UMB ABSN NU 435 Exam 1 Questions

UMB ABSN NU 435 Exam 1 Questions with Complete Solutions (Latest 2025)

• A nurse is caring for four patients; three are toddlers and

one is a preschooler. Which represents the major stressor of hospitalization for these four patients?

• Separation anxiety
• Loss of control
• Fear of bodily injury

d. Fear of pain - Correct Answers ✅ANS: A

The major stressor for children from infancy through the preschool years is separation anxiety, also called anaclitic depression. This is a major stressor of hospitalization. Loss of control, fear of bodily injury, and fear of pain are all stressors associated with hospitalization. However, separation from family is a primary stressor in this age group.

• During the first 4 days of hospitalization, Eric, age 18

months, cried inconsolably when his parents left him, and he refused the staff's attention. Now the nurse observes that Eric appears to be "settled in" and unconcerned about seeing his parents. The nurse should interpret this as which statement?

• He has successfully adjusted to the hospital environment.
• He has transferred his trust to the nursing staff.
• He may be experiencing detachment, which is the third

stage of separation anxiety.

• Because he is "at home" in the hospital now, seeing his

mother frequently will only start the cycle again. - Correct

Answers ✅ANS: C 1 / 4

UMB ABSN NU 435 Exam 1 Questions with Complete Solutions (Latest 2025) Detachment is a behavior manifestation of separation anxiety. Superficially it appears that the child has adjusted to the loss. Detachment is a sign of resignation, not contentment. Parents should be encouraged to be with their child. If parents restrict visits, they may begin a pattern of misunderstanding the child's cues and not meeting his needs.

• When a preschool child is hospitalized without adequate

preparation, how does the child often react to the hospitalization?

• Sees it as a punishment
• A threat to child's self-image
• An opportunity for regression
• Loss of companionship with friends - Correct Answers

✅ANS: A

If a toddler is not prepared for hospitalization, a typical preschooler fantasy is to attribute the hospitalization to punishment for real or imagined misdeeds. Attributing the hospitalization to punishment for real or imagined misdeeds is a reaction typical of toddler and school-age children when threatened with loss of control.

• Which age group should the pediatric nurse recognize as

being vulnerable to events that lessen their feeling of control and power?

• Infants
• Toddlers 2 / 4

UMB ABSN NU 435 Exam 1 Questions with Complete Solutions (Latest 2025)

• Preschoolers

d. School-age children - Correct Answers ✅ANS: D

When a child is hospitalized, the altered family role, physical disability, loss of peer acceptance, lack of productivity, and inability to cope with stress usurp individual power and identity. This is especially detrimental to school-age children, who are striving for independence and productivity and are now experiencing events that lessen their control and power.Infants, toddlers, and preschoolers, although affected to different extents by loss of power, are not as significantly affected as are school-age children.

• A 10-year-old girl needs to have another intravenous (IV)

line started. She keeps telling the nurse, "Wait a minute" and "I'm not ready." The nurse should recognize this as which description?

• This is normal behavior for a school-age child.
• The behavior is not seen past the preschool years.
• The child thinks the nurse is punishing her.
• The child has successfully manipulated the nurse in the

past. - Correct Answers ✅ANS: A

The 10-year-old girl is attempting to maintain control. The nurse should provide the girl with structured choices about when the IV will be inserted. Telling the nurse "Wait a minute" and "I'm not ready" can be characteristic behavior when an individual needs to maintain some control over a situation. 3 / 4

UMB ABSN NU 435 Exam 1 Questions with Complete Solutions (Latest 2025)

• What is a common initial reaction of parents to illness or

injury and hospitalization in their child?

• Anger
• Fear
• Depression

d. Helplessness - Correct Answers ✅ANS: D

Recent research has identified common themes among parents whose children were hospitalized, including feeling an overall sense of helplessness, questioning the skills of staff, accepting the reality of hospitalization, needing to have information explained in simple language, dealing with fear, coping with uncertainty, and seeking reassurance from caregivers. Anger or guilt is usually the second reaction stage. Fear, anxiety, and frustrations also are common feelings. Parents may finally react with some form of depression related to the physical and emotional exhaustion associated with a hospitalized child.

• Amy, age 6 years, needs to be hospitalized again because

of a chronic illness. The clinic nurse overhears her school-age siblings tell her, "We are sick of Mom always sitting with you in the hospital and playing with you. It isn't fair that you get everything and we have to stay with the neighbors." Which is the nurse's best assessment of this situation?

• The siblings are immature and probably spoiled.
• Jealousy and resentment are common reactions to the

illness or hospitalization of a sibling.

• / 4