NUR 370 Final Study Questions and Correct Answers- Sherpath
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Course
NUR 370
Institution
NUR 370
1. What is the primary disadvantage associated with outpatient and day facility care? a. Increased cost b. increased risk of infection c. Lack of physical connection to the hospital d. longer separation of the child from the family c. Lack of physical connection to the hospital
Outpatient and day ...
NUR 370 Final Study Questions and
Correct Answers- Sherpath
1. What is the primary disadvantage associated with outpatient and day facility care?
a. Increased cost
b. increased risk of infection
c. Lack of physical connection to the hospital
d. longer separation of the child from the family ✅c. Lack of physical connection to the
hospital
Outpatient and day facility care do not provide extended care; therefore a child requiring
extended care should be transferred to the hospital, causing increased stress to the
child and parents. This type of care decreases cost and infection and minimizes
separation between the child and family.
2. Why is observation for 24 hours in an acute-care setting often appropriate for
children?
a. Longer hospital stays are more costly
b. Children become ill quickly and recover quickly
c. Children feel less separation anxiety when hospitalized for 24 hours
d. Families experience less disruption during short hospital stays ✅b. Children become
ill quickly and recover quickly
Children become ill quickly and recover quickly; therefore they can require acute care
for a shorter period of time. A child's state of wellness, rather than cost, determines the
length of stay. Separation anxiety is primarily a factor of the stage of development, not
the length of hospital stay. Family disruption is a secondary outcome of a child's
hospitalization; it does not determine length of stay.
3. Having explanations for all procedures and selecting their own meals from hospital
menus is an important coping mechanism for which age-group?
a. Toddlers
b. Preschoolers
c. School-Age Children
d. Adolescents ✅c. School-Age Children
School-age children are developmentally ready to accept detailed explanations. School-
age children can select their own menus and become actively involved in other areas of
their care. Toddlers need routine and parental involvement for coping. Preschoolers
need simple explanations of procedures. Detailed explanations and support of peers
help adolescents cope.
,4. Which therapeutic approach will best help a 7-year-old child cope with a lengthy
course of intravenous antibiotic therapy?
a. arrange for the child to go to the playroom daily
b. Ask the child to draw you a picture of himself or herself
c. Allow the child to participate in injection play
d. Give the child stickers for cooperative behavior ✅c. Allow the child to participate in
injection play
Injection play is an appropriate intervention for the child who has to undergo frequent
blood work, injections, intravenous therapy, or any other therapy involving syringes and
needles. The hospitalized child should have opportunities to go to the playroom each
day if the child's condition warrants. This free play does not have any specific
therapeutic purpose. Children can express their thoughts and beliefs through drawing.
Asking the child to draw a picture of himself or herself may not elicit the child's feelings
about the treatment. Rewards such as stickers may enhance cooperative behavior.
They will not address coping with painful treatments.
5. 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?
a. Level of parent's education
b. Presence of two parents
c. Preparation and training of the family
d. Family's ability to assume all health care costs ✅c. Preparation and training of the
family
One of the essential elements is the family's training and preparation. The family must
be able to demonstrate all aspects of care for the child. In many areas, it cannot be
guaranteed that nursing care will be available on a continual basis, and the family will
have to care for the child. The amount of formal education reached by the parents is not
the important issue. The determinant is the family's ability to care adequately for the
child in the home. At least two family members should learn and demonstrate all
aspects of the child's care in the hospital, but it does not have to be two parents. Few
families can assume all health care costs. Creative financial planning, including
negotiating arrangements with the insurance company and/or public programs, may be
required.
(pp. 645)
6. What should the nurse identify as major fears in the preschool child who is
hospitalized with a chronic illness? (Select all that apply).
a. Altered body image
b. Separation from peer group
c. Bodily injury
d. Mutilation
e. Being left alone ✅c, d, e.
c. Bodily Injury
e. Being left alone
,d. Mutilation
Body injury, mutilation, and being left alone are major fears of the preschooler. Altered
body image and separation from peer group are fears of the adolescent.
The major stressor for children from infancy through the preschool years is separation
anxiety, also called anaclitic depression. This is a major stressor during hospitalization.
Preschoolers have little understanding of body boundaries, which leads to fears of
mutilation.
7. The nurse comes into the room of a child who was just diagnosed with a chronic
disability. The child's parents begin to yell at the nurse about a variety of concerns. The
nurse's best response is
a. "What is really wrong?"
b. "Being angry is only natural."
c. "Yelling at me will not change things."
d. "I will come back when you settle down." ✅b. "Being angry is only natural."
Parental anger after the diagnosis of a child with a chronic disability is a common
response. One of the most common targets for parental anger is members of the staff.
The nurse should recognize the common response of anger to the diagnosis and allow
the family to vent. "What is really wrong?"/"Yelling at me will not change things"/"I will
come back when you settle down" will place the parents on the defensive and not
facilitate communication.
8. The nurse encourages the mother of a toddler with acute LTB to stay at the bedside
as much as possible. The nurse's rationale for this action is primarily that-
a. Mothers of hospitalized toddlers often experience guilt.
b. The mother's presence will reduce anxiety and ease child's respiratory efforts.
c. Separation from mother is a major developmental threat at this age.
d. The mother can provide constant observations of the child's respiratory efforts. ✅b.
The mother's presence will reduce anxiety and ease child's respiratory efforts.
The family's presence will decrease the child's distress. It is true that mothers of
hospitalized toddlers often experience guilt but this is not the best answer. The main
reason to keep parents at the child's bedside is to ease anxiety and therefore
respiratory effort. The child should have constant monitoring by cardiorespiratory
monitor and noninvasive oxygen saturation monitoring, but the parent should not play
this role in the hospital. (pp. 648)
9. Identify the most appropriate response for the nurse when parents say, "Living with
this disease is really hard; it's not fair."
a. "Tell me about what is hard for you."
b. "I know exactly how you must feel."
c. "I know a local support group for families."
d. "I am going to ask the grief counselor to meet with you." ✅a. "Tell me about what is
hard for you."
, The first step in supporting families and helping them deal with chronic sorrow is to
listen to and recognize their pain.
B This comment does not encourage parents to talk about their feelings. Each
individual's perception of a situation is different. A nurse can never know exactly how
parents feel about having a child with a chronic illness.
C. This comment does not address the parent's immediate feelings.
D. This response does not address the parent's immediate feelings.
10. Kelly, age 8 years, will soon be able to return to school after an injury that resulted
in several severe, chronic disabilities. The most appropriate action by the school nurse
is to
a. Recommend that Kelly's parents attend school at first to prevent teasing.
b. Prepare Kelly's classmates and teachers for changes they can expect.
c. Refer Kelly to a school where the children have chronic disabilities similar to hers.
d. Discuss with Kelly and her parents the fact that her classmates will not accept her as
they did before. ✅b. Prepare Kelly's classmates and teachers for changes they can
expect.
Attendance at school is an important part of normalization for Kelly. The school nurse
should prepare teachers and classmates about her condition, abilities, and special
needs. A visit by the parents can be helpful, but unless the classmates are prepared for
the changes, it alone will not prevent teasing. Kelly's school experience should be
normalized as much as possible. Children need the opportunity to interact with healthy
peers, as well as to engage in activities with groups or clubs composed of similarly
affected persons. Children with special needs are encouraged to maintain and
reestablish relationships with peers and to participate according to their capabilities. (pp.
507)
11. The nurse is caring for a child who has just died. The parents ask to be left alone so
that they can rock their child one more time. The nurse should
a. Grant their request.
b. Assess why they feel this is necessary.
c. Discourage this because it will only prolong their grief.
d. Kindly explain that they need to say good-bye to their child now and leave.
SUBMIT ✅a. Grant their request.
The parents should be allowed to remain with their child after the death. The nurse can
remove all the tubes and equipment and offer the parents the option of preparing the
body. (pp. 524)
12. What is the primary concern for the parents of a dying child?
a. Pain
b. Safety
c. Food intake
d. Fluid intake ✅a. Pain
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