NUR 232 PEDS QUESTIONS AND ANSWERS SET A+
✔✔Recurrent headaches in children management -✔✔-self control skills
-instruct parents to not give excessive attention to he ache
-relaxation techniques
✔✔pain sedation end of life care management -✔✔-educate parents on goal of relieving
pain
-palliative sedation
not worried about addiction
✔✔Hospitalized children -✔✔first crisis a child may face
-children have limited coping resources
-separation anxiety
-loss of control
-bodily injury
-pain
✔✔Separation anxiety -✔✔Protest
-react aggressively to separation from family
-cry/scream
-refuse attention
-inconsolable in grief
may be seen as "bad behavior"
Despair
-crying stops
-depression is evident
-less active
-uninterested in play/food
-withdrawals from others
Detachment(denial)
child appears adjusted
-becomes more interested in play/forming new relationships
-signs of resignation
child detaches from parent to escape emotional pain
, -may be seen as good adjustment in eyes of nurses
if progresses to final stage child may react no differently to parents then they would
strangers
✔✔Early childhood -✔✔if separation is avoided tremendous capacity to withstand other
stressors
-may plead parents to stay
-demonstrate displeasure in parents return or departure by having temper tantrums
-refuses to comply with normal routines
-preschoolers tolerate better than toddlers
Preschoolers
-refusing to eat
-trouble sleeping
-crying quietly
-breaking toys
-hitting other children
✔✔later childhood and adolescence -✔✔family does not play as important role
-being separated from friends/peers
-fear of losing friend group/ missing out
-loneliness/boredom/ depression
-may need more support from family but afraid to ask for it
due to goal of maintaining independence
-cultural expectations like "act like a man" or "boys don't cry"
May benefit from socialization with other children in hospital who are same age
ENCOURAGE RESOURCES TO COMMUNICATE WITH PEERS
✔✔Loss of control -✔✔increased the perception of threat and can affect coping skills
-overwhelming stimuli from hospital
-can slow development or restrict it
✔✔Effects on child -✔✔react before admission during stay or after discharge
-concept of illness is more important than age and intellectual maturity in predicting level
of anxiety ( if they don't understand illness but is older)
✔✔Individual risk factors -✔✔rural children may have more stress than city children
-difficult temperament
-lack of fit between child/parent
-age
-male gender
-below average intelligence
-multiple/continuing stress
✔✔adverse reactions -✔✔adverse outcomes may be related to
-length of stay
-number of admissions
✔✔Recurrent headaches in children management -✔✔-self control skills
-instruct parents to not give excessive attention to he ache
-relaxation techniques
✔✔pain sedation end of life care management -✔✔-educate parents on goal of relieving
pain
-palliative sedation
not worried about addiction
✔✔Hospitalized children -✔✔first crisis a child may face
-children have limited coping resources
-separation anxiety
-loss of control
-bodily injury
-pain
✔✔Separation anxiety -✔✔Protest
-react aggressively to separation from family
-cry/scream
-refuse attention
-inconsolable in grief
may be seen as "bad behavior"
Despair
-crying stops
-depression is evident
-less active
-uninterested in play/food
-withdrawals from others
Detachment(denial)
child appears adjusted
-becomes more interested in play/forming new relationships
-signs of resignation
child detaches from parent to escape emotional pain
, -may be seen as good adjustment in eyes of nurses
if progresses to final stage child may react no differently to parents then they would
strangers
✔✔Early childhood -✔✔if separation is avoided tremendous capacity to withstand other
stressors
-may plead parents to stay
-demonstrate displeasure in parents return or departure by having temper tantrums
-refuses to comply with normal routines
-preschoolers tolerate better than toddlers
Preschoolers
-refusing to eat
-trouble sleeping
-crying quietly
-breaking toys
-hitting other children
✔✔later childhood and adolescence -✔✔family does not play as important role
-being separated from friends/peers
-fear of losing friend group/ missing out
-loneliness/boredom/ depression
-may need more support from family but afraid to ask for it
due to goal of maintaining independence
-cultural expectations like "act like a man" or "boys don't cry"
May benefit from socialization with other children in hospital who are same age
ENCOURAGE RESOURCES TO COMMUNICATE WITH PEERS
✔✔Loss of control -✔✔increased the perception of threat and can affect coping skills
-overwhelming stimuli from hospital
-can slow development or restrict it
✔✔Effects on child -✔✔react before admission during stay or after discharge
-concept of illness is more important than age and intellectual maturity in predicting level
of anxiety ( if they don't understand illness but is older)
✔✔Individual risk factors -✔✔rural children may have more stress than city children
-difficult temperament
-lack of fit between child/parent
-age
-male gender
-below average intelligence
-multiple/continuing stress
✔✔adverse reactions -✔✔adverse outcomes may be related to
-length of stay
-number of admissions
