Chapter 38 - Family Centered Care

Question 1

Stressors of illness and hospitalization during infancy

Answer 1

stranger anxiety, sleep deprivation

Question 2

Stressors of illness and hospitalization during toddler stage

Answer 2

separation anxiety, behavior can regress

Question 3

Stressors of illness and hospitalization during preschool stage

Answer 3

separation anxiety, harbors fear of bodily harm, might believe illness or hospitalization are a punishment

Question 4

Stressors of illness and hospitalization during school-age stage

Answer 4

fears loss of control, can sense when not being told the truth, can experience stress related to separation from peers or normal routine

Question 5

Stressors of illness and hospitalization during adolescent stage

Answer 5

develops body image disturbance, experiences feelings of isolation from peers, worries about impact on school/activities

Question 6

essential priorities of nursing care upon a child’s admission

Answer 6

individualized care; be a substitute support person; assess the child’s usual health habits at home to promote a more normal environment in the hospital

Question 7

Interventions that prevent or minimize stress of separation during hospitalization

Answer 7

encourage family members to stay with the child during hospital experience to reduce stress; if a family member cannot stay, leaving a familiar item behind might be helpful

Question 8

Interventions that minimize stress of loss of control during hospitalization

Answer 8

maintain routine as much as possible, encourage independence and choices; promote freedom of movement

Question 9

Interventions that minimize fear of bodily injury during hospitalization

Answer 9

explain treatments, procedures, and care to the child; bandage (the larger the bandage the greater the significance; gradually make it smaller so they can measure healing and improvement)

Question 10

Interventions that support parents, siblings, and family during a child’s illness and hospitalization

Answer 10

willingness to stay and listen to their verbal and nonverbal messages; suggest ways relatives can help (if they voice wanting to);

Question 11

Interventions needed when children are admitted to special units

Answer 11

lessen the stressors as much as possible