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Author Question: What is the best explanation for a 2-year-old child who is quiet and withdrawn on the fourth day of ... (Read 80 times)

ts19998

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What is the best explanation for a 2-year-old child who is quiet and withdrawn on the fourth day of a hospital admission?
 
  a. The child is protesting her separation from her caregivers.
  b. The child has adjusted to the hospitalization.
  c. The child is experiencing the despair stage of separation.
  d. The child has reached the stage of detachment.

Question 2

The nurse encourages the mother of a toddler with acute LTB to stay at the bedside as much as possible. The nurse's rationale for this action is primarily that
 
  a. Mothers of hospitalized toddlers often experience guilt.
  b. The mother's presence will reduce anxiety and ease child's respiratory efforts.
  c. Separation from mother is a major developmental threat at this age.
  d. The mother can provide constant observations of the child's respiratory efforts.



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carojassy25

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Answer to Question 1

C
Feedback
A In the protest stage, the child would be agitated, crying, resistant to caregivers,
and inconsolable.
B Toddlers do not readily adjust to hospitalization and separation from
caregivers.
C In the despair stage of separation, the child exhibits signs of hopelessness and
becomes quiet, withdrawn, and apathetic.
D The detachment stage occurs after prolonged separation. During this phase, the
child becomes interested in the environment and begins to play.

Answer to Question 2

B
Feedback
A This is true, but not the best answer.
B The family's presence will decrease the child's distress.
C Although true for toddlers, the main reason to keep parents at the child's bedside
is to ease anxiety and therefore respiratory effort.
D The child should have constant monitoring by cardiorespiratory monitor and
noninvasive oxygen saturation monitoring, but the parent should not play this
role in the hospital.





 

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