IGNOU Post B. SC. Nursing entrance-2019
Child Health Nursing (Pediatrics)
Medium
The changing focus of a Paediatric Nurse is on one of the following?
Appeared in: IGNOU Post B. SC. Nursing entrance-2019
Explanation
- Modern pediatric nursing has shifted from a disease-focused model to a holistic, family-centered approach.
- This approach is comprehensive, covering the entire health continuum from the perinatal period through adolescence.
- The core focus includes health promotion, disease prevention, and continuous follow-up, not just treating acute illness.
- It recognizes the family as the constant in a child's life and involves them as essential partners in the care process, a concept known as family-centered care.
Why Other Options Were Wrong
- Option A: This is an outdated model that narrowly focuses on the child's pathology, ignoring the broader context of the child's family, development, and preventive health needs.
- Option B: This is too specific and primarily falls under the scope of obstetrics and maternal-fetal medicine. Pediatric nursing's scope begins at birth and extends through adolescence.
- Option C: This is an overly restrictive view. Modern pediatric care occurs in various settings (home, community, school) and includes well-child visits and health promotion for healthy children.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Modern trends and philosophy of pediatric nursing helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Practicing family-centered care improves patient and family satisfaction, enhances adherence to treatment plans, and leads to better health outcomes.
- The modern pediatric nurse acts as an educator, advocate, and coordinator, empowering families to manage their child's health effectively and navigate the healthcare system.
- What if? If a hospitalized child's parents are unable to stay overnight, a family-centered nurse would facilitate virtual communication (e.g., video calls), provide regular, detailed updates, and involve the parents in care planning remotely to minimize the stress of separation.
How to Approach the Question
- First, analyze the question stem. The key phrase is 'changing focus,' which signals a need to identify the most current and evolved concept in pediatric nursing.
- Next, evaluate each option to determine its scope and philosophy.
- Recognize that options like 'disease centered' and 'only care of a sick child in hospital' represent narrow, traditional, or outdated views of nursing.
- Look for the option that is the most comprehensive and holistic. The correct answer in such questions often integrates multiple aspects of care (e.g., prevention, promotion, family involvement, and a broad timeline).
- Option D includes the child, family, a wide time frame (perinatal to follow-up), and a focus on prevention and health promotion, making it the most complete and modern description of pediatric nursing.
Concept Tested & Keywords
- Concept Tested: Modern trends and philosophy of pediatric nursing.
- Stem keywords: Paediatric Nurse, changing focus
- Lead-in keywords: is on one of the following
- Negative lead-in flag: false
Question ID
Q2Z551B7SyR-udx1tCG34b
Reference Book
E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 1 (pp 36-238 of 713) pp. 27-29, 22-24
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 13012-13014
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