Test Bank Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson | Chapter 21-25 |
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Course
Wong\'s Essentials of Pediatric Nursing
Institution
Wong\'s Essentials Of Pediatric Nursing
Chapter 21: Family-Centered Care of the Child During Illness and Hospitalization
Chapter 22: Pediatric Nursing Interventions and Skills
Chapter 23: The Child with Fluid and Electrolyte Imbalance
Chapter 24: The Child with Renal Dysfunction
Chapter 25: The Child with Gastrointestinal Dysfunction
Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers
Wilson
MULTIPLE CHOICE
1. 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
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.
DIF: Cognitive Level: Understanding TOP: Nursing Process:
Assessment MSC: Client Needs: Psychosocial Integrity
2. 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
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.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
3. 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
ANS: D
Adolescents view illness as physiologic (an organ malfunction) and
psychophysiologic (psychologic factors that affect health). Adolescents usually
approach pain with self-control. They are concerned with remaining composed and
feel embarrassed and 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. This age group fears bodily harm.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
4. A child, age 4 years, tells the nurse that she needs a Band-Aid where she had an injection.
What nursing action should the nurse implement?
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.
ANS: A
Children in this age group still fear that their insides may leak out at the injection site.
The nurse should be prepared to apply a small Band-Aid after the injection. No
explanation should be required.
DIF: Cognitive Level: Understanding TOP: Nursing Process:
Implementation MSC: Client Needs: Health Promotion and Maintenance
5. The psychosexual conflicts of preschool children make them extremely vulnerable to
which threat?
a. Loss of control
b. Loss of identity
c. Separation anxiety
d. Bodily injury and pain
, ANS: D
The psychosexual conflicts of children in this age group make them vulnerable to
threats of bodily injury. Intrusive procedures, whether painful or painless, are
threatening to preschoolers, whose concept of body integrity is still poorly developed.
Loss of control, loss of identity, and separation anxiety are not related to
psychosexual conflicts.
DIF: Cognitive Level: Understanding TOP: Nursing Process:
Assessment MSC: Client Needs: Psychosocial Integrity
6. A spinal tap must be done on a 9-year-old boy. While he is waiting in the treatment room,
the nurse observes that he seems composed. When the nurse asks him if he wants his
mother to stay with him, he says, I am fine. How should the nurse interpret this situation?
a. This child is unusually brave.
b. He has learned that support does not help.
c. Nine-year-old boys do not usually want a parent present during the procedure.
d. Children in this age group often do not request support even though they need and
want it.
ANS: D
The school-age childs visible composure, calmness, and acceptance often mask an
inner longing for support. Children of this age have a more passive approach to pain
and an indirect request for support. It is especially important to be aware of nonverbal
cues such as facial expression, silence, and lack of activity. Usually when someone
identifies the unspoken messages, the child will readily accept support.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
7. The mother of a 7-month-old infant newly diagnosed with cystic fibrosis is rooming in
with her infant. She is breastfeeding and provides all the care except for the medication
administration. What should the nurse include in the plan of care?
a. Ensuring that the mother has time away from the infant
b. Making sure the mother is providing all of the infants care
c. Determining whether other family members can provide the necessary care so the
mother can rest
d. Contacting the social worker because of the mothers interference with the nursing
care
ANS: A
The mother needs sufficient rest and nutrition so she can be effective as a caregiver.
While the infant is hospitalized, the care is the responsibility of the nursing staff. The
mother should be made comfortable with the care the staff provides in her absence.
The mother has a right to provide care for the infant. The nursing staff and the mother
should agree on the care division.
8. A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling
the nurse, Wait a minute, and, Im not ready. How should the nurse interpret this
behavior?
a. IV insertions are viewed as punishment.
b. This is expected behavior for a school-age child.
c. Protesting like this is usually not seen past the preschool years.
d. The child has successfully manipulated the nurse in the past.
ANS: B
This school-age child is attempting to maintain some control over the hospital
experience. The nurse should provide the girl with structured choices about when the
IV line will be inserted. Preschoolers can view procedures as punishment; this is not
typical behavior of a preschool-age child.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
9. The parents of a 4-month-old infant cannot visit except on weekends. What action by the
nurse indicates an understanding of the emotional needs of a young infant?
a. Place her in a room away from other children.
b. Assign her to the same nurse as much as possible.
c. Tell the parents that frequent visiting is unnecessary.
d. Assign her to different nurses so she will have varied contacts.
ANS: B
The infant is developing a sense of trust. This is accomplished by the consistent,
loving care of a nurturing person. If the parents are unable to visit, then the same staff
nurses should be used as much as possible. Placing her in a room away from other
children would isolate the child. The parents should be encouraged to visit. The nurse
should describe how the staff will care for the infant in their absence.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
10. An 8-year-old girl is being admitted to the hospital from the emergency department with
an injury from falling off her bicycle. What intervention will help her most in her
adjustment to the hospital?
a. Explain hospital schedules to her, such as mealtimes.
b. Use terms such as honey and dear to show a caring attitude.
c. Explain when parents can visit and why siblings cannot come to see her.
d. Orient her parents, because she is too young, to her room and hospital facility.
ANS: A
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