Health Care Delivery
The nurse is preparing a 4-year-old for surgery. Which teaching technique is most appropriate? A. Allow the child to handle safe medical equipment B. Use an anatomically correct doll to explain the procedure. C. Explain to the child that she will be put to sleep for the procedure. D. Limit the teaching to one one-hour session.
A
The nurse knows that which represents the major stressor of hospitalization for children from middle infancy throughout the preschool years? A. Separation anxiety B. Loss of control C. Fear of bodily injury D. Fear of pain
A
A 4-year-old boy is hospitalized with a serious bacterial infection. He tells the nurse that he is sick because he was "bad." The nurse's best interpretation of this comment is that it is: A. A sign of stress. B. Common at this age. C. Suggestive of maladaptation. D. Suggestive of excessive discipline at home
B
The mother of a 12-month-old infant who is hospitalized is upset that she must leave her baby to go home for a short time. What should the nurse suggest to this concerned parent? A. Return as soon as possible to attend to her daughter's needs. B. Leave a personal article with the child and reassure her that she will return. C. Call a family relative to stay at all times with the child when the mother leaves. D. Ask a nurse to sit at the child's bedside in her absence.
B
Whenever the parents of a 10-month-old leave their hospitalized child for short periods, he begins to cry and scream. The nurse explains that this behavior demonstrates that the child: A. Needs to remain with his parents at all times. B. Is experiencing separation anxiety. C. Is experiencing discomfort. D. Is extremely spoiled.
B
A 14-year-old has been diagnosed with insulin-dependent diabetes. Which technique is most appropriate in order to facilitate coping with this diagnosis? A. Give the adolescent specific instructions. B. Encourage increased dependence on parents for several weeks. C. Introduce the adolescent to another teenager who is successfully managing his diabetes. D. Warn the teen of the consequences of noncompliance
C
A 4-year-old who has been toilet-trained becomes incontinent when hospitalized for surgery. The most appropriate nursing diagnosis based on this assessment finding is: A. Coping, Defensive, related to stress of hospitalization. B. Growth and Development Altered, related to incontinence. C. Ineffective Individual Coping related to hospitalization D. Urinary Elimination, Altered, related to incontinence.
C
A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following nursing interventions is most appropriate to facilitate normal growth and development? A. Allow the family to bring in the child's favorite computer games B. Encourage the parents to room-in with the child C. Encourage the child to rest and read D. Allow the child to participate in activities with other individuals in the same age group
D
The parents of a 2-year-old arrive at a hospital to visit their child. The child is in the playroom when the parents arrive. When the parents enter the playroom, the child does not readily approach the parents. The nurse interprets this behavior as indicating that: A. The child is withdrawn B. The child is self-centered C. The child has adjusted to the hospitalized setting D. This is a normal pattern
D
Which nursing intervention is most developmentally appropriate for a hospitalized 10-year-old? A. Encourage dependency on parents while the child is hospitalized. B. Obtain a complete health history from the child C. Encourage the child to play with safe medical equipment. D. Allow the child to assist with dressing changes
D