NUR230 Galen Exam 3 (Peds Exam 1) Galen
College Of Nursing Questions & Detaile d
Answ ers
Enabling - ANS>> Families are given the opportunity to display their caring abilities and gain new ones
Empowerment - ANS>> Families are given the ability to maintain or acquire sense of control and make
positive changes
Principles of Atraumatic Care - ANS>> - Prevent separation
- Promote sense of control
- Minimize bodily injury
Role of the Pediatric Nurse - ANS>> - Therapeutic relationship
- Family advocacy (speak up for and listen to family)
- Health promotion and teaching
- Injury prevention
- Family support
- Mediator
Example of Atraumatic Care - ANS>> - Preform invasive procedures only in the treatment room
,Social Roles:
Primary vs. Secondary - ANS>> -Primary: Patients peers/family
-Secondary: Sports, church
Self esteem & Culture - ANS>> Some cultures promote more pride and independence than others
Communities - ANS>> -The more external and internal assets; the less risky behavior
-Increases secondary social groups
Peer groups - ANS>> - Risk taking behaviors
- Peer pressure
Cultural & Religious Health Beliefs & Practices - ANS>> Some practices may be considered abusive in the
dominate culture and are reportable while others are tolerated
Growth - ANS>> - Increase in number and size of cells as they divide and synthesize new proteins
- Physiological changes (Height, weight, bone length, etc.)
- Physical changes
Development - ANS>> - Advancement from lower to more advanced stage of complexity; increased
capacity through growth, maturation, and learning
- Acquisition of skills and functioning
,Sequential trends - ANS>> - Based on the concept that each child will normally pass through each stage of
growth and development in a predictable sequence
- Universal and basic to all human beings
- Accomplishes these in a manner and time unique to that individual
- Crawl, walk, run
Directional growth: Cephalocaudal - ANS>> Head to toe direction
Directional growth: Proximodistal - ANS>> - Near to far
- Midline to peripheral concept
Growth internally and externally - ANS>> - Dramatic growth from birth to 4 years old and again at 12 years
old during puberty
- Severe illness and malnutrition will affect the rate of growth and development
Neurologic maturation; most occurs before birth - ANS>> - Rapid neurological growth between 15-29
weeks gestation
- Rapid growth from birth to 1 year and through early childhood
- More gradual rate through childhood into adolescence
Erikson (Psychosocial)
- Trust vs. Mistrust - ANS>> (birth to 1 year): basic needs must be met by a loving person; outcome is faith
and optimism.
, Erikson (Psychosocial)
- Initiative vs Guilt - ANS>> (3-6 years): develops a conscience with an inner voice that warns and
threatens; if activities are in direct conflict with parents, can be made to feel guilty. Outcome is direction
and purpose.
Erikson (Psychosocial)
- Autonomy vs. Shame and Doubtful - ANS>> (1-3 years): centered on toddlers ability to control body, self,
and environment; outcome is self-control and willpower.
Erikson (Psychosocial)
- Industry vs. Inferiority - ANS>> (6-12 years): children are ready to be workers and producers, engage in
tasks that can carry throughout completion, learn to compete and cooperate. Outcome is competence.
Erikson (Psychosocial)
- Identity vs. Role Confusion - ANS>> (12-18 years): period of rapid body changes, peers are important,
need to integrate concepts and values with those of society and to come to a decision about an
occupation. Outcome is devotion and fidelity to others and to values and ideologies. Core conflict is role
confusion.
Piaget (Cognitive)
- Sensorimotor - ANS>> (Birth - 2 years):
-Simple learning; behavior imitation
- Problem solves through trial and error
College Of Nursing Questions & Detaile d
Answ ers
Enabling - ANS>> Families are given the opportunity to display their caring abilities and gain new ones
Empowerment - ANS>> Families are given the ability to maintain or acquire sense of control and make
positive changes
Principles of Atraumatic Care - ANS>> - Prevent separation
- Promote sense of control
- Minimize bodily injury
Role of the Pediatric Nurse - ANS>> - Therapeutic relationship
- Family advocacy (speak up for and listen to family)
- Health promotion and teaching
- Injury prevention
- Family support
- Mediator
Example of Atraumatic Care - ANS>> - Preform invasive procedures only in the treatment room
,Social Roles:
Primary vs. Secondary - ANS>> -Primary: Patients peers/family
-Secondary: Sports, church
Self esteem & Culture - ANS>> Some cultures promote more pride and independence than others
Communities - ANS>> -The more external and internal assets; the less risky behavior
-Increases secondary social groups
Peer groups - ANS>> - Risk taking behaviors
- Peer pressure
Cultural & Religious Health Beliefs & Practices - ANS>> Some practices may be considered abusive in the
dominate culture and are reportable while others are tolerated
Growth - ANS>> - Increase in number and size of cells as they divide and synthesize new proteins
- Physiological changes (Height, weight, bone length, etc.)
- Physical changes
Development - ANS>> - Advancement from lower to more advanced stage of complexity; increased
capacity through growth, maturation, and learning
- Acquisition of skills and functioning
,Sequential trends - ANS>> - Based on the concept that each child will normally pass through each stage of
growth and development in a predictable sequence
- Universal and basic to all human beings
- Accomplishes these in a manner and time unique to that individual
- Crawl, walk, run
Directional growth: Cephalocaudal - ANS>> Head to toe direction
Directional growth: Proximodistal - ANS>> - Near to far
- Midline to peripheral concept
Growth internally and externally - ANS>> - Dramatic growth from birth to 4 years old and again at 12 years
old during puberty
- Severe illness and malnutrition will affect the rate of growth and development
Neurologic maturation; most occurs before birth - ANS>> - Rapid neurological growth between 15-29
weeks gestation
- Rapid growth from birth to 1 year and through early childhood
- More gradual rate through childhood into adolescence
Erikson (Psychosocial)
- Trust vs. Mistrust - ANS>> (birth to 1 year): basic needs must be met by a loving person; outcome is faith
and optimism.
, Erikson (Psychosocial)
- Initiative vs Guilt - ANS>> (3-6 years): develops a conscience with an inner voice that warns and
threatens; if activities are in direct conflict with parents, can be made to feel guilty. Outcome is direction
and purpose.
Erikson (Psychosocial)
- Autonomy vs. Shame and Doubtful - ANS>> (1-3 years): centered on toddlers ability to control body, self,
and environment; outcome is self-control and willpower.
Erikson (Psychosocial)
- Industry vs. Inferiority - ANS>> (6-12 years): children are ready to be workers and producers, engage in
tasks that can carry throughout completion, learn to compete and cooperate. Outcome is competence.
Erikson (Psychosocial)
- Identity vs. Role Confusion - ANS>> (12-18 years): period of rapid body changes, peers are important,
need to integrate concepts and values with those of society and to come to a decision about an
occupation. Outcome is devotion and fidelity to others and to values and ideologies. Core conflict is role
confusion.
Piaget (Cognitive)
- Sensorimotor - ANS>> (Birth - 2 years):
-Simple learning; behavior imitation
- Problem solves through trial and error
