NUR 370 Final Study Questions- Sherpath
With Complete Solutions
1. What is the primary disadvantage associated with outpatient and day facility
care?
a. Increased cost
b. increased risk of infection
c. Lack of physical connection to the hospital
d. longer separation of the child from the family - ANSWER c. Lack of physical
connection to the hospital
Outpatient and day facility care do not provide extended care; therefore a child
requiring extended care should be transferred to the hospital, causing
increased stress to the child and parents. This type of care decreases cost and
infection and minimizes separation between the child and family.
2. Why is observation for 24 hours in an acute-care setting often appropriate for
children?
a. Longer hospital stays are more costly
b. Children become ill quickly and recover quickly
c. Children feel less separation anxiety when hospitalized for 24 hours
d. Families experience less disruption during short hospital stays - ANSWER b.
Children become ill quickly and recover quickly
Children become ill quickly and recover quickly; therefore they can require
acute care for a shorter period of time. A child's state of wellness, rather than
cost, determines the length of stay. Separation anxiety is primarily a factor of
the stage of development, not the length of hospital stay. Family disruption is a
secondary outcome of a child's hospitalization; it does not determine length of
stay.
3. Having explanations for all procedures and selecting their own meals from
hospital menus is an important coping mechanism for which age-group?
a. Toddlers
b. Preschoolers
c. School-Age Children
d. Adolescents - ANSWER c. School-Age Children
School-age children are developmentally ready to accept detailed explanations.
School-age children can select their own menus and become actively involved in
other areas of their care. Toddlers need routine and parental involvement for
,coping. Preschoolers need simple explanations of procedures. Detailed
explanations and support of peers help adolescents cope.
4. Which therapeutic approach will best help a 7-year-old child cope with a
lengthy course of intravenous antibiotic therapy?
a. arrange for the child to go to the playroom daily
b. Ask the child to draw you a picture of himself or herself
c. Allow the child to participate in injection play
d. Give the child stickers for cooperative behavior - ANSWER c. Allow the child
to participate in injection play
Injection play is an appropriate intervention for the child who has to undergo
frequent blood work, injections, intravenous therapy, or any other therapy
involving syringes and needles. The hospitalized child should have opportunities
to go to the playroom each day if the child's condition warrants. This free play
does not have any specific therapeutic purpose. Children can express their
thoughts and beliefs through drawing. Asking the child to draw a picture of
himself or herself may not elicit the child's feelings about the treatment.
Rewards such as stickers may enhance cooperative behavior. They will not
address coping with painful treatments.
5. Home care is being considered for a young child who is ventilator dependent.
Which factor is most important in deciding whether home care is appropriate?
a. Level of parent's education
b. Presence of two parents
c. Preparation and training of the family
d. Family's ability to assume all health care costs - ANSWER c. Preparation and
training of the family
One of the essential elements is the family's training and preparation. The family
must be able to demonstrate all aspects of care for the child. In many areas, it
cannot be guaranteed that nursing care will be available on a continual basis,
and the family will have to care for the child. The amount of formal education
reached by the parents is not the important issue. The determinant is the
family's ability to care adequately for the child in the home. At least two family
members should learn and demonstrate all aspects of the child's care in the
hospital, but it does not have to be two parents. Few families can assume all
health care costs. Creative financial planning, including negotiating
arrangements with the insurance company and/or public programs, may be
required.
(pp. 645)
6. What should the nurse identify as major fears in the preschool child who is
hospitalized with a chronic illness? (Select all that apply).
a. Altered body image
b. Separation from peer group
,c. Bodily injury
d. Mutilation
e. Being left alone - ANSWER c, d, e.
c. Bodily Injury
e. Being left alone
d. Mutilation
Body injury, mutilation, and being left alone are major fears of the preschooler.
Altered body image and separation from peer group are fears of the adolescent.
The major stressor for children from infancy through the preschool years is
separation anxiety, also called anaclitic depression. This is a major stressor
during hospitalization. Preschoolers have little understanding of body
boundaries, which leads to fears of mutilation.
7. The nurse comes into the room of a child who was just diagnosed with a
chronic disability. The child's parents begin to yell at the nurse about a variety of
concerns. The nurse's best response is
a. "What is really wrong?"
b. "Being angry is only natural."
c. "Yelling at me will not change things."
d. "I will come back when you settle down." - ANSWER b. "Being angry is only
natural."
Parental anger after the diagnosis of a child with a chronic disability is a
common response. One of the most common targets for parental anger is
members of the staff. The nurse should recognize the common response of
anger to the diagnosis and allow the family to vent. "What is really
wrong?"/"Yelling at me will not change things"/"I will come back when you settle
down" will place the parents on the defensive and not facilitate communication.
8. The nurse encourages the mother of a toddler with acute LTB to stay at the
bedside as much as possible. The nurse's rationale for this action is primarily
that-
a. Mothers of hospitalized toddlers often experience guilt.
b. The mother's presence will reduce anxiety and ease child's respiratory
efforts.
c. Separation from mother is a major developmental threat at this age.
d. The mother can provide constant observations of the child's respiratory
efforts. - ANSWER b. The mother's presence will reduce anxiety and ease child's
respiratory efforts.
The family's presence will decrease the child's distress. It is true that mothers of
hospitalized toddlers often experience guilt but this is not the best answer. The
main reason to keep parents at the child's bedside is to ease anxiety and
therefore respiratory effort. The child should have constant monitoring by
, cardiorespiratory monitor and noninvasive oxygen saturation monitoring, but
the parent should not play this role in the hospital. (pp. 648)
9. Identify the most appropriate response for the nurse when parents say,
"Living with this disease is really hard; it's not fair."
a. "Tell me about what is hard for you."
b. "I know exactly how you must feel."
c. "I know a local support group for families."
d. "I am going to ask the grief counselor to meet with you." - ANSWER a. "Tell me
about what is hard for you."
The first step in supporting families and helping them deal with chronic sorrow is
to listen to and recognize their pain.
B This comment does not encourage parents to talk about their feelings. Each
individual's perception of a situation is different. A nurse can never know exactly
how parents feel about having a child with a chronic illness.
C. This comment does not address the parent's immediate feelings.
D. This response does not address the parent's immediate feelings.
10. Kelly, age 8 years, will soon be able to return to school after an injury that
resulted in several severe, chronic disabilities. The most appropriate action by
the school nurse is to
a. Recommend that Kelly's parents attend school at first to prevent teasing.
b. Prepare Kelly's classmates and teachers for changes they can expect.
c. Refer Kelly to a school where the children have chronic disabilities similar to
hers.
d. Discuss with Kelly and her parents the fact that her classmates will not accept
her as they did before. - ANSWER b. Prepare Kelly's classmates and teachers
for changes they can expect.
Attendance at school is an important part of normalization for Kelly. The school
nurse should prepare teachers and classmates about her condition, abilities,
and special needs. A visit by the parents can be helpful, but unless the
classmates are prepared for the changes, it alone will not prevent teasing.
Kelly's school experience should be normalized as much as possible. Children
need the opportunity to interact with healthy peers, as well as to engage in
activities with groups or clubs composed of similarly affected persons. Children
with special needs are encouraged to maintain and reestablish relationships
with peers and to participate according to their capabilities. (pp. 507)
11. The nurse is caring for a child who has just died. The parents ask to be left
alone so that they can rock their child one more time. The nurse should
a. Grant their request.
b. Assess why they feel this is necessary.
c. Discourage this because it will only prolong their grief.
d. Kindly explain that they need to say good-bye to their child now and leave.
With Complete Solutions
1. What is the primary disadvantage associated with outpatient and day facility
care?
a. Increased cost
b. increased risk of infection
c. Lack of physical connection to the hospital
d. longer separation of the child from the family - ANSWER c. Lack of physical
connection to the hospital
Outpatient and day facility care do not provide extended care; therefore a child
requiring extended care should be transferred to the hospital, causing
increased stress to the child and parents. This type of care decreases cost and
infection and minimizes separation between the child and family.
2. Why is observation for 24 hours in an acute-care setting often appropriate for
children?
a. Longer hospital stays are more costly
b. Children become ill quickly and recover quickly
c. Children feel less separation anxiety when hospitalized for 24 hours
d. Families experience less disruption during short hospital stays - ANSWER b.
Children become ill quickly and recover quickly
Children become ill quickly and recover quickly; therefore they can require
acute care for a shorter period of time. A child's state of wellness, rather than
cost, determines the length of stay. Separation anxiety is primarily a factor of
the stage of development, not the length of hospital stay. Family disruption is a
secondary outcome of a child's hospitalization; it does not determine length of
stay.
3. Having explanations for all procedures and selecting their own meals from
hospital menus is an important coping mechanism for which age-group?
a. Toddlers
b. Preschoolers
c. School-Age Children
d. Adolescents - ANSWER c. School-Age Children
School-age children are developmentally ready to accept detailed explanations.
School-age children can select their own menus and become actively involved in
other areas of their care. Toddlers need routine and parental involvement for
,coping. Preschoolers need simple explanations of procedures. Detailed
explanations and support of peers help adolescents cope.
4. Which therapeutic approach will best help a 7-year-old child cope with a
lengthy course of intravenous antibiotic therapy?
a. arrange for the child to go to the playroom daily
b. Ask the child to draw you a picture of himself or herself
c. Allow the child to participate in injection play
d. Give the child stickers for cooperative behavior - ANSWER c. Allow the child
to participate in injection play
Injection play is an appropriate intervention for the child who has to undergo
frequent blood work, injections, intravenous therapy, or any other therapy
involving syringes and needles. The hospitalized child should have opportunities
to go to the playroom each day if the child's condition warrants. This free play
does not have any specific therapeutic purpose. Children can express their
thoughts and beliefs through drawing. Asking the child to draw a picture of
himself or herself may not elicit the child's feelings about the treatment.
Rewards such as stickers may enhance cooperative behavior. They will not
address coping with painful treatments.
5. Home care is being considered for a young child who is ventilator dependent.
Which factor is most important in deciding whether home care is appropriate?
a. Level of parent's education
b. Presence of two parents
c. Preparation and training of the family
d. Family's ability to assume all health care costs - ANSWER c. Preparation and
training of the family
One of the essential elements is the family's training and preparation. The family
must be able to demonstrate all aspects of care for the child. In many areas, it
cannot be guaranteed that nursing care will be available on a continual basis,
and the family will have to care for the child. The amount of formal education
reached by the parents is not the important issue. The determinant is the
family's ability to care adequately for the child in the home. At least two family
members should learn and demonstrate all aspects of the child's care in the
hospital, but it does not have to be two parents. Few families can assume all
health care costs. Creative financial planning, including negotiating
arrangements with the insurance company and/or public programs, may be
required.
(pp. 645)
6. What should the nurse identify as major fears in the preschool child who is
hospitalized with a chronic illness? (Select all that apply).
a. Altered body image
b. Separation from peer group
,c. Bodily injury
d. Mutilation
e. Being left alone - ANSWER c, d, e.
c. Bodily Injury
e. Being left alone
d. Mutilation
Body injury, mutilation, and being left alone are major fears of the preschooler.
Altered body image and separation from peer group are fears of the adolescent.
The major stressor for children from infancy through the preschool years is
separation anxiety, also called anaclitic depression. This is a major stressor
during hospitalization. Preschoolers have little understanding of body
boundaries, which leads to fears of mutilation.
7. The nurse comes into the room of a child who was just diagnosed with a
chronic disability. The child's parents begin to yell at the nurse about a variety of
concerns. The nurse's best response is
a. "What is really wrong?"
b. "Being angry is only natural."
c. "Yelling at me will not change things."
d. "I will come back when you settle down." - ANSWER b. "Being angry is only
natural."
Parental anger after the diagnosis of a child with a chronic disability is a
common response. One of the most common targets for parental anger is
members of the staff. The nurse should recognize the common response of
anger to the diagnosis and allow the family to vent. "What is really
wrong?"/"Yelling at me will not change things"/"I will come back when you settle
down" will place the parents on the defensive and not facilitate communication.
8. The nurse encourages the mother of a toddler with acute LTB to stay at the
bedside as much as possible. The nurse's rationale for this action is primarily
that-
a. Mothers of hospitalized toddlers often experience guilt.
b. The mother's presence will reduce anxiety and ease child's respiratory
efforts.
c. Separation from mother is a major developmental threat at this age.
d. The mother can provide constant observations of the child's respiratory
efforts. - ANSWER b. The mother's presence will reduce anxiety and ease child's
respiratory efforts.
The family's presence will decrease the child's distress. It is true that mothers of
hospitalized toddlers often experience guilt but this is not the best answer. The
main reason to keep parents at the child's bedside is to ease anxiety and
therefore respiratory effort. The child should have constant monitoring by
, cardiorespiratory monitor and noninvasive oxygen saturation monitoring, but
the parent should not play this role in the hospital. (pp. 648)
9. Identify the most appropriate response for the nurse when parents say,
"Living with this disease is really hard; it's not fair."
a. "Tell me about what is hard for you."
b. "I know exactly how you must feel."
c. "I know a local support group for families."
d. "I am going to ask the grief counselor to meet with you." - ANSWER a. "Tell me
about what is hard for you."
The first step in supporting families and helping them deal with chronic sorrow is
to listen to and recognize their pain.
B This comment does not encourage parents to talk about their feelings. Each
individual's perception of a situation is different. A nurse can never know exactly
how parents feel about having a child with a chronic illness.
C. This comment does not address the parent's immediate feelings.
D. This response does not address the parent's immediate feelings.
10. Kelly, age 8 years, will soon be able to return to school after an injury that
resulted in several severe, chronic disabilities. The most appropriate action by
the school nurse is to
a. Recommend that Kelly's parents attend school at first to prevent teasing.
b. Prepare Kelly's classmates and teachers for changes they can expect.
c. Refer Kelly to a school where the children have chronic disabilities similar to
hers.
d. Discuss with Kelly and her parents the fact that her classmates will not accept
her as they did before. - ANSWER b. Prepare Kelly's classmates and teachers
for changes they can expect.
Attendance at school is an important part of normalization for Kelly. The school
nurse should prepare teachers and classmates about her condition, abilities,
and special needs. A visit by the parents can be helpful, but unless the
classmates are prepared for the changes, it alone will not prevent teasing.
Kelly's school experience should be normalized as much as possible. Children
need the opportunity to interact with healthy peers, as well as to engage in
activities with groups or clubs composed of similarly affected persons. Children
with special needs are encouraged to maintain and reestablish relationships
with peers and to participate according to their capabilities. (pp. 507)
11. The nurse is caring for a child who has just died. The parents ask to be left
alone so that they can rock their child one more time. The nurse should
a. Grant their request.
b. Assess why they feel this is necessary.
c. Discourage this because it will only prolong their grief.
d. Kindly explain that they need to say good-bye to their child now and leave.
