NURSING 213 - Final Exam Study Guide latest 2020/21

NUR 213 (FA 2020)
Final Exam
Study Guide
Chapter 04
 Table 4.3-Developmental Milestones and Their Relationship to communication
approaches
o Pg. 55
 Nursing Care pg. 53
o Assessment
 Problem solving skills
 Cultural needs
 Coping behaviors
 Childs routines
 Past history child and family
 Childs communication abilities
 Cognitive, language, emotional development
 Family level of health literacy
o Interventions
 Play
 Storytelling
 Explain treatments and procedures
 Teaching
 Readiness
 Providing information
 Verify understanding
 Asking questions
 Enhancing self-esteem
 Table 4.2- choosing your words carefully pg. 52
o Poor words
 Polices allowed or not permitted
 Better words: guidelines, working together, welcome
 Noncompliant, uncooperative, difficult
 Partners, colleagues, joint decision makers, experts about
their child
 Dysfunctional, in denial, overprotective, uninvolved, uncaring
 Coping
 Components of effective communication. Pg.49-50
o Touch
o Physical proximity and environment
o Listening

,  Active
 Attentiveness
 Clarification through reflection
 Empathy
 Impartiality
o Visual communication
o Tone of voice
o Body language
o Timing
 Box 4.3 pg. 53
o Warning signs of under involvement
 Avoiding the child or family
 Calling in sick so as not to take assignment
 Asking to trade assignments for a specific child
 Spending less time with a particular child
 The Child with Visual Impairment pg. 59
o Obtain a thorough assessment of child’s self-help skills and abilities
o Orient child to surroundings
o Encourage family to stay with child
o Keep furniture and other items consistently in the same place
o Keep the call button in the same spot within the child’s reach
o Identify yourself when entering the room and when leaving
o Carefully and fully explain all procedures
o Allow child to handle equipment

Chapter 6
 Table 6.1 pg. 84-85
o Growth and development of the infant

Chapter 7
 Discipline: pg.118
o Toddlers
 Firm discipline promotes the development of autonomy by giving
the child a feeling of freedom within bounds
 Techniques:
 Natural and logical consequences
 Positive reinforcement
 Diversion
 Time out

,  Parents must be consistent
 Physical punishment is discouraged
o Preschoolers:
 Limits set on their behaviors
 Consistently disciplined for acts
 Limits must be clearly defining and consistently enforced
 Consequences should be spelled out in advance and carried out
immediately
 Simple, truthful explanation of why the behavior was unacceptable
 Techniques:
 Time out
 Time In
 Offering restricted choices
 Diversion
 Dental Care pg. 117
o Complete set of 20 deciduous teeth by 30 months old
o Parents are responsible for cleaning teeth
o Young children (<3 years): smear small amount of fluoride toothpaste onto
the child’s teeth
o After 3 years: a pea-sized amount on toothbrush
o Brush after every meal and at bedtime
o Flossing done daily
o A diet low in sugar and high in nutritious foods
o All infants and children should have a source of dental care by age 1
o Nurses role: teaching
 Temper tantrum-Parent education pg.124-125
o Limiting situations that are too much for the child to handle
o Anticipating periods of fatigue
o Having snack ready before the child gets too hungry
o Offering the toddlers choices when possible
o Parents should offer comfort and give limits, acknowledging feels and
rewarding good behavior after tantrum is over
Chapter 8
 Motor Development. Pg. 132-133
o Gross motor skills
 Coordination improves
 Ride a bicycle
 Dance

,  Skip
 Jump rope
o Importance of active play
 Actives requiring balance and strength
 Team sports
 Limit screen time to 2 hours or less per day
o Preventing fatigue and dehydration
 Parents recognize signs of fatigue or irritability
 Enforce rest periods before exhaustion
 Adequate hydration
o Fine motor skills
 Balance and hand-eye coordination
 Musical instruments
 Drawing
 Safety pg. 139- 141
o Unintentional injury is the leading cause of death before 1
o Car safety
o Water safety
o Fire and burn safety
o Bicycle, skating, scooter and skateboard safety
o Pedestrian safety

Chapter 9
 Tanner staging pg. 151-153
o Secondary sexual characteristics
 Reproductive organs
o 5 stages

 Stage 5 is complete sexual maturity, should have reproductive
maturity
 Psychosocial development pg. 155-158
o Identity vs. role confusion
o Early:
 Less confidents with members of the opposite sex
 Quite egocentric
 Rebellion
 Self-conscious
o Middle:
 Testing limits