NUR 4764 - CARE OF CHILDREN WHO ARE HOSPITALIZED. 2020 Q&As

CHAPTER 16—CARE OF CHILDREN WHO ARE HOSPITALIZED MULTIPLE CHOICE 1. When children are hospitalized before age two, they usually recall: a. nothing about the hospitalization b. the worry and concern of their parents c. the loving care of the nurses and health care team d. memories of hurt, confusion, and abandonment ANS: D 2. Prior to the late 1950s, hospital rules governing parents visiting their hospitalized child were: a. very liberal, allowing unlimited visitation and rooming-in b. limited to the waking hours only c. very restrictive and often only weekly or a few hours each day d. limited to one parent only and that parent had unlimited visiting ANS: C 3. Which of the following documents described polices and practices in the care of hospitalized children and how detrimental these were to child development and recovery? (This document brought about change in visiting rules for parents visiting their hospitalized child.) a. The Platt Report of 1959 c. Lysaught Report 1970 b. Brown Report 1948 d. Patients Bill of Rights ANS: A 4. Which of the following nurses was the first to systematically study how children and parents cope with hospitalization and to document the effectiveness of nursing in allaying and managing the fears and concerns of children? a. Florence Erickson c. Gladys Sellew b. Dorothy Marlow d. Florence G. Blake ANS: D 5. Changes in health care financing have brought about which of the following changes in the care of hospitalized children? a. increased numbers of unlicensed personnel and decreased numbers of experienced nurses and nurses with advanced preparation caring for hospitalized children b. greater continuity of care with the same nursing staff assigned most of the time c. lower costs of health care for children due to cost cutting measures d. longer hospitalization stays for ill children due to purchase of the latest technology ANS: A 6. Which of the following is the predominant goal of nurses caring for children? a. Find out what is wrong with a child and fix it as efficiently as is possible. b. Identify the strengths of children and enhance their growth in the midst of stress and intrusions. c. Get the child and family well enough to go to the least restrictive environment. d. Spare the family as much trauma and psychological distress as is humanly possible. ANS: B 7. Which of the following do nurses preparing for nursing care of children in a clinical setting need to do first? a. Memorize Erikson’s life tasks. b. Study Piaget’s theories of growth and development. c. Examine their thoughts and feelings about caring for children and families in the hospital and the roles and responsibilities of nurses in pediatric nursing. d. Find out the doctors’ protocols and familiarize themselves with these protocols as well as with the policy and procedure manuals of the hospital and unit. ANS: C 8. As a nurse working with infants and their families, you know that an infant with an acute infection is going to need care within what time frame or the infant will become limp and listless? a. within a few hours c. two days b. about 24 hours d. one week ANS: A 9. The nurse, working on a pediatric unit of a hospital, is assigned to care for several children with varying needs. One child was admitted solely for tests, another for management of diabetes, one for heart surgery, and one with a terminal illness. In planning time and attention to the children, the nurse makes it a priority to take into consideration which of the following factors? a. the severity of the reason for hospitalization b. the age and intelligence of the child c. perceptions and interpretations of the experience by the child d. the parents’ emotional, physical, and financial needs ANS: C 10. Which of the following activities would most likely reduce stress for a child who has to undergo a procedure in which the health care team will be wearing surgical attire and using equipment that is strange to the child? a. Provide a written account of the procedure along with pictures. b. Rehearse the procedure with a nurse familiar to the child. c. Talk with the parents about the procedure and have them tell the child. d. Ask the child if they have questions and answer all the questions. ANS: B 11. Which of the following statements best describes step-point nursing? a. The nurse uses a chart and a pointer to go through the steps of the procedure. b. All procedures and treatments are reduced to 10 steps or points to help explain them to the child undergoing them. c. Each step of a procedure fits into a star-shaped diagram with the steps outlined on the points of the star. d. The treatment or procedure is described in a sequential manner, exploring how it might feel, and the procedure or treatment is rehearsed. ANS: D