Hospitalization Quiz - Answer Key PDF

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Hospitalization

Which of the following 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 During the first 4 days of hospitalization, Eric, age 18 months, cried inconsolably when his parents left him, and he refused the staff’s attention. Now the nurse observes that Eric appears to be “settled in” and unconcerned about seeing his parents. The nurse should interpret this as which of the following? a. He has successfully adjusted to the hospital environment. b. He has transferred his trust to the nursing staff. c. He may be experiencing detachment, which is the third stage of separation anxiety. d. Because he is “at home” in the hospital now, seeing his mother frequently will only start the cycle again. When a preschool child is hospitalized without adequate preparation, the nurse should recognize that the child may likely see hospitalization as which of the following? a. Punishment b. Threat to child’s self-image c. An opportunity for regression d. Loss of companionship with friends Because of their striving for independence and productivity, which age-group of children is particularly vulnerable to events that may lessen their feeling of control and power? a. Infants b. Toddlers c. Preschoolers d. School-age children A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse, “Wait a minute,” and, “I’m not ready.” The nurse should recognize that: a. this is normal behavior for a school-age child. b. this behavior is usually not seen past the preschool years. c. the child thinks the nurse is punishing her. d. the child has successfully manipulated the nurse in the past. The most common initial reaction of parents to illness or injury and hospitalization in their child is which of the following? a. Anger b. Fear c. Depression d. Disbelief Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse overhears her school-age siblings tell her, “We are sick of Mom always sitting with you in the hospital and playing with you. It isn’t fair that you get everything and we have to stay with the neighbors.” Which of the following is the nurse’s best assessment of this situation?

a. The siblings are immature and probably spoiled. b. Jealousy and resentment are common reactions to the illness or hospitalization of a sibling. c. Family has ineffective coping mechanisms to deal with chronic illness. d. The siblings need to better understand their sister’s illness and needs. An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler would be which of the following? a. Provide for privacy. b. Encourage parents to room in. c. Explain procedures and routines. d. Encourage contact with children the same age. Four-year-old Brian appears to be upset by hospitalization. Which of the following is an appropriate intervention? a. Let him know it is all right to cry. b. Give him time to gain control of himself. c. Show him how other children are cooperating. d. Tell him what a big boy he is to be so quiet. Latasha, age 8 years, is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. Which of the following will help her most in her adjustment to the hospital? a. Explain hospital schedules to her, such as mealtimes. b. Use terms such as “honey” and “dear” to show a caring attitude. c. Explain when parents can visit and why siblings cannot come to see her. d. Orient her parents, because she is young, to her room and hospital facility. Samantha, age 5 years, tells the nurse that she “needs a Band-Aid” where she had an injection. Which of the following is the best nursing action? a. Apply a Band-Aid. b. Ask her why she wants a Band-Aid. c. Explain why a Band-Aid is not needed. d. Show her that the bleeding has already stopped. Kimberly, age 3 years, is being admitted for about 1 week of hospitalization. Her parents tell the nurse that they are going to buy her “a lot of new toys, because she will be in the hospital.” The nurse’s reply should be based on an understanding of which of the following? a. New toys make hospitalization easier. b. New toys are usually better than older ones for children of this age. c. At this age, children often need the comfort and reassurance of familiar toys from home. d. Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt. Matthew, age 18 months, has just been admitted with croup. His parent is tearful and tells the nurse, “This is all my fault. I should have taken him to the doctor sooner so he wouldn’t have to be here.” Which of the following is appropriate in the care plan for this parent who is experiencing guilt? a. Clarify misconception about the illness. b. Explain to parent that the illness is not serious. c. Encourage parent to maintain a sense of control. d. Assess further why parent has excessive guilt feelings.

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The nurse is doing a prehospitalization orientation for Diana, age 7, who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that she will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed. This explanation is: a. unnecessary. b. the surgeon’s responsibility. c. too stressful for a young child. d. an appropriate part of the child’s preparation.

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The nurse is caring for an adolescent who had an external fixator placed after suffering a fracture of the wrist during a bicycle accident. Which of the following statements by the adolescent would be expected about separation anxiety? a. “I wish my parents could spend the night with me while I am in the hospital.” b. “I think I would like for my siblings to visit me but not my friends.” c. “I hope my friends don’t forget about visiting me.” d. “I will be embarrassed if my friends come to the hospital to visit.”...