Kimberly, age 3 years, is being admitted for about 1 week of ...

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Kimberly, age 3 years, is being admitted for about 1 week of hospitalization. Her parents tell the nurse that they are going to buy her a lot of new toys, because she will be in the hospital.
 
  The nurse's reply should be based on an understanding of which concept?
  a. New toys make hospitalization easier.
  b. New toys are usually better than older ones for children of this age.
  c. At this age, children often need the comfort and reassurance of familiar toys from home.
  d. Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt.

Question 2

Four-year-old Brian appears to be upset by hospitalization. Which is an appropriate intervention?
 
  a. Let him know it is all right to cry.
  b. Give him time to gain control of himself.
  c. Show him how other children are cooperating.
  d. Tell him what a big boy he is to be so quiet.

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Answer to Question 1

ANS: C
Parents should bring favorite items from home to be with the child. Young children associate inanimate objects with people who are significant in their lives. The favorite items will comfort and reassure the child. Because the parents left the objects, the preschooler knows the parents will return. New toys will not serve the purpose of familiar toys and objects from home. The parents may experience some guilt as a response to the hospitalization, but there is no evidence that it is maladaptive.

Answer to Question 2

ANS: A
Crying is an appropriate behavior for the upset preschooler. The nurse provides support through physical presence. Giving the child time to gain control is appropriate, but the child must know that crying is acceptable. The preschooler does not engage in competitive behaviors.

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