Chapter 10: Hospitalizations, Illness, and Play Flashcards
Separation anxiety during hospitalization manifests in 3 behavioral responses. What are they?
Protest
Despair
Detachment
What separation anxiety behavioral response is this:
Screaming, clinging to parents, verbal and physical aggression toward strangers
Protest
What separation anxiety behavioral response is this:
Withdrawl from others, depression, decreased communication, developmental regression
Despair
What separation anxiety behavioral response is this:
Interacts with strangers, forms new relationships, appears happy
Detachment
Impact of hospitalization based on development-what developmental group is this:
- Experiences stranger anxiety between 6-18 m of age
- Displays physical behaviors as expressions of discomfort due to inability to verbalize
- May experience sleep deprivation due to strange noises, monitoring devices, and procedures
Infant
Impact of hospitalization based on development-what developmental group is this:
- Experiences separation anxiety
- May exhibit an intense reaction to any type of procedure due to the intrusion of boundaries
- Behavior may REGRESS
Toddler
Impact of hospitalization based on development-what developmental group is this:
- May experience separation anxiety
- May harbor fears of bodily harm
- May believe illness and hospitalization are a punishment
Preschooler
Impact of hospitalization based on development-what developmental group is this:
- Fears loss of control
- Seeks info as a way to maintain sense of control
- May sense when not being told the truth
- May experience stress r/t separation from peers and regular routine
School-aged child
Impact of hospitalization based on development-what developmental group is this:
- Develops body image disturbance
- Attempts to maintain composure but is embarrassed about losing control
- Experiences feelings of isolation from peers
- Worries about outcome and impact on school/activities
- May not adhere to treatment/medication regimen due to peer influence
Adolescent
What are the 6 types of content of play?
- Social affective
- Sense pleasure
- Skill
- Unoccupied behavior
- Dramatic
- Games
Define: talking pleasure in relationships
What type of play is this?
Social affective
Content of play
Define: objects in the environment catching the child’s attention
What type of play is this?
Sense pleasure
Content of play
Define: Demonstrating new abilities
What type of play is this?
Skill
Content of play
Define: Focusing attention on something of interest
What type of play is this?
Unoccupied behavior
Content of play
Define: Pretending and fantasizing
What type of play is this?
Dramatic
Content of play
Define: Imitative, formal, or competitive
What type of play is this?
Games
Content of play
What are the 5 parts to the social character of play?
Onlooker Solitary Parallel Associative Cooperative play
Social character of play: onlooker?
The child observes others
Social character of play: solitary?
The child playing alone
Social character of play: Parallel? What age does this?
Children playing independently but among other children–Characteristic of TODDLERS
Social character of play: Associative? What age does this?
Children playing together without organization–Characteristic of PRESCHOOLERS
Social character of play: Cooperative? What age does this?
Organized playing in groups–Characteristic of SCHOOL AGE CHILDREN
Play helps in the development of many types of skills. What are examples? (6)
Intellectual Sensorimotor Social Self-awareness Creativity Therapeutic and moral values
What do birth-3 months do for play?
Colorful moving mobiles
Music/sound boxes
What do 3-6 months do for play?
Noise making objects and soft toys
What do 6-9 months do for play?
TEETHING TOYS and social interaction
What do 9-12 months do for play?
Large blocks, toys that pop apart, and push pull toys
What do toddlers do for play?
Cloth books; large puzzle piece puzzles Large crayons on paper PUSH-PULL TOYS TRICYCLES Educational TV Videos for children
What do preschoolers do for play?
Imitative and imaginative play
Drawing, painting, riding tricycle, swimming , jumping, and running
Education tv and videos
What do school-age children do for play?
Games that can be played alone or with others TEAM SPORTS Musical instruments Arts and carfts COLLECTIONS
What do adolescents do for play?
TEAM SPORTS
School activities
Reading and listening to music
PEER INTERACTIONS
Define:
Makes use of dolls and/or stuffed animals
Encourages the acting out of feelings of fear, anger, hostility, and sadness
Enables the child to learn coping strategies in a safe environment
Assists in gaining cooperation for medical treatment
Therapeutic Play
A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child? A. Describing manifestations of illness B. Relating fears to magical thinking C. Understanding cause of illness D. Awareness of body functioning
B
A nurse is on a pediatric unit caring for a toddler. Which of the following toddler behaviors is an effect of hospitalization? (select all that apply)
A. Believes the experience is a punishment
B. Experiences separation anxiety
C. Displays intense emotions
D. Exhibits regressive behaviors
E. Manifests disturbance in body image
B, C, D
A= what happens in PRESCHOOL kids E= what happens in ADOLESCENTS
A nurse is teaching a parent about parallel play in children. Which of the following statements by the nurse should be included in the teaching?
A. “Children sit and observe others playing”
B. “Children exhibit organized play when in a group”
C. “The child plays along”
D. “The child plays independently when in a group”
D
A nurse is teaching a group of parents about separation anxiety. Which of the following should be included in the teaching?
A. It is often observed in the school-aged child
B. Detachment is the stage exhibited in the hospital
C. It results in prolonged issues of adaptability
D. Kicking a stranger is an example
D
