Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A 13-year-old girl has been hospitalized for the past week. When discussing the girl’s
feelings about her illness, what would the nurse expect the girl to express as her biggest
concern?
a. Invasive procedures
b. Loss of control
c. Appearance
d. Separation from her boyfriend
ANS: C
Illness during early adolescence (12 to 15 years) is seen mainly as a threat to body
image.
DIF: Cognitive Level: Comprehension REF: 453 OBJ: 11
TOP: The Hospitalized Adolescent KEY: Nursing Process Step:
Implementation
2. A nurse notices that the mother of a child with cerebral palsy corrects and redoes many of
the things a nurse does for her child. What is the nurse’s most appropriate response to this
mother?
a. “Would you like to do all of your child’s care?”
b. “I’m doing the very best job that I can with your child.”
c. “Why don’t you go have a cup of coffee? You are going to be exhausted if you
don’t take a break.”
d. “I’d love for you to share with me some of the special things you do for your
child.”
ANS: D
, The person who cares daily for the child with a chronic illness can provide
information that will best guarantee continuity of care between the home and the
hospital.
DIF: Cognitive Level: Application REF: 440 OBJ: 4
TOP: Caregivers’ Reaction KEY: Nursing Process Step:
Implementation
3. The mother of a hospitalized toddler states, “He cries when I visit. Maybe I should just
stay away.” What is a nurse’s best response?
a. “Perhaps you are right. He only gets upset when you have to leave.”
b. “It is important that you are here. This is a common reaction in children when they
are separated from their caregivers.”
c. “It might be easier for your child if you would stay with him, but this decision is
up to you.”
d. “We take good care of him and he seems fine when you are not here.”
ANS: B
During the second stage of separation anxiety (despair), the child is quiet, is not
crying, and is sad and depressed. The child will revert to protest when the caregiver
arrives for a visit.
DIF: Cognitive Level: Application REF: 441 OBJ: 3
TOP: Separation Anxiety KEY: Nursing Process Step:
Implementation
4. What should a nurse preparing to collect an admission history from caregivers who have
recently emigrated from Russia, keep in mind?
a. Eye-to-eye contact is considered disrespectful.
b. Touching the child’s head means the nurse is superior.
c. Smiling is inappropriate in a serious situation.
d. Staring is a sign of the nurse’s rudeness.
ANS: C
In Russia, a smile indicates happiness and is inappropriate in a serious or sad
situation.
, DIF: Cognitive Level: Comprehension REF: 446 OBJ: 7
TOP: Fostering Intercultural Communication KEY: Nursing Process Step:
Planning
5. Which nursing action would facilitate rapport with a child and the child’s caregivers
during the admission process?
a. Direct the caregivers to undress the child.
b. Answer questions in a calm and matter-of-fact way.
c. Perform assessments and ask questions as quickly as possible.
d. Express concern about the seriousness of the child’s condition.
ANS: B
The nurse tries not to appear rushed. A matter-of-fact attitude must be maintained
regardless of the child’s condition.
DIF: Cognitive Level: Application REF: 448 OBJ: 4 TOP:
Nurse’s Role in Hospital Admission KEY: Nursing Process Step:
Implementation
6. When a 2-year-old child returns to the hospital room following a diagnostic procedure the
caregivers are not available, and the child is crying loudly. Which technique is most
appropriate for a nurse to use to alleviate the child’s distress?
a. Rock the child gently to sleep.
b. Play with the child using pop-up toys.
c. Role-play with the child to act out any feelings.
d. Ask the child to draw a picture about any feelings.
ANS: B
Distractions such as blowing bubbles, looking through a kaleidoscope, and playing
with pop-up toys may help reduce anxiety and pain.
DIF: Cognitive Level: Application REF: 451 OBJ: 10
TOP: The Hospitalized Toddler KEY: Nursing Process Step:
Implementation
7. Which child would have the most difficulty in coping with separation from caregivers
MULTIPLE CHOICE
1. A 13-year-old girl has been hospitalized for the past week. When discussing the girl’s
feelings about her illness, what would the nurse expect the girl to express as her biggest
concern?
a. Invasive procedures
b. Loss of control
c. Appearance
d. Separation from her boyfriend
ANS: C
Illness during early adolescence (12 to 15 years) is seen mainly as a threat to body
image.
DIF: Cognitive Level: Comprehension REF: 453 OBJ: 11
TOP: The Hospitalized Adolescent KEY: Nursing Process Step:
Implementation
2. A nurse notices that the mother of a child with cerebral palsy corrects and redoes many of
the things a nurse does for her child. What is the nurse’s most appropriate response to this
mother?
a. “Would you like to do all of your child’s care?”
b. “I’m doing the very best job that I can with your child.”
c. “Why don’t you go have a cup of coffee? You are going to be exhausted if you
don’t take a break.”
d. “I’d love for you to share with me some of the special things you do for your
child.”
ANS: D
, The person who cares daily for the child with a chronic illness can provide
information that will best guarantee continuity of care between the home and the
hospital.
DIF: Cognitive Level: Application REF: 440 OBJ: 4
TOP: Caregivers’ Reaction KEY: Nursing Process Step:
Implementation
3. The mother of a hospitalized toddler states, “He cries when I visit. Maybe I should just
stay away.” What is a nurse’s best response?
a. “Perhaps you are right. He only gets upset when you have to leave.”
b. “It is important that you are here. This is a common reaction in children when they
are separated from their caregivers.”
c. “It might be easier for your child if you would stay with him, but this decision is
up to you.”
d. “We take good care of him and he seems fine when you are not here.”
ANS: B
During the second stage of separation anxiety (despair), the child is quiet, is not
crying, and is sad and depressed. The child will revert to protest when the caregiver
arrives for a visit.
DIF: Cognitive Level: Application REF: 441 OBJ: 3
TOP: Separation Anxiety KEY: Nursing Process Step:
Implementation
4. What should a nurse preparing to collect an admission history from caregivers who have
recently emigrated from Russia, keep in mind?
a. Eye-to-eye contact is considered disrespectful.
b. Touching the child’s head means the nurse is superior.
c. Smiling is inappropriate in a serious situation.
d. Staring is a sign of the nurse’s rudeness.
ANS: C
In Russia, a smile indicates happiness and is inappropriate in a serious or sad
situation.
, DIF: Cognitive Level: Comprehension REF: 446 OBJ: 7
TOP: Fostering Intercultural Communication KEY: Nursing Process Step:
Planning
5. Which nursing action would facilitate rapport with a child and the child’s caregivers
during the admission process?
a. Direct the caregivers to undress the child.
b. Answer questions in a calm and matter-of-fact way.
c. Perform assessments and ask questions as quickly as possible.
d. Express concern about the seriousness of the child’s condition.
ANS: B
The nurse tries not to appear rushed. A matter-of-fact attitude must be maintained
regardless of the child’s condition.
DIF: Cognitive Level: Application REF: 448 OBJ: 4 TOP:
Nurse’s Role in Hospital Admission KEY: Nursing Process Step:
Implementation
6. When a 2-year-old child returns to the hospital room following a diagnostic procedure the
caregivers are not available, and the child is crying loudly. Which technique is most
appropriate for a nurse to use to alleviate the child’s distress?
a. Rock the child gently to sleep.
b. Play with the child using pop-up toys.
c. Role-play with the child to act out any feelings.
d. Ask the child to draw a picture about any feelings.
ANS: B
Distractions such as blowing bubbles, looking through a kaleidoscope, and playing
with pop-up toys may help reduce anxiety and pain.
DIF: Cognitive Level: Application REF: 451 OBJ: 10
TOP: The Hospitalized Toddler KEY: Nursing Process Step:
Implementation
7. Which child would have the most difficulty in coping with separation from caregivers
