NUR 320 Chapter 11 Exam Questions and answers

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1) What are the general stressors of hospitalization? a. Separation from parents b. Loss of self control c. Painful or invasive procedures d. Fear of bodily injury 2) When does stranger anxiety o... ccur? a. Stranger anxiety 6-18 months 3) When does separation anxiety occur? a. Separation Anxiety 6-19 months 4) What are the stages of separation anxiety? a. Protest i. Screaming, crying, clinging ii. Resists attempts to comfort b. Despair i. Sad, withdrawn, quiet, seems “settled in” ii. Crying when parents return c. Denial (Detachment) i. Does not protest when parents leave ii. Appears happy and content iii. Involved in environment 5) Which age group is most at risk for a stressful hospital experience? a. Toddlers are the group most at risk for a stressful experience as a result of illness and hospitalization 6) Which age group is most at risk for loss of autonomy during hospitalization? a. Toddler 7) Which age group is most concerned about body image? a. Adolescents 8) How does hospitalization affect the family? a. Disruption of daily routine b. Role change c. Anxiety and fear d. Need support, encouragement, honest information e. Coping strategies f. Cultural views 9) What sibling reactions can occur because of hospitalization? a. 10)What are the 4 Rs of stress reduction? a. Recreation: toys, games, activities, physical activity b. Relationships: Family members, siblings, peers, support groups c. Rest: Calm quiet bedtime rituals d. Routines: Follow normal routine provide transition objects, provide consistent caregivers 11)What nursing interventions can be used to assist children of different ages during procedures? a. Communication based on developmental level b. Clear c. Honest d. DEVELOPMENTALLY appropriate e. Infants: i. Nursing staff should immobilize the infant securely and gently. Parents should not be asked to hold the child down. ii. Perform procedure quickly. Use touch, voice, pacifier, and bottle as distractions. iii. Ask parent to hold, rock, and sing to infant after procedure. f. Toddlers: i. Perform in treatment room. ii. Nursing staff should immobilize the child securely. iii. Give short explanations and directions in a positive manner. iv. Avoid giving choices when none is available. For example, v. “We are going to do this now” is better than “Is it okay to do this now?” vi. Allow child to cry or scream. vii. Comfort child after procedure. Give child a choice of favorite drink, if allowed, or special sticker. g. Preschool: i. Perform in treatment room. Nursing staff should immobilize the child securely. ii. Give short explanations and directions in a positive manner. Encourage control by having the child count to 10 or spell name. iii. Allow child to cry. Give positive feedback for cooperation and getting through procedure. iv. Encourage the child to draw afterward to explore the experience h. School-age-child: i. Be ready to immobilize the child if needed. Allow child to remain in position by self if child is able to be still. ii. Explain throughout procedure what is happening. iii. Facilitate use of stress-control techniques. iv. Praise cooperative efforts. i. Adolescent: i. Assist adolescent in self-control. Assist with use of stresscontrol techniques. ii. Explain expected outcome and tell when results of test will be completed. This study source was downloaded by 100000822939343 from CourseHero.com on 08 [Show More]

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