What is an age-appropriate nursing intervention to facilitate ...

[Anajune7]

What is an age-appropriate nursing intervention to facilitate psychologic adjustment for an adolescent expected to have a prolonged hospitalization (select all that apply)?
 
  a. Encourage parents to bring in homework and schedule study times.
  b. Allow the adolescent to wear street clothes.
  c. Involve the parents in care.
  d. Follow home routines.
  e. Encourage parents to bring in favorite foods.

Question 2

A previously potty-trained 30-month-old child has reverted to wearing diapers while hospitalized. The nurse should reassure the parents that this is normal because:
 
  a. Regression is seen during hospitalization.
  b. Developmental delays occur because of the hospitalization.
  c. The child is experiencing urinary urgency because of hospitalization.
  d. The child was too young to be potty-trained.

[micaelaswann]

Answer to Question 1

ANS: A, B, E
Encouraging parents to bring in homework, street clothes, and favorite foods are all developmentally appropriate approaches to facilitate adjustment and coping for an adolescent who will be experiencing prolonged hospitalization. Involving parents in care and following home routines are important interventions for the preschool child who is in the hospital. Adolescents do not need parents to assist in their care. They are used to performing independent self-care. Adolescents may want their parents to be nearby, or they may enjoy the freedom and independence from parental control and routines.

Answer to Question 2

ANS: A
Regression is expected and normal for all age-groups when hospitalized. Nurses should assure the parents this is temporary and the child will return to the previously mastered developmental milestone when back home. This does not indicate a developmental delay. The child should not be experiencing urinary urgency because of hospitalization and this would not be normal. Successful potty-training can be started at 2 years of age if the child is ready.

[Anajune7]

Excellent

[milbourne11]

TYSM