A 2-year-old child admitted to a burn unit with second and third-degree burns is scheduled for another wound dressing change.
The child is anticipating the painful procedure and is anxious and tachycardic as the time approaches. The nurse recognizes that which of the following is likely?

The child is suffering post-traumatic stress.

The child is fearful of being separated from his/her parents.

The child is fearful of permanent scarring.

The child is worried about the pain associated with the procedure.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Post-traumatic stress disorder (PTSD) is a mental health condition that’s triggered by a terrifying event. Symptoms may include flashbacks, nightmares, and severe anxiety. However, a 2-year-old child may not have the cognitive ability to develop PTSD as it requires a certain level of cognitive and psychological development.

Choice B rationale

While separation anxiety is a normal stage of development for infants and toddlers, a 2-year- old child in a burn unit is more likely to be afraid of the pain associated with wound dressing changes rather than being separated from his/her parents.

Choice C rationale

Fear of permanent scarring could be a concern for older children and adults who are more aware of their body image. A 2-year-old child may not have the cognitive ability to understand the concept of permanent scarring.

Choice D rationale

The child is likely worried about the pain associated with the procedure. Pain experienced by patients is likely to increase during procedures such as dressing changes. This is a common and immediate fear for children undergoing medical procedures, especially those associated with pain.

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Correct Answer is B

Explanation

Choice A rationale

Distracting the patient and then taking the blanket for washing might seem like a practical solution, but it can lead to trust issues. The patient may feel betrayed or tricked, which can negatively affect the therapeutic relationship between the nurse and the patient.

Choice B rationale

Acknowledging that the blanket seems to be his favorite and allowing him to keep it with him is the best course of action. The blanket likely provides comfort and security to the patient.

Taking it away, even temporarily, can cause distress. The nurse should respect the patient’s attachment to the blanket and look for alternative solutions for maintaining hygiene, such as offering to clean the blanket when the patient is ready to part with it temporarily.

Choice C rationale

Telling the patient that you want to take the blanket home to wash and that you will bring it back might not be reassuring enough for the patient. The patient may worry about the blanket getting lost or not returned, which can cause unnecessary anxiety.

Choice D rationale

Suggesting getting him another blanket so that he will not mind giving up the current one might not work. The patient’s attachment is likely to the specific blanket, not to blankets in general. A new blanket will not have the same familiarity and comforting effect as the old one.

A. Providing a detailed technical explanation using medical terminology. B. Ensuring the parents were not pressured to give consent and the consent forms were provided. C. Explaining the potential adverse effects and benefits. D. Providing alternative options for treatment and explaining the possible risks of negative outcomes.

Correct Answer is ["B","C","D"]

Explanation

Choice A rationale

Providing a detailed technical explanation using medical terminology is not an appropriate action when obtaining informed consent for a child. Medical terminology can be complex and difficult for non-medical professionals to understand. Therefore, it is important to explain the information in a way that is easy for the parents and the child (if appropriate) to understand.

Choice B rationale

Ensuring the parents were not pressured to give consent and the consent forms were provided is an appropriate action when obtaining informed consent for a child. It is important that the decision to consent is made freely and without coercion.

Choice C rationale

Explaining the potential adverse effects and benefits is an appropriate action when obtaining informed consent for a child. Parents must be fully informed about the potential risks and benefits of a procedure or treatment to make an informed decision.

Choice D rationale

Providing alternative options for treatment and explaining the possible risks of negative outcomes is an appropriate action when obtaining informed consent for a child. Parents should be aware of all available treatment options and their potential outcomes to make an informed decision.

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A 2-year-old child admitted to a burn unit with second and third-degree burns is scheduled for another wound dressing change.The child is anticipating the painful procedure and is anxious and tachycardic as the time approaches. The nurse recognizes that which of the following is likely?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient arrives at the hospital with a stained, ragged baby blanket.When his mother tries to remove the blanket to take it home for washing, he hides under the bed and clings to the blanket.What is the best course of action for the nurse?

Correct Answer is B

Explanation

When assisting in obtaining informed consent for a child, which of the following actions were taken? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

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A 2-year-old child admitted to a burn unit with second and third-degree burns is scheduled for another wound dressing change.
The child is anticipating the painful procedure and is anxious and tachycardic as the time approaches. The nurse recognizes that which of the following is likely?