and Correct Answers | New Update
The nurse is caring for a hospitalized 30-month-old who is resistant to care, angry,
and yells "no" all the time. The nurse identifies this toddler's behaviors as:
A)problematic, as it interferes with needing nursing care
B)Normal for this stage of growth and development- negativism is characteristic of
the stage, no matter what the situation (hospital or home)
C)Normal because the child is hospitalized and out of his routine
D)Concerning, since toddlers should have more control of their emotions - 🧠
ANSWER ✔✔B - negativism is characteristic of the stage, no matter what the
situation (hospital or home)
Why is the care of children important? - 🧠 ANSWER ✔✔Structure, future,
vulnerable, need to advocate for them
Is the care for children the same or different as adults? - 🧠 ANSWER
✔✔Underdeveloped, different exposures- teach- prevention, touch and explore
,everything, put things in their mouth (tactile), risk for injury is different, exposure
through day care, Falls- keep environment safe, teach, injuries, look at risk,
looking at behaviors- their body can do a lot more things- push, adolescents are
risk takers- teach about safety
•The main difference between adult and pediatric nursing
•Not caring for just the client (child) but the whole family unit (How do you define
family?)
•Awareness of limitations of self- emotional cost
•Some similarities
•Health teaching, advocacy, injury prevention, anticipatory guidance, support and
counseling
•Holistic care, working collaboratively
•Awareness of limitations of self- emotional cost
•Build and engage whole family
•Emotional cost- can be really hard to see really sick kids- palliative conversation-
take care of you, work collaboratively
Philosophy of Pediatric Nursing Care - 🧠 ANSWER ✔✔•Family-centered care
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,•Approach to the planning, delivery, and evaluation of health care that is grounded
in mutually beneficial partnerships among health care providers, patients, and
families, Video talks about family centered care, support family- child needs solid
base
Video- respect that child is a person, communication- clear and upfront,
partnership- included in what is going on, children ask questions to come up with
their own solutions, allow families to have time, parental support groups, parents
are prepared
•Evidence-informed practice
•A problem-solving approach to clinical care that incorporates the conscientious
use of current best evidence from well-designed research studies, a clinician's
expertise, and patient values and preferences. •Family-centered care
•Recognizing that the family is the foundation of the child's view point
Develop a partnership with the family, Build relationship with family- engage with
family, time is the best teacher
Temperament - 🧠 ANSWER ✔✔•How would you define temperament of a child?
•Three categories
•Easy child
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, •Difficult child
•Slow-to-warm up child
• How would your nursing approach change with each child?
Why is understanding a child's temperament important?
Temperament- how they act, think, behave,
Easy- follow the rules, do not cry a lot, even tempered, nothing really rocks their
boat, go with the flow
Difficult- highly active, more irritable and irregular, test boundaries, stubborn, cry,
like their routine, adapt slowly to new things, intense moods
Slow to warm up- will adjust to environment with mild intensity, adapt slowly with
repeated contact
Need to know how to child reacts to new things so you can adjust your approach-
slow to warm up: respect boundaries, give heads up, allow some control, be
flexible
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