Chapter 5 Child Health Nursing Partnering With Children & Families, 3rd Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 5

Question 1

Type: MCSA

While being comforted in the emergency department, the six-year-old sibling of a pediatric trauma victim blurts out to the nurse, “It’s all my fault! When we were fighting yesterday, I told him I wished he was dead!” The nurse, realizing that the child is experiencing magical thinking, should respond by:

1. Asking the child if he would like to sit down and drink some water.
2. Sitting the child down in an empty room with markers and paper so that he can draw a picture.
3. Reassuring the child that it is normal to get angry and say things that we do not mean, but that we have no control over whether an accident happens.
4. Calmly discussing the catheters, tubes, and equipment that the patient requires, and explaining to the sibling why the patient needs them.

Correct Answer: 3

Rationale 1: Ignoring the child’s outburst will not help the child understand it really was not his fault.

Rationale 2: Asking the child to draw a picture might be appropriate later, but the nurse first needs to make sure the child knows the trauma did not occur because of anything he said.

Rationale 3: Magical thinking is the belief that events occur because of one’s thoughts or actions, and the most therapeutic way to respond to this is to correct any misconceptions that the child might have and reassure him that he is not to blame for any accident or illness.

Rationale 4: Addressing the sibling’s needs and equipment reinforces the child’s magical thinking that the trauma was his fault.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5-1

Question 2

Type: MCSA

Utilizing Bronfenbrenner’s ecologic theory of development, the nurse caring for a child would discuss the parents’ work environment as part of an assessment of that child’s:

1. Chronosystem.
2. Mesosystem.
3. Macrosystem.
4. Exosystem.

Correct Answer: 4

Rationale 1: The chronosystem involves the perspective of time in the child’s life.

Rationale 2: The relationships of one microsystem to another involve a child’s mesosystem.

Rationale 3: Political and cultural beliefs comprise a child’s macrosystem.

Rationale 4: A child’s exosystem is composed of the settings that influence a child even though she is not in daily contact with that system.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5-2

Question 3

Type: MCSA

The parents of a one-month-old infant are concerned that their baby seems different from their other child, and they ask the nurse if this is normal. The nurse informs them that it is normal for babies to have different temperaments and that according to the “temperament theory” of Chess and Thomas, one of the characteristics of the “slow-to-warm-up” child is that he:

1. Initially reacts to new situations by withdrawing.
2. Commonly has intense reactions to the environment.
3. Displays a predominately negative mood.
4. Shows a regularity in patterns of eating.

Correct Answer: 1

Rationale 1: Slow-to-warm-up children adapt slowly to new situations and initially will withdraw.

Rationale 2: Commonly having intense reactions to the environment is a characteristic of “difficult” children.

Rationale 3: Displaying a predominately negative mood to the environment is a characteristic of “difficult” children.

Rationale 4: Showing regularity in patterns of eating is a characteristic of an “easy” child.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5-2

Question 4

Type: MCMA

While in the pediatrician’s office for their child’s 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the child’s developmental level, the nurse should suggest which types of toys?

Standard Text: Select all that apply.

1. Soft toys that can be manipulated and mouthed
2. Toys with black-and-white patterns
3. Toys that can pop apart and go back together
4. Jack-in-the-box toys
5. Push-and-pull toys

Correct Answer: 3,4,5

Rationale 1: One-year-olds are more mobile, so they have less interest in placing toys in their mouth and more interest in toys that can be manipulated.

Rationale 2: Babies at 12 months tend to enjoy more colorful toys.

Rationale 3: Both gross and fine motor skills are becoming more developed, and children at this age enjoy toys that can help them refine these skills.

Rationale 4: Toys that the child can manipulate and have music will draw the child’s attention.

Rationale 5: The 12-month-old child is learning to walk and will prize toys that promote mobility.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5-3