Chapter 11: NURS 340 Preparation For The Nclex Questions and Answers Test Bank,100% CORRECT
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Chapter 11: NURS 340
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Chapter 11: NURS 340
Chapter 11: NURS 340 Preparation For The Nclex Questions and Answers Test Bank
Origin: Chapter 11, 1
1. The nurse working in the emergency room monitors the admission of children. Statistically, for which disorder would children younger than 5 years most commonly be admitted?
A) Mental health p...
chapter 11 nurs 340 preparation for the nclex questions and answers test bank
1 the nurse working in the emergency room monitors the admission of children statistically
for which disorder would ch
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Chapter 11: NURS 340 Preparation For The Nclex Questions and
Answers Test Bank
Origin: Chapter 11, 1
1. The nurse working in the emergency room monitors the admission of
children. Statistically, for which disorder would children younger than 5
years most commonly be admitted?
A) Mental health problems
B) Injuries
C) Respiratory disorders
D) Gastrointestinal disorders
Ans: C
Feedback:
According to Child Health USA 2010, diseases of the respiratory system,
such as asthma and pneumonia, account for the majority of
hospitalizations in children younger than 5 years of age, while diseases of
the respiratory system, mental health problems, injuries, and
gastrointestinal disorders lead to more hospitalizations in older children.
Origin: Chapter 11, 2
2. The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse
notices that she has begun sucking her thumb and changing her speech
patterns to those of a toddler. What condition is the girl manifesting?
A) Regression
B) Suppression
C) Repression
D) Denial
Ans: A
Feedback:
Sucking the thumb and changing of speech pattern (such as to baby talk)
are signs of regression, a defense mechanism used by children to deal with
unpleasant experiences by returning to a previous stage that may be more
comfortable to the child. Suppression is a conscious inhibition of an idea or
desire. Repression is an unconscious inhibition of an idea or desire. Denial
would be exhibited by expressions of resignation instead of true
contentment, not thumb sucking or baby talk.
Page 1
, Origin: Chapter 11, 3
3. The nurse is caring for an 8-year-old boy hospitalized for a bone marrow
transplant. His parents are in and out of his room throughout the day.
Which behaviors of the child would alert the nurse that he is in the
second stage of separation anxiety?
A) He ignores his parents when they return to his room.
B) He cries uncontrollably whenever they leave.
C) He forms superficial relationships with his caregivers.
D) He sits quietly and is uninterested in playing
and eating. Ans: D
Feedback:
Separation anxiety consists of three stages—protest, despair, and
detachment. In the protest stage, the child reacts aggressively to
separation and exhibits great distress by
Page 2
, crying, expressing agitation, and rejecting others who attempt to offer
comfort. In the despair phase the child displays hopelessness by
withdrawing from others, becoming quiet without crying, and exhibiting
apathy, depression, lack of interest in play and food, and overall feelings of
sadness. In the detachment stage the child shows interest in the
environment, starts to play again, and forms superficial relationships with
the nurses and other children. If the parents return, the child ignores
them. A child in this phase of separation anxiety exhibits resignation, not
contentment.
Origin: Chapter 11, 4
4. The nurse is caring for a 4-year-old girl who has been hospitalized for over a
week with severe burns. Which would be a priority intervention to help
satisfy this preschool child's basic needs?
A) Encourage friends to visit as often as possible.
B) Suggest that a family member be present with her 24 hours a day.
C) Explain necessary procedures in simple language that she will
understand.
D) Allow her to make choices about her meals and activities as much
as permitted. Ans: C
Feedback:
Preschoolers fear mutilation and are afraid of intrusive procedures since
they do not understand the body's integrity. They interpret words literally
and have an active imagination; therefore, procedures should be
demonstrated and/or explained in simple terms. Adolescents typically do
not experience separation anxiety from being away from their parents;
instead, their anxiety comes from being separated from friends, and
therefore encouraging friends to visit is a priority intervention. Toddlers
are especially susceptible to separation anxiety and would benefit from a
family member being present as much as possible. School-age children are
accustomed to controlling self-care and typically are highly social; they
would benefit from being involved in choices about meals and activities.
Origin: Chapter 11, 5
5. The nurse is caring for a hospitalized 13-year-old girl, who is questioning
everything the medical staff is doing and is resistant to treatment. How
should the nurse respond?
Page 3
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