QWO (16)

4. The NR is caring for a 4-year-old girl who has been a b i r b . c o m / te s t h o s p it a l i zed for over a week with severe burns. Which would be a priority intervention to help satisfy this preschool child‘s basic needs? A) Encourage friends to visit as often as possible. B) Suggest that a family member be present with her 24 hours a day. C) Explain necessary procedures in simple language that she will understand. D) Allow her to make choices about her meals and activities as much as permitted. Ans: C Feedback: Preschoolers fear mutilation and are afraid of intrusive procedures since they do not understand the body's integrity. They interpret words li t a e b i r r b a . c l o l y m / t a e s n t d have an active imagination; therefore, procedures should be demonstrated and/or explained in simple terms. Adolescents typically do not experience separation anxiety from being away from their biological parentss; instead, their anxiety comes from being separated from friends, and therefore encouraging friends to visit is a priority intervention. Toddlers are especially susceptible to separation anxiety and wo u a b l d i r b . b c o e m n / t e e s f t i t from a family member being present as much as possible. School-age children are accustomed to controlling self-care and typically are highly social; they would benefit from being involved in choices about meals and activities. Format: Multiple Choice Client Needs: Psychosocial Integrity Cognitive Level: Apply Integrated Process: Communication and Documentation Page and Header: 1183, Caring for Hospitalized Adolescents Page 4

a b ir b . c o m / te s t 5. The NR is caring for a hospitalized 13-year-old girl, w h o i s q uestioning everything the medical staff is doing and is resistant to treatment. How should the NR respond? A) ―Let's work together to plan your day along with your treatments.‖ B) ―The sooner you cooperate, the sooner you are going to leave.‖ C) ―If you are more cooperative, perhaps we can arrange a visit from friends.‖ D) ―Plea se don't make me call your biological parentss about this.‖ Ans: A Feedback: Collaborating with the adolescent will provide the teen w a b i i t r b h . c o i m n / c t e r s e t ased control. The NR should work with the teen to provide a mutually agreeable schedule that allows for the teen ‘ s preferences while incorporating the require ab d irb n .c u o m rs /te in st g care. Threatening to call the biological parentss will most likely promote further resistance. The NR should try to immediately engage the girl, rather than making the NR's cooperation conditional upon the girl's cooperation. Telling the girl that the sooner she cooperates, the sooner she will leave is inappropriate. The NR is incorrectly implying that her behavior, rather than her medical needs, is going to determine w h a b e i r n b . c s o m h / e t e s w t from the hospital. ill be discharged Format: Multiple Choice Client Needs: Psychosocial Integrity Cognitive Level: Apply Integrated Process: Nursing Process Page and Header: 1166, Loss of Control Page 5