[ATI] Foundations of Nursing Care of Children (Ch. 1-7)
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Course
ATI
Institution
ATI
[ATI] Foundations of Nursing Care of Children (Ch. 1-7)
Characteristics of healthy families include
Members communicate well and listen to each other.
There is affirmation and support for all members.
There is a clear set of family rules, beliefs, and values.
Members teach respect for others
...
[ATI] Foundations of Nursing Care of Children
(Ch. 1-7)
Characteristics of healthy families include
Members communicate well and listen to each other.
There is affirmation and support for all members.
There is a clear set of family rules, beliefs, and values.
Members teach respect for others
Sense of trust
Play and share humor together
Shared sense of responsibility
Traditions/rituals
Adaptability and flexibility in roles
Seek help for their problems
T/F: Adaptability and flexibility in roles are characteristics of healthy families.
True
Family system theory means that
not just individual members; a change to one member affects entire system, system can
inititate and react to change, too much and too little change can lead to dysfunction.
Too much or too little ____ can lead to family dysfunction.
Change
Family stress theory
Describes stress as inevitable; stressors can be expected or unexpected, explains rx of
family to stressful events; offer guidance for adapting to stress
Family developmental theory
Views families as small groups that interact with the larger social system
Uses Duvall's family life cycle stages to describe the changes a family goes through
over time
How family functions in one stage determines how family functions in the next
Traditional nuclear family
Married couple and their biologic children (only full brothers and sisters)
Nuclear family
two parents and their children (biologic, adoptive, step, foster)
Binuclear family
Parents who have terminated spousal roles but continue their parenting roles
Changes that occurs with the birth/adoption of a first child
Parents' sense of self as they transition to new parental role
Division of labor and roles within the relationship of couples
Relationships with grandparents
Work relationships
Increased financial responsibilities and possible loss of income
Necessary sleep habit changes
Types of Parenting include
Dictatorial or authoritarian
Permissive
, Democratic or authoritative
Passive
Dictatorial/authoritarian parenting
Try to control the child's behaviors and attitudes through unquestioned rules and
expectations
Permissive parenting
Parents exert little or no control over the child's behaviors and consult the child when
making decisions
Democratic/authoritative parenting
Parents direct the child's behavior by setting rules and explaining the reason for each
rule setting
Parents NEGATIVELY reinforce deviations from the rules.
Passive parenting
Parents are uninvolved, indifferent, and emotionally removed.
Guidelines for promoting acceptable behavior in children
Set clear, realistic limits and expectations that are developmentally appropriate
Validate the child's feelings and offer sympathetic explanations
Provide role modeling and reinforcement for appropriate behavior
Focus on the child's behavior when disciplining the child
Parts of family assessment
History
Structure
Developmental tasks
Family characteristics
Family stressors
Environment
Family support systems
At what age do you need to consider whether a child wants a caregiver in the
room during assessment or to be assessed alone?
Older school age and adolescence
T/F: A toddler may sit on a parent's lap if desired during examination.
True; want to ensure a secure, comfortable position.
If a child is uncooperative during procedure, nurse should:
assess reasons, be firm and direct about expected behavior, complete the assessment
quickly, and use a calm voice.
Recommended route to determine temperature in infants 0-12 months
Axillary
Rectal for exact
Expected temperature for children 0-6 months
37.5 C (99.5)
Expected temperature for children 1 years
37.7 (99.9)
Expected temperature for children 3 years
37.2 (99.0)
Expected temperature for children 5 years
37.0 (98.6)
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