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TEST BANK Family-Centered Care of the Child During Illness and Hospitalization Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition$9.14
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TEST BANK Family-Centered Care of the Child During Illness and Hospitalization Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
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Course
NURSING 312
Institution
The University Of Bradford (UoB)
: Family-Centered Care of the Child During Illness and Hospitalization
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse is caring for four patients; three are toddlers and one is a preschooler. Which
represents the major stressor of hospitalization...
family centered care of the child during illness and hospitalization
wong’s essentials of pediatric nursing
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The University of Bradford (UoB)
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NURSING 312
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WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
Chapter 19: Family-Centered Care of the Child During Illness and Hospitalization
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse is caring for four patients; three are toddlers and one is a preschooler. Which
represents the major stressor of hospitalization for these four patients?
a. Separation anxiety
b. Loss of control
c. Fear of bodily injury
d. Fear of pain
ANS: A
The major stressor for children from infancy through the preschool years is separation
anxiety, also called anaclitic depression. This is a major stressor of hospitalization. Loss of
control, fear of bodily injury, and fear of pain are all stressors associated with hospitalization.
However, separation from family is a primary stressor in this age group.
DIF: Cognitive Level: Analyze REF: p. 554
TOP: Integrated Process: Nursing Process: Evaluation
MSC: Area of Client Needs: Health Promotion and Maintenance
2. 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 statement? NURSINGTB.COM
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.
ANS: C
Detachment is a behavior manifestation of separation anxiety. Superficially it appears that the
child has adjusted to the loss. Detachment is a sign of resignation, not contentment. Parents
should be encouraged to be with their child. If parents restrict visits, they may begin a pattern
of misunderstanding the child’s cues and not meeting his needs.
DIF: Cognitive Level: Analyze REF: p. 554
TOP: Integrated Process: Nursing Process: Diagnosis
MSC: Area of Client Needs: Health Promotion and Maintenance
3. When a preschool child is hospitalized without adequate preparation, how does the child often
react to the hospitalization?
a. Sees it as a punishment
b. A threat to child’s self-image
c. An opportunity for regression
d. Loss of companionship with friends
ANS: A
NURSINGTB.COM
, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
If a toddler is not prepared for hospitalization, a typical preschooler fantasy is to attribute the
hospitalization to punishment for real or imagined misdeeds. Attributing the hospitalization to
punishment for real or imagined misdeeds is a reaction typical of toddler and school-age
children when threatened with loss of control.
DIF: Cognitive Level: Understand REF: p. 554
TOP: Integrated Process: Nursing Process: Diagnosis
MSC: Area of Client Needs: Health Promotion and Maintenance
4. Which age group should the pediatric nurse recognize as being vulnerable to events that
lessen their feeling of control and power?
a. Infants
b. Toddlers
c. Preschoolers
d. School-age children
ANS: D
When a child is hospitalized, the altered family role, physical disability, loss of peer
acceptance, lack of productivity, and inability to cope with stress usurp individual power and
identity. This is especially detrimental to school-age children, who are striving for
independence and productivity and are now experiencing events that lessen their control and
power. Infants, toddlers, and preschoolers, although affected to different extents by loss of
power, are not as significantly affected as are school-age children.
DIF: Cognitive Level: Understand REF: p. 556
TOP: Integrated Process: Nursing Process: Diagnosis
MSC: Area of Client Needs: Health Promotion and Maintenance
NURSINGTB.COM
5. 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 this as which
description?
a. This is normal behavior for a school-age child.
b. The behavior is 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.
ANS: A
The 10-year-old girl is attempting to maintain control. The nurse should provide the girl with
structured choices about when the IV will be inserted. Telling the nurse “Wait a minute” and
“I’m not ready” can be characteristic behavior when an individual needs to maintain some
control over a situation.
DIF: Cognitive Level: Analyze REF: p. 562
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Health Promotion and Maintenance
6. What is a common initial reaction of parents to illness or injury and hospitalization in their
child?
a. Anger
b. Fear
c. Depression
NURSINGTB.COM
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