Ped Test 1.5

Question 1

Stressors of hospitalization and child’s reaction

Answer 1

1. Separation anxiety
2. Loss of control
3. Pain
4. Immobilization/ mutilation/ altered body image

Question 2

Major stressor for 6-30 months

Answer 2

being separated from parents

Question 3

Separation illicits

Answer 3

1. Protest; hostile
2. Despair; sad, withdraws, uncommunicative, regression
3. detachment; rare, superficially adjusted, treats all people the same, is resigned, importance on material things instead of people

Question 4

Solutions to anxiety and stressors

Answer 4

1. allow rooming in; encourage frequent visitation
2. follow normal routines (food, bath times, etc.)
3. bring articles from home
4. allow choices if at all possible

Question 5

Loss of control manifestations: infant

Answer 5

1. separation anxiety begins at 6-9 months
2. basic needs must be met
3. best if parent can give most care
4. immobilization, sleep deprivation, sensory overload

Question 6

Loss of control manifestations: toddler

Answer 6

1. continued separation anxiety
2. regression (bedwetting/ temper tantrums)
3. immobiliztion, fear of the dark

Question 7

Loss of control interventions: toddler

Answer 7

1. try to maintain consistency and routine

2. encourage independence, demonstrate use of equipment just prior to procedure

Question 8

Loss of control manifestations: preschooler

Answer 8

1. can tolerate brief periods of separation/ may regress
2. fears pain, mutilation, fear of dark and monsters
3. separation anxiety may be more passive (refuse to eat etc)
4. aggression
5. may view hospitalization as punishment

Question 9

Loss of control interventions: preschooler

Answer 9

1. needs routine, give choices
2. demonstrate use of equipment just prior to use
3. allow child to participate

Question 10

Loss of control manifestations: School-age

Answer 10

1. may not have separation anxiety
2. needs parental support (esp. younger ones)
3. fears separation from family/ friends, pain, loss of control over body functions, death
4. upset about lack of activity
5. may not admit needs (lonely, bored)
6. feel loss of independence and productivity

Question 11

Loss of control interventions: School-age

Answer 11

1. Younger may need parental support

2. Draw them out, give them activities to do

Question 12

Loss of control manifestations: adolescents

Answer 12

1. fears altered body image
2. loss of control
3. separation from friends
4. loss of privacy and identity

Question 13

Stress factors affecting parental reaction to hospitalization

Answer 13

1. prior experience
2. seriousness
3. support systems
4. cultural/ religious beliefs

Question 14

Parental reactions to hospitalized child

Answer 14

1. disbelief/ denial (comes and goes a long time)
2. anger/ guilt
3. fear/ anxiety
4. bargaining
5. depression

Question 15

Sibling reactions to hospitalization

Answer 15

1. Fear
2. loneliness
3. anger
4. resentment
5. jealousy
6. guilt
   (parents often unaware, siblings visit with appropriate explainations)

Question 16

Coping with denial

Answer 16

listen actively, eye contact, touching

Question 17

Coping with guilt

Answer 17

Silently observe/ avoid scientific explanations

Question 18

Coping with anger

Answer 18

Avoid losing temper/ encourage them to talk

1. you seem angry at everyone
2. being angry is only natural
3. it must be difficult to endure

Question 19

Facilitating coping

Answer 19

Important to have all family members support each other

Question 20

Advocating through support groups

Answer 20

1. compassionate friends
2. SIDS
3. Parents of murdered children
4. MADD
5. etc.

Question 21

Developmentally appropriate activities: infants

Answer 21

mobiles, music, mirrors, age-appropriate toys

Question 22

Developmentally appropriate activities: toddlers

Answer 22

Peek-a-boo, security object from home, puzzles, push/ pull toys

Question 23

Developmentally appropriate activities: preschoolers

Answer 23

crayons, books, dolls, play dough, animals

Question 24

Developmentally appropriate activities: School-age children

Answer 24

collections, video games, books, puzzles

Question 25

Developmentally appropriate activities: adolescents

Answer 25

phone, friends visiting, movies, video games