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NURS 306 FINAL EXAM – Questions Answered With Expert Insight

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Terms in this set (172)



Pediatric Nursing Chapter 1 & 2


Family-Centered Care - Consists of nurse offering parents some time to
step away and stay with the child
- Suggest ways to help with babysitting or
transportation
- Provide a clergy if parent have deep religious
beliefs
- Support cultural, socioeconomic, and ethical values
- Parents may need help accepting diagnosis, it
should address needs to siblings too.


Consent - What should it include? - Nature of the illness or condition, proposed care,
or treatment, potential risks, benefits, and
alternatives, what might happen if patient chooses to
not consent.
- Person must be over the age of majority (18 years)
and competent.
- Person must receive information needed to make
decision.
- Person must act voluntarily.


Tradition nuclear family married couple and their biologic children


Nuclear family - Two parents and their children
- The parent-child relationship may be biologic, step,
adoptive, or foster.
- Parents do not need to be married


Blended family At least one stepparent, stepsibling, or half-sibling

,Extended family includes not just the nuclear family (parents and their
children), but also other relatives living together or in
close proximity.


Single-parent family more women than men establishing a household
because of a divorce, death, desertion, or single
parenthood.


Binuclear family - Parents continuing the parenting role while
terminating the spousal unit.
- The degree of cooperation between households
and the time the child spends with each can vary.


Polygamous family - Not legally sanctioned in the US
-Conjugal unit is sometimes extended by the addition
of spouses in polygamous matings.
- Polygamy refers to either multiple wives or multiple
husbands.


Lesbian, gay, bisexual, and legal or common law tie between two persons of the
transgender family same sex who have children.


Nursing of Adolescence Chapter 16

,Suicide - Nursing Care Management - Nurses can provide anticipatory guidance to
parents and adolescents.
- Teach parents to be supportive and to develop
positive communication patterns that help teens feel
connected with friends and loved ones.
- Nurse should recognize warning signs early.
- “SLAP” specific, lethality, accessibility, and proximit
- First ask whether they feel suicidal thoughts or if
they want to take their own life AND ask if they have
chosen a means or plan.
- Second ask do they plan on using a gun or knife,
medications poisoning.
- Third determine availability of the means
- Fourth assess whether they ave determined a time
to commit suicide and when it is.
- Routine health screenings!!!
- Know that previous failed suicide attempts indicate
an increased risk for a future attempt.
- Suicide attempt soon increases as the frequency of
suicidal ideation increases.


G&D Chapter 3


Patterns in Growth and Development Cephalocaudal - Head to toe
Proximal distal - Gross motor to fine motor


Psychosexual Development (Freud)
stages by age


Oral Development - Birth to 1 year.
- Sucking to seek pleasure, chewing or vocalizing.


Anal Development - 1 to 3 years
- Sphincter muscles develop and children can
withhold or expel fecal material at will
- Toilet training!

, Phallic Development - 3 to 6 years
- Genitalia become an interesting and sensitive area.
- Children recognize differences between the sexes
and become curious about dissimilarities.
- "Penis envy, Oedipus and electra complexes,
castration anxiety"


Latency Development - 6 to 12 years
- Children elaborate on previously acquired traits and
skills.
- Physical and psychic energy are channeled into
acquisition of knowledge and vigorous play.


Genital Development - 12 years and older
- Begins at puberty with maturation of the
reproduction of sex hormones
- Genital organs become the major source of sexual
tensions and pleasures


Characteristics of play


Onlooker play children watch other children but make no attempt to
enter


Solitary play - Infant
- children play alone with toys different from those
used by other children in the same area


Parallel play - Toddler
- children playing independently amongst other
children playing with similar toys, but not interacting
with one another


Associative play - Preschooler
- children play together and are engaged in a similar
or even identical activity, but there is no organization,
division of labor, leadership assignments, or mutual
goals

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