NURS 4802 Exam 1 (COMPLETE ANSWERS) Semester 1 2025

NURS 4802 Exam 1x x x




Whatxarexstressorsxofxhospitalization?x–xanswer

-xseparationxfromxparents/family

-xfearxofxunknown

-xlossxofxcontrol/autonomy

-xbodilyxinjuryxresultingxinxdiscomfort,xpainxandxmutiliation

-xfearxofxdeath



WhatxarexcorexdomainsxrecommendedxbyxPedIMMPACTxtoxassessxpain?x–xanswer

-xpainxintensity

-xglobalxjudgementxofxsatisfactionxwithxtreatment

-xsymptomsxandxadversexevents

-xphysicalxrecovery

-xemotionalxresponse



Atxwhatxagexisxbehavioral/observationalxmeasuresxofxpainxused?xWhenxarextheyxmostxreliable?x–xanswer

-xinfancyxtox4xyearsxofxage

-xtoxmeasurexshort,xsharpxproceduralxpainx(injections)xorxwhenxassessingxpainxinxinfantsxandxyoungxkids



Whatxarexthexphasesxofxseparationxanxiety?x–xanswer

*1)xProtest*:xcry,xscream,xclingxtoxparent,xyellxorxphysicallyxattackx

*2)xDespair*:xcryingxstops,xevidencexofxdepression,xorxregression

*3)xDetachment*:xdenial,xresignation,xnotxcontentment,xmayxappearxhappy,xmayxaffectxrelationshipxwithx
parentxafterxthexseparation



Whatxneedsxdoxinfantsxhave?x–xanswer

-xtrustx

-xconsistent,xlovingxcaregivers

,-xdailyxroutines



Whatxneedsxdoxtoddlersxhave?x–xanswer

-xautonomy

-xdailyxroutinesxandxrituals

-xlossxofxcontrolxmayxcontributextoxregressionxofxbehavior,xnegativityxorxtemperxtantrums



Whatxneedsxdoxpreschoolersxhave?x–xanswer

-xegocentricxandxmagicalxthinking

-xmayxviewxillness/hospitalizationsxasxpunishmentxforxmisdeeds

-xpre-operationalxthought



Whatxneedsxdoxschool-agedxkidsxhave?x–xanswer

-xindependencexandxproductivityx

-xfearsxofxdeath,xabandonmentxorxpermanentxinjuryx

-xboredom



Whatxneedsxdoxadolescentsxhave?x–xanswer

-xstrugglexforxindependencexandxliberation

-xseparationxfromxpeerxgroup

-xmayxrespondxwithxangerxorxfrustrationx

-xneedxforxinfoxaboutxtheirxcondition



Whatxisxaxcommonxfearxamongxchildrenxinxthexhospitalxsetting?x-xanswerxfearxofxbodilyxinjuryxandxpain



Whenxcanxeffectsxofxhospitalizationxoccurxonxthexchild?x–xanswer

-xbeforexadmission

-xduringxhospitalizationx

-xafterxdischarge

, Axchild'sxconceptxofx____________xisxmoreximportantxthanx_______________x_____________xinxpredicti
ngxanxietyx–xanswer

-xillness

-xintellectualxmaturity



Whatxarexsomexbeneficialxeffectsxofxhospitalizationxonxaxchild?x–xanswer

-xrecovery

-xincxcopingxskills

-xmasterxstressxandxfeelxcompetentxinxcoping

-xnewxsocialization



Whatxarexstressors/reactionsxofxthexfamilyxduringxaxchild'sxhospitalxstay?xSiblingxreactions?x–xanswer

-xdisbelief,xanger,xguiltx(esp.xinxsuddenxillness)

-xfear,xanxietyx(relatedxtoxkid'sxpain/seriousnessxofxillness)

-xfrustrationx(esp.xrelatedxtoxneedxforxinfo)

-xdepression

-xsiblingxreactions:xlonely,xfear,xworry,xanger,xresentment,xjealousy,xorxguilt



Whatxarexdevelopmentalxapproachesxyouxshouldxtakexwhenxdealingxwithxaxneonate,xinfant,xtoddler,xpresc
hooler,xschoolxagedxandxadolescent?x–xanswer

-xneonate:xanticipatexneeds,xprovidexswaddlingxandxcalmingxenvironment

-xinfant:xyoungxsamexasxneonate;xolderxlimitxthexnumberxofxdifferentxcaregivers

-xtoddler:xexpectxregression,xfollowxroutinesxandxrituals

-xpreschooler:xprovidexsafexspacextoxactxoutxaggression,xbexconsistent

-xschoolxaged:xmakexlimitsxclear,xenforcexthem,xinvolvexkidxinxplanningxandxcare

-xadolescent:xprovidexprivacy,xencouragexwearingxofxregularxclothes,xcommunicatexclearly