Lecture 3

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Lecture 3
2012-10-23 21:22:49
Pediatric Coping Safety Issues

Pediatric Coping and Safety Issues
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  1. What is the major stress from middle infancy throughout the preschool years, especially for kids ages 6-30 months
    Separation anxiety
  2. Separation anxiety would be most expected in the hospitalized child at age
    6-30 months
  3. What is it called when a child is inactive, withdraws from others, uninterested in environment, uncommunicative, and has regression behaviors
  4. What is it called when the child becomes more interested in surroundings, interacts with caregivers, resigned to the situation, rarely seen in hospitalized kids, occurs in prolonged parental absences
  5. what is it called when the child cries, screams, attacks stranger physically and verbally, attempts to escape, continues crying
  6. How do infants manifest fear of bodily pain
    • facial expressions
    • body movements
  7. how do toddlers manifest fear of bodily pain
    intense emotional upset and physical resistance
  8. how do preschoolers manifest fear of bodily pain
    aggression, verbal aggression
  9. how do school-age kids manifest fear or bodily pain
    • verbalization of pain
    • procrastinate
    • passive requests for help
  10. how do adolescents manifest fear of bodily pain
    • self-control
    • limited movement
  11. Which behavior would most likely be manifested in a young child experiencing the protest phase of separation anxiety?
    Clings to parent
  12. The most consistent indicator of pain in infants is:
    Facial expression of discomfort.
  13. The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering intravenous antibiotics. The child starts to cry and tells the nurse, "Do it later, O.K.?" The nurse should:
    Start the IV line because unlimited procrastination results in heightened anxiety.
  14. What are the 3 stages of separation anxiety
    • Protest
    • Despair
    • Detachment/denial
  15. what are some examples of protest
    • physically attacking strangers
    • attempts to escape and find parent
    • attempts to physically force parent to stay
  16. what are some examples of despair
    • withdraws from others
    • depressed, sad
    • uninterested in environment
    • uncommunicative
  17. what are some examples of detachment
    • shows increased interest in surroundings
    • interacts with strangers or familiar caregivers
    • behavior represents a superficial adjustment to loss
  18. What is perceiving an external, unrelated, concrete phenomenon as cause of illness (for example "being sick b/c you don't feel well")
  19. What is perceiving cause of illness as proximity b/t 2 events that occur by "magic" (example: getting a cold b/c you are near someone who has a cold)
  20. what are factors influencing the parents' reactions to illness
    • seriousness of the threat to the child
    • previous experience with illness or hospitalization
    • available support systems
    • personal ego strenghts
    • previous coping abilities
    • additional family stressors
    • cultural and religious beliefs
  21. What are some potential drivers for non-organic failure to thrive
    • poverty
    • health or child rearing beliefs
    • inadequate nutritional knowledge
    • family stress
    • feeding resistance
    • neglect
    • insufficient breast milk
  22. what are some nursing interventions for failure to thrive
    • routine care
    • feeding
    • interdisciplinary care team
    • family education
    • document Is & Os, observations, etc
  23. What age is at greatest risk for SIDS
    • 2-3 months
    • 95% of deaths occur by 6 months
  24. How do infants and toddlers react to death
    • least significance
    • may continue to act as if person is still alive
    • reacts more to parental anxiety and sadness
  25. how do preschoolers react to death
    • sometimes think thoughts of death caused the death
    • don't fully comprehend the death
    • illness often seen as a punishment for thoughts or actions
    • greatest fear concerning death is separation from parents
  26. how do school-age kids react to death
    • may feel guilt or responsibility
    • by age 9-10 have an adult concept of death
    • fear mutilation and punishment they associate with death
    • more fears surrounding death
  27. how do adolescents deal with death?
    • More mature understanding
    • most difficulty coping with death
    • least likely to accept cessation of life
    • concern is more for the present than the past or future