What does the nurse need to know when observing chronically ill ...

[EAugust]

What does the nurse need to know when observing chronically ill children at play?
 
  a. Play is not important to hospitalized children.
  b. Children need to have structured play periods.
  c. Children's play is an indication of a child's response to treatment.
  d. Play is to be discouraged because it tires hospitalized children.

Question 2

A nurse is planning a teaching session with a child. According to Piagetian theory, the period of cognitive development in which the child is able to distinguish fact from fantasy is the _____ period of cognitive development.
 
  a. sensorimotor
  b. formal operations
  c. concrete operations
  d. preoperational

[mjenn52]

Answer to Question 1

C
Play for all children is an activity woven with meaning and purpose and is a mechanism for mastering their environment. For chronically ill children, play can indicate their state of wellness and response to treatment. Play is important to all children in all environments. Although children's play activities appear unorganized and at times chaotic, play has purpose and meaning. Imposing structure on play interferes with the tasks being worked on. Children who have fewer energy reserves still require play. For these children, less-active play activities will be important.

Answer to Question 2

C
Concrete operations is the period of cognitive development in which children's thinking is shifted from egocentric to being able to see another's point of view. They develop the ability to distinguish fact from fantasy. The sensorimotor stage occurs in infancy and is a period of reflexive behavior. During this period, the infant's world becomes more permanent and organized. The stage ends with the infant demonstrating some evidence of reasoning. Formal operations is a period in development in which new ideas are created through previous thoughts. Analytic reason and abstract thought emerge in this period. The preoperational stage is a period of egocentrism in which the child's judgments are illogical and dominated by magical thinking and animism.