PGICH Noida NO-2025
Child Health Nursing (Pediatrics)
Medium

Who play(s) an important role in preparation of the child for hospital admission?

Appeared in: PGICH Noida NO-2025

Explanation

  • Parents are the primary caregivers and the most trusted individuals in a child's life, making them central to the preparation process.
  • A child's reaction to hospitalization is heavily influenced by their parents' response and ability to provide emotional security.
  • Parents can communicate with the child at their developmental level, explaining the need for hospitalization in a way that minimizes fear.
  • The concept of family-centered care emphasizes that parents are integral partners in the child's treatment process, starting with pre-admission preparation.

Why Other Options Were Wrong

  • Option A: The social worker's primary role is to support the family system with logistical, financial, and emotional resources, not to directly prepare the child for the hospital experience.
  • Option B: The paediatric nurse's role is critical during the hospital stay for providing care, orientation, and therapeutic communication. The preparation for admission happens before the nurse's primary interaction begins.
  • Option C: This option is too vague. While a familiar person like a grandparent can be supportive, 'parents' are the specific, primary, and legally responsible caregivers.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Use the key finding related to Psychosocial preparation of a child for hospitalization to guide bedside assessment, documentation, and the next nursing action.
  • Family-centered care is a core principle in pediatrics. Nurses must recognize parents as partners in care and empower them to support their child.
  • Failure to adequately prepare a child can lead to increased anxiety, resistance to treatment, and long-term negative psychological effects like hospital-related phobias.
  • Nurses should assess the parents' anxiety levels, as parental anxiety can be easily transferred to the child. Providing support and information to parents is as important as caring for the child.
How to Approach the Question
  • First, identify the core of the question: it's asking about the most important person for preparing a child for a future event (hospitalization).
  • Consider the psychosocial needs of a child. Their primary need is for security and trust, which is most strongly associated with their parents or primary caregivers.
  • Evaluate the roles of each option. A nurse's role is primarily during the hospital stay. A social worker's role is supportive to the family unit. 'Familiar person' is less specific than 'parents'.
  • Conclude that parents, as the center of the child's world and source of security, play the most vital role in the pre-admission preparation phase.
  • This aligns with the principle of family-centered care, where parents are considered essential members of the care team.
Concept Tested & Keywords
  • Concept Tested: Psychosocial preparation of a child for hospitalization.
  • Stem keywords: child, hospital admission, preparation, important role
  • Lead-in keywords: Who
  • Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.

Question ID

Q1HMBoyEO4_5fEbVNpb6jd

Reference Book

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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