A nurse is providing care to a toddler who has been hospitalized for a chronic illness. Which of the following statements regarding the potential impact of hospitalization on a child's health are correct? (Select All that Apply.)

A. It can lead to physical manifestations in children, like stomach pain, even in the absence of a specific illness or cause: Hospitalization can be a stressful experience for toddlers, and stress may manifest as somatic symptoms such as stomachaches, headaches, or changes in appetite, even without an underlying medical cause. B. Children who are undergoing hospitalization are not affected by changes in their usual routine and environment: Hospitalization disrupts familiar routines and environments, which can increase anxiety, stress, and behavioral changes in children. C. Stress during hospitalization is unlikely to influence the recovery and health outcomes of pediatric clients: Stress can negatively affect immune function, pain perception, and overall recovery, making it an important factor to address in pediatric care. D. It can negatively impact children's mental health: Hospitalization can lead to fear, anxiety, regression, and emotional distress, particularly in toddlers who have limited coping mechanisms and understanding of medical procedures. E. Pediatric clients of all ages experience hospitalization in a similar manner: Children’s reactions to hospitalization vary widely depending on their developmental stage, temperament, previous experiences, and support systems, so experiences are not uniform across all ages.