CH. 33 Prep U - Caring for Children in Diverse Settings

A preschool teacher calls the hospital and wants to introduce the concept of a hospital to her preschool class in case they ever get sick and need to be admitted. What resources could the child life specialist provide for this group to aid in their learning? Select all that apply. A. Offer to let them see and play with the injection equipment such as syringes and needles. B. Tour the hospital, including the playrooms on the pediatric floors. C. Provide a room for the class with hospital gowns, masks and equipment used on children. D. Tell the children that hospitals are places for sick people to come and sometimes they don't leave. E. Let the children lie in the beds, use the call lights and practice being a patient.

B. Tour the hospital, including the playrooms on the pediatric floors. C. Provide a room for the class with hospital gowns, masks and equipment used on children. E. Let the children lie in the beds, use the call lights and practice being a patient.

The nurse is caring for a preschooler who is hospitalized with a suspected blood disorder and receives an order to draw a blood sample. Which approach is best? A. "Why don't you sit on your mom's lap?" B. "I need to remove a little blood." C. "We need to put a little hole in your arm." D. "I need to take some blood."

A. "Why don't you sit on your mom's lap?"

A nurse is caring for an 18-month-old girl undergoing traction therapy in a rehabilitation unit. The nurse understands that the girl is in the second phase of separation anxiety when she observes what behavior? A. The toddler is quiet, looks sad, and is disinterested in playing. B. The girl ignores her. C. The toddler cries inconsolably. D. The girl acts extremely agitated. E. The child exhibits signs of anger.

A. The toddler is quiet, looks sad, and is disinterested in playing.

The pediatric nurse would use standard precautions in caring for which client on her floor? A. an adolescent who has a broken arm B. a child who is diagnosed with pertussis C. an infant with diarrhea D. a toddler with chickenpox

A. an adolescent who has a broken arm

A nurse is caring for a 6-year-old boy hospitalized due to an infection requiring intravenous antibiotic therapy. The child's motor activity is restricted and he is acting out, yelling, kicking, and screaming. How should the nurse respond to help promote positive coping? A. "Do I need to call your parents?" B. "Would you like to read or play video games?" C. "Your medicine is the only way you will get better." D. "Let me explain why you need to sit still."

B. "Would you like to read or play video games?"

The nurse is reviewing a job description of a school nurse. Which activity would the nurse question? A. Educate students on health promotion activities, such as bike and car safety. B. Providing emergency first aid care. C. Provide immunizations to students. D. Provide training and education to other staff on CPR, first aid, and other health issues.

C. Provide immunizations to students.

The nurse who wishes to be as supportive as possible to the hospitalized preschool-age child makes great effort to avoid threatening the 4-year-old's: A. food preferences. B. creativity. C. body integrity. D. verbal skills.

C. body integrity.

The nurse is caring for a 13-year-old who is hospitalized for management of his recently diagnosed diabetes. The child has been withdrawn, and when asked she reports she is "just tired of being sick". What action by the nurse will be of the greatest benefit to helping the child with this concern? A. Ask one of the parents to stay with her at all times. B. Encourage the child to call her friends on the phone. C. Provide books and magazines of interest to her. D. Encourage the child to participate in planning her daily care.

D. Encourage the child to participate in planning her daily care.

The nurse is caring for a 13-year-old who is hospitalized for management of his recently diagnosed diabetes. The child has been withdrawn, and when asked she reports she is "just tired of being sick". What action by the nurse will be of the greatest benefit to helping the child with this concern? A. Ask one of the parents to stay with her at all times. B. Provide books and magazines of interest to her. C. Encourage the child to call her friends on the phone. D. Encourage the child to participate in planning her daily care.

D. Encourage the child to participate in planning her daily care.

A school-aged child needs to have an IV started. Where would be the best place for the nurse to perform this procedure? A. in the child's room, ensuring privacy B. off the floor in a procedural suite C. in the playroom where there are distractions D. in a treatment room

D. in a treatment room

The nurse is caring for a 7-year-old boy in a body cast. He is shy and seems fearful of the numerous personnel moving in and out of his room. How can the nurse help reduce his fear? A. Write the name of his nurse on a board and identify all staff on each shift, every day. B. Remind the boy he will be out of the hospital and going home soon. C. Encourage the boy's parents to stay with him at all times to reduce his fears. D. Tell him not to worry; explain that everyone is here to care for him.

A. Write the name of his nurse on a board and identify all staff on each shift, every day.

The nurse is caring for several families in the home care setting. What additional team member will the nurse have available to assist in the home setting? A. unlicensed assistive personnel B. an emergency medicine provider C. an infectious disease specialist D. surgical care interns

A. unlicensed assistive personnel

A preschool teacher calls the hospital and wants to introduce the concept of a hospital to her preschool class in case they ever get sick and need to be admitted. What resources could the child life specialist provide for this group to aid in their learning? Select all that apply. A. Offer to let them see and play with the injection equipment such as syringes and needles. B. Tell the children that hospitals are places for sick people to come and sometimes they don't leave. C. Provide a room for the class with hospital gowns, masks and equipment used on children. D. Tour the hospital, including the playrooms on the pediatric floors. E. Let the children lie in the beds, use the call lights and practice being a patient.

C. Provide a room for the class with hospital gowns, masks and equipment used on children. D. Tour the hospital, including the playrooms on the pediatric floors. E. Let the children lie in the beds, use the call lights and practice being a patient.

A school-aged child needs to have an IV started. Where would be the best place for the nurse to perform this procedure? A. in the child's room, ensuring privacy B. off the floor in a procedural suite C. in a treatment room D. in the playroom where there are distractions

C. in a treatment room

The charge nurse is planning staffing on a pediatric unit. Which client will the charge nurse assign to the registered nurse? A. the 6-year-old client admitted yesterday for oral rehydration following a mild gastrointestinal disorder B. the 8-year-old client recovering from an appendectomy who is ambulating C. the 12-year-old client with a urinary tract infection taking oral antibiotics D. the 1-year-old client with a respiratory disorder prescribed oxygen therapy

D. the 1-year-old client with a respiratory disorder prescribed oxygen therapy

A 15-year-old boy asks numerous questions about recovery from anesthesia and typical behaviors of someone awakening from sedation. The nurse interprets the concern of this teen to be: A. anxiety related to the surgical procedure itself. B. about his ability to control his own behavior. C. about a change in body image. D. adequacy of postsurgical pain control.

B. about his ability to control his own behavior.

The nurse is working with a child-life specialist to assist a young preadolescent who is preparing for treatment for cancer. Which technique will the nurse and specialist prioritize to assist this child in better understanding what will be happening in the treatment of the cancer? A. play therapy B. therapeutic play C. onlooker play D. cooperative play

B. therapeutic play

An adolescent would benefit from being out of his hospital room. What can the nurse do to promote this? Select all that apply. A. Challenge the adolescent to a video game in the recreation area. B. Invite the adolescent to meet with other teens for lunch in a common space. C. Suggest the adolescent visit other areas within the hospital that are away from the pediatric unit. D. Encourage the teen to investigate the playroom.

A. Challenge the adolescent to a video game in the recreation area. B. Invite the adolescent to meet with other teens for lunch in a common space.

A 10-year-old boy who had an appendectomy had expressed worry that following the procedure he would have lots of pain. Two days after the procedure the child is claiming he is having no pain. Which nursing intervention should the nurse prioritize when assessing this child? A. Tell him to let you know if he begins to feel pain. B. Observe him for physical signs which might indicate pain. C. Ask him to show you his pain level using the color pain scale. D. Explain to his caregiver that his pain level shows he is getting better quickly.

B. Observe him for physical signs which might indicate pain.

The nurse is caring for a hospitalized toddler who is prescribed bedrest. Which item(s) would the nurse recognize as appropriate for the toddler? Select all that apply. A. stacking blocks or small boxes B. coins, small tokens, or marbles to organize and sort C. fine-print books or magazines to read D. boxes to put toys in and/or take out toys E. jigsaw puzzle with pieces 1/2 in (1.25 cm) or smaller F. nursery rhymes or sing-along songs on tape

A. stacking blocks or small boxes D. boxes to put toys in and/or take out toys F. nursery rhymes or sing-along songs on tape

The nurse is working with a child-life specialist to assist a young preadolescent who is preparing for treatment for cancer. Which technique will the nurse and specialist prioritize to assist this child in better understanding what will be happening in the treatment of the cancer? A. therapeutic play B. play therapy C. onlooker play D. cooperative play

A. therapeutic play

The nurse is working with a child-life specialist to assist a young preadolescent who is preparing for treatment for cancer. Which technique will the nurse and specialist prioritize to assist this child in better understanding what will be happening in the treatment of the cancer? A. therapeutic play B. play therapy C. onlooker play D. cooperative play

A. therapeutic play