Reaction To Illness & Hospitalization - Separation, Pain & Fear

Question 1

When does separation anxiety occur?

Answer 1

6 to 30 months

Question 2

What age is separation anxiety most pronounced?

Answer 2

18 months

Question 3

What are the three stages of separation anxiety?

Answer 3

1. Protest
2. Despair
3. Denial or detachment

Question 4

What occurs during protest?

Answer 4

Sense of abandonment expressed by loud protest

Question 5

What occurs during despair?

Answer 5

Appear sad or depressed

Question 6

What occurs during denial or detachment?

Answer 6

Becomes detached or disinterested in parents visiting

Appears to have adjusted but rather using a coping mechanism

Question 7

How can pain be expressed?

Answer 7

Both verbally and nonverbally

Question 8

Why do children often refrain from reporting pain?

Answer 8

Fear of receiving an injection

Question 9

How should infants be assessed for pain?

Answer 9

Behavioural responses

Question 10

Three types of pain scales you can use for children?

Answer 10

1. Descriptive word scale
2. Faces pain: rating scale
3. Visual analog scale (child points to where pain falls on the scale)

Question 11

How can intrusive procedures disrupt children’s trust level? How does it threaten self esteem?

Answer 11

It’s fear provoking

Question 12

What are the three causes of major stress in children of all ages?

Answer 12

1. Separation
2. Pain
3. Fear of body intrusion