Exam 1: Chapter 10 - Hospitalization, illness, and play Flashcards
How does separation anxiety manifest during hospitalization?
Protest, despair, and detachment
What is the behavioral response of separation anxiety when the child screams, clings to parents, and expresses verbal and physical aggression toward strangers?
Protest
What is the behavioral response of separation anxiety when the child withdraws from others, is depressed, has decreased communication, and displays development regression
Despair
What is the behavioral response of separation anxiety when the child Interacts with strangers, forms new relationships, and has a happy appearance?
Detachment
What is each child’s understanding of illnesses and hospitalization dependent on?
The child’s stage of development and cognitive ability
What is the level at a child who has the following level of understanding:
- inability to describe illness and follow directions
- lack of understanding of the need of therapeutic procedures
Infant
What is the level at a child who has the following level of understanding:
- limited ability to describe illness
- poorly developed sense of body image and boundaries
-Limited understanding of the need for therapeutic procedures
- limited ability to follow directions
Toddler
What is the level at a child who has the following level of understanding:
- limited understanding o f the cause of illness but knows what illness feels like
- limited ability to describe manifestations
- fears related to magical thinking
- ability to understand cause and effect inhibited by concrete thinking
Preschooler
What is the level at a child who has the following level of understanding:
- beginning awareness of body functioning
- ability to describe pain
- increasing ability to understand cause and effect
School- - age child
What is the level at a child who has the following level of understanding:
-Increasing ability to understand cause and effect
- perceptions of illness severity are based on the degree of body image changes
Adolescent
At what age does stranger anxiety occur during hospitalization?
6-8 mouths of age
What age group experiences separation anxiety during hospitalization?
Toddler and sometimes preschoolers
What age group can sense when not being told the truth during hospitalization?
School aged child
What age group might not adhere to treatmen/medication regimen due to peer influence?
Adolescents
What are nursing interventions standard to infants during hospitalization?
- Place infants whose parents are not in attendance close to the nurses’ station so that their needs can be quickly met
- provide consistency when assigning caregivers
What are nursing interventions standard to toddlers during hospitalization?
- Encourage parents to provide routine care for the child such as changing diapers and feeding
- after appropriate choices to practice client’s autonomy
- also provideh consistency in assigning caregivers