NURS 4802: Care of a Hospitalized Patient Questions with Complete Solutions
Atraumatic Care
- what is it? - what 3 things does it involve? Correct Answer-it is therapeutic care that minimizes or eliminates the psychological and physical distress experienced by children and their families in the health care system Involves guiding families w/ family-centered approach, minimizes physical stress, effective coping skills
Family-centered care is defined as: Correct Answer-collaboration among
patient's, family, physicians, nurses, and all members of the health care team, to reach desired outcomes
Families are _______ for quality and safety. Taking care of a child involves the child's _________. Correct Answer-allies
family
Stressors of Hospitalization include: Correct Answer-- separation from parents and loved ones
- fear of the unknown - loss of control and autonomy - bodily injury resulting in discomfort, pain, & mutilation - fear of death
Children's reactions in the hospital depends on? Correct Answer-
developmental age & stages
What are the 3 Phases of Separation Anxiety...in order? Correct Answer-
Protest phase Despair Phase
Detachment Phase
Protest Phase Correct Answer-- cry, scream, cling to parents
- toddlers may yell or physically attack
Despair Phase Correct Answer-- crying stops, evidence of depression - regression (ex: becoming incontinent after having been potty trained)
Detachment Phase Correct Answer-- Denial; resignation, not contentment
- May seriously affect attachment to parent after long-term separation
- May appear happy
"INFANTS" needs when they experience loss of control Correct Answer-- trust (people they can trust)
- consistent, loving caregivers - daily routines
"TODDLERS" needs when they experience loss of control
- A loss of control can cause what 3 things? Correct Answer-- autonomy - daily routines and rituals Loss of Control can cause: regression of behavior, negativity, & temper tantrums
Is regression of behavior normal in a toddler who is experiencing a lack of control? Correct Answer-yes
"PRESCHOOLERS" needs when they experience loss of control Correct
Answer-- egocentric and magical thinking (cause hospital to be scarier than it really is)
- may view illness/hospitalization as punishment for misdeeds
"SCHOOL-AGED" needs when they experience loss of control Correct Answer-- striving for independence and productivity
- fears of death, abandonment, & permanent injury - boredom (let them make their own choices)
"ADOLESCENTS" needs when they experience loss of control Correct Answer-***look for self assertion
Atraumatic Care
- what is it? - what 3 things does it involve? Correct Answer-it is therapeutic care that minimizes or eliminates the psychological and physical distress experienced by children and their families in the health care system Involves guiding families w/ family-centered approach, minimizes physical stress, effective coping skills
Family-centered care is defined as: Correct Answer-collaboration among
patient's, family, physicians, nurses, and all members of the health care team, to reach desired outcomes
Families are _______ for quality and safety. Taking care of a child involves the child's _________. Correct Answer-allies
family
Stressors of Hospitalization include: Correct Answer-- separation from parents and loved ones
- fear of the unknown - loss of control and autonomy - bodily injury resulting in discomfort, pain, & mutilation - fear of death
Children's reactions in the hospital depends on? Correct Answer-
developmental age & stages
What are the 3 Phases of Separation Anxiety...in order? Correct Answer-
Protest phase Despair Phase
Detachment Phase
Protest Phase Correct Answer-- cry, scream, cling to parents
- toddlers may yell or physically attack
Despair Phase Correct Answer-- crying stops, evidence of depression - regression (ex: becoming incontinent after having been potty trained)
Detachment Phase Correct Answer-- Denial; resignation, not contentment
- May seriously affect attachment to parent after long-term separation
- May appear happy
"INFANTS" needs when they experience loss of control Correct Answer-- trust (people they can trust)
- consistent, loving caregivers - daily routines
"TODDLERS" needs when they experience loss of control
- A loss of control can cause what 3 things? Correct Answer-- autonomy - daily routines and rituals Loss of Control can cause: regression of behavior, negativity, & temper tantrums
Is regression of behavior normal in a toddler who is experiencing a lack of control? Correct Answer-yes
"PRESCHOOLERS" needs when they experience loss of control Correct
Answer-- egocentric and magical thinking (cause hospital to be scarier than it really is)
- may view illness/hospitalization as punishment for misdeeds
"SCHOOL-AGED" needs when they experience loss of control Correct Answer-- striving for independence and productivity
- fears of death, abandonment, & permanent injury - boredom (let them make their own choices)
"ADOLESCENTS" needs when they experience loss of control Correct Answer-***look for self assertion
