Peds- Ch. 33 Caring for Children in Diverse Settings

A 9-year-old child on a regular diet refuses to eat the food on her meal tray. She requests chicken nuggets, French fries, and ice cream. What is the best nursing action? a) Ask that the child's desired foods be sent up from the kitchen. b) Negotiate with the child to eat at least part of the food on the general hospital tray. c) Remove a privilege due to this inappropriate behavior. d) Offer the child cereal and milk from stock on the nursing unit

A a) Ask that the child's desired foods be sent up from the kitchen.

What are some disadvantages of home health care? Select all that apply. a) It can be seen as an intrusion to family privacy. b) It can be overwhelming. c) Home health care only hires new graduate nurses, resulting in better care. d) Home health visits can be more costly.

A B D a) It can be seen as an intrusion to family privacy. b) It can be overwhelming. d) Home health visits can be more costly.

Which of the following techniques will help reduce stress in children during procedures? Select All that Apply a) Perform the nursing care on a stuffed animal first. b) Avoid use of medical terms. c) Do not allow child to keep security items with them to reduce contamination. d) Talk through steps of the procedure. e) Ensure that the parents leave after visiting hours.

A B D a) Perform the nursing care on a stuffed animal first. b) Avoid use of medical terms. d) Talk through steps of the procedure.

A 6-month-old infant requires restraint to prevent removal of his nasogastric tube. What is the priority nursing intervention? a) Tie the restraint loosely to prevent skin breakdown. b) Leave the baby unrestrained when directly observed. c) Position the restrained infant prone to prevent aspiration. d) Place the infant in a room near the nurses' station

B b) Leave the baby unrestrained when directly observed.

A nurse is preparing to admit a child for a tonsillectomy. How should the nurse establish rapport? a) Let's take a look at your moth b) Tell me about your stuffed dog you have with you. c) Do you understand why you are here? d) Are you scared about having your tonsils removed?

B b) Tell me about your stuffed dog you have with you.

The nurse is caring for a 10-year-old admitted for a surgical procedure to be done the next day. The nurse takes the child to a special area in the playroom and lets the child "start an IV" on a stuffed bear. This is an example of: a) Cognitive therapy. b) Therapeutic play. c) Parallel play. d) Age-related activity.

B b) Therapeutic play.

You walk into a room and a child is throwing a temper tantrum and you have medications to administer. What is the appropriate nursing action? a) Apply restraints. b) Use an alternative method for restraint. c) Punish the child for this inappropriate behavior. d) Lock the patient's room doors until he calms down.

B b) Use an alternative method for restraint.

A child is to undergo a tympanostomy tube placement in a freestanding outpatient surgery center. What is the major disadvantage associated with this location? a) Increased risk for infection. b) Increased health care costs. c) Need to be transferred if overnight stay is required. d) Increased disruption of family functioning.

C c) Need to be transferred if overnight stay is required.

The nurse is preparing a 5-year-old boy for surgery on his lower leg. His mother is helping him into the hospital gown and the b? a) Allow the mother to remove the underwear. b) Tell the boy he is acting childishly. c) Notify the OR that the underwear is on. d) Allow the boy to keep his underwear on.

D d) Allow the boy to keep his underwear on.

The nurse is providing hair care for an African American 10-year-old girl hospitalized with a painful disorder. What should the nurse do first? a) Condition the hair before shampooing. b) Dry the hair before combing. c) Use commercial hair detangling solution prior to brushing. d) Ask the girl and/or her family about any preferences in hair care or for usual procedures used.

D d) Ask the girl and/or her family about any preferences in hair care or for usual procedures used.

Which factor does not affect a child's response to illness and hospitalization? a) Age b) Developmental level c) Previous experience with hospitalization and illness d) Mother and father's age e) Recent life changes

D d) Mother and father's age

What is the role of the nurse in family-centered care? Select all that apply. a) Nurse uses nursing judgment to make all decisions for the family. b) Empower children and their families through education. c) Ask caregivers to limit visits so the child will cooperate with all procedures. d) Assess the learning needs and proved education that is appropriate to the developmental levels of the child and family. e) Encourage the family to participate in the child's care.

b D E b) Empower children and their families through education. d) Assess the learning needs and proved education that is appropriate to the developmental levels of the child and family. e) Encourage the family to participate in the child's care.