SCRIPT PRACTICE QUESTIONS ANSWERS
INCLUDED
◉ What are the types of families? Answer: Nuclear: parents and children
Nontraditional: single parent or same sex marriage
Multigenerational: grandparent lives with their child and their child's
child
Dysfunctional: abuse, neglect, rape
◉ How do we establish therapeutic communication with the
child/family? Answer: Build rapport, ask opened ended questions,
maintain privacy and confidentiality with HIPAA
◉ What is parent professional partnership? Answer: family centered care
when the nurse educates the parent(s) about caring for their child. This
includes suctioning, giving meds at home, etc
◉ Factors to be aware of when caring for child? Answer: professional
demeanor, family alignment with needed resources, be aware of own
biases, respect pt diversity and incorporate cultural practices
◉ What is Erickson's psychosocial theory? Answer: human development
of personality due to culture and society
,◉ Erickson's psychosocial theory: Trust vs. Mistrust Answer: Infant
stage
Infant learns to trust they'll have certain needs met like a changed diaper
or food when hungry.
Mistrust is when that trust is broken, ruins emotional development.
◉ Erickson's psychosocial theory: Autonomy vs. Shame and Doubt
Answer: Toddler stage
The child wants to do more on their own. When independence is taken
away they feel shame and doubt. Always want to say "no!"
◉ Erickson's psychosocial theory: Initiative vs. guilt Answer: Preschool
stage
The child wants to take initiative and has their own consciousness . If
too oppressive the child will feel guilt. May feel like they're the cause of
their sibling's hospitalization.
◉ Erickson's psychosocial theory: Industry vs. Inferiority Answer:
School age stage
Child acts as a people pleaser and wants to help out. If too controlling
the child feels inferior.
◉ Erickson's psychosocial theory: Identity vs. Role Confusion Answer:
Adolescent stage
, Child is figuring out where they fit in. Will feel confused.
◉ Acute vs chronic health condition examples Answer: Acute:
gastroenteritis, infections, fractures
Chronic: Asthma, diabetes, CHF, autism
◉ Why and how do we mainstream kids into the classroom with chronic
conditions? Answer: Mainstream them became we want the child to feel
normal, and we do this by allowing the child to go into the classroom
with a para-educator
ex: in/out cath or enteral feedings
◉ Reactions to hospitalization: Answer: Preschooler feels guilty if their
sibling is in the hospital or toddler regresses by wetting the bed even
though they're potty trained
◉ Parent reactions to hospitalization: Answer: hostile, complacent,
dismissive; reaction depends on illness, some parents may need to
grieve,
◉ Roles of a nurse: Answer: Advocate, manager of care for resources,
collaborator, care provider, educator, and delegator
◉ Ways a nurse thinks: Answer: ADPIE and Tanner clinical model
(notice, interpret, respond, and reflect)