Wong's Nursing Care of Infants and Children Chapter 21 Exam – With Complete Solutions (Graded A+)

Wong's Nursing Care of Infants and Children Chapter 21 Exam – With Complete Solutions (Graded A+) Wong's Nursing Care of Infants and Children Chapter 21 Exam – With Complete Solutions (Graded A+) What behavior should most likely be manifested in an infant experiencing the protest phase of separation anxiety? a. Inactivity b. Depression and sadness c. Inconsolable and crying d. Regression to earlier behavior - ANSWER - ANS: C For older infants, being inconsolable and crying is seen during the protest phase of separation anxiety. Inactivity is observed during the stage of despair. The child is much less active and withdraws from others. Depression, sadness, and regression to earlier behaviors are observed during the phase of despair. 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 - ANSWER - 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 decrease their control and power. Infants, toddlers, and preschoolers, although affected by loss of power, are not as significantly affected as school-age children. Cognitive development influences response to pain. What age group is most concerned with the fear of losing control during a painful experience? a. Toddlers b. Preschoolers c. School-age children d. Adolescents - ANSWER - ANS: D Adolescents view illness as physiologic (an organ malfunction) as psychophysiologic (psychologic factors that affect health). Adolescents usually approach pain with self-control. They are concerned with remaining composed and feel embarrassed or ashamed of losing control. Toddlers and preschoolers react to pain primarily as a physical, concrete experience. Preschoolers may try to escape a procedure with verbal statements such as go away. Young school-age children may view pain as punishment for wrongdoing. They age group fears bodily harm. A child, age 4 years, tells the nurse that she "needs a Band-Aid" where she had an injection. Which of the following is the best nursing action? a. Apply a Band-Aid. b. Ask her why she wants a Band-Aid. c. Explain why a Band-Aid is not needed. d. Show her that the bleeding has already stopped. - ANSWER - ANS: A