NURS 5032 - EXAM 1: STUDY GUIDE QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Hospitalized children today typically are...
- Higher acuity
- Shorter stays
- Co-morbidities
- Chronic conditions
- Special needs
Inpatient units of acute care
- High tech
- unfamiliar environment
- high levels of stress, fear
- higher risk of infection, injury, death
Outpatients unit of acute care
- minimizes separation from family
- decreased possibility of infection
- reduced cost
Clinics/short stay units typically include..
- infection
- laceration
- simple fractures
,- infusions
- treatments
- diagnostics
Leading cause of death in infants
- congenital abnormalities
- preterm/low birthweight
- sudden infant death syndrome SIDS
Leading cause of death in 1-4 year olds
- accidents
- congenital anomalies
- assault/homicide
leading cause of death in 5-9 year olds
- accidents
- cancer
- assaults/homicide
leading cause of death in 10-19 year olds
- accidents
- suicide
- cancer (10-14)
- homicide (15-19)
People at risk for impaired health literacy..
- adults > 65 years old
- members of marginalized groups (religion, gender identity, race, ethnicity)
,- non-native English speakers
- income < poverty level
Problems with Impaired health literacy include
- patients retain less than 30% of the information and 50% of that is inaccurate
- low health literacy = increased ED visits, decreased treatment compliance, poor self
care and increased morbidity/mortality
*only 12% of people demonstrate high health literacy
interventions to improve health literacy
- establish trust
- be at pt level
- listen
- simple language
- slow down
- specific
- provide info more than one way
- encourage questions
- use teach-back
How to provide atraumatic care
- prevent separation from family
- promote sense of control
- minimize body harm or pain
children's response to illness is influenced by..
, - age
- developmental level
- preparation
- previous experience
- coping skills
- culture
- parents reaction/coping
Infant and toddler response to illness (0-36 mo)
- separation anxiety is main stressor from 6-30 months
- require assistance for self-regulation
- still face experiment
stages:
- protest: crying, agitation, inconsolability
- despair: withdrawn, quiet, hopeless
- detachment: forms attachment to other caregivers, may ignore or punish parents
Nursing interventions with toddler response to illness are
- encourage rooming-in
- partner with parents
- respond quickly to basic needs
- give parents a job
pre-schooler response to illness (4-5 yrs)
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Hospitalized children today typically are...
- Higher acuity
- Shorter stays
- Co-morbidities
- Chronic conditions
- Special needs
Inpatient units of acute care
- High tech
- unfamiliar environment
- high levels of stress, fear
- higher risk of infection, injury, death
Outpatients unit of acute care
- minimizes separation from family
- decreased possibility of infection
- reduced cost
Clinics/short stay units typically include..
- infection
- laceration
- simple fractures
,- infusions
- treatments
- diagnostics
Leading cause of death in infants
- congenital abnormalities
- preterm/low birthweight
- sudden infant death syndrome SIDS
Leading cause of death in 1-4 year olds
- accidents
- congenital anomalies
- assault/homicide
leading cause of death in 5-9 year olds
- accidents
- cancer
- assaults/homicide
leading cause of death in 10-19 year olds
- accidents
- suicide
- cancer (10-14)
- homicide (15-19)
People at risk for impaired health literacy..
- adults > 65 years old
- members of marginalized groups (religion, gender identity, race, ethnicity)
,- non-native English speakers
- income < poverty level
Problems with Impaired health literacy include
- patients retain less than 30% of the information and 50% of that is inaccurate
- low health literacy = increased ED visits, decreased treatment compliance, poor self
care and increased morbidity/mortality
*only 12% of people demonstrate high health literacy
interventions to improve health literacy
- establish trust
- be at pt level
- listen
- simple language
- slow down
- specific
- provide info more than one way
- encourage questions
- use teach-back
How to provide atraumatic care
- prevent separation from family
- promote sense of control
- minimize body harm or pain
children's response to illness is influenced by..
, - age
- developmental level
- preparation
- previous experience
- coping skills
- culture
- parents reaction/coping
Infant and toddler response to illness (0-36 mo)
- separation anxiety is main stressor from 6-30 months
- require assistance for self-regulation
- still face experiment
stages:
- protest: crying, agitation, inconsolability
- despair: withdrawn, quiet, hopeless
- detachment: forms attachment to other caregivers, may ignore or punish parents
Nursing interventions with toddler response to illness are
- encourage rooming-in
- partner with parents
- respond quickly to basic needs
- give parents a job
pre-schooler response to illness (4-5 yrs)
