Nursing Care of Hospitalized Children > Pediatrics
Exam Review
Coping strategies
Total Questions : 14
Showing 14 questions, Sign in for moreA nurse is caring for a hospitalized child who is experiencing stress due to a chronic illness. Which of the following factors should the nurse consider when assessing the child's coping process and responses? (Select all that apply.)
Explanation
Choice A reason: This is correct. The child's developmental stage and cognitive abilities can affect how they perceive, understand, and cope with stressors. For example, younger children may have more difficulty expressing their feelings or understanding their condition than older children.
Choice B reason: This is correct. The child's personality and temperament traits can influence how they react to and cope with stressors. For example, some children may be more resilient, optimistic, or adaptable than others.
Choice C reason: This is correct. The child's family structure and support system can impact how they cope with stressors. For example, children who have supportive and involved parents or siblings may cope better than those who have absent or dysfunctional family members.
Choice D reason: This is correct. The child's cultural background and values can affect how they cope with stressors. For example, some cultures may have different beliefs, practices, or expectations regarding health, illness, or coping.
Choice E reason: This is correct. The child's physical environment and comfort level can influence how they cope with stressors. For example, children who have a familiar, safe, and comfortable environment may cope better than those who have a strange, noisy, or painful environment.
A nurse is teaching a hospitalized child who is undergoing chemotherapy how to use problem-focused coping strategies to deal with the stress of the treatment. Which of the following strategies should the nurse include in the teaching? (Select all that apply.)
Explanation
Choice A reason: This is correct. Asking questions and seeking information about the treatment process and outcomes is a problem-focused coping strategy that can help the child understand what to expect and how to prepare for the treatment.
Choice B reason: This is incorrect. Practicing relaxation techniques such as deep breathing or guided imagery before and during the treatment is an emotion-focused coping strategy that can help the child regulate or reduce the emotional impact of the problem.
Choice C reason: This is correct. Setting realistic goals and planning actions to achieve them is a problem-focused coping strategy that can help the child take control of the situation and make progress toward the desired outcome.
Choice D reason: This is incorrect. Expressing emotions and feelings about the treatment to a trusted person or a support group is an emotion-focused coping strategy that can help the child cope with the feelings associated with the problem.
Choice E reason: This is correct. Seeking help and assistance from healthcare professionals or family members when needed is a problem-focused coping strategy that can help the child access resources and support that can facilitate solving the problem.
A nurse is using emotion-focused coping strategies to help a hospitalized child who is feeling anxious and scared about an upcoming surgery. Which of the following statements by the nurse is most appropriate to use as an emotion-focused coping strategy?
Explanation
Choice A reason: This is incorrect. Telling the child that they don't have to worry about anything or that the surgery will go well is not an effective emotion-focused coping strategy, as it may dismiss or invalidate the child's feelings.
Choice B reason: This is incorrect. Offering to explain what will happen during the surgery is not an emotion-focused coping strategy, but rather a problem-focused coping strategy that can help the child to understand the situation.
Choice C reason: This is correct. Asking the child how they are feeling right now is an example of an emotion-focused coping strategy that can help the child express their emotions and feelings about the surgery.
Choice D reason: This is incorrect. Asking the child why they are so nervous or saying that it's not a big deal is not an effective emotion-focused coping strategy, as it may criticize or minimize the child's feelings.
A nurse is assessing a hospitalized child who is using play as a coping strategy to deal with the stress of hospitalization. Which of the following statements by the child indicates that the play is effective as a coping strategy?
Explanation
Choice A reason: This is incorrect. Saying that they hate the place or want to go home is an indication that the child is feeling unhappy and dissatisfied with the hospitalization, and not using play as a coping strategy.
Choice B reason: This is incorrect. Saying that they are bored or have nothing to do is an indication that the child is feeling uninterested and unmotivated by the play activity, and not using it as a coping strategy.
Choice C reason: This is correct. Showing interest and creativity in making a card for the doctor is an indication that the child is engaged in
the play activity and using it as a coping strategy to deal with the stress of hospitalization.
Choice D reason: This is incorrect. Asking the nurse to leave them alone or saying that they don't want to play is an indication that the child is feeling isolated and withdrawn from the play activity, and not using it as a coping strategy.
A nurse is planning interventions for a hospitalized child who is using coping strategies to deal with the stress of hospitalization. Which of the following principles and guidelines should the nurse follow when planning coping interventions? (Select all that apply.)
Explanation
Choice A reason: This is correct. The interventions should be based on the individual needs and preferences of the child, such as their interests, hobbies, or goals.
Choice B reason: This is correct. The interventions should be consistent with the developmental stage and cognitive abilities of the child, such as their language skills, attention span, or reasoning abilities.
Choice C reason: This is correct. The interventions should be flexible and adaptable to changing situations and circumstances, such as different procedures, staff, or environments.
Choice D reason: This is incorrect. The interventions should not be limited to one type of coping strategy, but rather include both problem-focused and emotion-focused coping strategies, as they can complement each other and enhance coping outcomes.
Choice E reason: This is correct. The interventions should be evaluated by measuring the effectiveness and outcomes of coping strategies, such as pain relief, anxiety reduction, mood improvement, or adaptation enhancement.
A nurse is caring for a hospitalized child who has been diagnosed with cancer. The nurse observes that the child often plays with dolls and pretends to be a doctor who treats sick patients. The nurse should identify that this type of play is an example of which of the following coping strategies?
Explanation
Choice A reason: This is correct. Playing with dolls and pretending to be a doctor who treats sick patients is an example of problem-focused coping, which aims to change or solve the problem that causes stress. By doing this, the child can gain a sense of control and mastery over their situation and prepare for their treatment.
Choice B reason: This is incorrect. Emotion-focused coping aims to regulate or reduce
the emotional impact of the problem, not change or solve it. Examples of emotion-focused coping include expressing feelings, seeking comfort, or using relaxation techniques.
Choice C reason: This is incorrect. Cognitive restructuring is a coping strategy that involves changing the way one thinks about the problem, not playing or pretending. Examples of cognitive restructuring include challenging negative thoughts, reframing the situation, or using positive affirmations.
Choice D reason: This is incorrect. Social support is a coping strategy that involves seeking help or assistance from others, not playing or pretending. Examples of social support include talking to a friend, family member, or counselor, joining a support group, or asking for advice.
A nurse is teaching a hospitalized child who has diabetes how to use emotion-focused coping strategies to deal with the stress of the disease. Which of the following strategies should the nurse include in the teaching?
Explanation
Choice A reason: This is incorrect. Monitoring blood glucose levels and administering insulin injections as prescribed is an example of a problem-focused coping strategy that aims to change or solve the problem that causes stress, not regulate or reduce it.
Choice B reason: This is incorrect. Learning about diabetes and its complications and prevention methods is an example of a problem-focused coping strategy that aims to change or solve the problem that causes stress, not regulate or reduce it.
Choice C reason: This is correct. Writing a journal or a diary about their feelings and experiences with diabetes is an example of an emotion-focused coping strategy that can help the child to regulate or reduce the emotional impact of the disease. By doing this, the child can express their emotions, vent their frustrations, and reflect on their coping process.
Choice D reason: This is incorrect. Joining a diabetes club or a peer group with other children who have diabetes is an example of a social support strategy that involves seeking help or assistance from others, not regulating or reducing emotions.
A nurse is evaluating the outcomes of coping strategies for a hospitalized child who is recovering from surgery. Which of the following outcomes indicate that the coping strategies are effective? (Select all that apply.)
Explanation
Choice A reason: This is correct. The child reporting less pain and discomfort after using relaxation techniques is an outcome that indicates that the coping strategy is effective, as it can reduce the physical impact of the surgery.
Choice B reason: This is correct. The child showing more interest and participation in play activities and school work is an outcome that indicates that the coping strategy is effective, as it can improve the psychological and behavioral impact of the surgery.
Choice C reason: This is correct. The child expressing more positive and optimistic thoughts and feelings about their recovery is an outcome that indicates that the coping strategy is effective, as it can enhance the emotional and cognitive impact of the surgery.
Choice D reason: This is incorrect. The child developing a fever and an infection at the surgical site is not an outcome that indicates that the coping strategy is effective, but rather a complication that may indicate ineffective coping or poor healing.
Choice E reason: This is correct. The child having a shorter length of stay and fewer complications after the surgery is an outcome that indicates that the coping strategy is effective, as it can facilitate the physiological and clinical impact of the surgery.
A nurse is caring for a hospitalized child who is experiencing stress due to a traumatic injury. Which of the following developmental factors should the nurse consider when assessing the child's coping process and responses?
Explanation
Choice A reason: This is correct. The child's age and understanding of the injury and its consequences are developmental factors that the nurse should consider when assessing the child's coping process and responses. For example, younger children may have more difficulty expressing their feelings or comprehending their situation than older children.
Choice B reason: This is incorrect. The child's temperament and personality traits that influence their reactions to stress are not developmental factors, but rather personality factors that the nurse should consider when assessing the child's coping process and responses.
Choice C reason: This is incorrect. The child's family structure and support system that affect their coping resources are not developmental factors, but rather family factors that the nurse should consider when assessing the child's coping process and responses.
Choice D reason: This is incorrect. The child's cultural background and values that shape their coping beliefs and practices are not developmental factors, but rather cultural factors that the nurse should consider when assessing the child's coping process and responses.
A nurse is teaching a hospitalized child who is undergoing dialysis how to use emotion-focused coping strategies to deal with the stress of the procedure. Which of the following strategies should the nurse include in the teaching? (Select all that apply.)
Explanation
Choice A reason: This is incorrect. Asking questions and seeking information about the procedure process and outcomes is a problem-focused coping strategy that aims to change or solve the problem that causes stress, not regulate or reduce it.
Choice B reason: This is correct. Practicing relaxation techniques such as deep breathing or guided imagery before and during the procedure is an emotion-focused coping strategy that can help the child regulate or reduce the emotional impact of the problem.
Choice C reason: This is incorrect. Setting realistic goals and planning actions to achieve them is a problem-focused coping strategy that aims to change or solve the problem that causes stress, not regulate or reduce it.
Choice D reason: This is correct. Expressing emotions and feelings about the procedure to a trusted person or a support group is an emotion-focused coping strategy that can help the child cope with the feelings associated with the problem.
Choice E reason: This is incorrect. Seeking help and assistance from health care professionals or family members when needed is a problem-focused coping strategy that aims to change or solve
the problem that causes stress, not regulate or reduce it.
A nurse is planning interventions for a hospitalized child who is using coping strategies to deal with the stress of hospitalization. Which of the following principles and guidelines should the nurse follow when planning coping interventions? (Select all that apply.)
Explanation
Choice A reason: This is correct. The interventions should be based on the individual needs and preferences of the child, such as their interests, hobbies, or goals.
Choice B reason: This is correct. The interventions should be consistent with the developmental stage and cognitive abilities of the child, such as their language skills, attention span, or reasoning abilities.
Choice C reason: This is correct. The interventions should be flexible and adaptable to changing situations and circumstances, such as different procedures, staff, or environments.
Choice D reason: This is incorrect. The interventions should not be limited to one type of coping strategy, but rather include both problem-focused and emotion-focused coping strategies, as they can complement each other and enhance coping outcomes.
Choice E reason: This is correct. The interventions should be evaluated by measuring the effectiveness and outcomes of coping strategies, such as pain relief, anxiety reduction, mood improvement, or adaptation enhancement.
A nurse is caring for a hospitalized child who has been diagnosed with leukemia. The nurse observes that the child often plays with stuffed animals and pretends to be a teacher who teaches them about health and wellness. The nurse should identify that this type of play is an example of which of the following coping strategies?
Explanation
Choice A reason: This is correct. Playing with stuffed animals and pretending to be a teacher who teaches them about health and wellness is an example of problem-focused coping, which aims to change or solve the problem that causes stress. By doing this, the child can gain a sense of control and mastery over their situation and prepare for their treatment.
Choice B reason: This is incorrect. Emotion-focused coping aims to regulate or reduce the emotional impact of the problem, not change or solve it. Examples of emotion-focused coping include expressing feelings, seeking comfort, or using relaxation techniques.
Choice C reason: This is incorrect. Cognitive restructuring is a coping strategy that involves changing the way one thinks about the problem, not playing or pretending. Examples of cognitive restructuring include challenging negative thoughts, reframing the situation, or using positive affirmations.
Choice D reason: This is incorrect. Social support is a coping strategy that involves seeking help or assistance from others, not playing or pretending. Examples of social support include talking to a friend, family member, or counselor, joining a support group, or asking for advice.
A nurse is teaching a hospitalized child who has asthma how to use problem-focused coping strategies to deal with the stress of the disease. Which of the following strategies should the nurse include in the teaching?
Explanation
Choice A reason: This is correct. Monitoring peak flow and oxygen saturation levels and using inhalers as prescribed is a problem-focused coping strategy that can help the child control their asthma symptoms and prevent exacerbations.
Choice B reason: This is correct. Learning about asthma and its triggers and prevention methods is a problem-focused coping strategy that can help the child understand their disease and how to avoid or manage it.
Choice C reason: This is incorrect. Writing a journal or a diary about their feelings and experiences with asthma is an emotion-focused coping strategy that can help the child regulate or reduce the emotional impact of the disease.
Choice D reason: This is incorrect. Joining an asthma club or a peer group with other children who have asthma is a social support strategy that involves seeking help or assistance from others, not changing or solving the problem.
A nurse is evaluating the outcomes of coping strategies for a hospitalized child who is recovering from a burn injury. Which of the following outcomes indicate that the coping strategies are effective? (Select all that apply.)
Explanation
Choice A reason: This is correct. The child reporting less pain and discomfort after using relaxation techniques is an outcome that indicates that the coping strategy is effective, as it can reduce the physical impact of the injury.
Choice B reason: This is correct. The child showing more interest and participation in play activities and school work is an outcome that indicates that the coping strategy is effective, as it can improve the psychological and behavioral impact of the injury.
Choice C reason: This is correct. The child expressing more positive and optimistic thoughts and feelings about their recovery is an outcome that indicates that the coping strategy is effective, as it can enhance the emotional and cognitive impact of the injury.
Choice D reason: This is incorrect. The child developing an infection and scarring at the burn site is not an outcome that indicates that
the coping strategy is effective, but rather a complication that may indicate ineffective coping or poor healing.
Choice E reason: This is correct. The child having a shorter length of stay and fewer complications after the injury is an outcome that indicates that the coping strategy is effective, as it can facilitate the physiological and clinical impact of the injury.
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