NURSING CARE OF CHILDREN
QUESTIONS AND ANSWERS
Can exhibit intense rx to any type of procedure (invasion of privacy)
Behavior can regress
Impact of hospitalization on preschoolers Can experience separation anxiety
Can harbor fears of bodily harm
Might believe illness and hospitalization are a punishment
Fears related to magical thinking
What age group of children believe illness and hospitalization are a punishment? Preschooler
Impact of hospitalization on school aged children Fears loss of control
Seeks info as a way to maintain a sense of control
Can sense when not being told the truth
Can experience stress related to separation from peers and regular routine
Impact of hospitalization on adolescents Develops body image disturbance
Attempts to maintian composure but is embarassed about losing control
Experiences feelings of isolation from peers
Worries aout outcome and impact on school/activities
Might not adhere to treatments/medication regimen due to peer influence
, At what age does child worry about missing school during hospital stay? Adolescent
What age group should nurse offer appropriate choices to? Toddlers; to encourage autonomy
T/F: Nurse should explain procedures using simple, clear language, avoiding medical jargon with
preschooler. True
What age group should be allowed to provide self-care? preschool
For what age group should nurse provide factual information? School-age and adolescents
At what age should child begin participating in team sports? School-age
Anticipatory grief when death is expected or a possible outcome
Complicated grief extends for more than 1 year following loss
Signs of complicated grief Grieving for more than 1 year after loss
Intense thoughts
Distressing yearning
feelings of lonelines
Distressing emotions and feelings
Disturbances in personal activities such as sleep
Can require referral to an expert in grief counseling
Parental grief Intense, long-lasting and complex
What age group has little to no concept of death? Infants and toddlers (birth to 3 years)
Infants and toddlers respond to death how? Mirror parental emotions
Egocentric thinking prevents their understanding of death (toddlers)
Can regress behaviorally
What age group views dying as temporary? Preschool children (3-6); because they lack concept
of time and because dead person can still have attributes of living (sleeping, eating, breathing)
What age group interprets separation from parents as punishment for bad behavior?
Preschool children (3-6)
What age group can blame self for causing death because of magical thinking? Preschool
children (3-6)
What age group begins to have adult-concept of dying/death? School-age (specifically 9-
12)
Fear in school-age children is often displayed through uncooperative behavior
QUESTIONS AND ANSWERS
Can exhibit intense rx to any type of procedure (invasion of privacy)
Behavior can regress
Impact of hospitalization on preschoolers Can experience separation anxiety
Can harbor fears of bodily harm
Might believe illness and hospitalization are a punishment
Fears related to magical thinking
What age group of children believe illness and hospitalization are a punishment? Preschooler
Impact of hospitalization on school aged children Fears loss of control
Seeks info as a way to maintain a sense of control
Can sense when not being told the truth
Can experience stress related to separation from peers and regular routine
Impact of hospitalization on adolescents Develops body image disturbance
Attempts to maintian composure but is embarassed about losing control
Experiences feelings of isolation from peers
Worries aout outcome and impact on school/activities
Might not adhere to treatments/medication regimen due to peer influence
, At what age does child worry about missing school during hospital stay? Adolescent
What age group should nurse offer appropriate choices to? Toddlers; to encourage autonomy
T/F: Nurse should explain procedures using simple, clear language, avoiding medical jargon with
preschooler. True
What age group should be allowed to provide self-care? preschool
For what age group should nurse provide factual information? School-age and adolescents
At what age should child begin participating in team sports? School-age
Anticipatory grief when death is expected or a possible outcome
Complicated grief extends for more than 1 year following loss
Signs of complicated grief Grieving for more than 1 year after loss
Intense thoughts
Distressing yearning
feelings of lonelines
Distressing emotions and feelings
Disturbances in personal activities such as sleep
Can require referral to an expert in grief counseling
Parental grief Intense, long-lasting and complex
What age group has little to no concept of death? Infants and toddlers (birth to 3 years)
Infants and toddlers respond to death how? Mirror parental emotions
Egocentric thinking prevents their understanding of death (toddlers)
Can regress behaviorally
What age group views dying as temporary? Preschool children (3-6); because they lack concept
of time and because dead person can still have attributes of living (sleeping, eating, breathing)
What age group interprets separation from parents as punishment for bad behavior?
Preschool children (3-6)
What age group can blame self for causing death because of magical thinking? Preschool
children (3-6)
What age group begins to have adult-concept of dying/death? School-age (specifically 9-
12)
Fear in school-age children is often displayed through uncooperative behavior
