Peds Exam 1-hospitalized child study
guide Exam and All Correct Answers
2025 Updated.
Identify four major stressors of hospitalization - Answer separation anxiety
loss of control
bodily injury
pain
What 5 factors affect the child's reaction to the stress of hospitalization? - Answer
developmental age
previous experience with illness, separation, or hospitalization
innate and acquired coping skills
seriousness of diagnosis
support system available
From middle infancy through preschool years, __________is the major stressor related to
hospitalization. - Answer separation anxiety
Identify some physiologic responses to stress in children: - Answer temper tantrum, anger
expressions, anger expressions, bed-wetting
Because toddlers are more interpersonally secure than preschoolers, the former can tolerate
brief periods of separation from their parents: True or False - Answer false
Lack of _____ increases the perceptions of threat & can affect children's coping skills. - Answer
control
They strive for autonomy & react w/ negativism to any physical restriction - Answer Toddlers
They respond with depression, hostility & frustration to physical restrictions - Answer School-
age children
, What is more important than age and intellectual maturity in predicting the level of anxiety a
child has before hospitalization - Answer the child's concept of illness
List 6 individual risk factors that increase the child's vulnerability to the stresses of
hospitalization - Answer difficult temperament, a lack of fit between child and parent, age b/t
6m-5yrs, male gender, below-avg intelligence, multiple and continuing stress
T/F: Without special attention devoted to meeting the child's psychosocial & developmental
needs in the hospital environment, the detrimental consequences of prolonged hospitalization
may be severe. - Answer T
Identify some common themes concerning stressors & reactions of the family of the child who
is hospitalized - Answer feeling an overall sense of helplessness, questioning the skills of staff,
accepting the reality of hospitalization, need to have info explained in simple language, dealing
w/ fear, coping w/ uncertainty, seeking reassurance from caregivers
Identify 4 factors specific to the hospital experience that have been found to have a negative
efect on the sibling. - Answer being younger & experiencing many changes, beging cared for
outside the home by care providers who are not relatives, receiving little info about their ill
bro/sis, preceiving that their parents treat them differently compared w/ before their siblings
hospitalized
The rational for preparing children for the hospital experience & related procedures is basis on
the principle that fear of the _________ exceeds fear of the ________ - Answer known,
unknown
identify one of the main purposes of gathering the child's historical data - Answer to assess
the child's usual health habits at home in order to promote a more normal environment in the
hospital
A primary nursing goal when a child is hospitalized (particularly 5 years and younger) is to
prevent negative effects from ________ - Answer separation
Describe family-centered care as a philosophy of care: - Answer This care recognizes the
integral role of the family in a child's life and acknowledges the family as an essential part of the
child's care and illness experience. The family is considered to be partners in the child's care
guide Exam and All Correct Answers
2025 Updated.
Identify four major stressors of hospitalization - Answer separation anxiety
loss of control
bodily injury
pain
What 5 factors affect the child's reaction to the stress of hospitalization? - Answer
developmental age
previous experience with illness, separation, or hospitalization
innate and acquired coping skills
seriousness of diagnosis
support system available
From middle infancy through preschool years, __________is the major stressor related to
hospitalization. - Answer separation anxiety
Identify some physiologic responses to stress in children: - Answer temper tantrum, anger
expressions, anger expressions, bed-wetting
Because toddlers are more interpersonally secure than preschoolers, the former can tolerate
brief periods of separation from their parents: True or False - Answer false
Lack of _____ increases the perceptions of threat & can affect children's coping skills. - Answer
control
They strive for autonomy & react w/ negativism to any physical restriction - Answer Toddlers
They respond with depression, hostility & frustration to physical restrictions - Answer School-
age children
, What is more important than age and intellectual maturity in predicting the level of anxiety a
child has before hospitalization - Answer the child's concept of illness
List 6 individual risk factors that increase the child's vulnerability to the stresses of
hospitalization - Answer difficult temperament, a lack of fit between child and parent, age b/t
6m-5yrs, male gender, below-avg intelligence, multiple and continuing stress
T/F: Without special attention devoted to meeting the child's psychosocial & developmental
needs in the hospital environment, the detrimental consequences of prolonged hospitalization
may be severe. - Answer T
Identify some common themes concerning stressors & reactions of the family of the child who
is hospitalized - Answer feeling an overall sense of helplessness, questioning the skills of staff,
accepting the reality of hospitalization, need to have info explained in simple language, dealing
w/ fear, coping w/ uncertainty, seeking reassurance from caregivers
Identify 4 factors specific to the hospital experience that have been found to have a negative
efect on the sibling. - Answer being younger & experiencing many changes, beging cared for
outside the home by care providers who are not relatives, receiving little info about their ill
bro/sis, preceiving that their parents treat them differently compared w/ before their siblings
hospitalized
The rational for preparing children for the hospital experience & related procedures is basis on
the principle that fear of the _________ exceeds fear of the ________ - Answer known,
unknown
identify one of the main purposes of gathering the child's historical data - Answer to assess
the child's usual health habits at home in order to promote a more normal environment in the
hospital
A primary nursing goal when a child is hospitalized (particularly 5 years and younger) is to
prevent negative effects from ________ - Answer separation
Describe family-centered care as a philosophy of care: - Answer This care recognizes the
integral role of the family in a child's life and acknowledges the family as an essential part of the
child's care and illness experience. The family is considered to be partners in the child's care
