NUR 370 Exam 1 Study Set with Questions and Correct Answers
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Course
NUR 370
Institution
NUR 370
When a child is hospitalized, one component of their plan of care is the use of therapeutic play. This care is often provided by a(n) __. Child life specialist
Having explanations for all procedures and selecting their own meals from hospital menus is an important coping mechanism for which age-gr...
NUR 370 Exam 1 Study Set with
Questions and Correct Answers
When a child is hospitalized, one component of their plan of care is the use of
therapeutic play. This care is often provided by a(n) __. ✅Child life specialist
Having explanations for all procedures and selecting their own meals from hospital
menus is an important coping mechanism for which age-group? ✅School-age children
Which therapeutic approach will best help a 7-year-old child cope with a lengthy course
of intravenous antibiotic therapy? ✅Allow the child to participate in injection play
Home care is being considered for a young child who is ventilator dependent. Which
factor is most important in deciding whether home care is appropriate? ✅Preparation
and training of family
A designated safe place can enhance the child's security while in the hospital. For
example, intrusive procedures that may cause discomfort or anxiety are best done in
the child's room. Is this statement true or false? ✅False
What is the best action for the nurse to take when a 5-year-old child who requires
another 2 days of IV antibiotics cries, screams, and resists having the IV restarted?
✅Let the child decide which color arm board to use with the IV
The nurse is discussing toddler development with the mother of a 2 1/2-year-old child.
Which statement by the mother indicates she has an understanding of how to help her
daughter succeed in a developmental task while hospitalized? ✅"I encourage my
daughter to do things for herself when she can."
The home health nurse outlines short- and long-term goals for a 10-year-old child with
many complex health problems. Who should agree on these goals? ✅Child, family,
and all professionals involved
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 15-month-old toddler
Which intervention helps a hospitalized toddler feel a sense of control? ✅Follow the
child's usual routines for feeding and bedtime
Which question most likely elicits information about how a family is coping with a child's
hospitalization? ✅"How has your child's hospitalization affected your family?"
,Which is the most developmentally appropriate intervention when working with the
hospitalized adolescent? ✅Encourage peers to call and visit when the adolescent's
condition allows
A 3-year-old child cries, kicks, and clings to the father when the parents try to leave the
hospital room. What is the nurse's best response to the parents about this behavior?
✅"Your child is showing a normal response to the stress of hospitalization."
What is the best explanation for a 2-year-old child who is quiet and withdrawn on the
fourth day of a hospital admission? ✅The child is experiencing the despair stage of
separation
Which play activity should the nurse implement to enhance deep breathing exercises for
a toddler? ✅Blowing bubbles
What should the nurse advise the mother of a 4-year-old child to bring with her child to
the outpatient surgery center on the day of surgery? ✅One of the child's favorite toys
A 3 1/2-year-old child who is toilet trained has had several "accidents" since hospital
admission. What is the nurse's best action in this situation? ✅Follow home routines of
elimination
What is the best nursing response to the mother of a 4-year-old child who asks what
she can do to help the child cope with a sibling's repeated hospitalizations? ✅Help the
mother give the child a simple explanation of the treatment, and encourage the mother
to have the child visit the hospitalized sibling
In which age-group does the child's active imagination during unfamiliar experiences
increase the stress of hospitalization? ✅Preschoolers
A preschool-aged child tells the nurse "I was bad, that's why I got sick." What is the best
rationale for this child's statement? ✅The child's imagination is very active, and he may
believe the illness is a result of something he did
Which situation poses the greatest challenge to the nurse working with a child and
family? ✅Emergency hospitalization
What is an age-appropriate nursing intervention to facilitate psychological adjustment
for an adolescent expected to have a prolonged hospitalization? ✅Encourage parents
to bring in homework and schedule study times
Allow the adolescent to wear street clothes
Encourage parents to bring in favorite foods
, How should the nurse advise parents whose preschooler used to sleep through the
night and now awakens at intervals after a short hospitalization? ✅Regressive
behavior after hospitalization is normal and usually short term
Frequent developmental assessments are important for which reason? ✅Critical
periods of development occur during childhood
The prevalence of obesity in the United States has risen dramatically in both adults and
children. The increase in the number of overweight children is addressed in Healthy
People 2020. Strategies designed to approach this issue include ✅Increased fiber and
whole grain intake
Decreased use of sugar and sodium
Increased fruit and vegetable intake
Decrease the use of solid fats
Which statement is correct about toilet training? ✅Wanting to please the parent helps
motivate the child to use the toilet
As recently as 2005, the American Academy of Pediatrics revised safe sleep practices
to assist in the prevention of sudden infant death syndrome. The nurse should model
these practices in hospital and incorporate this information into the teaching for new
parents. ✅Fully supine position for all sleep
"tummy time" for play
Placing the infant's crib in the parent's room
Many parents who have children diagnosed with a chronic illness experience recurrent
feelings of grief, loss, and fear related to the child's condition and loss of the ideal
healthy child. The nurse recognizes this process as ✅Chronic sorrow
Which statement about performing a pediatric physical assessment is correct for a
school-age child? ✅Physical examinations process systematically from head to toe
The physical examination is done only when the child is cooperative
Remove clothing and have the child put on an examination gown
A nurse should routinely ask a colleague to double-check a medication calculation and
the actual medication before administering which medications? ✅Insulin
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