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.
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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.
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.
What is the maximum amount of time that a nurse should suction an artificial airway?
- A. 1 second
- B. 5 seconds
- C. 30 seconds
- D. 1 minute
Correct Answer: B
Rationale: The nurse should limit suctioning to no more than 5 seconds.
When discussing growth and development with the parents of a child, the nurse explains that nutrition is the single most important influence on:
- A. cognitive development.
- B. secondary sexual characteristics.
- C. the production of blood cells.
- D. the growth of bones and muscle.
Correct Answer: D
Rationale: Nutrition is probably the single most important influence on growth.
The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under which broader term?
- A. Child abandonment
- B. Child mismanagement
- C. Child maltreatment
- D. Child torment
Correct Answer: C
Rationale: Child maltreatment is a broad term used to describe neglect and abuse of children.
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