HNI 464 The Hospitalized Child and Pain Questions With
Complete Solutions
*Complementary Therapy* Correct Answers *-Cutaneous
stimulation*
*-Sucrose solution*
*-Guided Imagery*
*-Relaxation Techniques*
*Cutaneous stimulation* Correct Answers *-TENS, massage*
*-involves gently rubbing painful area, massaging skin gently,
holding or rocking child*
*-swaddling and containment in fetal position are both methods
to reduce pain in neonates*
*Despair phase of separation reactions in hospitalized children*
Correct Answers -*withdrawal*
-*regression (ie: wetting the bed)*
-*non-communicative*
*Detachment phase of separation reactions in hospitalized
children* Correct Answers -*superficial adjustment*
-*uses coping mechanisms*
-*displays resignation but not contentment*
-*may have developmental delays*
-*ie: when parent comes into room, instead of being excited they
detach - show they don't care b/c upset that parent left*
*FACES pain rating scale* Correct Answers *-ages 3 and up.*
*-emoticon-like faces*
,*-make sure child has understanding of number concepts and
then teach child to use scale*
*-point to each face and use the words under the picture to
describe the amount of pain the child feels*
*-then ask the child to select the face that comes closest to the
amount of pain felt*
*FLACC behavioral scale for pain assessment* Correct
Answers *-Face*
*-Legs*
*-Activity*
*-Cry*
*-Consolability (do they feel better when held?)*
*-Observe infant during routine care for 5 minutes then select
the score which closely resembles the infant's activity*
*Guided imagery* Correct Answers *-mind-body or cognitive
behavioral process that encourages child to relax and focus
concentration on vivid mental images as if they were real and to
ignore things such as pain procedure*
*Oucher pain rating scale* Correct Answers *-ages 3 and up*
*-actual photos of children*
*-must know number values*
*-after determining child has understanding of number of
concepts, teach child to use scale. *Pre-schooler age is first to do
this*
*-point to each photo, explain that the bottom picture is "no
hurt," the second picture is a "little hurt," the third picture is "a
, little more hurt," the fourth picture is "even more hurt," the fifth
picture is "a lot of hurt," and the sixth picture is the "biggest or
most hurt you could ever have."*
*-the numbers beside the photos can be used to score the amount
of pain the child reports*
*Phases of separation reactions in hospitalized children*
Correct Answers *1. Protest*
*2. Despair*
*3. Detachment*
*Protest phase of separation reactions in hospitalized children*
Correct Answers -*cry, scream, run*
*Relaxation techniques* Correct Answers *-used to reduce
muscle tension b/c pain is often aggravated when muscles are
tensed*
*Safety measures for the hospitalized adolescent* Correct
Answers *-address issues such as smoking in the room and
consuming alcohol since friends could possibly bring cigarettes
or alcohol to the pt*
*-assess teen for signs he/she could elope from institution (one-
on-one's)*
*-can't have boyfriend/girlfriend sleep over*
*-pt expectations - written pledge (signed by pt and nurse, etc)*
*Safety measures for the hospitalized newborn and infant*
Correct Answers *-use age-appropriate crib and bedding*
*-secure equipment cords under the infant's gown or shirt*
*-do not allow child to chew on cords*
Complete Solutions
*Complementary Therapy* Correct Answers *-Cutaneous
stimulation*
*-Sucrose solution*
*-Guided Imagery*
*-Relaxation Techniques*
*Cutaneous stimulation* Correct Answers *-TENS, massage*
*-involves gently rubbing painful area, massaging skin gently,
holding or rocking child*
*-swaddling and containment in fetal position are both methods
to reduce pain in neonates*
*Despair phase of separation reactions in hospitalized children*
Correct Answers -*withdrawal*
-*regression (ie: wetting the bed)*
-*non-communicative*
*Detachment phase of separation reactions in hospitalized
children* Correct Answers -*superficial adjustment*
-*uses coping mechanisms*
-*displays resignation but not contentment*
-*may have developmental delays*
-*ie: when parent comes into room, instead of being excited they
detach - show they don't care b/c upset that parent left*
*FACES pain rating scale* Correct Answers *-ages 3 and up.*
*-emoticon-like faces*
,*-make sure child has understanding of number concepts and
then teach child to use scale*
*-point to each face and use the words under the picture to
describe the amount of pain the child feels*
*-then ask the child to select the face that comes closest to the
amount of pain felt*
*FLACC behavioral scale for pain assessment* Correct
Answers *-Face*
*-Legs*
*-Activity*
*-Cry*
*-Consolability (do they feel better when held?)*
*-Observe infant during routine care for 5 minutes then select
the score which closely resembles the infant's activity*
*Guided imagery* Correct Answers *-mind-body or cognitive
behavioral process that encourages child to relax and focus
concentration on vivid mental images as if they were real and to
ignore things such as pain procedure*
*Oucher pain rating scale* Correct Answers *-ages 3 and up*
*-actual photos of children*
*-must know number values*
*-after determining child has understanding of number of
concepts, teach child to use scale. *Pre-schooler age is first to do
this*
*-point to each photo, explain that the bottom picture is "no
hurt," the second picture is a "little hurt," the third picture is "a
, little more hurt," the fourth picture is "even more hurt," the fifth
picture is "a lot of hurt," and the sixth picture is the "biggest or
most hurt you could ever have."*
*-the numbers beside the photos can be used to score the amount
of pain the child reports*
*Phases of separation reactions in hospitalized children*
Correct Answers *1. Protest*
*2. Despair*
*3. Detachment*
*Protest phase of separation reactions in hospitalized children*
Correct Answers -*cry, scream, run*
*Relaxation techniques* Correct Answers *-used to reduce
muscle tension b/c pain is often aggravated when muscles are
tensed*
*Safety measures for the hospitalized adolescent* Correct
Answers *-address issues such as smoking in the room and
consuming alcohol since friends could possibly bring cigarettes
or alcohol to the pt*
*-assess teen for signs he/she could elope from institution (one-
on-one's)*
*-can't have boyfriend/girlfriend sleep over*
*-pt expectations - written pledge (signed by pt and nurse, etc)*
*Safety measures for the hospitalized newborn and infant*
Correct Answers *-use age-appropriate crib and bedding*
*-secure equipment cords under the infant's gown or shirt*
*-do not allow child to chew on cords*
