peds/psych marky mark + uworld

Question 1

sensorimotor (piaget)

Answer 1

birth-2 years
understands the world through sense and actions

TEACH ONLY IN PRESENT, just tell them, don’t understand play, tell them as it is happening
** no such thing as preop teaching at this age… only for parents/guardian **

Question 2

pre operational (piaget)

Answer 2

3-6 years
understands the world through language and mental images

FANTASY ORIENTED, IMAGINATIVE, ILLOGICAL … thinking obeys no rules

they understand future and past
preop teaching: 2 hours before, morning of, day of procedure… don’t give them a whole lot of time to imagine… teach future tense… learn by playing

Question 3

concrete operational (piaget)

Answer 3

7-11 years
understands the world through logical thinking and categories

“7/11 grocery stores are surrounded by concrete” - no trees, no flowers
children in this age group are rule oriented live and die by rules and cannot abstract… one way of doing things
- teach them a day/two ahead
- teach what you’re doing and skills
- age appropriate reading and demonstration (skills)

Question 4

formal operational (piaget)

Answer 4

12 -15
understands the world through hypothetical thinking and scientific reasoning

• can abstract and think cause and effect
• as soon as child is 12, teach like an adult reg med-surg q
• can make decisions kind of lol

Question 5

manage vs complete a skill

Answer 5

manage - 12 and up

skill 8 and up ?? gotta double check skill age

Question 6

four phases of nurse-client relationship

Answer 6

pre-interaction phase: professional goals
orientation phase: purpose, nature, time, trust
working phase: active problem solving
termination phase: achieved goals, ended relationship

Question 7

psych pt asks “What do you think I should do?”

Answer 7

DON’T GIVE ADVICE
reply by asking the same question back
pt won’t be able to blame you in the future even if things work in their favor

Question 8

7 principles to obey w psych

Answer 8

1. know phase of nurse-pt relationship
2. don’t give/accept gifts
3. don’t give advice
4. never give guarantees
5. immediacy pick the answe that will keep pt talking, don’t refer to someone
6. concreteness psych pts take you LITERALLY, don’t use slang, don’t use figure of speech
7. empathy nurse accepting pts feelings

Question 9

empathy questions tips and tricks

Answer 9

NEVER PICK AN ANSWER “don’t you worry” “you shouldn’t feel…” “anybody would feel…” “I know how you feel…”

EMPATHY Q WILL ALWAYS HAVE A QUOTE

• role play feelings
• ask yourself how you would feel if I said these words
• choose the answer that reflects the pt’s feeling