Answers
core concepts of family centered care (6) - Correct Answer -respect and dignity
-information sharing
-participation
-collaboration
-utilizing these to achieve the outcomes of family centered care
-enable and empower families to reach their maximum potential in caring for their
child
pragmatism - Correct Answer a viewpoint that holds that all knowing occurs in
relation to a range of other ideas and people and is a current, active, experiential
process
context - Correct Answer the circumstances in which situations occur. contexts are
"in the moment" and are, therefore, dynamic and continuously changing
reflection - Correct Answer requires nurses critically examine their practice by
reflecting continually on an experience and generally having a perspective that
"reads the world" this includes self-reflection
reflexivity - Correct Answer an action, requires that the nurse acts on reflective
awareness and "in the moment" knowledge
stance of inquiry nursing - Correct Answer complex and often there is no easily
determined "right" answer. there must be an ongoing stance of inquiry and
questioning to become effective in providing the best nursing care in the given
circumstances
role of the pediatric nurse (4) - Correct Answer minimize loss of control (promote
freedom of movement, maintain the child’s routine, encourage independence,
promote understanding), prevent or minimize fear of bodily injury, provide
developmentally appropriate activities, provide opportunities to play and expressive
activities
stress of hospitalization on children - Correct Answer have a significant emotional
and psychological impact on the growing child. the child’s age, developmental stage,
personality and past history determine the child's family's response to this stressful
experience. it is always important to prepare a child for hospitalization.
, effects of hospitalization on the child - Correct Answer younger children may have
new fears, night waking, temper tantrums, attachment to toy or blanket. older
children may have coldness/demanding dependence, anger towards parents,
jealously
effects of hospitalization on the parents - Correct Answer severity of illness,
previous experience, coping abilities, stress in the family system, cultural and
religious beliefs, communication patterns of family
effects of hospitalization on siblings - Correct Answer loneliness, fear, anger,
resentment, jealously, limited parent support, difficulties in school, altered friendship.
separation anxiety definition - Correct Answer major stress between ages of 6-30
months
3 distinct phases of separation anxiety - Correct Answer 1. phase of protest
2. phase of despair
3. phase of detachment or denial
phase of protest - Correct Answer tantrum when parent leaves
phase of despair - Correct Answer Children seem to lose hope of ever being
reunited with mothers & become apathetic and unresponsive to toys and other
people, so cooperative
phase of detachment or denial - Correct Answer form an attachment to anyone
(healthcare worker), not their parents/caregivers
traumatic care - Correct Answer the provision of therapeutic care in a hospital
setting in which interventions eliminate or minimize the psychological and physical
distress of children and their families in a health care setting
How is traumatic care achieved? - Correct Answer prevent or minimize the
separation of the child from the family, prevent or minimize bodily injury, promote a
sense of control, promoting parent/professional partnership
tips to ensure safety of the pediatric patient (6) - Correct Answer -arm bands and
checks
-entanglement risks for IV tubing/oxygen or monitoring equipment
-ensure you have safely collected all caps/covers/wrappers from the crib and bed
-secured safety in cribs with side rails up/strollers and highchairs
-all children to be transposed in an age-appropriate devise, not to be carried by
nurse
-ensure toys are age appropriate and not a choking hazard
are children at risk for fluid volume complications? - Correct Answer yes