the predominant goal of nurses caring for children?

a.	Find out what is wrong with a child, and fix it as efficiently as is possible.
b.	Identify the strengths of children, and enhance their growth in the midst of stress and intrusions.
c.	Get the child and family well enough to go to the least-restrictive environment.
d.	Spare the family as much trauma and psychological distress as is humanly possible.

 

 

ANS:  B

 

	Feedback
A	Incorrect. Nursing care for children is more complex than repairing a car.
B	Correct. The predominant goal of nurses caring for children is: to identify and preserve the strengths of children while trying to enhance their growth in the midst of stress and intrusions into their bodies, their space, and their very being.
C	Incorrect. A goal of returning home is important, but not the most important.
D	Incorrect. Reduction of trauma and psychological distress for the child is as important as it is for the family, maybe more so.

 

 

PTS:   1                    REF:   p. 543 – Home Care

OBJ:   Cognitive Level: Application