Module 1: Children, Their Families, and the Nurse
This principle means that the nurse considers the child and family as a single unit of care.
What is family-centered care?
The nurse is planning pain management for a 3-year-old after surgery. Which pain assessment tool is most appropriate?
What is the FLACC scale?
This developmental theory describes how children progress through sensorimotor, preoperational, concrete operational, and formal operational stages.
What is Piaget's cognitive development theory?
This age group commonly uses parallel play, in which children play beside—but not necessarily with—other children.
What is the toddler?
According to Erikson, the major developmental task of the school-age child is this versus inferiority.
What is industry?
In pediatric nursing, this type of care recognizes that children should have opportunities to make choices appropriate for their developmental level.
What is atraumatic/child-centered care?
This vaccine is routinely given to infants to protect against a viral disease that can cause severe gastroenteritis and dehydration.
What is rotavirus vaccine?
According to Erikson, the developmental task of the toddler is to develop this versus shame and doubt.
What is autonomy?
The nurse should use this type of language when communicating with a toddler: short, simple statements with concrete words.
What is simple, concrete language?
According to Piaget, school-age children primarily use this type of thinking, allowing them to understand logical relationships involving concrete objects and situations.
What is concrete operational thinking?
Which growth pattern describes development from the head downward?
Cephalocaudal
What is measure recumbent length, weight, and head circumference.
A preschooler believes that illness occurred because they were "bad." This thinking is characteristic of what developmental concept?
What is magical thinking?
A hospitalized preschooler believes that a procedure is punishment for being "bad." This is related to the preschooler's tendency toward this type of thinking.
What is magical thinking?
When interviewing an adolescent, the nurse should provide some time for this type of conversation to encourage honest communication.
What is private/confidential time without the parent present?
A 4-year-old asks, "Am I going to die?" The nurse should respond honestly using developmentally appropriate language rather than saying, "Everything will be fine." This demonstrates what important communication principle?
What is providing honest, developmentally appropriate communication?
A child with pertussis is hospitalized. Which transmission-based precaution should the nurse implement in addition to standard precautions?
What is droplet precautions?
A school-age child is typically developing this Erikson task, in which they gain a sense of competence through school, activities, and accomplishments.
What is industry versus inferiority?
A toddler is hospitalized and becomes upset when separated from the parent. The nurse should recognize this as a normal response called what?
What is separation anxiety?
An adolescent asks the nurse a question about sexual health while the parent is in the room. What should the nurse do?
What is provide appropriate private time for the adolescent to discuss sensitive concerns?
The nurse is caring for a hospitalized toddler. Which intervention best promotes the child's sense of security: allowing the child to choose between two acceptable options, making all decisions for the child, giving lengthy explanations, or allowing unlimited choices?
What is allowing the child to choose between two acceptable options?
When interviewing parents about their child's health history, which statement by the nurse demonstrates effective communication?
What is, "Tell me what brought you here today?"
A 15-year-old is exploring personal values, beliefs, and future goals while developing a sense of self. Which Erikson developmental task is occurring?
What is identity versus role confusion?
A nurse needs to assess a frightened 3-year-old. Which approach is best: immediately begin a head-to-toe assessment, allow the child to sit on the parent's lap and begin with nonthreatening interaction, ask the child to explain their symptoms in detail, or separate the child from the parent?
What is allowing the child to sit with the parent and beginning with nonthreatening interaction?
A hospitalized adolescent refuses to participate in care. Which nursing approach is most appropriate: threaten consequences, ignore the refusal, offer choices and involve the adolescent in decision-making, or have the parent make every decision?
What is offer choices and involve the adolescent in decision-making?