Nokea
The nurse clarifies that the family-centered care approach terminates which policies?
- A. Rigid visiting hours
- B. Freedom to choose which medications to take
- C. Exclusion of family during procedures
- D. Discouraging family to stay overnight
- E. Restricting parents from reading the chart
Correct Answer: A,C,D,E
Rationale: Family-centered care terminates all the restrictive policies of traditional hospitals. Medication orders should still be followed.
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When attempting to provide information to the parents of a child undergoing surgery, the nurse notes that the parents appear confused and do not seem to remember what they are being told. What is the most probable cause of the parents' forgetfulness?
- A. Noisy environment
- B. Serious nature of surgery
- C. Increased level of parents' anxiety
- D. Developmental age of the child
Correct Answer: C
Rationale: Anxiety of the parents may result in confusion and forgetfulness. It is not known if the environment is noisy, if the surgery is serious in nature, or what is the developmental age of the child.
What was founded by Lillian Wald?
- A. National Commission on Children
- B. Henry Street Settlement
- C. White House Conference
- D. US Children's Bureau
Correct Answer: B
Rationale: Lillian Wald, regarded as the founder of public health, founded Henry Street Settlement, which provided nursing services and social assistance.
What is the special category that encompasses children who have congenital abnormalities, malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies?
- A. Very dependent children
- B. Children requiring special education
- C. Children with special needs
- D. Children requiring long-term care
Correct Answer: C
Rationale: The definition of children with special needs includes congenital abnormalities, malignancies, GI diseases, and CNS anomalies.
The nurse welcomes the presence of the family in a pediatric unit because it reduces the stressors of hospitalization. Which are common stressors for the hospitalized child?
- A. Separation
- B. Lack of love
- C. Fear of pain
- D. Unfamiliar food
- E. Loss of control
Correct Answer: A,C,E
Rationale: Parents lend stability and comfort for the child and restore his or her sense of control.
A disfiguring facial wound would have the most significant developmental impact on which child?
- A. 4-year-old
- B. 6-year-old
- C. 10-year-old
- D. 14-year-old
Correct Answer: D
Rationale: The adolescent fears a change in body image associated with surgery.