Pediatric CCRN Exam Pediatric CCRN Psychosocial 4

Question 1

An 8-year-old PICU patient repeatedly asks for the same information about upcoming procedures despite receiving clear explanations. This behavior MOST likely indicates:

Accepted Answer

Normal anxiety-driven reassurance-seeking requiring patient repetition

Answer

Repetitive questioning is a common anxiety manifestation in school-age children who seek reassurance; responding consistently and calmly reduces rather than reinforces anxiety.

Question 2

A PICU family meeting reveals that the patient's parents disagree about continuing aggressive treatment for their 2-year-old with irreversible brain injury. The nurse's role in this meeting is to:

Accepted Answer

Present objective clinical information and facilitate communication between all parties

Answer

The nurse's role in family meetings includes presenting clinical information clearly and facilitating dialogue, supporting the family's decision-making process without taking sides.

Question 3

According to Kübler-Ross's stages of grief, a mother who is actively researching experimental treatments for her child's fatal diagnosis is most likely in which stage?

Accepted Answer

Bargaining

Answer

Bargaining involves attempts to delay or reverse loss through deals, plans, or actions such as seeking experimental treatments as a way of negotiating with fate.

Question 4

Which intervention BEST supports the psychosocial needs of a preschool-age (3-5 year) PICU patient?

Accepted Answer

Simple honest explanations immediately before procedures with comfort items from home

Answer

Preschoolers benefit from brief honest explanations immediately before procedures (not hours before) combined with familiar comfort objects, as they are concrete thinkers with magical thinking tendencies.

Question 5

A PICU nurse who has cared for a child who died begins to cry in front of the family. The MOST appropriate response to this situation is to:

Accepted Answer

Allow brief, genuine emotional expression while maintaining focus on the family

Answer

Brief authentic emotional expression by nurses can humanize the relationship and comfort bereaved families; it is appropriate when it does not shift the focus to the nurse's needs.

Pediatric CCRN Exam Practice Test

Pediatric CCRN Exam Practice Test

Pediatric CCRN Exam Pediatric CCRN Psychosocial 4