Which child would have the most difficulty in coping with separation from parents because of hospitalization?
the toddler feels abandoned by his mother.
The statement that best corresponds to a preschooler’s understanding of hospitalization is:
“I got sick because I was mad at my brother.”
The parents of a hospitalized toddler are upset because she seems more interested in her toys when they come to visit her. The toddler is most likely in which stage of separation anxiety?
The nurse must make a room assignment for a 16-year-old with cystic fibrosis. An optimal roommate might be:
a 15-year-old with type 1 diabetes mellitus.
The parents of a hospitalized 9-month-old infant ask if their preschool child may visit his younger sibling. The nurse understands that:
the preschooler needs to visit his infant sister to reassure himself that she is all right.
A hospitalized toddler was drinking from a cup at home but now refuses to drink from anything except his favorite bottle. This toddler is:
dealing with the anxiety of hospitalization by regressing.
A nurse encourages a school-age child to draw a picture after a painful procedure. The best rationale for this intervention is that the nurse is:
providing a way for the child to express his feelings.
The nurse suggests that the best time for parents to begin to prepare a 5-year-old for surgery and hospitalization is:
about 4 days before surgery.
The mother of a 3-year-old tells the nurse that she will be in to visit tomorrow around 12:00 PM. The next morning, the child asks the nurse, “When is my mommy coming?” The best response for the nurse to make is:
“Your mommy will be here when you have lunch.”
A 13-year-old girl has been hospitalized for the past week. When discussing the girl’s feelings about her illness, the nurse would expect the girl to express the most concern about:
The nurse notices that the mother of a child with cerebral palsy corrects and redoes many of the things the nurse does for her child. The most appropriate response to this mother would be:
“I’d love for you to share with me some of the special things you do for your child.”
The mother of a hospitalized toddler states, “He cries when I visit. Maybe I should just stay away.” The nurse’s best response would be:
“It is important that you are here. This is a common reaction in children when they are separated from their parents.”
The nurse, preparing to collect an admission history from parents who have recently emigrated from Russia, would keep in mind that:
smiling is inappropriate in a serious situation.
The nursing action that would facilitate rapport with a child and the child’s parents during the admission process is to:
answer questions in a calm and matter-of-fact way.
play with the child using pop-up toys.
A 4-year-old begins to cry when his mother tells him it is time for his operation. The nurse understands this is an expected reaction because the preschooler is particularly fearful of:
The nurse determines a parent understands a hospitalized toddler’s need for transitional objects when the parent states:
“This stuffed animal makes him feel secure.”
An 8-year-old child will be hospitalized for several weeks in skeletal traction to treat a fractured femur. In planning care for the child, the nurse realizes immobilization in this age-group can generate feelings of:
loss of control.
The nurse explains to the parents of a hospitalized child that the use of fentanyl has the advantages of:
having a rapid onset.
The nurse shares the information and timelines recorded on the interdisciplinary outline of care for a child. This document is the:
“Addiction is rare in children when opiates are given for pain.”
In documenting the discharge of a pediatric patient, what should the nurse include? Select all that apply.
Time of discharge
Adult(s) accompanying the child and the relationship to the child
Condition of the child
Method of transportation
Instructions that were given to parents
The nurse suggests to parents that they use the outpatient surgical center for their child’s upcoming surgery because the surgical center has what advantage(s)? Select all that apply.
Less incidence of health care associated infections
Reduction of parent-child separation
Decreased emotional impact of illness
Decreased emotional impact of illness
The nurse taking a developmental history will include what information? Select all that apply.
Previous experience with hospitalization
When the preschooler who is hospitalized for surgery to correct a poorly healed fracture says, “My doctor is going to unscrew my bent arm and screw on a new one,” the nurse should ________________ this misconception.