Exam (elaborations)
Chapter 35 The Ill Child in the Hospital and Other Care Settings
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- Nursing
- Institution
- University At Buffalo
Chapter 35 The Ill Child in the Hospital and Other Care Settings
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Chapter 35: The Ill Child in the Hospital and Other Care SettingsTest Bank
MULTIPLE CHOICE
1. Which situation poses the greatest challenge to the nurse working with a child and family?
a. Twenty-four-hour observation
b. Emergency hospitalization
c. Outpatient admission
d. Rehabilitation admission
ANS: B
Feedback
A Although preparation time may be limited with a 24-hour observation, this
situation does not usually involve the acuteness of the situation and the high
levels of anxiety associated with emergency admission.
B Emergency hospitalization involves (1) limited time for preparation both for the
child and family, (2) situations that cause fear for the family that the child may
die or be permanently disabled, and (3) a high level of activity, which can foster
further anxiety.
C Outpatient admission generally involves preparation time for the family and
child. Because of the lower level of acuteness in these settings, anxiety levels are
not as high.
D Rehabilitation admission follows a serious illness or disease. This type of unit
may resemble a home environment, which decreases the child’s and family’s
anxiety.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 875
OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
2. What is the primary disadvantage associated with outpatient and day facility care?
a. Increased cost
b. Increased risk of infection
c. Lack of physical connection to the hospital
d. Longer separation of the child from family
ANS: C
Feedback
A This type of care decreases cost.
B This type of care decreases risk of infection.
C Outpatient and day facility care do not provide extended care; therefore a child
requiring extended care should be transferred to the hospital, causing increased
stress to the child and parents.
D This type of care minimizes separation of the child from family.
, PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 875
OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
3. Based on concepts related to the normal growth and development of children, which
child would have the most difficulty with separation from family during hospitalization?
a. A 5-month-old infant
b. A 15-month-old toddler
c. A 4-year-old child
d. A 7-year-old child
ANS: B
Feedback
A Infants younger than 6 months of age will generally adapt to hospitalization if
their basic needs for food, warmth, and comfort are met.
B Separation is the major stressor for children hospitalized between ages 6 and 30
months.
C Although separation anxiety occurs in hospitalized preschoolers, it is usually less
obvious and less serious than that experienced by the toddler.
D The school-age child is accustomed to separation from parents. Although
hospitalization is a stressor, the 7-year-old child will have less separation anxiety
than a 15-month-old toddler.
PTS: 1 DIF: Cognitive Level: Application REF: pp. 878-879
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
4. What is the best explanation for a 2-year-old child who is quiet and withdrawn on the fourth
day of a hospital admission?
a. The child is protesting her separation from her caregivers.
b. The child has adjusted to the hospitalization.
c. The child is experiencing the despair stage of separation.
d. The child has reached the stage of detachment.
ANS: C
Feedback
A In the protest stage, the child would be agitated, crying, resistant to caregivers,
and inconsolable.
B Toddlers do not readily “adjust” to hospitalization and separation from
caregivers.
C In the despair stage of separation, the child exhibits signs of hopelessness and
becomes quiet, withdrawn, and apathetic.
D The detachment stage occurs after prolonged separation. During this phase, the
child becomes interested in the environment and begins to play.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 878 | Box 35-1
OBJ: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
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