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EXPLAIN THE PURPOSE OF THE GROWTH CHART:
CORRECT ANSWER:
THERE ARE WIDE INDIVIDUAL DIFFERENCES IN MEASURED
VALUES AT ANY CERTAIN AGES FOR BOYS AND GIRLS
EXPLAIN ERIKSON'S STAGES OF DEVELOPMENT FOR EACH AGE
GROUP:
CORRECT ANSWER:
--INFANT- TRUST/MISTRUST (GETTING NEEDS MET)
--TODDLER- AUTONOMY/SHAME AND DOUBT (DOING THINGS ON
OWN)
--PRESCHOOLER- INITIATIVE/GUILT (BEGIN ACTIVITIES ON THEIR
OWN)
--SCHOOL AGE- INDUSTRY/INFERIORITY (COMPLETE ACTIVITIES
SUCCESSFULLY)
--ADOLESCENT- IDENTITY/ROLE DIFFUSION (MAKE LIFE
DECISIONS)
EXPLAIN PIAGET'S STAGES OF DEVELOPMENT FOR EACH AGE
GROUP:
,CORRECT ANSWER:
--BIRTH TO 2 YEARS- SENSORIMOTOR (STIMULATE SENSES)
--2-7 YEARS- PREOPERATIONAL (EGOCENTRIC)
--4-7 YEARS- PERCEPTUAL (SEE ONE PART OF SITUATION AT A
TIME)
--7-11- CONCRETE OPERATIONS (LOGICAL REASONING BASED ON
EXPERIENCE)
--11-16 YEARS- FORMAL OPERATIONS (THINK ABSTRACTLY)
EXPLAIN THE DEVELOPMENT OF PLAY FOR THE INFANT, TODDER,
PRESCHOOLER, SCHOOL- AGE, AND ADOLESCENT:
CORRECT ANSWER:
o Infant - Explore, imitate
o 1-2 years - Parallel play
o 3-5 years - Cooperative play
o 5-7 years - Symbolic play
o 7-10 years - Competitive play
o 10-13 years - Group sports; computer games
o 13-18 years - Fantasy play; cliques
EXPLAIN SAFETY EDUCATION FOR INFANT, TODDLER, PRE-
SCHOOLER, SCHOOL- AGE, AND ADOLESCENT:
EXPLAIN STAGES OF SEPARATION ANXIETY:
CORRECT ANSWER:
-PROTEST- CRYING, HOLDING ON TO PARENT
-DESPAIR- DEPRESSED
-DENIAL/DETACHMENT- IGNORE PARENT WHEN THEY COME BACK
EXPLAIN REGRESSION IN PEDIATRIC PT:
CORRECT ANSWER:
GOING BACK TO A PAST LEVEL OF BEHAVIOR THAT WAS
SUCCESSFUL DURING EARLIER STAGES OF DEVELOPMENT
,EXPLAIN DISCHARGE PLANNING AND FAMILY EDUCATION:
CORRECT ANSWER:
o IDEALLY BEGINS AT THE MOMENT OF ADMISSION TO HOSPITAL
o TEACH AT LEVEL OF DEVELOPMENT
o WRITTEN INSTRUCTIONS SHOULD BE GIVEN FOR ANY HOME
TREATMENTS
o PARENTS ALSO MUST BE PREPARED FOR BEHAVIORAL
PROBLEMS THAT MAY ARISE AFTER HOSPITALIZATION
o DISCHARGE DOCUMENTATION
EXPLAIN NURSING CARE FOR THE HOSPITALIZED INFANT:
CORRECT ANSWER:
o BIRTH TO 1 YEAR
o HR: 110-160 BPM
o RR: 30-60
o BP: 60-80 OVER 40-60
o COUNT RR AND HR FOR ONE WHOLE MINUTE
o FRUSTRATING - USED TO GETTING NEEDS MET
o RAPID PHYSICAL AND EMOTIONAL DEVELOPMENT
o DAILY SCHEDULE DISRUPTED
o PROMOTE SENSORIMOTOR ACTIVITIES
o COMMUNICATE WITH CRYING
o LIBERAL VISITING HOURS
o CONSISTENCY IN CAREGIVERS
o ASSIST PARENT-CHILD ATTACHMENT PROCESS
EXPLAIN NURSING CARE FOR THE HOSPITALIZED TODDLER:
CORRECT ANSWER:
• HOSPITALIZED TODDLER
o 1-3 YEARS
o DO NOT LIKE TO BE SEPARATED FROM PARENTS
o SEPARATION ANXIETY
o RITUALISTIC PATTERNS OF CARE
, o TRANSITIONAL OBJECT
o ROOMING-IN
o HOME HABITS ROUTINE
o REGRESSION
o BE TRUTHFUL
o DISTRACTIONS
o SUPERVISED PLAY ROOM
EXPLAIN NURSING CARE FOR THE HOSPITALIZED PRESCHOOLER:
CORRECT ANSWER:
• HOSPITALIZED PRESCHOOLER
o 3-6 YEARS
o CONCRETE THINKING
o USE NONTHREATENING WORDS
o MAY FEEL GUILTY
o UNDERSTAND TIME THROUGH ACTIVITIES
o AFRAID OF BODILY HARM
o FANTASIZING ABOUT THE UNKNOWN
o CLEAR AND TRUTHFUL EXPLANATIONS
EXPLAIN NURSING CARE FOR THE HOSPITALIZED SCHOOL- AGE:
CORRECT ANSWER:
• HOSPITALIZED SCHOOL-AGE
o 6-12 YEARS
o NEED TO FEEL SUCCESSFUL WITH ACTIVITIES
o FEELING OF LOSS OF CONTROL
o CAN PARTICIPATE IN THEIR CARE
o POSITIVE DIRECTION AND CONSISTENCY
o EDUCATION AND STUDY TIME
o TEND TO BE BRAVE
o OBSERVE BODY LANGUAGE FOR NONVERBAL CUES
o DRAWING AND PUPPETS TO EXPRESS FEELINGS
EXPLAIN NURSING CARE FOR THE HOSPITALIZED ADOLESCENT: