The nurse is preparing an in-service education to staff about care for pediatric patients. Which intervention should the nurse include?

Prepare the child for separation from their parents during hospitalization by having the child watch a video.

Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal.

Prepare the child to accept the loss of control associated with hospitalization by telling them they will not be able to have their own way while in the hospital.

Prepare the child to accept pain that is connected with a treatment or procedure by letting them stick themselves with a small needle.

Answer and Explanation

The Correct Answer is B

A. Prepare the child for separation by having them watch a video might be helpful, but it is less interactive and may not be suitable for all ages or individual learning styles.
B. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal is the best practice. This method helps reduce fear and anxiety by familiarizing the child with the procedure in a non-threatening way.
C. Telling the child they will not have their own way in the hospital is inappropriate and may increase anxiety or feelings of helplessness.
D. Letting the child stick themselves with a small needle is unsafe and not an appropriate method to prepare for pain or procedures.

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Correct Answer is D

Explanation

A. Calling social work immediately is premature and dismissive of the mother's concerns without first assessing the situation.
B. Reviewing Elsie's admission history is important but does not address the immediate concern or the mother’s feelings.
C. Seeing Elsie last may delay care and worsen the mother’s anxiety.
D. Going and discussing the mother's concerns as soon as possible is the best action. It shows respect, builds trust, allows for early assessment, and helps address any potential issues promptly.

A. repression B. rationalization C. regression D. fantasy

Correct Answer is C

Explanation

A. Repression involves unconsciously blocking unpleasant feelings or memories.
B. Rationalization is justifying behaviors with logical reasons rather than the true emotions.
C. Regression is reverting to earlier behaviors (such as thumb sucking) as a coping mechanism in response to stress or trauma.
D. Fantasy involves escaping reality by imagining things that are not real. Regression best explains the thumb-sucking behavior.

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The nurse is preparing an in-service education to staff about care for pediatric patients. Which intervention should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When receiving the hand-off report, the nurse leaving reports that Elsie's mother is insisting there is some kind of problem with Elsie, but the nurse is sure she is fine. As the nurse coming on, your best action is to:

Correct Answer is D

Explanation

A mother of a school-age client who recently had surgery for the removal of tonsils and adenoids complains that the child has begun sucking his thumb again. Which coping mechanisms is the child using to cope with the surgery and hospitalization?

Correct Answer is C

Explanation

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