Question 1

The parents ask if blood work can be drawn from their daughter while she is in the playroom and distracted from this procedure. The best answer by the nurse is:

Accepted Answer

The playroom in a hospital is designed to be a safe and stress-free environment for children, where they can play and relax without associating the space with medical procedures or pain. Drawing blood in the playroom could disrupt this safe haven concept.

Question 2

Which of the following therapies is most often used by psychiatrists, psychologists, and psychiatric nurse clinicians to assess and treat young children who are experiencing anxiety or who have mental health problems?

Accepted Answer

Play therapy is most often used by psychiatrists, psychologists, and psychiatric nurse clinicians to assess and treat young children experiencing anxiety or who have mental health problems. It allows children to express their experiences and feelings through a natural, self-guided, self-healing process.

Question 3

Pediatric nurses realize that allowing a sibling to visit a hospitalized child:

Accepted Answer

Sibling visits can be very beneficial for both the hospitalized child and the sibling, helping to maintain family bonds and reduce anxiety for both parties. Proper precautions can mitigate risks of infection or disruption.

Question 4

You are working as a pediatric nurse on the pediatric unit and assigned to work with a school-aged child who is on bed rest. This child cannot go to the playroom. What is the most helpful thing you can do to reduce stress and anxiety for this child?

Accepted Answer

Using puppets to engage in conversation can be a very effective way to reduce stress and anxiety in children. It allows them to express feelings and concerns indirectly, making it easier for them to communicate. This method is particularly useful for children who may be shy or have difficulty expressing themselves verbally.

Question 5

A mother asks the pediatric nurse then preparation for her 5-year-old child's upcoming hospital experience should begin. Which of the following is the nurse's best response?

Accepted Answer

Preparation for a hospital experience should begin a few days before admission to give the child time to process the information and ask questions, reducing anxiety and fear.

Question 6

An infant is going to be admitted to the hospital in a few days. What is the best approach to prepare the infant for hospitalization?

Accepted Answer

Infants primarily rely on their caregivers for emotional support and cues on how to react to new environments. Preparing caregivers to remain calm and supportive is crucial because infants can sense their caregivers' emotions and react accordingly. This approach helps in creating a more comforting environment for the infant during hospitalization.

Question 7

You are working with the family of a school-aged child who will be admitted in 2 weeks to the pediatric unit for surgery. Which of the following activities would be most helpful to the child?

Accepted Answer

Allowing the child to tour the hospital, engage in medical play, and handle equipment such as an IV fluid bag, tubing, and blood pressure equipment can help demystify the hospital experience, reduce anxiety, and increase the child's sense of control and understanding of the upcoming procedures. This hands-on approach is often more effective than passive activities in preparing children for hospitalization.

Question 8

When young children are admitted to the hospital, the nurse should first establish a relationship with the:

Accepted Answer

The nurse should first establish a relationship with the caregivers because they are the ones who will be providing the majority of the care for the child.

Question 9

Which of the following actions on the part of the nurse would best facilitate positive responses then talking with a hospitalized child?

Accepted Answer

Getting positioned at eye level and having eye contact with the child helps in making the child feel seen and heard, creating a more personal and comforting interaction. This approach is respectful and fosters trust, making it easier for the child to express themselves and feel understood.

Question 10

Which of the following actions by the nurse would usually be most productive in gaining an understanding of an adolescent's or a child's perceptions related to their illness and hospitalization?

Accepted Answer

Interviewing the child or adolescent alone one-on-one allows for a direct, personal, and confidential communication channel. This approach respects the child's or adolescent's autonomy and can encourage them to express their true feelings and perceptions about their illness and hospitalization without the influence of parents or caregivers.

Question 11

When children are in an uncomplicated preoperative situation, the need for heavy sedation decreases then

Accepted Answer

The presence of parents during the preoperative situation can significantly reduce a child's anxiety and fear, thereby decreasing the need for heavy sedation. This is because familiar faces provide comfort and reassurance to the child.

Question 12

When anesthesia is explained to children, which of the following statements would usually be less frightening?

Accepted Answer

This statement is reassuring and explains the process in a way that is less intimidating, emphasizing that the sleep is special and temporary.

Question 13

When having a child role-play a procedure, the nurse would

Accepted Answer

The answer of When having a child role-play a procedure,...

Question 14

When explaining to a child that you are going to do a dressing change, the best explanation would include which of the following statements?

Accepted Answer

Option D is the best explanation because it is positive, reassuring, and focuses on the benefit of the action (making it better), which is more likely to reduce anxiety in a child.

Question 15

Which of the following statements by the nurse would be most helpful to a child during a procedure or a treatment?

Accepted Answer

Statement A acknowledges the child's effort and provides positive reinforcement without making promises that might not be kept or implying that the child's value is contingent on their behavior during the procedure.

Question 16

Which of the following terms is preferred then referring to a child who has diabetes?

Accepted Answer

The term "the child with diabetes" is preferred because it uses person-first language, which emphasizes the individual before the disease, promoting respect and dignity.

Question 17

The nurse is tube-feeding an infant. In order to reduce future difficulty with the infant accepting oral feedings, which of the following actions will the nurse carry out?

Accepted Answer

The nurse should hold the infant in an en face position, give eye contact, and carry out verbal interaction to reduce future difficulty with the infant accepting oral feedings.

Question 18

The nurse gives an infant a pacifier to suck on during a tube feeding. The reason for the pacifier is to:

Accepted Answer

The pacifier helps the infant associate the act of sucking with the sensation of satiety, promoting a natural connection between oral stimulation and the feeling of being full, which is important for their development.

Question 19

When an infant undergoes surgery, is vomiting, or has to take medications that taste terrible, these experiences will most often make it difficult for the infant to:

Accepted Answer

These experiences can negatively affect the infant's oral sensory experiences, making activities related to the mouth and digestion, such as sucking, swallowing, digesting, and eliminating, less pleasurable.

Question 20

The nurse is teaching a new mother how to reduce tension in the newborn and infant. Which of the following activities will the nurse recommend?

Accepted Answer

Activities such as talking softly, singing, and gentle stroking are soothing and can significantly reduce tension in newborns and infants. These methods provide a sense of security and comfort without overstimulating the baby.

Quiz 16: Care of Children Who Are Hospitalized