TEST BANK FOR PRINCIPLES OF PEDIATRIC NURSING
8THEDITION CARING FOR CHILDREN BY KAY
COWEN; LAURAWISELY; ROBIN DAWSON; JANE
BALL; RUTH BINDLER
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,Principles Of Pediatric Nursing: Caring For Children, 7e (Ball Et Al.)
Chapter 1 Nurse's Role In Care Of The Child: Hospital, Community, And Home
1) Which Nursing Role Is Not Directly Involved When Providing Family-Centered Approach
To The Pediatric Population?
1. Advocacy
2. Case Management
3. Patient Education
4. Researcher
Answer: 4
Feedback:: 1. A Researcher Is Not Involved In The Family-Centered Approach To Patient Care
Of Children And Their Families. Advocacy, Case Management, And Patient Education Are All
Roles Directly Involved In The Care Of Children And Their Families.
2. A Researcher Is Not Involved In The Family-Centered Approach To Patient Care Of
Children And Their Families. Advocacy, Case Management, And Patient Education Are All
Roles Directly Involved In The Care Of Children And Their Families.
3. A Researcher Is Not Involved In The Family-Centered Approach To Patient Care Of
Children And Their Families. Advocacy, Case Management, And Patient Education Are All
Roles Directly Involved In The Care Of Children And Their Families.
4. A Researcher Is Not Involved In The Family-Centered Approach To Patient Care Of
Children And Their Families. Advocacy, Case Management, And Patient Education Are All
Roles Directly Involved In The Care Of Children And Their Families.
Page Ref: 4
Cognitive Level: Analyzing
Client Need &Sub: Safe And Effective Care Environment: Management Of Care
Standards: QSEN Competencies: Patient-Centered Care | AACN Essential Competencies:
Essential II: Basic Organizational And Systems Leadership For Quality Care And Patient Safety
| NLN Competencies: Professional Identity | Nursing/Integrated Concepts: Nursing Process:
Assessment/Coordination Of Care
Learning Outcome: LO 1.2 Compare The Roles Of Nurses In Child
Healthcare. MNL LO: Family-Centered Care
2) A Nurse Is Working With Pediatric Clients In A Research Facility. The Nurse Recognizes
That Federal Guidelines Are In Place That Delineate Which Pediatrics Clients Must Give
Assent For Participation In Research Trials. Based Upon The Client's Age, The Nurse
Would Seek Assent From Which Children?
Select All That Apply.
1. The Precocious 4-Year-Old Commencing As A Cystic Fibrosis Research-Study Participant.
2. The 7-Year-Old Leukemia Client Electing To Receive A Newly Developed Medication,
Now Being Researched.
3. The 10-Year-Old Commencing In An Investigative Study For Clients With Precocious Puberty.
4. The 13-Year-Old Client Commencing Participation In A Research Program For Attention
Deficit Hyperactivity Disorder (ADHD) Treatments.
Answer: 2, 3, 4
Feedback:: 1. Federal Guidelines Mandate That Research Participants 7 Years Old And Older
Must Receive Developmentally Appropriate Information About Healthcare Procedures And
Treatments And Give Assent.
2. Federal Guidelines Mandate That Research Participants 7 Years Old And Older Must
Receive Developmentally Appropriate Information About Healthcare Procedures And
Treatments And Give Assent.
,3. Federal Guidelines Mandate That Research Participants 7 Years Old And Older Must
Receive Developmentally Appropriate Information About Healthcare Procedures And
Treatments And Give Assent.
4. Federal Guidelines Mandate That Research Participants 7 Years Old And Older Must
Receive Developmentally Appropriate Information About Healthcare Procedures And
Treatments And Give Assent.
Page Ref: 11, 12
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-Centered Care | AACN Essential Competencies:
Essential V: Healthcare Policy, Finance, And Regulatory Environments | NLN Competencies:
Nursing Judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination Of
Care
Learning Outcome: LO 1.6 Examine Three Unique Pediatric Legal And Ethical Issues In Pediatric
Nursing Practice.
MNL LO: Developmentally Appropriate Care
3) The Nurse In A Pediatric Acute Care Unit Is Assigned The Following Tasks. Which Task Is Not
Appropriate For The Nurse To Complete?
1. Diagnose An 8-Year-Old With Acute Otitis Media And Prescribe An Antibiotic.
2. Listen To The Concerns Of An Adolescent About Being Out Of School For A Lengthy
Surgical Recovery.
3. Provide Information To A Mother Of A Newly Diagnosed 4-Year-Old Diabetic
About Local Supportgroup Options.
4. Diagnose A 6-Year-Old With Diversional Activity Deficit Related To Placement In
Isolation. Answer: 1
Feedback:: 1. The Role Of The Pediatric Nurse Includes Providing Nursing Assessment,
Directing Nursing Care Interventions, And Educating Client And Family At Developmentally
Appropriate Levels; Client Advocacy, Case Management, Minimization Of Distress, And
Enhancement Of Coping. Advanced Practice Nurse Practitioners Perform Assessment,
Diagnosis, And Management Of Health Conditions.
2. The Role Of The Pediatric Nurse Includes Providing Nursing Assessment, Directing
Nursing Care Interventions, And Educating Client And Family At Developmentally
Appropriate Levels; Client Advocacy, Case Management, Minimization Of Distress, And
Enhancement Of Coping. Advanced Practice Nurse Practitioners Perform Assessment,
Diagnosis, And Management Of Health Conditions.
3. The Role Of The Pediatric Nurse Includes Providing Nursing Assessment, Directing
Nursing Care Interventions, And Educating Client And Family At Developmentally
Appropriate Levels; Client Advocacy, Case Management, Minimization Of Distress, And
Enhancement Of Coping. Advanced Practice Nurse Practitioners Perform Assessment,
Diagnosis, And Management Of Health Conditions.
4. The Role Of The Pediatric Nurse Includes Providing Nursing Assessment, Directing
Nursing Care Interventions, And Educating Client And Family At Developmentally
Appropriate Levels; Client Advocacy, Case Management, Minimization Of Distress, And
Enhancement Of Coping. Advanced Practice Nurse Practitioners Perform Assessment,
Diagnosis, And Management Of Health Conditions. Page Ref: 2-4
Cognitive Level: Applying
Client Need &Sub: Safe And Effective Care Environment: Management Of Care
Standards: QSEN Competencies: Patient-Centered Care | AACN Essential Competencies:
Essential II: Basic Organizational And Systems Leadership For Quality Care And Patient Safety
| NLN Competencies: Professional Identity | Nursing/Integrated Concepts: Nursing Process:
,Implementation/Coordination Of Care
Learning Outcome: LO 1.2 Compare The Roles Of Nurses In Child
Healthcare. MNL LO: Pediatric Nursing Care
4) A 7-Year-Old Child Is Admitted For Acute Appendicitis. The Parents Are Questioning The
Nurse About Expectations During The Child's Recovery. Which Information Tool Would Be
Most Useful In Answering A Parent's Questions About The Timing Of Key Events?
1. Healthy People 2020
2. Clinical Pathways
3. Child Mortality Statistics
4. National Clinical Practice
Guidelines Answer: 2
Feedback:: 1. Clinical Pathways Are Interdisciplinary Documents Provided By A Hospital To
Suggest Ideal Sequencing And Timing Of Events And Interventions For Specific Diseases To
Improve Efficiency Of Care And Enhance Recovery. This Pathway Serves As A Model
Outlining The Typical Hospital Stay For Individuals With Specified Conditions. Healthy
People 2020 Contains Objectives Set By The U.S. Government To Improve The Health And
Reduce The Incidence Of Death In The
Twenty-First Century. Child Mortality Statistics Can Be Compared With Those From Other
Decades For The Evaluation Of Achievement Toward Health-Care Goals. National Clinical
Practice Guidelines Promote Uniformity In Care For Specific Disease Conditions By Suggesting
Expected Outcomes From Specific Interventions.
2. Clinical Pathways Are Interdisciplinary Documents Provided By A Hospital To Suggest
Ideal Sequencing And Timing Of Events And Interventions For Specific Diseases To Improve
Efficiency Of Care And Enhance Recovery. This Pathway Serves As A Model Outlining The
Typical Hospital Stay For Individuals With Specified Conditions. Healthy People 2020 Contains
Objectives Set By The U.S. Government To Improve The Health And Reduce The Incidence Of
Death In The Twenty-First Century. Child Mortality Statistics Can Be Compared With Those
From Other Decades For The Evaluation Of Achievement Toward Health-Care Goals. National
Clinical Practice Guidelines Promote Uniformity In Care For Specific Disease Conditions By
Suggesting Expected Outcomes From Specific Interventions.
3. Clinical Pathways Are Interdisciplinary Documents Provided By A Hospital To Suggest
Ideal Sequencing And Timing Of Events And Interventions For Specific Diseases To Improve
Efficiency Of Care And Enhance Recovery. This Pathway Serves As A Model Outlining The
Typical Hospital Stay For Individuals With Specified Conditions. Healthy People 2020 Contains
Objectives Set By The U.S. Government To Improve The Health And Reduce The Incidence Of
Death In The Twenty-First Century. Child Mortality Statistics Can Be Compared With Those
From Other Decades For The Evaluation Of Achievement Toward Health-Care Goals. National
Clinical Practice Guidelines Promote Uniformity In Care For Specific Disease Conditions By
Suggesting Expected Outcomes From Specific Interventions.
4. Clinical Pathways Are Interdisciplinary Documents Provided By A Hospital To Suggest
Ideal Sequencing And Timing Of Events And Interventions For Specific Diseases To Improve
Efficiency Of Care And Enhance Recovery. This Pathway Serves As A Model Outlining The
Typical Hospital Stay For Individuals With Specified Conditions. Healthy People 2020 Contains
Objectives Set By The U.S. Government To Improve The Health And Reduce The Incidence Of
Death In The Twenty-First Century. Child Mortality Statistics Can Be Compared With Those
From Other Decades For The Evaluation Of Achievement Toward Health-Care Goals. National
Clinical Practice Guidelines Promote Uniformity In Care For Specific Disease Conditions By
Suggesting Expected Outcomes From Specific Interventions. Page Ref: 1, 2
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-Centered Care | AACN Essential Competencies:
, Essential II: Basic Organizational And Systems Leadership For Quality Care And Patient Safety
| NLN Competencies: Nursing Judgement | Nursing/Integrated Concepts: Nursing Process:
Planning/Health Teaching And Health Promotion
Learning Outcome: LO 1.1 Describe The Continuum Of Pediatric
Healthcare. MNL LO: Family-Centered Care
5) The Nurse Recognizes That The Pediatric Client Is From A Cultural Background Different
From That Of The Hospital Staff. Which Goal Is Most Appropriate For This Client When
Planning Nursing Care?
1. Overlook Or Minimize The Differences That Exist.
2. Facilitate The Family's Ability To Comply With The Care Needed.
3. Avoid Inadvertently Offending The Family By Imposing The Nurse's Perspective.
4. Encourage Complementary Beneficial Cultural Practices As Primary Therapies. Answer: 2
Feedback:: 1. The Incorporation Of The Family's Cultural Perspective Into The Care Plan Is
Most Likely To Result In The Family's Ability To Accept Medical Care And Comply With
The Regimen Prescribed. Since Culture Develops From Social Learning, Attempts To Ignore
Or Minimize Cultural Consideration Will Result In Mistrust, Suspicion, Or Offenses That Can
Have Negative Effects Upon The Health Of Children By Reducing The Resources Available
To Promote Health And Prevent Illness. Complementary Therapy May Be Used Later If Other
Primary Therapies Prove To Be Ineffective.
2. The Incorporation Of The Family's Cultural Perspective Into The Care Plan Is Most
Likely To Result In The Family's Ability To Accept Medical Care And Comply With The
Regimen Prescribed. Since Culture Develops From Social Learning, Attempts To Ignore Or
Minimize Cultural Consideration Will Result In Mistrust, Suspicion, Or Offenses That Can
Have Negative Effects Upon The Health Of Children By Reducing The Resources Available
To Promote Health And Prevent Illness. Complementary Therapy May Be Used Later If Other
Primary Therapies Prove To Be Ineffective.
3. The Incorporation Of The Family's Cultural Perspective Into The Care Plan Is Most
Likely To Result In The Family's Ability To Accept Medical Care And Comply With The
Regimen Prescribed. Since Culture Develops From Social Learning, Attempts To Ignore Or
Minimize Cultural Consideration Will Result In Mistrust, Suspicion, Or Offenses That Can
Have Negative Effects Upon The Health Of Children By Reducing The Resources Available
To Promote Health And Prevent Illness. Complementary Therapy May Be Used Later If Other
Primary Therapies Prove To Be Ineffective.
4. The Incorporation Of The Family's Cultural Perspective Into The Care Plan Is Most
Likely To Result In The Family's Ability To Accept Medical Care And Comply With The
Regimen Prescribed. Since Culture Develops From Social Learning, Attempts To Ignore Or
Minimize Cultural Consideration Will Result In Mistrust, Suspicion, Or Offenses That Can
Have Negative Effects Upon The Health Of Children By Reducing The Resources Available
To Promote Health And Prevent Illness. Complementary Therapy May Be Used Later If Other
Primary Therapies Prove To Be Ineffective. Page Ref: 3
Cognitive Level: Applying
Client Need &Sub: Health Promotion And Maintenance
Standards: QSEN Competencies: Patient-Centered Care | AACN Essential Competencies:
Essential II: Basic Organizational And Systems Leadership For Quality Care And Patient Safety
| NLN Competencies: Professional Identity | Nursing/Integrated Concepts: Nursing Process:
Planning/Coordination Of Care
Learning Outcome: LO 1.3 Analyze The Current Societal Influences On Pediatric Healthcare And
Nursing Practice.
MNL LO: Family-Centered Care
6) The Telephone Triage Nurse At A Pediatric Clinic Knows Each Call Is Important. Which Call
Would Require Attentiveness From The Nurse Because Of An Increased Risk Of Mortality?
1. A 3-Week-Old Infant Born At 35 Weeks' Gestation With Gastroenteritis
2. A Term 2-Week-Old Infant Of American Indian Descent With An Upper Respiratory Infection
3. A Postterm 4-Week-Old Infant Non-Hispanic Black Descent With Moderate Emesis After
Feeding