family centered quiz 2

Which percentage of reported cases of child abuse in the United States reflects child neglect?

52%

The LPN/LVN is assigned to provide care for a young school-age child who is 2 days postoperative for an appendectomy. The LPN/LVN is encountering resistance from the child about the daily dressing change. Which action would be appropriate for the LPN/LVN to perform?

Allow the child to wash their hands and remove the old dressing

Which strategy is most appropriate for administering a medication to a toddler-aged child who has a history of being difficult?

Allow the mother to administer the medication to the child

Which pediatric patient is at greatest risk for experiencing separation anxiety if the parents are unable to stay with the child at all times?

An 18-month-old toddler

A family has a young toddler who is hospitalized with an acute illness. A family member tells the nurse, "Nursing staff changes every day. We continually have to get to know new caregivers, and our child gets anxious because there are strangers at every shift change." Which need would the nurse recognize to provide family-centered care?

Consistency

An increase risk of child sexual abuse includes the presence of a

Nonbiological father

1st degree burn

Only the epidermis (red, painful, and edema) sunburn like

The LPN/LVN is assisting with a 4-year-old child who is admitted to the hospital. For which reason would the LPN/LVN ask the parents about the child's bedtime ritual?

Routines can be maintained in the hospital to promote better sleep.

In which developmental stage are children more likely to be sexually abused?

School age

Which environmental influence should the nurse include when assessing a child's risk for abuse?

The family frequently relocates to different geographical locations

Reasons that nurses may not report suspected child abuse include

The inability to distinguish discipline from abuse.

school age burns

matches, chemical, electrical and firecrackers

The most common type of child abuse is

neglect

infant burns

sunburns, hot liquid spills, home fires

Which individuals are mandatory reporters of child abuse? (Select all that apply.)

3) Childcare providers 4) Commercial film developers5) Child protective services employees

Which factors associated with sexual abuse should the nurse include in an educational session regarding this topic? (Select all that apply.)

3) The child has had multiple hospitalizations in the medical history. 5) The claimed history is not supported by evidence found by health-care providers.

Which are clinical manifestations of sexual abuse that the nurse should include when assisting with the assessment process? (Select all that apply.)

3) Vaginal discharge 4) Positive chlamydia culture 5) Ecchymosis located on the inner thighs

Which pediatric patient is at increased risk for child abuse, necessitating a focused nursing assessment?

A 9-month-old child, born prematurely, who is diagnosed with reflux

Which of the following is an unusual behavior of a parent with an injured child?

Anger

A pediatric patient who is 16 months of age is hospitalized in an acute care facility. The parents live several hours away and have two young children at home. One parent has a full-time job with only weekends off. Which action would the nurse perform to help the patient experience less anxiety?

Ask that the same nurses be assigned to the patient each shift.

Which is a child factor that may increase the risk for abuse?

Developmental delay

A preschool-aged child is admitted to the pediatric unit for surgery. The parents request to stay with their child. Which is the best response by the nurse?

Let the parents know they are allowed to stay with the child

The nurse is providing care to a pediatric patient who is experiencing separation anxiety as a result of hospitalization. Which data indicate the patient is experiencing the "despair" stage?

Lies quietly in bed

For which topic, considered an adolescent stressor, should the nurse include interventions in the plan of care for a hospitalized teenage patient?

Loss of privacy

Which is a component of constructing patient-centered goals when planning care for a school-aged patient who is being abused?

Measurable

Which is a priority nursing action when providing care to a school-aged child who is experiencing abuse?

Meeting the child's immediate psychological needs

A child with a developmental delay and seasonally inappropriate clothing is exhibiting signs and symptoms of

Neglect

When a child's basic needs, such as housing or food, aren't met, it is considered

Neglect

Which of the following is considered a risk factor for child abuse?

Single parenting

Sexual abuse may involve behaviors or actions that include all of the following except

Spying on a child using the bathroom.

Which nursing action is most appropriate when updating the family of a preschool-aged patient?

Stepping out of the room to discuss the information

Which nursing action is appropriate for the parents of a hospitalized patient to enhance safety?

Teaching the use of the call bell system

Which nursing action is most appropriate to reduce stress during the preoperative period for a 4-year-old patient?

Telling the child what will be seen, heard, and felt while awake prior to the procedure

Which child factor that contributes to abuse should the nurse assess for when abuse is suspected?

Temperament that is demanding

A child who is 15 months of age is brought to the emergency department due to choking on a small plastic toy. The medical staff successfully removes the lodged item, but the parent insists the child is still choking. Which information would the nurse provide to ease the concern of the parent?

The child has residual edema, inflammation, and irritation.

When a suspected child abuse report is completed by the nurse, who should explain the reporting process to the child's parents or caregivers?

The nurse filing the report

A toddler pulled a pot of boiling water off the stove and suffered partial and full-thickness burns to the chest. The child is now in the recovery-management phase of burn treatment. Which common complication should the nurse assess this client for on the basis of the current data?

Wound infection

4th degree burn

burn that goes to the bone

2nd degree burn

epidermis and part of dermis (blistered) very painful grafting sometimes

toddler burns

hot liquids, hot tubs, pulling pans,

preschooler burns

hot liquids, hot tubs, pulling pans, matches

adolescent burns

matches and playing with fire

Which nursing action is most appropriate when providing emergency care to a child whose parents do not wish to leave the room?

) Allowing the parents to stay with the child

Which is a common fear for hospitalized pediatric patients between the ages of 6 and 18 months?

) Stranger anxiety

Which reactions should the nurse anticipate when providing care to a pediatric patient who is exhibiting the protest stage of separation anxiety? (Select all that apply.)

1) Clinging to the parents 2) Crying or acting aggressively

Which nursing actions are appropriate when teaching a pediatric patient how to administer an insulin injection? (Select all that apply.)

1) Showing the child a syringe filled with water to practice on a favorite doll 2) Showing the child a video of another child receiving an insulin injection 4) Showing the child how the injection will occur by pretending to inject self

Which nursing actions are appropriate when providing care to a toddler-aged patient who is restrained to protect an incision after a surgical procedure? (Select all that apply.)

1) Using the least restrictive method 2) Obtaining an order containing the reason, the type of restraint, and a start/stop time 4) Encouraging games and activities that promote growth and development 5) Assessing hygiene and elimination needs frequently

The nurse on a pediatrics unit is administering medications to children of various ages for pain management. Which general procedures would the nurse follow? Select all that apply.

1. Double-check the dose with another nurse before administration. 2. Use various assessment techniques to evaluate pain level. 3. Use the child's most current weight when calculating the dose. 5. Consult a current drug guide before giving pain medications.

An LPN/LVN is on a committee to help design a new pediatrics unit. Which suggestion would be most important for the LPN/LVN to make?

A setup in each room for overnight stays

The LPN/LVN is assisting in the care of an infant hospitalized for complications from flu requiring oxygen therapy. A parent brings some favorite toys from home for the infant. Which toy would be permissible only after close observation from the RN?

A wrist rattle that makes noise with movement

3rd degree burn

All three layers have been effected no pain leathery dead tissue grafting needed 2nd infections

The licensed practical nurse (LPN) notes annular ecchymosis on a school-aged child's back. The LPN is not sure if this is due to abuse or a cultural practice. Which is the priority action by the LPN?

Asking the registered nurse to assist with the assessment

The nurse suspects that a child is being sexually abused. Which nursing action is appropriate?

Bathing the child after the collection of evidence

Reporting child abuse includes notifying

CPS

As mandatory reporters of child abuse, nurses

Can lose their nursing license if they fail to report abuse

A 2-year-old child may respond to abuse by exhibiting

Changes in sleep patterns

The nursing staff on a pediatrics unit specialize in chronic illnesses and are concerned about the restricted hours for parent visitation at their facility. For which reason would the nursing staff petition for unlimited parental visitation?

Children will do better and have more-positive clinical outcomes.

The LPN/LVN on a pediatrics unit is assisting with the care of a child admitted with an acute illness. The LPN/LVN is aware that the parents are unable to spend extended periods of time at the hospital because of employment and home responsibilities. Which action would the LPN/LVN implement with the child to ease anxiety and stress?

Encourage the child to draw pictures of family, home, and pets.

Long-term complications of child abuse include all of the following except

Excessive impulse control

Fear of going home and aggressive acting out can be symptoms of

Physical abuse

Which action is most appropriate when providing care to a hospitalized pediatric patient who is on contact precautions because of a communicable disease?

Providing age-appropriate stimulation for the child

Which is a behavioral indicator of abuse when providing care to a pediatric patient?

Radar gaze

Symptoms that can be suggestive of child sexual abuse include

Recurrent urinary tract infections

Which health-care provider is mandated by law to report suspected child abuse?

Registered nurse

If a parent's action of punching his or her child caused an injury, determining if this is physical abuse includes assessing if

The parent directly caused the injury regardless of intent.

Which clinical manifestation noted during a physical examination causes the nurse to suspect physical abuse?

Traumatic alopecia

The LPN/LVN in the emergency department is assisting with the admission of a young school-age child to the pediatric unit. The child has suffered physical trauma, which will likely require surgery. The child's parents are at the bedside. Which factor would the LPN/LVN identify as the greatest source of distress for the child at this time?

Unknown outcomes of trauma

Bias on the part of the nurse may result in nurses being less likely to report families who are

Well dressed and seemingly friendly

Which type of toy would be best for the LPN/LVN to provide to a toddler who cannot go to the unit's playroom but can be out of bed?

Wooden train set and blocks

he nurse is admitting a 4-year-old child with an acute illness. When gathering personal and medical history information, which information specific to this age group would be appropriate for the nurse to gather for this patient? Select all that apply.

1. Chief complaint, associated symptoms, and recent illnesses 2. Known allergies to food, medication, and environmental substances 3. How the patient is soothed when experiencing pain 4. Immunization history and any need for updates 5. Spiritual needs, religious practices, and cultural influences on medical care

The LPN/LVN uses the Bill of Rights for Hospitalized Children to guide the delivery of care in the acute care setting. Which rights would be uniquely and specifically important in caring for a hospitalized child? Select all that apply.

1. Right to confidentiality and privacy 2. Right to developmentally appropriate play and creative expression 3. Right to prompt pain assessment and symptom treatment and management 4. Right to the application of family-centered care 5. Right to clear communication and use of interpreter services

The nurse is providing care for a child of Asian descent who is experiencing an exacerbation of asthma. The nurse notes bruising on the child's back in the shape of a Christmas tree. Which question exhibits therapeutic communication when conducting the health history assessment on the basis of the current data?

"Do you use spooning when caring for your child's breathing issues?"

A toddler has been hospitalized for over a week for treatment of a newly diagnosed chronic condition. When the parents arrive for a daily visit, the toddler ignores them. Which explanation would the LPN/LVN provide?

"This is your toddler's method of punishing you for leaving."

he LPN/LVN is orienting to a pediatric hospital. Which specific arrangements would the LPN/LVN identify as being designed to achieve the best clinical outcomes? Select all that apply.

1. Pediatric specialists are available specifically for the treatment of children. 2. Remaining family friendly is a specialty of pediatric hospitals. 3. Child-focused care is needed to achieve best results for the hospitalized child. 4. A goal is to make the hospitalized child feel comfortable away from home. 5. All members of the child care team are specialized in specific child-centered competencies.

. Which nursing actions are appropriate when providing care to a child who is hospitalized? (Select all that apply.)

2) Educating the family about procedures performed on the child 3) Providing emotional support to the child and the family 4) Administering age-appropriate care to the child 5) Communicating in a genuine fashion with the child's family and health-care providers

The pediatric acute care unit staff attends an inservice presentation on the effect of hospitalization on patients, according to Erickson's psychosocial development theory. Which populations would be recognized as being at risk for psychosocial stress? Select all that apply.

2. Toddlers 3. Preschool-age children 4. School-age children 5. Adolescents

Which pediatric patient can best tolerate separation from parents during hospitalization?

A 3-month-old

For which safety reason would the LPN/LVN recognize that a pediatric hospital room requires additional preparation for a toddler being admitted with a diagnosis of pneumonia?

A high-sided crib is in place.

Which tool should the nurse use to monitor pain in a toddler-aged patient?

FLACC pain scale

Which is a nursing responsibility when providing care to a child who is being abused?

Filing a report with child protective services

Which circumstance requires the nurse to obtain assistance from local law enforcement when providing care to a child who is being abused?

For a child who is at risk for further abuse

Which nursing action is most appropriate to minimize stress for a pediatric patient who will have a planned hospitalization for a tonsillectomy and his or her family?

Giving the client and family a tour of the hospital unit or surgical area

The nurse explains to the parents of a child with a severe burn that wearing an elastic pressure garment (Jobst stocking) during the rehabilitative stage can help prevent which complication?

Hypertrophic scarring

Which is the most common form of child abuse around the world that the nurse should assess for when caring for children?

Neglect

The nurse prepares a child to receive oxygen via a tent delivery system by allowing the child to place a teddy bear in and out of the tent and then rewarding the child with a sticker. Which practice is the nurse using?

Therapeutic play

The pediatric nurse is explaining the procedure for débriding a wound to a preschool-aged patient. Which is an age-appropriate method to describe this process?

Use play to demonstrate the procedure