PEDIA

Question 1

Planning for the care of an ill child requires consideration of all aspects as a child’s and family’s life:

Answer 1

financial
social
personal

Question 2

when children become ill many of their needs such as those _______ change

Answer 2

nutrition
play
family support

Question 3

FIVE HAZARDS

Answer 3

1. experiencing harm and injury such as physical discomfort, pain, mutilation, death
2. being separated from routines, parents, peers, respected adults.
3. Facing unknown
4. facing uncertain limits
5. experiencing a loss of control

Question 4

THe response of children to illness depends on their

Answer 4

cognitive ability
past experience
level of knowledge

Question 5

Younger children may think the cause of illness is _____

Answer 5

magical

Question 6

school age illness is caused by

Answer 6

germs

Question 7

FEAR

Infants
Toddler and preschooler
school age & adolescent

Answer 7

infants- separation anxiety
toddler and preschooler- separation, the dark, unknown, intrusive procedures, and mutilation of body parts

school age and adolescent- concerned about the loss of body parts, loss of life, and loss of friends

Question 8

Nutrients needed by the children

Answer 8

calorie
protein
mineral
vitamins

Question 9

the infant requires ___ per kilogram

Answer 9

120 kcal

Question 10

adult extracellular water

Answer 10

23%

Question 11

newborn extracellular water

Answer 11

40%

Question 12

Because their bodies are immature, young
children tend to respond to disease

Answer 12

systemically

Question 13

Most adults have achieved immunity to common infectious diseases such as

Answer 13

measles
mumps
chicken pox

Question 14

Children younger than 5 years who have a high temperature may respond with

Answer 14

generalized seizures

Question 15

As a rule, therefore, children between 2-7 years of age should be told about a scheduled ambulatory or inpatient hospitalization as many days before the procedure

Answer 15

as the child’s age in years

Question 16

No amount or type of preparation for children will be effective if they react to their parent’s

Answer 16

unspoken tension

Question 17

Preparing family caregivers

Answer 17

urge parents to ask questions about hospitalization
advise parents to ask about things such as what diagnostic procedures will be necessary

Question 18

Preparing infants

Answer 18

special items such as:
1. favorite toy
2. blanket
3. pacifier

Question 19

is an effective means of preparation a child of this age for a new experience (encourage a child act out a hospitalization experience with puppets or dolls)

Answer 19

role playing

Question 20

Remind parents it is always better to use the word “___” than “cut” when talking about surgery with young children

Answer 20

fix

Question 21

• When the child begin to understand the full meaning of death, parents need to be especially careful to explain that an anesthetic causes a ‘______” not that a child is “put to sleep”

Answer 21

special sleep

Question 22

Preparing a child with a different cultural background

Answer 22

ask enough questions and practice good listening skills
be prepared to act as liaison between the family and healthcare team
translator may be necessary in the preparation phase

Question 23

Most important aspect to consider is to identify any ______ that will be in opposition to usual health care facility practices

Answer 23

traditions and practices

Question 24

Preparing a physically challenged or chronically ill

-Help children to maintain contact with their families and school friends during a long hospitalization or home care experience by encouraging ______

Answer 24

telephone calls
emails
letters
visits

Question 25

Remember that _______. If parents left standing at a counter while nurses chat, they can easily feel that no one appreciates their concern and that possibly their child will not receive optimal care.

Answer 25

first impression count

Question 26

Call the child by

Answer 26

name or ask for a nickname

Question 27

All children should have an _____ attached giving their name and ______

Answer 27

armband hospital chart number

Question 28

Assessment on Admission

Answer 28

Chief concern family profile past experience with illness or separation daily routines developmental survey special information

Question 29

Inspect for _____ when weighing a child and measuring height.

Answer 29

gross motor ability

Question 30

• The way children deal with hospitalization is based on the same factors that determine how they deal with ___:

Answer 30

crisis

Question 31

Be certain that the parents and the child are oriented to the

Answer 31

unit personnel routines

Question 32

As early as ____ months the infant registers anxiety when strangers are present or when a person other than usual caregiver gives care. Peaks at 8months "8-month anxiety".

Answer 32

5

Question 33

separation anxiety

Answer 33

fixes their eyes on the stranger becomes restless thrashes arms and legs begins to cry

Question 34

express their feelings better, louder and longer than infants. Problems of separation are especially intense in younger children because they do not understand time.

Answer 34

toddlers and preschoolers

Question 35

react better than younger children because they have experiences they can use for comparison.

Answer 35

school age children and adolescents

Question 36

stages of separation anxiety

Answer 36

protest despair detachment or denial

Question 37

The child cries loudly and demandingly, rejects any attempts to be comforted by nurse or substitute primary caregivers

Answer 37

protest

Question 38

The child become led active and cries monotonously or walls in a state of mourning may turn away from parent's approach; often lies on abdomen, facial expression flat; may lose weight and develop insomnia; loses developmental skills: prone t minor ailments such d upper respiratory infections; 1Q will measure lower than previous measurement.

Answer 38

despair

Question 39

The child is silent; face expressionless; represses feelings for absent caregiver to protect self; deterioration in developmental milestones is apparent; may respond quickly but superficially to all caregivers, may have difficulty forming close relationships later in life.

Answer 39

detachment or denial

Question 40

Younger than ___ years should have their primary caregiver room-in with them

Answer 40

5 years

Question 41

Children younger than ____ years continue to enjoy the feeling of security

Answer 41

10-12 years

Question 42

go into the room a few minutes before they leave and hold or play with the infant.

Answer 42

infant

Question 43

only delay the process and do not reduce the amount of crying that may occur

Answer 43

prolonged departures

Question 44

urge them first to give a warning they will soon have to go. When the time to go has come, a parent should say firmly he or she must go and then explain when he or she will return.

Answer 44

toddler or prescholer

Question 45

Time for preschooler is best measured in ____ rather than clock hours

Answer 45

terms of events

Question 46

urge them to provide definite time when they will return and leave suggestions for activities a child could do to occupy the time.

Answer 46

school age or adolescent

Question 47

Allowing this alleviates loneliness on both sides and helps prevent other children at home from imagining the ill child is sicker than is true.

Answer 47

supporting sibling and grandparent visitations

Question 48

Siblings who visit need to be free of

Answer 48

communicable disease

Question 49

painful procedures should be done in

Answer 49

treatment room

Question 50

This rule should include ____ for blood work; although done quickly, they cause pain and stress.

Answer 50

finger sticks

Question 51

is'a traumatic experience, children need the opportunity to express their feelings through therapeutic play before painful procedures.

Answer 51

hospitalization

Question 52

is an important link between hospital and home.

Answer 52

discharge planning

Question 53

Many preschooler children manifest behavior problems such as

Answer 53

thumb-sucking bed wetting temper tantrum nightmares

Question 54

is care of children in their own home, provided by or supervised through a certified home health care or community health care agency.

Answer 54

home care

Question 55

Many children in terminal stages of disease are also cared for at home

Answer 55

hospice care

Question 56

Advantages of Home care

Answer 56

reduced cost comfort and support

Question 57

Disadvantages of home care

Answer 57

financial strain social isolation disruption of normally family life

Question 58

Nursing responsibilities in home care

Answer 58

identifying the primary care provider determining knowledge level of family identifying resources determining current level of family functioning

Question 59

refers not only to material objects but also whether the family members are able to deal with the chronic stress of fatiguing, around-the-clock nursing care.

Answer 59

resources

Question 60

in which nurse remains in continual attendance or visits frequently and continually administers care.

Answer 60

direct care

Question 61

in which a nurse plans and supervises care given by others, such as home health care aides or parents

Answer 61

indirect care

Question 62

Nursing care is considered ___ if it includes physician prescribed procedures such as dressing changes, administration of drugs, health teaching and observation of the client's progress or status through such measures as monitoring vital signs or measuring fluid intake & output.

Answer 62

skilled home care

Question 63

provides security to a child and encourages the development of trust.

Answer 63

infant

Question 64

toddler

Answer 64

promote autonomy

Question 65

preschooler

Answer 65

promote initiative

Question 66

school age

Answer 66

sense of industry

Question 67

adolescent

Answer 67

sense of identity

Question 68

erik erikson theory

Answer 68

psychosocial theory

Question 69

____ often described as the "work of children". It also used to help assess a child's level of knowledge and feelings about her or his condition so that more individualized nursing care can be planned

Answer 69

play

Question 70

children played with an organized structure or competing for a desired goal or outcome.

Answer 70

cooperative play

Question 71

the child drawings a picture or making a list to express emotions or knowledge level.

Answer 71

creative play

Question 72

two children playing side by side but seldom attempting to interact with each other.

Answer 72

parallel play

Question 73

is a play technique that can be used by nurses to better understand children's feelings and thoughts. Only the child's verbal cues are used as responses

Answer 73

therapeutic play

Question 74

3 types of therapeutic play

Answer 74

energy release dramatic play creative play

Question 75

is acting out an anxiety producing situation. It is most effective with preschool children because they are at the peak of imagination.

Answer 75

dramatic play

Question 76

Allow the play to be ___

Answer 76

unstructured

Question 77

NO understanding of death

Answer 77

birth to age 2

Question 78

believes that death is reversible

Answer 78

age 3-5

Question 79

Understands the concrete finality of death. Difficulty in perceiving their own death; may be preoccupied with the medical or physical aspects of dying.

Answer 79

age 6-9

Question 80

Understands that death final & eventually affects everyone Thinks about how a death will affect them personally.

Answer 80

age 10-12