Chapter 21 The Child’s Experience of Hospitalization - Leifer Maternity and Pediatric Nursing

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Chapter 21 The Child’s Experience of Hospitalization - Leifer Maternity and Pediatric Nursing

1. Which child would have the most difficulty in coping with separation from parents because of hospitalization? a. 3-month-old child b. 16-month-old child c. 4-year-old child d. 7-year-old child ANS: B Separation anxiety occurs after age 6 months and is most pronounced in the toddler. DIF: Cognitive Level: Comprehension REF: Page 481 OBJ: 3 TOP: Separation Anxiety KEY: Nursing Process Step: Data Collection MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 2. A 2-year-old child has been crying constantly for his mother since he was hospitalized 3 days ago. What does this behavior suggest? a. The toddler feels abandoned by his mother. b. The child still has not adjusted to his hospitalization. c. The child is not separated from his mother often. d. There is a poor mother-child bond. ANS: A Unless toddlers are extremely ill, their grief and sense of abandonment during hospitalization are obvious. DIF: Cognitive Level: Analysis REF: Page 481 OBJ: 3 TOP: Separation Anxiety KEY: Nursing Process Step: Data Collection MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 3. Which statement best corresponds to a preschoolers understanding of hospitalization? a. A germ made me get sick. b. I got sick because I was mad at my brother. c. My tonsils are sick and they have to come out. d. I have a cast because I broke my leg. ANS: B The preschooler may feel guilty, particularly if an accident happens as a result of mischief on his or her part. DIF: Cognitive Level: Application REF: Page 491 TOP: The Hospitalized Preschooler KEY: Nursing Process Step: Data Collection MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 4. The parents of a hospitalized toddler are upset because she seems more interested in her toys when they come to visit her. In which stage of separation anxiety is the toddler? a. Protest b. Despair c. Denial d. Attachment ANS: C In the stage of denial or detachment, the child appears to deny the need for the parents and becomes uninterested in their visits. DIF: Cognitive Level: Comprehension REF: Page 481

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