Peds Coursepoint Chap 33
The mother of a 7-year-old child reports to his assigned nurse that she will need to leave for the night to care for her other children at home. She says she is worried about how her son will do, so she plans to slip off when he falls asleep. What response by the nurse is appropriate?
"Children do best with honesty, so I would recommend you tell him you will need to leave."
In a preadmission visit, a 9-year-old girl says she is afraid her tonsillectomy will hurt too much. Which statement by the nurse would be best to help the child feel more comfortable and less afraid?
"I understand that you're worried. It will hurt for only a few days; we'll give you something to help stop the pain when you need it."
The nurse is caring for a preschooler who requires postsurgical breathing exercises. Which approach will bestelicit the child's cooperation?
"Let's see who can blow these cotton balls off the table first."
The parent of a 4-year-old child who is hospitalized for treatment of new-onset diabetes tells the nurse about not wanting the child to go to the playroom because the parent feels the child needs rest more than play. Which response by the nurse is most appropriate?
"Let's talk about the benefits of play to a child who is hospitalized."
The nurse is caring for a hospitalized 13-year-old girl who is questioning the medical staff's actions 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 preparing a 4-year-old girl for a lumbar puncture. The child is extremely fearful and crying. The nurse needs to quickly gain the child's cooperation so the procedure can move forward as ordered. Which approach by the nurse should be used?
Engage the mother in therapeutic hugging.
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
A 6-year-old with leukemia is placed on reverse isolation. What nursing actions could prevent depression and loneliness in this client? Select all that apply.
Spend extra time to talk while in the room. Read a story while in the room. Play a game while in the room.
The nurse is establishing a long-term relationship with a child who will be seeking treatment for cancer. What is the most important factor in this relationship?
establishing trust
A nurse getting ready to conduct preoperative teaching with a 9-year-old child realizes that the best method when teaching young clients is to:
use short sessions.
