Republic of the Philippines

Western Mindanao State University

COLLEGE OF NURSING
Zamboanga City

NCM 109 A
Nursing Care of a Family with an Ill Child

ACTIVITY SHEET 1

A. Fill In the Blanks :

1. The response of children to illness depends on their cognitive ability, past
experiences, and level of knowledge.
2. Parents of infants who will be hospitalized should bring the child’s favorite toy,
blanket, or pacifier with the child to the hospital.
3. The three chief fears of the hospitalized toddler or preschooler are fear of separation,
intrusive procedures, and mutilation of body parts.
4. The school age child and adolescent should have factual explanations of what will
happen in the hospital.

B. Matching Type :
COLUMN A COLUMN B

_E_ 1. Observation Play A. A psychoanalytic technique used

by psychiatrist to help children
_G_ 2. Cooperative play understand their feelings, thoughts
and motives
_C_ 3. Creative play
B. A play technique that is divided
_D_4. Dramatic play into 3 parts: energy release,
dramatic play and creative play
_F_5. Parallel Play
C. The “work” of children; a means
_A_ 6. Play by which children develop
increasing cognitive, psychomotor
_B_ 7. Play Therapy and social capabilities

_H_ 8. Therapeutic Play D. Acting out an anxiety situation;

most effective with preschoolers

E. Type of play in which children

watch play intently but are not
actively engaged in it
 F. Two children playing side by side
but seldom attempting to interact
with each other

G. Children playing with an

organized structure or competing
for a desired goal or outcome

H. The child’s drawing a picture or

making a list to express emotions
or knowledge level

C. SHORT ANSWERS :
1. List five potential problems common to all hospitalization regardless of the reason or
length of stay?
a. Respiratory Disorder (Asthma, RDS, CF)
b. Musculoskeletal injuries
c. Cardiovascular Disorder (ASD, VSD, TGA)
d. Tonsillectomy or adenoidectomy
e. Neurologic Disorder (Cerebral Palsy)

2. Describe why explanation of procedures to young children is not always successful in

relieving stress of illness and hospitalization?

Children of this age must only be given a short explanation of procedures because
their capacity to understand things is limited. Children vary in the amount of
information they want to know about a procedure. Discuss with the parent to assess
the best way to communicate the procedure to the child.

3. Determine the appropriate age group for the following childhood play activities.
a. Infant need toys in their cribs such as mobiles.
b. School-Age would enjoy watching a soap opera and then discussing the people
and their problems.
c. Toddler need put in and take out toys, such as blocks that can be stacked.
d. Preschooler need quiet toys such as crayons, markers or books.

D. MULTIPLE CHOICE :
1. D. A 6 y/o child is to be admitted to the hospital for an elective surgery. You should
advise the parents to tell the child about the surgery how many days before admission
to prevent unnecessary worry?
a. 1
b. 2
c. 4
 d. 6

2. D. You might initiate which of the following interventions when caring for a
hospitalized child with a disability or a chronic illness?
a. Avoid using information from previous hospitalization when planning to prepare
the child for the current hospitalization
b. Help the child avoid contact with peers while hospitalized to decrease self-
consciousness and the sense of being different
c. Limit visiting hours of family and friends to prevent overtiring the child
d. Suggest the child write letters to friends or call family members

3. C.Alice, age 2 years is in the intensive care unit with multiple tubes and bandages.
Her parents are present frequently but appear reluctant to handle Alice’s tubes and
bandages, although they asked to feed her at meals. You should do which of the
following?
a. Inform the parents that it is important that they learn to change Alice’s dressings
and perform this procedure often
b. Encourage the parents to irrigate Alice’s tubing to make them feel more involved
in her plan of care
c. Allow the parents to feed Alice and do other care measures as they express
interest and comfort
d. Limit the parents from performing any care for Alice so they will understand that
nurses are capable of fully caring for her.

4. C.When preparing a child for procedures or surgery, you might do which of the
following?
a. Instruct the child to place the thermometer into his or her arm and hold it there
b. Prepare the child for surgery by providing the child with a doll and a small scalpel
c. Provide a doll and syringe, alcohol wipes, and a tourniquet to prepare the child for
a blood drawing procedure
d. To help the child cope with a dressing change, allow the child to hand the sterile
gauze to the nurse during the procedure
 Republic of the Philippines
Western Mindanao State University
COLLEGE OF NURSING
Zamboanga City

NCM 109 A
Nursing Care of a Family when a Child Needs Diagnostic or Therapeutic Modalities

ACTIVITY SHEET 2

A. FILL IN THE BLANKS :

1. Restraints should be checked every ___30__ minutes to ensure that circulation is
intact.
2. When securing a dressing on infants and young children, use tape that is both
_hypoallergenic__ and _self-adhesive_ to protect it.
3. A __random sample_ specimen involves collecting urine with usual voiding after the
external meatus has been cleaned.

B. MATCHING TYPE :
COLUMN A COLUMN B

__D._ 1. Barium contrast studies A. Infusion of a concentrated

hypertonic solution into a central
_E.__ 2. Gavage feedings and peripheral intravenous site

_A._ 3. Total Parenteral Nutrition (TPN) B. Radioactive-combined substances

that when given orally or by
_C_ 4. Bronchoscopy injection flow to designated body
organs for a diagnostic picture
__B._ 5. Radiopharmaceuticals
C. Direct visualization of the larynx,
trachea and bronchi through a
fiberoptic tube
 D. Use of a radiopaque dye to outline
the gastrointestinal tract

E. Provision of adequate nutrition

through a nasogastric tube.

C. SHORT ANSWERS :
1. List 4 common types of restraints used with children

a) Jacket device
b) Clove hitch restrain
c) Mummy device
d) Papoose board

D. MULTIPLE CHOICE :
1. The nurse’s role in assisting with diagnostic procedures includes which of the
following?
a. Helping the child to forget the experience of the procedure as quickly as possible
b. Using complex medical terms to explain procedures to children and parents
c. Explaining the preparation and actual procedure before beginning either
d. Sending mature children to different test departments without supervision

2. Which of the following is appropriate when modifying procedures for children?

a. Parents should be asked to restrain infants when indicated
b. Toddlers should be given procedures quickly and without warning to decrease
resistance
c. Adolescents should be expected to tolerate procedures maturely and without fear
d. School age children should be given an explanation about reasons for the
procedure