NUR230 GALEN EXAM 3 (PEDS EXAM 1) GALEN
COLLEGE OF NURSING QUESTIONS & DETAILED
ANSWERS 2025
Enabling - ans families are given the opportunity to display their caring abilities
and gain new ones
Empowerment - ans families are given the ability to maintain or acquire sense of
control and make positive changes
Principles of atraumatic care - ans - prevent separation
- Promote sense of control
- Minimize bodily injury
Role of the pediatric nurse - ans - therapeutic relationship
- Family advocacy (speak up for and listen to family )
- Health promotion and teaching
,- Injury prevention
- Family support
- Mediator
Example of atraumatic care - ans - preform invasive procedures only in the
treatment room
Social roles:
Primary vs. Secondary - ans -primary: patients peers/family
- secondary: sports, church
Self esteem & culture - ans some cultures promote more pride and independence
than others
Communities - ans -the more external and internal assets; the less risky behavior
- increases secondary social groups
Peer groups - ans - risk taking behaviors
- Peer pressure
,Cultural & religious health beliefs & practices - ans some practices may be
considered abusive in the dominate culture and are reportable while others are
tolerated
Growth - ans - increase in number and size of cells as they divide and synthesize
new proteins
- Physiological changes (height, weight, bone length, etc.)
- Physical changes
Development - ans - advancement from lower to more advanced stage of
complexity; increased capacity through growth, maturation, and learning
- Acquisition of skills and functioning
Sequential trends - ans - based on the concept that each child will normally pass
through each stage of growth and development in a predictable sequence
- Universal and basic to all human beings
- Accomplishes these in a manner and time unique to that individual
- Crawl, walk, run
Directional growth: cephalocaudal - ans head to toe direction
, Directional growth: proximodistal - ans - near to far
- Midline to peripheral concept
Growth internally and externally - ans - dramatic growth from birth to 4 years old
and again at 12 years old during puberty
- Severe illness and malnutrition will affect the rate of growth and development
Neurologic maturation; most occurs before birth - ans - rapid neurological growth
between 15-29 weeks gestation
- Rapid growth from birth to 1 year and through early childhood
- More gradual rate through childhood into adolescence
Erikson (psychosocial)
- Trust vs. Mistrust - ans (birth to 1 year): basic needs must be met by a loving
person; outcome is faith and optimism.
Erikson (psychosocial)
- Initiative vs guilt - ans (3-6 years): develops a conscience with an inner voice that
warns and threatens; if activities are in direct conflict with parents, can be made
to feel guilty. Outcome is direction and purpose.
COLLEGE OF NURSING QUESTIONS & DETAILED
ANSWERS 2025
Enabling - ans families are given the opportunity to display their caring abilities
and gain new ones
Empowerment - ans families are given the ability to maintain or acquire sense of
control and make positive changes
Principles of atraumatic care - ans - prevent separation
- Promote sense of control
- Minimize bodily injury
Role of the pediatric nurse - ans - therapeutic relationship
- Family advocacy (speak up for and listen to family )
- Health promotion and teaching
,- Injury prevention
- Family support
- Mediator
Example of atraumatic care - ans - preform invasive procedures only in the
treatment room
Social roles:
Primary vs. Secondary - ans -primary: patients peers/family
- secondary: sports, church
Self esteem & culture - ans some cultures promote more pride and independence
than others
Communities - ans -the more external and internal assets; the less risky behavior
- increases secondary social groups
Peer groups - ans - risk taking behaviors
- Peer pressure
,Cultural & religious health beliefs & practices - ans some practices may be
considered abusive in the dominate culture and are reportable while others are
tolerated
Growth - ans - increase in number and size of cells as they divide and synthesize
new proteins
- Physiological changes (height, weight, bone length, etc.)
- Physical changes
Development - ans - advancement from lower to more advanced stage of
complexity; increased capacity through growth, maturation, and learning
- Acquisition of skills and functioning
Sequential trends - ans - based on the concept that each child will normally pass
through each stage of growth and development in a predictable sequence
- Universal and basic to all human beings
- Accomplishes these in a manner and time unique to that individual
- Crawl, walk, run
Directional growth: cephalocaudal - ans head to toe direction
, Directional growth: proximodistal - ans - near to far
- Midline to peripheral concept
Growth internally and externally - ans - dramatic growth from birth to 4 years old
and again at 12 years old during puberty
- Severe illness and malnutrition will affect the rate of growth and development
Neurologic maturation; most occurs before birth - ans - rapid neurological growth
between 15-29 weeks gestation
- Rapid growth from birth to 1 year and through early childhood
- More gradual rate through childhood into adolescence
Erikson (psychosocial)
- Trust vs. Mistrust - ans (birth to 1 year): basic needs must be met by a loving
person; outcome is faith and optimism.
Erikson (psychosocial)
- Initiative vs guilt - ans (3-6 years): develops a conscience with an inner voice that
warns and threatens; if activities are in direct conflict with parents, can be made
to feel guilty. Outcome is direction and purpose.
