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ATI Pediatrics-MJ > Chapter 10: Hospitalizations, Illness, and Play > Flashcards

Chapter 10: Hospitalizations, Illness, and Play Flashcards

1
Q

Separation anxiety during hospitalization manifests in 3 behavioral responses. What are they?

A

Protest
Despair
Detachment

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2
Q

What separation anxiety behavioral response is this:

Screaming, clinging to parents, verbal and physical aggression toward strangers

A

Protest

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3
Q

What separation anxiety behavioral response is this:

Withdrawl from others, depression, decreased communication, developmental regression

A

Despair

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4
Q

What separation anxiety behavioral response is this:

Interacts with strangers, forms new relationships, appears happy

A

Detachment

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5
Q

Impact of hospitalization based on development-what developmental group is this:

  • Experiences stranger anxiety between 6-18 m of age
  • Displays physical behaviors as expressions of discomfort due to inability to verbalize
  • May experience sleep deprivation due to strange noises, monitoring devices, and procedures
A

Infant

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6
Q

Impact of hospitalization based on development-what developmental group is this:

  • Experiences separation anxiety
  • May exhibit an intense reaction to any type of procedure due to the intrusion of boundaries
  • Behavior may REGRESS
A

Toddler

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7
Q

Impact of hospitalization based on development-what developmental group is this:

  • May experience separation anxiety
  • May harbor fears of bodily harm
  • May believe illness and hospitalization are a punishment
A

Preschooler

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8
Q

Impact of hospitalization based on development-what developmental group is this:

  • Fears loss of control
  • Seeks info as a way to maintain sense of control
  • May sense when not being told the truth
  • May experience stress r/t separation from peers and regular routine
A

School-aged child

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9
Q

Impact of hospitalization based on development-what developmental group is this:

  • Develops body image disturbance
  • Attempts to maintain composure but is embarrassed about losing control
  • Experiences feelings of isolation from peers
  • Worries about outcome and impact on school/activities
  • May not adhere to treatment/medication regimen due to peer influence
A

Adolescent

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10
Q

What are the 6 types of content of play?

A
  • Social affective
  • Sense pleasure
  • Skill
  • Unoccupied behavior
  • Dramatic
  • Games
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11
Q

Define: talking pleasure in relationships

What type of play is this?

A

Social affective

Content of play

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12
Q

Define: objects in the environment catching the child’s attention

What type of play is this?

A

Sense pleasure

Content of play

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13
Q

Define: Demonstrating new abilities

What type of play is this?

A

Skill

Content of play

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14
Q

Define: Focusing attention on something of interest

What type of play is this?

A

Unoccupied behavior

Content of play

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15
Q

Define: Pretending and fantasizing

What type of play is this?

A

Dramatic

Content of play

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16
Q

Define: Imitative, formal, or competitive

What type of play is this?

A

Games

Content of play

17
Q

What are the 5 parts to the social character of play?

A 
Onlooker
Solitary
Parallel
Associative
Cooperative play
18
Q

Social character of play: onlooker?

A

The child observes others

19
Q

Social character of play: solitary?

A

The child playing alone

20
Q

Social character of play: Parallel? What age does this?

A

Children playing independently but among other children–Characteristic of TODDLERS

21
Q

Social character of play: Associative? What age does this?

A

Children playing together without organization–Characteristic of PRESCHOOLERS

22
Q

Social character of play: Cooperative? What age does this?

A

Organized playing in groups–Characteristic of SCHOOL AGE CHILDREN

23
Q

Play helps in the development of many types of skills. What are examples? (6)

A 
Intellectual
Sensorimotor
Social
Self-awareness
Creativity
Therapeutic and moral values
24
Q

What do birth-3 months do for play?

A

Colorful moving mobiles

Music/sound boxes

25
Q

What do 3-6 months do for play?

A

Noise making objects and soft toys

26
Q

What do 6-9 months do for play?

A

TEETHING TOYS and social interaction

27
Q

What do 9-12 months do for play?

A

Large blocks, toys that pop apart, and push pull toys

28
Q

What do toddlers do for play?

A 
Cloth books; large puzzle piece puzzles
Large crayons on paper
PUSH-PULL TOYS
TRICYCLES
Educational TV
Videos for children
29
Q

What do preschoolers do for play?

A

Imitative and imaginative play
Drawing, painting, riding tricycle, swimming , jumping, and running
Education tv and videos

30
Q

What do school-age children do for play?

A 
Games that can be played alone or with others
TEAM SPORTS
Musical instruments
Arts and carfts
COLLECTIONS
31
Q

What do adolescents do for play?

A

TEAM SPORTS
School activities
Reading and listening to music
PEER INTERACTIONS

32
Q

Define:
Makes use of dolls and/or stuffed animals
Encourages the acting out of feelings of fear, anger, hostility, and sadness
Enables the child to learn coping strategies in a safe environment
Assists in gaining cooperation for medical treatment

A

Therapeutic Play

33
Q 
A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child?
A. Describing manifestations of illness
B. Relating fears to magical thinking
C. Understanding cause of illness
D. Awareness of body functioning
A

B

34
Q

A nurse is on a pediatric unit caring for a toddler. Which of the following toddler behaviors is an effect of hospitalization? (select all that apply)
A. Believes the experience is a punishment
B. Experiences separation anxiety
C. Displays intense emotions
D. Exhibits regressive behaviors
E. Manifests disturbance in body image

A

B, C, D

A= what happens in PRESCHOOL kids
E= what happens in ADOLESCENTS
35
Q

A nurse is teaching a parent about parallel play in children. Which of the following statements by the nurse should be included in the teaching?
A. “Children sit and observe others playing”
B. “Children exhibit organized play when in a group”
C. “The child plays along”
D. “The child plays independently when in a group”

A

D

36
Q

A nurse is teaching a group of parents about separation anxiety. Which of the following should be included in the teaching?
A. It is often observed in the school-aged child
B. Detachment is the stage exhibited in the hospital
C. It results in prolonged issues of adaptability
D. Kicking a stranger is an example

A

D

ATI Pediatrics-MJ (41 decks)

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