Ch 11 -Caring for Children in Diverse Settings
The nurse is caring for a hospitalized 13-year-old girl, who is questioning everything the medical staff is doing and is resistant to treatment. How should the nurse respond?
"Let's work together to plan your day along with your treatments"
The nurse is caring for an 11-year-old girl preparing to undergo a magnetic resonance imaging (MRI) scan. Which of the following statements would best help prepare the girl for the test and decrease anxiety?
"The machine makes a very loud rattle; however, headphones will help"
The nurse is enlisting the parents' assistance for therapeutic hugging prior to an otoscopic examination. What should the nurse emphasize to the parents?
"You will need to keep his hands down and his head still"
The nurse is providing developmentally appropriate care for a toddler hospitalized for observation following a fall down the steps. Which of the following measures might the nurse consider when caring for this child? Select all answers that apply.
-Avoid leaving small objects that can be swallowed in the bed. -Encourage parents to stay to prevent separation anxiety
The nurse is preparing a nursing care plan for a child hospitalized for cardiac surgery. Which of the following are examples of interventions that nurses perform in the "building a trusting relationship" stage? Select all answers that apply.
-Preparing the child for a procedure by playing games -Explaining in simple terms what will happen during surgery
The nurse is preparing a hospitalized 7-year-old girl for a lumbar puncture. Which of the following actions would help reduce her stress related to the procedure? Select all answers that apply.
-Pretend to perform the procedure on her doll. -Teach her the steps of the procedure. -Introduce her to the health care personnel.
The nurse referring a child to home care discusses the advantages and disadvantages with the child's family. Which of the following are disadvantages of this method of health care? Select all answers that apply.
-The nurse is performing care of the child in the family's home. -The out-of-pocket cost of home care is more expensive. -The technical procedures may be overwhelming for the family. -The financial burden may cause more stress for the family.
The nurse is performing an admission of a 10-year-old boy. Which of the following actions will help the nurse establish a trusting and caring relationship with the child and his family? Select all answers that apply.
-The nurse should initiate introductions. -The nurse should maintain eye contact at the appropriate level. -The nurse should use age-appropriate communication with the child.
The nurse is ordered to apply restraints to a toddler who keeps pulling at the tubes in his arm. Which of the following criteria must occur to ensure proper use of these restraints? Select all answers that apply.
-Use a clove-hitch type of knot to secure the restraints with ties. -Remove the restraint every 2 hours to allow for range of motion and repositioning. -Encourage parent participation, providing continuous explanations about the reasons and time frame for restraints.
1The mother of a hospitalized child reports that her daughter, who is having some difficulty eating, just had a 4-ounce cup of ice chips. The nurse documents this on the child's intake flow sheet as which of the following?
2 ounces
The nurse working with children in a hospital setting notes that they are being discharged earlier and earlier. Which of the following is a primary reason for this trend?
Cost containment
The nurse is caring for a 10-year-old boy who is in traction. The boy has a nursing diagnosis of deficient diversional activity related to confinement in bed that is evidenced by verbalization of boredom and lack of participation in play, reading, and schoolwork. Which of the following would be the best intervention?
Enlist the aid of a child life specialist.
Community-based nursing provides opportunities that are quite different from acute care nursing. Which of the following job characteristics is unique to home care nursing?
Experiencing a greater amount of independence
The nurse is caring for a 4-year-old girl who has been hospitalized for over a week with severe burns. Which of the following would be a priority intervention to help satisfy this preschool child's basic needs?
Explain necessary procedures in simple language that she will understand.
When preparing to apply a restraint to a child, which of the following would be most important for the nurse to do?
Explain that safety, not punishment, is the reason for the restraint.
The nurse is caring for a 7-year-old boy who needs his left leg immobilized. What is the priority nursing intervention?
Explain to the boy that he must keep his leg very still
The nurse is caring for an 8-year-old boy hospitalized for a bone marrow transplant. His parents are in and out of his room throughout the day. Which of the following behaviors of the child would alert the nurse that he is in the second stage of separation anxiety?
He sits quietly and is uninterested in playing and eating.
The nurse working in community nursing uses epidemiology as a tool. What information can be obtained using this process?
Health needs of a population
The nurse is caring for an immunosuppressed 3-year-old girl and is providing teaching to the mother about proper oral hygiene. Which of the following responses from the mother indicates a need for further teaching?
I must really scrub her teeth and gums well
The nurse is caring for a 13-year-old girl hospitalized for complications from type 1 diabetes. The girl has a nursing diagnosis of powerlessness related to lack of control of multiple demands associated with hospitalization, procedures, treatments, and changes in usual routine. How can the nurse help promote control?
Offer the girl as many choices as possible
The nurse is transporting a 6-month-old with a suspected blood disorder to the nursery. What is the most appropriate method of transporting the child by the nurse?
Over the shoulder
The nurse is providing discharge planning for a 12-year-old boy with multiple medical conditions. Which of the following would be the best teaching method for this child and his family?
Provide a trial period of home care.
The nurse is caring for a 10-year-old girl who is in an isolation room. Which of the following interventions would be a priority intervention for this child?
Provide age-appropriate toys and games.
The nurse is working as a community health care nurse. What would be the nurse's focus when providing care of the child?
Providing care in geographically and culturally diverse settings
An adolescent is scheduled for outpatient arthroscopic surgery on his knee next week. As part of preparing him for the procedure, which action would be most appropriate?
Providing detailed explanations of the procedure at least a week in advance of the procedure
The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she has begun sucking her thumb and changing her speech patterns to those of a toddler. What condition is the girl manifesting?
Regression
The nurse working in the emergency room monitors the admission of children. Statistically, for which one of the following disorders would children younger than 5 years most commonly be admitted?
Respiratory disorders
The nurse is caring for an 8-year-old girl who requires numerous venipunctures and injections daily. The nurse understands that the child is exhibiting signs of sensory overload and enlists the assistance of the child life specialist. What should the therapeutic play involve to best deal with the child's stressors?
Sewing puppets with needles
When speaking to a group of parents at a local elementary school, the nurse describes school nursing as a specialized practice of nursing based on the fact that a healthy child has a better chance to succeed in school. Which of the following best describes the strategy school nurses use to achieve student success?
They work to minimize health-related barriers to learning
After teaching a group of students about therapeutic play, the instructor determines that additional teaching is needed when the students identify which of the following as a characteristic?
Use of a highly structured format
