Hospitalized Child

Question 1

what is the best distance between you and an infant so they can see you

Answer 1

8-10 inches

Question 2

infants find comfort in structure, how can you as the nurse promote this in the hospital

Answer 2

try to simulate home routine and group care to create routines, try to assign the same nurse

Question 3

infants are constantly developing speech and understanding, how can you as the nurse promote this while they are in the hospital

Answer 3

talk about everything in the room, talk about what you are doing, talk softly to sooth

Question 4

swaddling can be very comforting for what age group

Answer 4

less than 6 months

Question 5

infants digest food best when held upright, how can you as the nurse promote digestion

Answer 5

hold that baby, even for NG feedings

Question 6

what does non-nutritive sucking achieve for infants

Answer 6

comfort

Question 7

what are some toys that are developmentally appropriate for infants

Answer 7

mobiles, rattles, squeaky toys, picture books, balls, blocks

Question 8

how can you tell if an infant is overstimulated, tired of interacting, or upset at what you are doing

Answer 8

turning away or pulling away from you

Question 9

what are 6 specific interventions you can do to prep an infant for a procedure

Answer 9

keep parents calm and get them to help
sensory soothing methods (dextrose water, pacifiers)
cuddles and hugs
safe restraints (swaddles)
keep frightening objects out of view
keep security objects with infants

Question 10

what age group is a push-pull wooden truck appropriate for

Answer 10

11-12 M

Question 11

what does PRAISE toddlers stand for

Answer 11

P - parallel play
R - rituals, routines, regression
A - autonomy vs. shame and doubt, accidents
I - involve parents
S - separation anxiety
E - explore

Question 12

what is toddlers biggest fear

Answer 12

loss of bodily control

Question 13

what is the importance of magical thinking for the hospitalized toddler

Answer 13

they have a perception of illnesses as external and unrelated to the actual event

Question 14

toddlers seek adult approval, what is the importance of using this while they are hospitalized

Answer 14

praise anything they do right, they will be more likely to do it again and try to please

Question 15

what is the importance of finger foods for toddlers

Answer 15

they are refining their pincer grasp

Question 16

toddlers love the idea of no (negativism), what is the best way to navigate this as a nurse in the hospital

Answer 16

give them specific choices, of which no is not one of them

Question 17

what are some toys that are developmentally appropriate for a toddler

Answer 17

board and mallet, push-pull toys, toy telephone, stuffed animals, story books with puppets

Question 18

what are 3 specific things to focus on when prepping a toddler for a procedure

Answer 18

need parents to help distract and comfort
praise
focus on the things specific to the toddler, what they hear, see, feel, smell (egocentric)

Question 19

what is the age in which a toddler can do a 4 piece puzzle

Answer 19

2 Y

Question 20

when are night terrors and nightmares most prevalent

Answer 20

preschool

Question 21

what does preschooler MAGIC stand for

Answer 21

M - multination (this is a fear)
A - associative play, abandonment (fear)
G - guilt vs initiative
I - imaginary playmate, imagination
C - curious

Question 22

what are preschoolers 2 biggest fears

Answer 22

mutilation (bodily harm) and abandonment

Question 23

what are 4 hallmarks of preschoolers cognitive development

Answer 23

transductive reasoning, animism, magical thinking, and egocentrism

Question 24

preschoolers have little understanding of time, how can you as the nurse address this in providing care

Answer 24

use smaller time frames, “we will take a bath after paw patrol is over”, use reasonable definitions of time (not next month, in a few days, last spring)

Question 25

a preschooler may often refuse to take medication, cooperate in care, become aggressive or withdrawn as the nurse how can you work through these

Answer 25

lower distractions and stimuli during assessments, make silly mistakes and them them catch you, comfort them by holding or rocking, let child have transitional object, propose "lets do this instead" or "how about this" instead of harsh non flexible commands, let them get their anger out safely like throwing a ball

Question 26

what are some developmentally appropriate toys for a preschooler

Answer 26

coloring book, puzzles, cutting and pasting, dolls, and building blocks

Question 27

what are the 5 specific ways to prepare a preschooler for a procedure

Answer 27

1. simple explanations with diagrams or dolls 2. let them play with costumes like caps, gowns, and stethoscope 3. describe only what they will feel, hear, see, and smell 4. tell them out loud that their procedures are not punishment 5. allow medical play

Question 28

what does DIMPLE for schoolagers stand for

Answer 28

D - doers I - industry vs inferiority M - modesty P - peers L - loss of control E - explanation

Question 29

what is schoolagers biggest fear

Answer 29

loss of control

Question 30

why is it more appropriate to use models rather than dolls for schoolagers

Answer 30

they are able to understand some causes of illness now

Question 31

schoolagers value time by themselves, in a hospital how can you as the nurse facilitate this

Answer 31

allow quiet and private time, group care to allow for these times

Question 32

what are 7 specific things you as the nurse can do to prepare school agers for procedures

Answer 32

1. use correct, simple terminology 2. use simple diagrams of anatomy to explain things 3. explain things in concrete terms 4. allow them to manipulate equipment 5. allow time for questions before and after teaching 6. suggest ways of maintaining control 7. allow responsibility

Question 33

what does PAIRS for adolescents stand for

Answer 33

P - peer group A - altered body image I - identity R - role confusion S - separation from peers

Question 34

what are the hospitalized adolescents 3 biggest feats

Answer 34

altered body image, loss of control, separation from peers

Question 35

adolescents want to be part of a team, how can you as the nurse foster this while they are hospitalized

Answer 35

involve them with new staff, ask them about the level of involvement they want of their parents in their care

Question 36

hospitalized adolescents are at risk of developing dependency and depersonalization, as the nurse how can you help avoid this

Answer 36

have high expectations for appropriate behavior, help them maintain their identity, and discuss concerns about the future and issues they bring up

Question 37

adolescents are able to follow instructions related to mobility, diet, and medication compliance, how does this relate to your care as a nurse

Answer 37

you are able to teach them at a realistic level and involve them in their own care

Question 38

what are 6 specific things to keep in mind to prep an adolescent for a procedure

Answer 38

1. they are capable of abstract thought and reasoning 2. they are conscious of their appearance 3. they are more concerned with the present but are worried about future abilities 4. they are striving for independence 5. their relationship with peers and a group identity is very important 6. suggest ways of maintaining control

Question 39

there are 8 risk factors that place children in more of a vulnerable position while hospitalized, what are those

Answer 39

1. difficult temperament 2. lack of fit between child and parent 3. between 6 M and 4 Y 4. male 5. below average intelligence 6. having multiple and continuing stresses 7. rural 8. are passive