Week 8

Question 1

childhood injuries

Answer 1

Injuries are the leading cause of death and disability among children in Canada.
Unintentional injuries are the leading cause of death among children ages 1 to 14.

Question 2

Ages <1 year and 1 to 9 years injuries

Answer 2

Threat to breathing, motor vehicle crash, drowning

Question 3

Ages 10 to 14 years injuries

Answer 3

Motor vehicle crash, drowning, fall

Question 4

Ages 15 to 19 years Injuries

Answer 4

Motor vehicle crash, poisoning, drowning

Question 5

Unintentional injury hospitalization

Answer 5

Ages <1 year and 1 to 4 years: Falls, threat to breathing, fire/hot object, poisoning
Ages 5 to 19 years: Falls, struck by/against an obstacle, motor vehicle crash

Question 6

infant mortality

Answer 6

Congenital anomalies and preterm birth are the first two leading causes of death.
Birth weight is a major determinant of newborn death
Leading causes of death during infancy are related to issues during the perinatal period.

Question 7

childhood morbidity

Answer 7

May denote acute illness, chronic disease, or disability
Morbidity is not distributed randomly among children.
Respiratory illness accounts for the majority of all acute conditions.

Question 8

mental health concerns

Answer 8

Up to 15% of Canadian children have mental health issues.
Anxiety, attention deficit, depression, addiction, autism spectrum disorders, behavioural disorders, eating disorders, and schizophrenia
Suicide remains a serious issue among children and youth.
Vulnerable populations

Question 9

canadian pediatric nursing standards; standard 1

Answer 9

Supporting and Partnering with the Child and their Family Pediatric Nurses partner with the child and their family to achieve their optimal level of health and well-being leading to resilient families and healthy communities.

Question 10

canadian pediatric nursing standards; standard 2

Answer 10

Advocating for Equitable Access and the Rights of Children and their Family

Pediatric Nurses demonstrate and mobilize their understanding of the social determinants and other systemic factors that impact child health.

Question 11

canadian pediatric nursing standards; standard 3

Answer 11

Delivering Developmentally Appropriate Care

Pediatric Nurses perform assessment based on growth and development and deliver pediatric-specific care.

Question 12

canadian pediatric nursing standards; standard 4

Answer 12

Creating a Child & Family Friendly Environment

Pediatric nurses play an essential role in creating a child and family friendly environment that welcomes families and promotes hope and healing. It is understood that the environment changes as the child grows and is influenced by multiple factors including but not exclusive to psychological, spiritual, and social.

Question 13

canadian pediatric nursing standards; standard 5

Answer 13

Enabling Successful Transitions
Pediatric Nurses support the child and family through health care transitions to maximize their well-being. This may include, but is not limited to, hand-off between healthcare providers, admission and discharge, and facility transfer

Question 14

family centred care

Answer 14

Active partnership between families and health care providers in planning, providing, evaluating care

Question 15

atraumatic care

Answer 15

Therapeutic care that minimizes or eliminates the psychological and physical distress experienced by children and their families in the health care system

Question 16

trauma informed care

Answer 16

Recognizes and responds to how individuals’ past experiences of trauma can overlap and intersect to shape their interpretation of new events
Emphasizes minimizing risk of medical care triggering traumatic events
Prioritizes individuals’ safety, control, and choice
Provision of therapeutic care in settings, by personnel and through the use of interventions, that eliminate or minimize psychological and physical distress

Question 17

Effects of hospitalization

Answer 17

Effects may be seen before admission, during hospitalization, or after discharge.
The child’s concept of illness is more important in predicting anxiety than is intellectual maturity.
Regression, separation anxiety, apathy, fears, sleep disturbances
Family-centred care and supportive practices

Question 18

restrain use in pediatric setting

Answer 18

Any physical, chemical or environmental measures used to control the physical or behavioral activity of a person or a portion of his/her body. (College of Nurses of Ontario, 2009)
The principle of that “all possible alternative interventions are exhausted” prior to the use of restraint (College of Registered Nurses of Nova Scotia, 2002)

Question 19

adolescent health transition timeline

Answer 19

Patient teaching
Treatment rationale
Symptoms of worsening condition
Danger signs
When to seek help from a health professional
Skills required by young adults engaging in care
Self-advocacy, self-management, independent health care behaviours
Detailed written plan of care