Chapter 17 Child Health Nursing Partnering With Children & Families, 3rd Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 17

Question 1

Type: MCSA

The nurse is caring for an eight-year-old child who has been in a car accident, has a head injury, and is in the ICU. The nurse sees the child pulling on the IV line. What action should the nurse take?

1. Sedate the child as needed.
2. Place soft wrist restraints on the child.
3. Ask the parents to watch the child closely at all times.
4. Tell the child not to pull on the IV line.

Correct Answer: 2

Rationale 1: Due to the head injury, it is not feasible to sedate the child.

Rationale 2: Children may interfere with treatment by pulling or removing medical devices; soft restraints may be necessary to prevent them from pulling on or removing medical devices.

Rationale 3: It is not feasible for the parents to watch the child at all times.

Rationale 4: The child may not understand what the nurse is trying to convey.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 17-5

Question 2

Type: MCMA

The nurse is taking care of a school-age child with 50% burns to the head and upper part of the body. The nurse recognizes that the most significant stressors for school-age children with life-threatening illness are:

Standard Text: Select all that apply.

1. Painful and invasive procedures.
2. Fear of the medical team.
3. Disfigurement.
4. Separation from family.
5. Loss of self-control.

Correct Answer: 1,3,4,5

Rationale 1: Fear of painful and invasive procedures will cause stress for children.

Rationale 2: School-age children do not usually have a fear of the medical team.

Rationale 3: One stressor for children is fear of disfigurement.

Rationale 4: Although school-age children can separate from their parents, children will find the separation a stressor when the acuity of their illness increases.

Rationale 5: Children who are hospitalized fear losing control of self.

Global Rationale:

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 17-2

Question 3

Type: MCSA

The nurse is preparing a seriously ill child for a procedure. Which age group of children benefits most from being talked to, soothed, and touched during and after the procedure?

1. Preschoolers
2. School-age children
3. Adolescents
4. Toddlers

Correct Answer: 4

Rationale 1: Provide preschool children with an explanation of the sensations they can expect to experience.

Rationale 2: School-age children and adolescents want an explanation of the sensations they can expect.

Rationale 3: Provide adolescents with an explanation of the sensations they can expect to experience (temperature, vibrations, sounds, smells, tastes, sight).

Rationale 4: Toddlers will benefit from being talked to, soothed, and touched during and after the procedure.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 17-5

Question 4

Type: MCSA

An adolescent with cystic fibrosis is intubated with an endotracheal tube. Which is the most appropriate nursing diagnosis for the adolescent?

1. Impaired social interaction related to hospitalization and separation from peers
2. Delayed growth and development related to prolonged hospitalization and life-threatening condition
3. Powerlessness (moderate) related to inability to speak to or communicate
4. Potential for imbalanced nutrition, more than body requirements related to inactivity

Correct Answer: 3

Rationale 1: Although the adolescent will have difficulty with social interaction, that is not the primary concern at this time.

Rationale 2: There may be issues related to growth and development, but they are not the primary concerns at this time.

Rationale 3: The adolescent values communication and might feel frustrated that he cannot speak and make his wishes known while intubated.

Rationale 4: The adolescent with cystic fibrosis is likely to be underweight and is unlikely to take in more calories than needed while intubated.

Global Rationale:

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 17-5