Pediatric CCRN Exam Pediatric CCRN Psychosocial 5

Question 1

A PICU nurse identifies that a family has not left their critically ill child's bedside for 36 hours and appears exhausted. The most appropriate nursing intervention is to:

Accepted Answer

Acknowledge their dedication, assess their support needs, and explore options for rest

Answer

A family-centered approach first acknowledges the family's commitment, then assesses barriers to rest and collaboratively problem-solves options such as shift rotation or nearby lodging.

Question 2

Which statement by a nurse BEST demonstrates understanding of the concept of moral distress in pediatric critical care?

Accepted Answer

'I know what is ethically right but am constrained from doing it, which causes me suffering.'

Answer

Moral distress is specifically defined as suffering that occurs when one knows the ethically correct action but is prevented from taking it by institutional, legal, or hierarchical constraints.

Question 3

A 15-year-old with a new diagnosis of Type 1 diabetes mellitus admitted to the PICU expresses shame about the diagnosis and refuses to learn self-care. Erikson's framework suggests this response reflects conflict in which stage?

Accepted Answer

Identity vs. Role Confusion

Answer

Adolescents are in Erikson's Identity vs. Role Confusion stage; a chronic illness diagnosis threatens the developing sense of self and peer identity, leading to shame and withdrawal.

Question 4

When a critically ill child's parents come from a culture where the father is the sole medical decision-maker, but the mother is the primary caregiver, the nurse should:

Accepted Answer

Include both parents in all communications and facilitate their internal process

Answer

Culturally competent care involves including all caregivers in communication while respecting family dynamics, allowing the family to make decisions according to their own cultural process.

Question 5

A 4-year-old in the PICU believes she is being punished for being 'bad' because she is sick. This type of thinking is characteristic of which cognitive stage?

Accepted Answer

Preoperational thought with magical thinking and egocentrism

Answer

Preschool-age children are in Piaget's preoperational stage, characterized by magical thinking and egocentrism, which leads them to interpret illness as punishment for perceived bad behavior.

Pediatric CCRN Exam Practice Test

Pediatric CCRN Exam Practice Test

Pediatric CCRN Exam Pediatric CCRN Psychosocial 5