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
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