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Children and Their Families - child life milestones milestones by age + effects of hospitalization by age + vaccine routes of administration Exam 1 study guide

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Children and Their Families - child life milestones milestones by age + effects of hospitalization by age + vaccine routes of administration Exam 1 study guide

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Children and Their Families - child life milestones
milestones by age + effects of hospitalization by age +
vaccine routes of administration Exam 1 study guide

Varicella Correct Answers Given SQ

Effect of hospitalization:
Disruption in normal routines; sleep, eating, comfort
Stranger anxiety
Separation anxiety
Disruptions in oral needs

Impact of special needs: may fail to develop sense of trust and
bonding Correct Answers Infants: birth - 1 year (Erikson - trust
vs mistrust; Piaget - sensorimotor)

Effect of hospitalization:
Loss in sense of control
Stranger anxiety
Separation anxiety
Impaired ability to explore
Disruption in routines

Impact of special needs: may have difficulty developing
autonomy Correct Answers Toddlers: 1 - 3 years (Erikson -
autonomy vs shame and doubt phase; Piaget - sensorimotor up
to age 2, then preoperational)

Effect of hospitalization:
Fear of mutilation from intrusive procedures

,Lack of understanding of body integrity (might think all blood
will leak out of IV and want a band-aid)
Active imagination
Egocentric
Magical thinking (might believe sickness is a punishment, etc.)
Control over environment

Impact of special needs: may have difficulty achieving a sense
of initiative Correct Answers Preschooler: 3 - 6 years (Erikson
- initiative vs guilt stage; Piaget - preoperational stage)

Effect of hospitalization:
Concerns about disability and death
Fear injury and pain
Like to know why procedures and tests are performed
Missing friends
Feel helpless and dependent

Impact of special needs: may have difficulty achieving industry
Correct Answers School-age: 6 - 12 years (Erikson - industry vs
inferiority; Piaget - concrete operational)

Effect of hospitalization:
Fear injury and pain
Concerned about body image
Separation from peers (peers = big influence in their life)
Loss of control (identity and independence affected)

Impact of special needs: may have difficulty forming a sense of
self-identity relative to peers Correct Answers Adolescents: 13

, - 20 years (Erikson - identity vs role confusion; Piaget - formal
operations)

Methods to promote coping in children Correct Answers Deep
breathing techniques
Distraction techniques
Imagery (school age or adolescent)
Providing opportunities for therapeutic play ("play is the work
of childhood" - Piaget)
Music
Provide age-appropriate education before events occur
Provide support to siblings and other family members

Techniques to reduce stress in children during invasive
procedures Correct Answers Demonstrate common activities in
nursing care on stuffed animals or dolls first
Avoid the use of medical terms; use developmentally
appropriate language
Allow the child to handle some equipment
Teach the child the steps of the procedure; encourage questions
Show the child the room where he or she will be staying
Introduce the child to other health care personnel
Explain the unfamiliar sounds the child may hear

Preparation for surgery or hospitalization Correct Answers
Provide reassurance and comfort to the child and allow them to
know what will happen and what is expected of them
Must be geared to the child's age and developmental level

Children who have (or are at risk for) conditions beyond the
usual need

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