Caring in Diverse Settings

Question 1

Reasons for Hospitalization younger than 5

Answer 1

Respiratory diseases

Question 2

Reasons for Hospitalization for Older Children

Answer 2

Respiratory diseases
mental health
injuries
gastrointestinal disorders

Question 3

Reasons for Hospitalization for Adolescents

Answer 3

pregnancy
childbearing
mental health
injury

Question 4

Psychological Effects of Hospitalization

Answer 4

• anxiety and fear
• potential for injury, pain
• separation from home, family
• regression

Question 5

Normal Fears

Answer 5

• separation anxiety
• loss of control
• bodily injury
• harm
• unfamiliar environment

Question 6

3 Stages of Separation Anxiety

Answer 6

• Protest
• Despair
• Detachment

Question 7

Protest Stage

Answer 7

displays crying, agitation, rejection of others, anger, inconsolable, grief

Question 8

Despair Stage

Answer 8

withdrawn and quiet without crying; displays apathy, depression, lack of interest, sadness

Question 9

Detachment Stage

Answer 9

uses coping mechanisms, displays resignation but not content, developmental delays

Question 10

Loss of Control means

Answer 10

• change of routine
• unable to do simple tasks
• confined to bed
• decisions

Question 11

Factors influencing Family Reactions

Answer 11

• parenting style
• family-child relationship
• coping skills
• cultural variations
• attitudes about the care of sick child

Question 12

Behavior/Methods for Coping

Answer 12

• ignore or negate problems
• stoicism, passive acceptance
• anger, withdrawal, rejection
• intellectualizing

Question 13

Methods to Promote Coping

Answer 13

• breathing techniques
• distractions
• imagery
• music
• child teaching

Question 14

4 Phases of Nursing Care

Answer 14

• Intro
• Building trust
• Decision-making phase
• Providing comfort/reassurance

Question 15

Types of Admissions

Answer 15

• general inpatient unit
• emergency and urgent care department
• pediatric intensive care unit
• outpatient or special procedures unit
• rehab unit or hospital

Question 16

How can we teach parents to prepare the child for the hospital?

Answer 16

• read stories
• talk about it/ BE HONEST
• let child ask questions
• bring items from home
• include siblings

Question 17

Steps of Admission Process

Answer 17

• establish trust
• introduce self
• talk about what will happen
• communicate at age appropriate levels
• orient to hospital unit
• perform interview

Question 18

Hospital Restraint Policy

Answer 18

• reason for restraint
• assessment parameters identifying the need
• use of at least 1 alternative method
• use least restrictive type
• need written order within 1 hour of application
• face-to-face evaluation

Question 19

Nursing Responsibilities for Restraints

Answer 19

• make sure it fits
• check 15 mins after initial placement
• then check q 1 hour
• check temp, pulse, cap refill
• remove q 2 hours
• positive reinforcement

Question 20

Discharge Instructions

Answer 20

• follow up appointments
• when to contact doctor
• diet
• activity level allowed
• medications
• additional treatment required at home
• when can they return to school
• referral info

Question 21

Role of Community-Based Nurse

Answer 21

• disease prevention
• education and communication
• discharge planning and case management
• advocacy
• physical care

Question 22

Goal of Home Health Care

Answer 22

promoting, restoring, and maintain the health of the child

Question 23

School Nursing

Answer 23

• health screens
• assess growth and development
• first aid
• care for acute and chronic illness
• train staff
• education
• liaison b/t school and doctor

Question 24

Role of Nurse in Home Care

Answer 24

• direct providers of care
• educator
• advocate
• case manager

Question 25

LEARN

Answer 25

Listen 
Explain
Acknowledge
Recommend
Negotiate and Agree

Question 26

Disadvantage of Home Health Care

Answer 26

• can be intrusion of privacy
• overwhelming
• financial issues can burden family