Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 35: The Ill Child in the Hospital and Other Care Settings Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 35: The Ill Child in the Hospital and Other Care Settings Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ Which situation poses the greatest challenge to the nurse working with a child and family? a. Twenty-four-hour observation b. Emergency hospitalization c. Outpatient admission d. Rehabilitation admission ANS: B Emergency hospitalization involves (1) limited time for preparation both for the child and family, (2) situations that cause fear for the family that the child may die or be permanently disabled, and (3) a high level of activity, which can foster further anxiety. Although preparation time may be limited with a 24-hour observation, this situation does not usually involve the acuteness of the situation and the high levels of anxiety associated with emergency admission. Outpatient admission generally involves preparation time for the family and child. Because of the lower level of acuteness in these settings, anxiety levels are not as high. Rehabilitation admission follows a serious illness or disease. This type of unit may resemble a home environment, which decreases the child’s and family’s anxiety. PTS: 1 DIF: Cognitive Level: Comprehension/Remembering REF: p. 783 OBJ: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity 2. 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 family ANS: C 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. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 783 OBJ: Nursing Process: Planning MSC: Client Needs: Safe and Effective Care Environment