Answer to Question 1
2
Rationale:
1. Infants are not at greatest risk from hospitalizations as long as they have their needs met.
2. Toddlers are the group at greatest risk for a stressful experience as a result of illness and hospitalization. This age group is old enough to understand that their routine has been disrupted, but they lack the cognitive ability to understand why.
3. Preschool-age children are old enough to understand more of why their routine is disrupted, and that they did not misbehave to cause their illness or hospitalization.
4. School-age children are the most likely to understand why their routine is disrupted, and that their illness has nothing to do anything they might have done.
Answer to Question 2
3
Rationale 1: The nurse should not use medical terms to discuss the child's procedure.
Rationale 2: In most circumstances, it is not only permitted but desired to have the parents present during a procedure.
Rationale 3: Parents often want to support their child before and after procedures, and their presence offers reassurance and comfort to the child. Prepare family members for what to anticipate and what is expected of them.
Rationale 4: The nurse can speak to the family to prepare them and does not need to wait for the physician.
Global Rationale:
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