Chapter 21: The Child’s Experience of Hospitalization

Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer

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Chapter 21: The Child’s Experience of Hospitalization

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Which child would have the most difficulty in coping with separation from parents because of hospitalization?
a. 3-month-old child
b. 16-month-old child
c. 4-year-old child
d. 7-year-old child

 

 

ANS:  B

Separation anxiety occurs after age 6 months and is most pronounced in the toddler.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 471-472

OBJ:   3                    TOP:   Separation Anxiety

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

  1. A 2-year-old child has been crying constantly for his mother since he was hospitalized 3 days ago. What does this behavior suggest?
a. The toddler feels abandoned by his mother.
b. The child still has not adjusted to his hospitalization.
c. The child is not separated from his mother often.
d. There is a poor mother-child bond.

 

 

ANS:  A

Unless toddlers are extremely ill, their grief and sense of abandonment during hospitalization are obvious.

 

DIF:    Cognitive Level: Analysis                REF:   Page 471-472

OBJ:   3                    TOP:   Separation Anxiety

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

  1. Which statement best corresponds to a preschooler’s understanding of hospitalization?
a. “A germ made me get sick.”
b. “I got sick because I was mad at my brother.”
c. “My tonsils are sick and they have to come out.”
d. “I have a cast because I broke my leg.”

 

 

ANS:  B

The preschooler may feel guilty, particularly if an accident happens as a result of mischief on his or her part.

 

DIF:    Cognitive Level: Application           REF:   Page 481        OBJ:   9

TOP:   The Hospitalized Preschooler           KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

  1. The parents of a hospitalized toddler are upset because she seems more interested in her toys when they come to visit her. In which stage of separation anxiety is the toddler?
a. Protest
b. Despair
c. Denial
d. Attachment

 

 

ANS:  C

In the stage of denial or detachment, the child appears to deny the need for the parents and becomes uninterested in their visits.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 471, Nursing Tip

OBJ:   3                    TOP:   Separation Anxiety

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

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