Which behavior would the nurse expect when caring for a hospitalized 4-year-old child Quizlet
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Medical Assisting: Administrative and Clinical Procedures7th EditionKathryn A Booth, Leesa Whicker, Terri D Wyman 1,020 solutions What behavior does the nurse expect when caring for a preschool-age child admitted to the hospital? Select all that apply. 1. Develops trust in adults 1. Develops trust in adults Preschoolers are more secure independently. The preschooler may demonstrate subtle protest behaviors, such as crying quietly for the parents or continually asking when the parents will visit. Preschoolers are able to tolerate brief periods of separation, and they develop trust in adults who care for them. Toddlers, on the other hand, often demonstrate the stress of separation by refusing to comply with the usual routines of mealtime, bedtime, or toileting. They also demonstrate more goal-directed behaviors, such as attempting to physically keep the parents with them. What are the different stages of separation anxiety in children? Select all that apply. 1. Protest 1. Protest Protest is the first stage of separation anxiety in children, in which the child cries and screams for the parent. The stage of despair follows, in which the child becomes sad and withdrawn, as the child is unable to cope with anxiety. The last stage is detachment, in which the child appears happy and forms new but superficial relationships to escape the emotional pain of separation from the parent. Approval and regression are not stages of separation anxiety. The nurse is caring for a child whose parents are unable to stay with the child for long hours. Which action by the nurse helps to ease the feelings of separation from home? 1. Surround the child with familiar items. 1. Surround the child with familiar items. If the parents cannot stay long, the nurse can allow familiar articles in the room to ease the feelings of separation from home. Favorite toys, photographs, and recordings of the family members provide comfort and reassurance. The nurse ensures sensory freedom for the child who has restricted physical movement by moving the bed toward the window or providing musical, visual, or tactile activities. The nurse helps the child to maintain a usual routine by allowing the child to continue school lessons. What are some environmental stressors for the child and family in the pediatric intensive care unit? Select all that apply. 1. Pain 3. Constant lights Environmental stressors for the child and family in the pediatric intensive care unit include unfamiliar sounds from monitors, telephones, suctioning, and other equipment and constant lights which disturb day and night rhythms. Pain, immobility, and sleep deprivation are physical stressors for the child in the pediatric intensive care unit. The nurse is providing care to a school-age child in an ambulatory setting. What are the benefits of ambulatory care? Select all that apply. 1. Increased cost savings 1. Increased cost savings A child in ambulatory care experiences fewer stressors, because the hospital stay is brief. The child also does not face separation anxiety, because the child returns home immediately after the surgery or procedure. The brief stay at the hospital ensures that there are fewer chances of acquiring hospital infections. Ambulatory care also decreases cost because of the brief stay. When the time needed for child preparation is reduced, children may experience more stress due to not being thoroughly acquainted with the procedure. The nurse working in an outpatient surgery center for children understands which concept? 1. Children's anxiety is minimal in such a center. 3. Families need to be prepared for what to expect after discharge. Discharge instructions should be provided in both written and oral form. They need to include normal responses to the procedure and when to notify the practitioner if untoward reactions are occurring. Although anxiety may be reduced because of the lack of an overnight stay, the child will still experience the stress associated with a medical procedure. The waiting period while the child is having the procedure is a very stressful time for families. Discharge teaching is a responsibility of both the surgeon and the nursing staff. What intervention by the nurse can help ease negative feelings and fear in a 5-year-old child being admitted to the hospital? 1. Preparing the child for the hospital
experience 1. Preparing the child for the hospital experience The best intervention the nurse can use to help decrease negative feelings and fear in a 5-year-old child being admitted to the hospital is to prepare the child for the hospital experience. A 5-year-old child can be prepared for hospitalization. Preparation will decrease, rather than increase stress. Preparing the child for the potential negative effects of hospitalization is not helpful and may likely increase the child's stress. The nurse removes an intravenous (IV) needle from a toddler's hand and quickly covers the area with a bandage. Why is a bandage particularly important in this age group? 1. Because
the bandage promotes independence 3. Because toddlers have poorly defined body boundaries Because toddlers have poorly defined body boundaries, applying a bandage after removal an IV needle helps allay the child's fear that the bleeding from the wound will not stop. The bandage does not promote independence; rather, it helps ease the toddler's fears. The bandage may promote freedom of movement, but this is not the reason that it is particularly important to toddlers. The bandage may demonstrate respect to the child, but it is particularly important in easing the toddler's fear of bodily injury. When caring for a toddler admitted to the hospital, which behavior does the nurse recognize as a sign of separation anxiety in the protest phase? 1. Refusing to eat or drink 3. Attacking strangers verbally The toddler reacts aggressively when separated from the parent. During the protest phase the toddler may attack strangers verbally and physically. In contrast, during the stage of despair, the toddler is depressed. As a result the toddler may withdraw from others, show lack of interest in the locale, and may even refuse to eat or drink. What is a common fear of hospitalized adolescents? 1. Pain 2. Altered body image A common fear of hospitalized adolescents is the fear of altered body image. Injury, pain, disability, and death are viewed primarily in terms of how each affects an adolescent's perception of self in the present. Any change that differentiates the adolescent from peers is regarded as a major stressor. Pain is a concern because it affects body image, but adolescents have more self-control than do younger children when it comes to dealing with pain. Restricted motor activity is an issue if it affects the adolescent's body image. Adolescents are able to tolerate separation from their material things better than they can tolerate the fear of altered body image. During which phase of separation anxiety is a toddler most likely to cling to the parent? 1. Protest 1. Protest During the protest phase of separation anxiety the toddler is most likely to cling to the parent. Inactivity is characteristic of the despair stage. Depression and sadness are characteristic of the despair phase. Regression to earlier behavior is also a characteristic of the despair phase. What is the major stressor of hospitalization for children from middle infancy throughout the preschool years? 1. Fear of pain 3. Separation anxiety Separation anxiety is a major stressor for children from infancy through the preschool years. Fear of pain, fear of loss of control, and fear of bodily injury are all stressors associated with hospitalization, but none is the primary stressor in this age group. Which response would the nurse have when a 4When a nurse brings a dinner tray to a 4-year-old child hospitalized with pneumonia, the child says, "I'm too sick to feed myself." What is the best response by the nurse? "Try to eat as much as you can."
Which selfWhat self-care skill does the nurse expect 4-year-olds to be capable of performing? Four-year-old children can put on a shirt and can fasten it if the buttons are large.
Which response would the nurse have to parents who are concerned that their 4Parents express concerns to the nurse that their 4-year-old child is spending a large amount of time playing with an imaginary friend. What is the best response by the nurse? "Perhaps your child needs more interaction with friends."
What would the nurse instruct the parent to refrain from doing if a 4What would the nurse instruct the parent to refrain from doing if a 4-year-old child has nightmares on a routine basis? If a child has nightmares, the parent should avoid sleeping with the child. Sleeping with the child may create a habit of delaying bedtime.
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