NUR 2513
Maternal Child Nursing Exam 3
Hospitalization causes many issues - Stress is the Big one. This can be positive and negative Answer- Positive - Child begins to expand their world when parents are absent.
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NUR 2513
Maternal Child Nursing Exam 3
Hospitalization causes many issues - Stress is the Big one. This can be positive and negative Answer- Positive - Child begins to expand their world when parents are absent. Healthcare providers can see the child adapt. If parents are gone too long........abandonment can set in.
**Stress helps them learn how to cope.
Negative - Long term stress (not good), however display itself in physical manifestation.
What are 3 things children are most afraid of? Answer- -losing control or independence
-fear of pain or punishment
-fear of bodily harm or change
How can we minimize the stress of hospitalization? Answer- Parent rooming in w/ patient, bring an object/toy from home, draw pictures to hang in room, offer choices of watching movie or picking a game, therapeutic play, child life specialist, guided imagery
How do we communicate with children? Answer- Children in general - Get to their level physically.
Use simple words.
Eye contact.
Play to demonstrate.
Be approachable.
DO NOT LIE TO THEM!
Communication: Hearing deficit Answer- Sign language, pictures, computerized electronics, eye contact, touch, turn light on.
Gain their attention before speaking, face child when speaking, speak slowly and loudly.
Communication:Visual deficit Answer- Announce yourself, let them know that you are there. Keep routine in the room the same. Make sure they have their glasses on. Bright lights.
Communication: Cognitive issues Answer- Be gentle and kind, very short directives. Praise. Hold boundaries.
Separation comfort care Answer- -with favorite items or activity, distraction, parents room in or go with child to procedures.
-Child will protest separation due to anxiety, [prep with tours and explanation, use transitional objects] reinforce when they will see parent again.
-Despair follows due to grief of separation, detachment due to ongoing anger/coping skills.
Alleviate stress and fears: Answer- -explain procedure
-distraction
-ask parent to stay and participate in care
-explain what's going on
What is the benefit of play? Answer- ● Allows children to express feelings and fears.
● Facilitates mastery of developmental stages and assists in the development of problem solving abilities.
● Allows children to learn socially acceptab
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