PrepU Query Quiz: Development, Answered

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PrepU Query Quiz: Development, Answered-The nurse is caring for a hospitalized toddler who is having a temper tantrum. What is the most realistic approach for the nurse to use to manage the child's te... mper tantrum? a) Display anger at the child during the tantrum. b) Punish the child after the tantrum. c) Offer material or emotional bribes. d) Offer disapproval and then ignore the tantrum. - Offer disapproval and then ignore the tantrum. Stating one's disapproval and then ignoring the tantrum generally results in a quick resolution of the tantrum. Offering material or emotional bribes may actually increase the frequency of tantrums. Punishing the child does not decrease the frequency of tantrums because the tantrums are generated by an inability to express their feelings. Mirroring the tantrum behavior reinforces that style of communication. A nurse is caring for children in a children's hospital. Which child would the nurse expect to develop separation anxiety? a) A preschooler who is on an isolation ward b) A school-aged child who has low self- esteem c) An infant who was abandoned by his parents d) A newly hospitalized toddler - A newly hospitalized toddler A newly hospitalized toddler would be most prone to develop separation anxiety. Which nursing interventions are important when caring for a hospitalized toddler? Select all that apply. a) Discourage parents' participation in client care b) Provide thorough explanation to toddler prior to a procedure c) Allow client autonomy by offering select choices d) Maintain the toddler's routine when able e) Encourage use of a security object from home f) Instruct parent that regression commonly occurs - • Instruct parent that regression commonly occurs • Allow client autonomy by offering select choices • Encourage use of a security object from home • Maintain the toddler's routine when able Hospitalization is a stressful time for both the toddler and the parents. Important nursing interventions decrease the stress level. Toddler inventions include allowing security objects from home, maintaining the usual routine and providing autonomy by allowing select, or appropriate choices. Parental interventions include instruction on common regression behavior and allowing participation in the toddler's care. Brief, age appropriate explanations to a toddler immediately prior to a procedure are best. The parent asks the nurse whether a child with hemiparesis due to spastic cerebral palsy will be able to walk normally because he can pull himself to a standing position. Which response by the nurse would be most appropriate? a) "If he really wants to walk, and works hard, he probably will eventually." b) "Being able to pull to a stand really only tells us his upper-body strength is good." c) "It is difficult to predict, but his ability to bear weight is a positive factor." d) "Ask the health care provider what he thinks at your next appointment." - "It is difficult to predict, but his ability to bear weight is a positive factor." The nurse needs to respond honestly to the mother. Most children with hemiparesis due to spastic cerebral palsy are able to walk because the motor deficit is usually greater in the upper extremity. There is no need to refer the mother to the HCP. Pulling to a stand requires both upper body and lower body strength. The will to walk is important, but without neurologic stability the child may be unable to do so. The nurse assesses the family's ability to cope with the child's cerebral palsy. Which action should alert the nurse to the possibility of their inability to cope with the disease? a) requesting teaching about cerebral palsy in general b) learning measures to meet the child's physical needs c) limiting interaction with extended family and friends d) seeking advice on coping on social media - Limiting interaction with extended family and friends Limited interaction or lack of interaction with friends and family may lead the nurse to suspect a possible problem with the family's ability to cope with others' reactions and responses to a child with cerebral palsy. Learning measures to meet the child's physical needs demonstrates some understanding and acceptance of the disease. Requesting teaching about the disease suggests curiosity or a desire for understanding, thus demonstrating that the family is dealing with the situation. Participating in social media may serve as a form of support and can be a healthy coping mechanism. A nurse is caring for a school-age child with cerebral palsy. The child has difficulty eating using regular utensils and requires a lot of assistance. Which referral is most appropriate? a) Registered dietitian b) Physical therapist c) Occupational therapist d) Nursing assistant - Occupational therapist An occupational therapist helps physically disabled clients adapt to physical limitations and is most qualified to help a child with cerebral palsy eat and perform other activities of daily living. A registered dietitian manages and plans for the nutritional needs of children with cerebral palsy but isn't trained in modifying or fitting utensils with assistive devices. A physical therapist is trained to help a child with cerebral palsy gain function and prevent further disability but not to assist the child in performing activities of daily living. A nursing assistant can help a child eat; however, the nursing assistant isn't trained in modifying utensils. A child with spastic cerebral palsy receiving intrathecal baclofen therapy is admitted to the pediatric floor with vomiting and dehydration. The family tells the nurse that they were scheduled to refill the baclofen pump today, but had to cancel the appointment when the child became ill. The nurse should: a) instruct caregivers to call for a refill when the low-volume alarm sounds. b) arrange for the pump to be refilled in the hospital. c) reschedule the pump refill for the day of discharge. d) explain that the medication should be discontinued during illness. - Arrange for the pump to be refilled in the hospital. [Show More]

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