The Child’s Experience of Hospitalization
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Questions and Answers

Which of the following is NOT a type of health care delivery setting?

  • Acute care hospital
  • Pediatric research center
  • Private residence (correct)
  • Home

What is a common reaction of infants age 6 months and older to hospitalization?

  • Depression
  • Protest (correct)
  • Euphoria
  • Denial

Which factor does NOT influence a child's reaction to hospitalization?

  • Height (correct)
  • Age
  • Support of family
  • Previous hospitalizations

What is the main psychological response of children to fear of body intrusion?

<p>Disruption of trust level (D)</p> Signup and view all the answers

What term describes the loss of previously achieved functioning in a child?

<p>Regression (C)</p> Signup and view all the answers

What is the purpose of preventive pain control?

<p>To provide pain relief while minimizing medication dosages. (B)</p> Signup and view all the answers

Which of the following is a nonpharmacologic technique for managing pain in children?

<p>Drawing (C)</p> Signup and view all the answers

What is crucial for communication in healthcare delivery for non-native speakers?

<p>Language interpreter (A)</p> Signup and view all the answers

Why should family members not be used as language interpreters in healthcare settings?

<p>Information can be lost in translation. (D)</p> Signup and view all the answers

What behavior should a pediatric nurse adopt to facilitate effective communication with hospitalized children?

<p>Adopt a matter-of-fact approach. (C)</p> Signup and view all the answers

Which of the following is NOT a stressor for children during hospitalization?

<p>Increased appetite (B)</p> Signup and view all the answers

What is a major concern for adolescents regarding roommate selection in a hospital?

<p>Potential discomfort with significantly younger patients. (B)</p> Signup and view all the answers

What factor could help minimize regression in a hospitalized child?

<p>Accurate nursing assessment (C)</p> Signup and view all the answers

What should discharge planning ideally start?

<p>At the moment of admission to the hospital. (C)</p> Signup and view all the answers

Which of the following is true regarding the elimination of drugs in children?

<p>It may be prolonged due to an immature enzyme system (A)</p> Signup and view all the answers

How can nurses demonstrate cultural sensitivity in their approach to patients?

<p>Being aware of and respecting cultural behaviors. (C)</p> Signup and view all the answers

Which of the following reactions may parents exhibit in response to their child's hospitalization?

<p>Expressions through anger or crying. (B)</p> Signup and view all the answers

What is a primary goal when working with hospitalized children?

<p>To promote parent-child attachment and sensorimotor activities. (B)</p> Signup and view all the answers

What should nurses include in discharge charting?

<p>Details such as who accompanied the child and instructions given. (C)</p> Signup and view all the answers

Which statement about adolescent patients is correct regarding confidentiality?

<p>Emancipated minors are not under parental authority regarding confidentiality. (C)</p> Signup and view all the answers

A common type of health care delivery setting for short-term treatment is an ______ care hospital.

<p>acute</p> Signup and view all the answers

Children may experience ______ anxiety when hospitalized, especially those over six months of age.

<p>separation</p> Signup and view all the answers

To manage pain in children, techniques such as drawing, distraction, and ______ can be effective.

<p>relaxation</p> Signup and view all the answers

Childhood ______ can be minimized by proper nursing assessment and supportive care planning.

<p>regression</p> Signup and view all the answers

The response to pain in children often includes fear of ______ procedures.

<p>intrusive</p> Signup and view all the answers

Flashcards

Preventive Pain Control

Using lower doses of pain medication around the clock to prevent pain from becoming severe.

Acute care hospital

A hospital providing short-term, intensive care for sudden or critical illnesses.

Conscious Sedation

Giving IV drugs to impair consciousness while maintaining protective reflexes.

Separation anxiety

Emotional distress experienced when separated from a primary caregiver. Infants 6 months+. More intense in toddlers and preschoolers

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Language Interpreters

Professionals who translate between the healthcare team and family members.

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Regression

Loss of developmental skills or behavior to an earlier stage, often due to stress.

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Pain management (non-pharmacological)

Strategies to reduce pain without medications, like drawing, distraction and imagery techniques.

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Cultural Response

Caring for patients with sensitivity to their cultural beliefs and practices.

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Intercultural Communication

Effective communication that respects different cultural backgrounds.

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Child's reaction to hospitalization

Affected by age, preparation, home security, previous experiences, family/staff support, and child's emotional state.

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Parental Reactions to Hospitalization

A range of emotional responses, including anger, crying, and body language, to a child's hospitalization.

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Intrusive procedures

Medical procedures that involve direct contact with the body. These can cause fear and anxiety.

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Pain assessment (infants)

Requires behavioral scales for evaluating pain, given infant's inability to express pain verbally.

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Discharge Planning

Planning for the child's return home, including instructions and support.

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Drug dosages (children)

Influenced by weight, absorption, metabolism, liver function and clearance of the drug by the body.

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Adolescent Roommate Selection

Considering factors like age and health status when assigning roommates to teenagers.

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Confidentiality in Healthcare

Protecting personal and medical information of patients and respecting privacy.

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Separation

A common child hospitalization stressor; may include parental absence for care.

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Pain reporting

Children, especially infants and toddlers, may not report pain due to fear for injections.

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Home Health Care

Providing care for children with acute or chronic conditions within the home.

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Separation Anxiety

Emotional distress when separated from a caregiver, common in infants and toddlers.

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Child's Hospitalization Reaction

How a child responds to hospitalization, affected by factors like age, preparation, and family support.

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Pain in Infants

Pain assessment in infants requires behavioral scales due to their inability to express pain.

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Intrusive Procedures

Medical procedures involving direct body contact, which often provoke fear in children.

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Pain Management (non-pharmacological)

Strategies like drawing, distraction, and imagery for pain reduction, not including medicine.

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Study Notes

Types of Health Care Delivery Settings

  • Acute care hospital is a common health care delivery setting for short-term treatment.
  • Long-term care facilities are not a type of health care delivery setting.

Infant Reactions to Hospitalization

  • Infants aged 6 months and older often experience separation anxiety when hospitalized.

Factors Influencing Child's Reaction to Hospitalization

  • A child's age does not influence their reaction to hospitalization.

Psychological Response to Fear of Body Intrusion

  • Children often have a psychological response of anxiety to fear of body intrusion.

Loss of Previously Achieved Functioning in a Child

  • Regression is the term used to describe the loss of previously achieved functioning in a child.

Purpose of Preventive Pain Control

  • The purpose of preventive pain control is to minimize pain and discomfort in children before it occurs.

Nonpharmacologic Techniques for Managing Pain

  • Distraction is an effective nonpharmacologic technique for managing pain in children.

Communication in Healthcare Delivery for Non-Native Speakers

  • Interpreters are crucial for facilitating effective communication in healthcare delivery for non-native speakers.

Using Family Members as Interpreters

  • Family members should not be used as language interpreters in healthcare settings due to potential for misinterpretation.

Pediatric Nurse Communication Strategies

  • Active listening is a key behavior for pediatric nurses to adopt to facilitate effective communication with hospitalized children.

Hospitalization Stressors for Children

  • Roommate selection is not a stressor for children during hospitalization.

Adolescent Concerns Regarding Roommates

  • A major concern for adolescents regarding roommate selection in a hospital is privacy.

Minimizing Regression in Hospitalized Children

  • Maintaining consistency in care routines can help minimize regression in a hospitalized child.

Discharge Planning

  • Discharge planning should ideally begin at the time of admission.

Drug Elimination in Children

  • Children eliminate drugs more rapidly than adults due to their higher metabolic rate.

Nurse Cultural Sensitivity

  • Nurses can demonstrate cultural sensitivity by being aware of different cultural practices and beliefs.

Parent Reactions to Child's Hospitalization

  • Anxiety is a common reaction among parents in response to their child's hospitalization.

Working with Hospitalized Children

  • A primary goal when working with hospitalized children is to minimize their anxiety and stress.

Discharge Charting

  • Nurses should include teaching provided to parents in discharge charting.

Confidentiality of Adolescent Patients

  • Adolescent patients have the right to confidentiality regarding their medical information, except in situations of harm to themselves or others.

Childhood Regression

  • Childhood regression can manifest through behaviors like bedwetting, thumb-sucking, or clinging to parents.

Fear of Medical Procedures

  • The response to pain in children often includes fear of invasive medical procedures.

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Description

This quiz focuses on pediatric nursing practices and the psychological effects of hospitalization on children. It covers topics such as healthcare delivery settings, pain management techniques, and communication strategies for non-native speakers in a hospital environment. Test your knowledge of how to effectively care for and communicate with hospitalized children.

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