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Practice Question

A nurse is caring for a 2-year-old child who has pneumonia. The child's parents are unable to be with the child in the hospital during the day due to work schedules. While the child is alone during the day, they have several crying episodes which cause increased periods of respiratory distress, exhibiting manifestations such as tachypnea and decreased oxygen saturation levels. Which of the following interdisciplinary care team members would be beneficial to include in the child's plan of care?

Answer Choices:

Correct Answer:

Child life specialist

Rationale:

🟠 The child’s distress is triggered by separation/anxiety, leading to crying spells that worsen breathing and oxygenation.

🟠 A child life specialist is trained to reduce fear and anxiety through therapeutic play, coping strategies, and age-appropriate emotional support.

🟠 By decreasing crying and agitation, the child is less likely to develop episodes of tachypnea and oxygen desaturation.

🟠 Child life interventions can include structured activities, distraction, comfort routines, and family-connection support (e.g., videos/recordings).

🟠 This directly addresses the psychosocial trigger contributing to physiologic respiratory decline, improving overall stability.

Respiratory therapist

🟠 Helpful for airway clearance and oxygen delivery, but does not primarily address anxiety-driven crying episodes.

🟠 The main issue is emotional distress causing respiratory worsening.

Social worker

🟠 Social work helps with resources and family needs, but does not provide ongoing bedside coping/play interventions.

🟠 It’s supportive, but less direct for immediate anxiety-related distress.

Case manager

🟠 Case managers coordinate discharge planning and services rather than managing acute separation anxiety at the bedside.

🟠 This role is not the most targeted intervention for crying-induced desaturation.

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This question is from Custom Brachwite Pediatric Final exam Nurs223 Section II which contains 69 questions.

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From Exam
Custom Brachwite Pediatric Final exam Nurs223 Section II

69 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Pediatrics
  • Answer Choices: 4
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