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NURS3018 Lectures Exam Questions Answers 100% Verified

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NURS3018 Lectures Exam Questions
Answers 100% Verified

What are two key skills in paediatric nursing? - ANSWER 1) communication (the
cornerstone of therapeutic relationships)

2) assessment - ongoing and requires the knowledge of normal growth and development

What does AWCH stand for? - ANSWER Association for the Wellbeing of Children in
Healthcare

What are the AWCH standards of care? (4) - ANSWER 1) the recognition of rights

2) the provision of child and family friendly health service facilities

3) child specific equipment

4) appropriately trained staff

What is the paediatric nurses' role in ethical decision making? (4) - ANSWER 1)
recognises power inequity in the relationship between children, families and the health
care agency or institution

2) clarifies their own values, beliefs and attitudes, and thereby recognises own biases
and potential for influencing parents

3) facilitates the child's and parents' decision making

4) advocates for the chlild

Th age for consent for medial treatment differs across jurisdictions. What is the age for
NSW? - ANSWER Dual consent in NSW from 14 years

What does the law say in NSW for consent? (3) - ANSWER 1) a child who is mature
enough to understand nature and consequences of treatment may legally consent in
their own right

2) a competency assessment may be used to ascertain the minor's level of capacity

3) generally accepted to be age 14 and over however this may be higher or lower
dependent on the individual and the proposed treatment e.g. antibiotics vs surgery

What do we use for a competency assessment in minors? - ANSWER Gillick competence

When assessing Gillick competence, consider... (6) - ANSWER 1) the child's age,
maturity and mental capacity

,2) their understanding of the issue, and what it involves - including the advantages,
disadvantages and potential long-term impact

3) their understanding of the risks, implications and consequences that may arise from
their decision

4) how well they understand any advice or information they have been given

5) their understanding of any alternative options, if available

6) their ability to explain a rationale around their reasoning and decision making

Young people and guardians confidentiality (4) - ANSWER 1) YP may request that their
parents not be informed of their access to a service or the treatments accessed at a
service

2) If a YP has the capacity to consent to service provision you are not required to inform
the parent/carer of the YP health information

3) Only if the YP does not have capacity to consent may you consider releasing
information for the purposes of medical treatment

4) If a parent/carer requests access to files and the YP is over 14 years of age, they need
the YP consent

What are 6 types of child abuse? - ANSWER Physical, sexual, emotional, psychological,
neglect, witness to domestic violence

Child abuse and neglect notifications are substantiated when: - ANSWER "in the
professional opinion of the officers concerned, there is reasonable cause to believe that
the child has been, is being or is likely to be abused or neglected" (AIHW, 2017)

What does AIHW stand for? - ANSWER Australian Institute of health and welfare

What is a health professionals' role and responsibility in child protection legislation? (3) -
ANSWER 1) mandatory reporting of known and suspected child abuse and neglect

2) identification, evaluation and documentation of injuries

3) collaboration with law enforcement, social services and criminal justice system

What are red flags that can used to help recognise child abuse? (7) - ANSWER 1)
delayed presentation

2) story inconsistent with injury

3) inappropriate for developmental stage

4) vague or varying story

5) different caregivers give different stories

, 6) multiple bruises/fractures of different ages have distinctive patterns (fractured bones
< 1 year of age)

7) certain pattern injuries (types of fractures, burns and/or bruises)

What is physical growth? - ANSWER The quantitative aspect of a child's progression.
Able to be measured and compared e.g. height, weight, dentition.

It relates to the attainment of height and appropriate weight and the increase in the size
of all organs (except lymphatic tissue) by early adulthood

When is peak physical growth generally achieved by? - ANSWER Before 28-30 years

When do periods of RAPID physical growth usually occur? - ANSWER 1) infancy/early
childhood from 0-2 years

2) preadolescence/puberty from 8-14 years

What is development - ANSWER A progressive continuous process of change as a
person interacts with their environment. This leads to periods of organised and
specialised cognitive capacity building over time.

Successful progress through each developmental phase influences the holisitic health
of the person and may affect their ability to complete subsequent phases or navigate life
transitions.

Emotion and behaviour are based on the child's... - ANSWER developmental stage and
temperament. Every child has an individual temperament, or mood.

The trajectory of each child's emotions/behaviours depends on... - ANSWER the
opportunities, barriers or risks they experience throughout their developmental
pathway

What is a critical period? - ANSWER The span of time during which an individual is most
receptive to threats or to the learning necessary to achieve developmental success.
This is when specific stimuli in the environment will have the greatest impact, therefore
the timing and degree of stimulation is important.

- The child must be developmentally 'ready' to receive the stimulus.

For physical growth to happen... (5 step cycle) - ANSWER 1. Physical growth

2. Explore the environment

3. Environment is supportive

4. Interact with others

5. Social and emotional development

What are 2 major internal influences on child growth and development? - ANSWER 1)

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