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70 Cards in this Set
- Front
- Back
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What are the common injuries for 0 12 month old children?
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Mechanical Suffocation
MVC Burns |
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What are the common injuries for 1-3 year olds?
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Poisoning
Drowning Falls Burns MVC |
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What are the common injuries for 3-6 year olds?
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Burns
MVC |
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What are the common injuries for 6-11 year olds?
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Fire arms
MVC Sports injuries |
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What are the common injuries for 12 -18 year olds?
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MVC
Poisoning Fire arms Homicide |
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For 0-12 month olds, what are injury prevention strategies and to whom are they taught?
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They are taught to the caregiver and the parents. They are:
Keep HH items out of reach of children. How to properly use and secure a car seat Hot water heater set low Keep out of sun |
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For 1-3 year olds, what are injury prevention strategies and to whom are they taught?
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They are taught to the parents, and caregivers, somethings are taught to the children. These are:
Keep HH items out of reach Secure windows Apply sunscreen Use safe toilet seat |
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For 3-6 year olds, what are injury prevention strategies and to whom are they taught?
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These are taught to the parents, caregiver, and child. They are:
How to safely store firearms Teach street and stranger safety Wear a bike helmet |
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For 6-11 year olds, what are injury prevention strategies and to whom are they taught?
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They are taught to the parents and the child. They are:
Give clear and precise rules Children will have concrete and cooperative play |
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For 12-18 year olds, what are injury prevention strategies and to whom are they taught?
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They are taught to the child. They are:
Safe driving The effects of drugs and alcohol on the body |
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What is the infant stage according to Erikson's development stages?
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Trust vs Mistrust
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What is the toddler stage according to Erikson's development stages?
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Autonomy vs Shame and Doubt
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What is the preschooler stage according to Erikson's development stages?
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Initiative vs Guilt
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What is school-age child stage according to Erikson's developmental stages?
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Industry vs Inferiority
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What is adolescent stage according to Erikson's developmental stages?
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Identity vs Role Confusion
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What is young-adult stage according to Erikson's developmental stages?
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Intimacy vs Isolation
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What is middle-aged adult stage according to Erikson's developmental stages?
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Generativity vs Stagnation
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What is older adult stage according to Erikson's developmental stages?
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Integrity vs Despair
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What are some intentional child injuries?
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Shaken baby syndrome
Burns Fractures Bruising Internal injuries Munschausen's Syndrome by proxy Homicide Psychological Sexual |
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What are some risk factors associated with abusers?
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Difficulty coping w/stress
Difficulty controlling anger Social isolation/lack of support Low self-esteem History of abuse |
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What is necessary for an infant according to Erikson's developmental stages?
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Needs comfort to trust themselves, others and the environment.
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What must a toddler overcome according to Erikson's developmental stages?
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Master physical environment while maintaining self esteem.
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What must a preschooler overcome according to Erikson's developmental stages?
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Intiates activities, develops a conscience and sexual identity.
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What must a school-aged child overcome according to Erikson's developmental stages?
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Develops a sense of self-worth by refining skills.
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What must an adolescent overcome according to Erikson's developmental stages?
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Creates a self-image.
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What must a young adult overcome according to Erikson's developmental stages?
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Make a personal commitment to another.
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What must a middle-age adult overcome according to Erikson's developmental stages?
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Seeks satisfaction through family, career, and civic duty.
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What must an older adult overcome according to Erikson's developmental stages?
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Reviews life, deals with loss, prepares for death.
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What are child characteristics that increase the potential for abuse?
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Position in the family
Additional physical needs Degree of sensitivity to parental needs Unwanted They remind the parent of someone they do not like Deveopmentally delayed |
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Define physical abuse.
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A physical act that caused or would have caused physical injury.
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Define emotional abuse.
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Willfull or reckless infliction of emotional or mental anquish.
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Define verbal abuse.
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Any use of language that causes someone harm.
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Define neglect
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Disregard; lack of attention and undue care.
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Define sexual abuse.
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Forcing of undesired sexual behavior by one person upon another.
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Define Munchausen's Syndrome by Proxy.
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A parent, usually the mother, intentially causes illness in her child because of the parent's need for attention from a docotor.
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What are the s/s of Shaken Baby Syndrome?
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Subdural or retinal hemorrhage
Lethargic Pukey |
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What are the signs that indicate a burn was intentional?
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On palms, soles of feet, back,or buttocks
Symmetric Inflexion areas will not have a burn in cases of submersion |
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What are the signs that bruising was intentional?
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Located on face, lips, mouth, buttocks, thighs, or area of torso
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What are the signs that a fracture was intentional?
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Located on skull, nose, or face
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What are the signs of pyschological abuse?
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Sudden change in personality or behavior.
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What are signs of neglect?
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Failure to thrive
Malnutrition Sleep disorders |
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What are signs of sexual abuse?
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Abrupt change in personality
Bruises, bleeding,lacerations Bloody or stained underwear Promiscuity |
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What are signs of Munschausen's Syndrome by Proxy?
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Recurrent unexplained illness
Illness unresponsive to treatment |
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What cultural activities may be mistaken as abuse?
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Coining
Cupping Burning Female genitalia mutilation Transitional remedies that contain lead |
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What physical assessments will a nurse make in a case of abuse to a child?
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Skin assessment, neuro assessment, assess the childs mental state, seperate the child from the parent, be aware of body language
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What is a common sign of abuse in child?
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No response to physical pain.
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What are some national resources for injury and abuse prevention?
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CDC
Childwelfare.org |
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What are some local resources to prevent injury and abuse?
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Minnesota Center Against Violence and Abuse
Minnesota Department of Health |
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What function do child abuse laws perform for the healthcare professional?
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They obligate the health care professonal to report suspected cases of child abuse to the appropriate authorities.
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What is the criteria for diagnosing depression?
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The person must experience 5 of 9 effects for a minimum of 2 weeks.
The person's symptoms are not caused by substance abuse The person has never had a manic episode. |
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What is the criteria for diagnosing dysthymic disorder?
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The person has a depressed mood for almost everyday for 2 years.
Must experience 2 of 6 possible symtpoms No major depressive episodes No manic episodes |
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What is the criteria for diagnosing bipolar disorder?
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Experiences manic episodes
Presence of 3 of 7 possible symptoms Presence of depressive episodes |
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What are some signs of depression in adolescents?
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Frequent vague physical complaints
Frequent absences from school Being bored Outburst of shouting Fear of death |
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What are interventions for adolescents who are depressed or suicidal?
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Speak to them like they are an adult
Always be yourself, do not judge Do not self-disclose Validate their feelings |
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What are nursing responsibilities when administering tricyclic antidepressants (Elavil)?
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Do not administer with MAOIs
Give at bedtime because of sedative effect Give with or immediately after food/fluid Not recommended for children under 12 |
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What are nursing responsibilities when administering SSRIs (Prozac, Zoloft, Paxil)?
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Do not take with MAOIs
Do not discontinue abruptly Pay close attention to mood changes (suicidal). |
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What are nursing responsibilities when administering MAOIs (Nardil)?
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Be aware of risk of suicial thinking
Risk of hypertensive crisis |
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What are some measures taken in the ED when a patient has overdosed on a medication?
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ABCs
Establis IV access 12-lead Lidocaine available Valium Ativan Gastric Lavage |
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Define defense mechanisms.
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Tatctical stragtegies used to reduce awareness of guilt, anxiety, ect. . .
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Define denial.
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Acting as if something does not exist or did not happen.
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Define Displacement.
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Transfers affect or reaction from the original object to some more acceptable one.
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Define regression.
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Retreat from current to previous patterns of behavior.
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Define projection.
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Your own traits and emotions are attributed to someone else.
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Define rationalization.
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True motivation is concealed by explaining your actions and feeling in a way that is not threatening.
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What are the symptoms of depression?
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Sad facial expression, solitary play or work, lower grades, tearfulness, crying, aggressive, cannot concentrate.
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What are the symptoms of dysthymic disorder?
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Poor appetite, insomnia or hypersomnia, low energy or fatigue, low self-esteem, feelings of hopelessness.
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What are the symptoms of bipolar disorder?
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Manic episodes mixed with depression episodes.
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What are characteristics of Anorexia Nervosa?
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Unwilling or unable to maintain body weight, fear of weight gain, dread of becoming fat.
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What are symptoms of anorexia nervosa?
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Dieting despite being thin, obsession with calories, pretending to or lying about eating.
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What are the hospilization criteria for a person with anorexia nervosa?
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Suicial threats, severe depression, brittle hair and nails, loss of muscle mass, weight loss exceeds 25% over 3 months, vomiting of blood, K < 3, bradycardia, hypotension.
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