Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 26: The Hospitalized Child
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The pediatric nurse is explaining the procedure for débriding a wound to a preschool-aged patient. Which is an age-appropriate method to describe this process?
| 1) | Use play to demonstrate the procedure |
| 2) | Allow the child to see all of the equipment |
| 3) | Allow the child to refuse the procedure |
| 4) | Use pamphlets to describe the procedure |
____ 2. The nurse prepares a child to receive oxygen via a tent delivery system by allowing the child to place a teddy bear in and out of the tent and then rewarding the child with a sticker. Which practice is the nurse using?
| 1) | Therapeutic play |
| 2) | Therapeutic rewards |
| 3) | Therapeutic interventions |
| 4) | Therapeutic communication |
____ 3. The nurse is providing care to a pediatric patient who is experiencing separation anxiety as a result of hospitalization. Which data indicate the patient is experiencing the “despair” stage?
| 1) | Lies quietly in bed |
| 2) | Does not cry when parents return and leave again |
| 3) | Appears to be happy and content with staff |
| 4) | Screams and cries when parents leave |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 26: The Hospitalized Child
Chapter learning objective: Describe the unique needs of a pediatric patient across childhood while hospitalized for a variety of acute and chronic conditions.
Chapter page reference: 400
Heading: Hospital Unit Overview and Orientation
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Development
Difficulty: Easy
| Feedback | |
| 1 | Medical play is structured play that provides the opportunity for a child to learn about his or her diagnosis, procedures, surgery, and diagnostic or medical equipment. |
| 2 | Although seeing all the equipment is important, the preschool-aged patient should be able to play with the equipment. |
| 3 | Refusal of a procedure is not always possible. |
| 4 | The use of pamphlets is appropriate for the adolescent, not the preschool-aged, patient. |
PTS: 1 CON: Development
Chapter number and title: 26: The Hospitalized Child
Chapter learning objective: Describe the variations in frequently encountered nursing care procedures for pediatric patients across childhood.
Chapter page reference: 400
Heading: Hospital Unit Overview and Orientation
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Development
Difficulty: Easy
| Feedback | |
| 1 | Therapeutic, or medical, play is structured play that provides the opportunity for a child to learn about his or her diagnosis, procedures, surgery, and diagnostic or medical equipment. |
| 2 | Therapeutic reward is not the term used to describe this practice. |
| 3 | Therapeutic intervention is not the term used to describe this practice. |
| 4 | Therapeutic communication is not the term used to describe this practice. |
PTS: 1 CON: Development
Chapter number and title: 26: The Hospitalized Child
Chapter learning objective: State the three phases to hospitalization and separation for young children (protest, despair, and detachment) and describe the behaviors expected in each phase.
Chapter page reference: 401
Heading: Despair
Integrated processes: Clinical Problem-Solving Process
Client need: Psychosocial Integrity
Cognitive level: Comprehension [Understanding]
Concept: Development
Difficulty: Easy
| Feedback | |
| 1 | In the second stage of separation, the young child withdraws and becomes inactive and uncommunicative. The child appears very sad and hopeless. Often, the child is lying on her side, turned away from the door or from others, lying quietly in despair. |
| 2 | A child who does not cry when parents return or leave is experiencing the detachment/denial stage of separation anxiety. |
| 3 | A child who appears happy and content with staff is experiencing the detachment/denial stage of separation anxiety. |
| 4 | A child who screams and cries when parents leave is experiencing the protest stage of separation anxiety. |
PTS: 1 CON: Development
Chapter number and title: 26: The Hospitalized Child
Chapter learning objective: Describe the unique needs of a pediatric patient across childhood while hospitalized for a variety of acute and chronic conditions.
Chapter page reference: 401
Heading: Detachment/Denial
Integrated processes: Clinical Problem-Solving Process
Client need: Psychosocial Integrity
Cognitive level: Comprehension [Understanding]
Concept: Development
Difficulty: Easy
| Feedback | |
| 1 | Death is not a common fear for the hospitalized pediatric patient between the ages of 6 and 18 months. |
| 2 | Disfigurement is not a common fear for the hospitalized pediatric patient between the ages of 6 and 18 months. |
| 3 | Bodily mutilation is not a common fear for the hospitalized pediatric patient between the ages of 6 and 18 months. |
| 4 | Stranger anxiety, along with separation anxiety, is a common fear for the hospitalized pediatric patient between the ages of 6 and 18 months. |
PTS: 1 CON: Development
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