, Essentials of Pediatric Nursing 4th Edition Kyle Carman Test Bank v i v i v i v i v i v i v i vi v i
CHAPTER 1 Introduction to Child Health and Pediatric Nursing vi vi vi vi vi vi vi vi i
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MULTIPLE CHOICE vi
1. A nurse is planning a teaching session for parents of preschool children. Whic
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hstatement explains why the nurse should include information about morbidity a
i
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ndmortality?
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a. Life-span statistics are included in the data. vi vi vi vi vi vi
b. It explains effectiveness of treatment.
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c. Cost-effective treatment is detailed for the general population. vi vi vi vi vi vi vi
d. High-
risk age groups for certain disorders or hazards are identified.ANS: D
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Analysis of morbidity and mortality data provides the parents with information about wh
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ich groups of individuals are at risk for which health problems. Life-
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span statistics is apart of the mortality data. Treatment modalities and cost are not includ
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ed in morbidity and mortality data.
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PTS: 1 DIF: Cognitive Level: Apply REF: 6-
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8 TOP: Integrated Process: Nursing Process: Planni
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ng
MSC: Area of Client Needs: Health Promotion and Maintenance
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2. A clinic nurse is planning a teaching session about childhood obesity prevention for p
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arents of school- vi vi
age children. The nurse should include which associated risk of obesityin the teaching pl
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an?
a. Type I diabetes vi vi
b. Respiratory disease vi
c. Celiac disease vi
d. Type II diabetes vi vi vi
ANS: D vi
Childhood obesity has been associated with the rise of type II diabetes in children. Type I
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i
diabetes is not associated with obesity and has a genetic component. Respiratory disease
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is not associated with obesity, and celiac disease is the inability to metabolize gluten in f
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oods and is not associated with obesity.
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PTS: 1 DIF: Cognitive Level: Apply REF: 3
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TOP: Integrated Process: Nursing Process: Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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3. Which is the leading cause of death in infants younger than 1 year?
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a. Congenital anomalies vi
b. Sudden infant death syndrome vi vi vi
c. Respiratory distress syndrome vi vi
d. Bacterial sepsis of the newbor vi vi vi vi
nANS: A
i
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Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden
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v
infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress
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v
syndrome accounts for 3.4% of deaths in this age group. Infections specific to the perinat
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al period account for 2.7% of deaths in this age group.
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,PTS: 1 DIF: Cognitive Level: Remember REF: 7 TO
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P: Integrated Process: Nursing Process: Assessment
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MSC: Area of Client Needs: Health Promotion and Maintenance
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4. Which leading cause of death topic should the nurse emphasize to a group of African-
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American boys ranging in ages 15 to 19 years?
i
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a. Suicide
b. Cancer
c. Firearm homicide vi
d. Occupational injuries vi vi
ANS: C vi
Firearm homicide is the second overall cause of death in this age group and the leading c
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ause of death in African-American males. Suicide is the third-
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leading cause of death in this population. Cancer, although a major health problem, is the
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fourth-
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leading cause of death in this age group. Occupational injuries do not contribute to a signi
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ficant death ratefor this age group.
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PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8T
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v
OP: Integrated Process: Nursing Process: Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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5. Which is the major cause of death for children older than 1 year?
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a. Cancer
b. Heart disease vi
c. Unintentional injuries vi
d. Congenital anomalies vi vi
ANS: C vi
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
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adolescence. Congenital anomalies are the leading cause of death in those younger than
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1year. Cancer ranks either second or fourth, depending on the age group, and heart disea
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seranks fifth in the majority of the age groups.
i
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PTS: 1 DIF: Cognitive Level: Remember REF: 8 TO
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P: Integrated Process: Nursing Process: Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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6. Which is the leading cause of death from unintentional injuries for females ranging i
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nage from 1 to 14?
i
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a. Mechanical suffocation vi
b. Drowning
c. Motorvehicle-related fatalities vi
d. Fire- and burn- vi vi
related fatalitiesANS: C vi vi vi
Motorvehicle-
related fatalities are the leading cause of death for females ranging in agefrom 1 to 14,
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either as passengers or as pedestrians. Mechanical suffocation is fourth orfifth, dependi
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v vi
ng on the age. Drowning is the second- or third-
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leading cause of death, depending on the age. Fire- and burn-
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related fatalities are the second-leading cause of death.
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PTS: 1 DIF: Cognitive Level: Remember REF: 4 TO
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P: Integrated Process: Nursing Process: Assessment
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MSC: Area of Client Needs: Health Promotion and Maintenance
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, 7. Which factor most impacts the type of injury a child is susceptible to, according to th
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echilds age?
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a. Physical health of the child vi vi vi vi
b. Developmental level of the child vi vi vi vi
c. Educational level of the child vi vi vi vi
d. Number of responsible adults in the hom vi vi vi vi vi vi
eANS: B
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The childs developmental stage determines the type of injury that is likely to occur. The
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childs physical health may facilitate the childs recovery from an injury but does not impa
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ct the type of injury. Educational level is related to developmental level, but it is not as i
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mportant as the childs developmental level in determining the type of injury. The number
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of responsible adults in the home may affect the number of unintentional injuries,but the
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type of injury is related to the childs developmental stage.
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PTS: 1 DIF: Cognitive Level: Understand REF: 3-
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4TOP: Integrated Process: Nursing Process: Planning
i
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MSC: Area of Client Needs: Health Promotion and Maintenance
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8. Which is now referred to as the new morbidity? vi vi vi vi vi vi vi vi
a. Limitations in the major activities of daily living vi vi vi vi vi vi vi
b. Unintentional injuries that cause chronic health problems vi vi vi vi vi vi
c. Discoveries of new therapies to treat health problems vi vi vi vi vi vi vi
d. Behavioral, social, and educational problems that alter healt vi vi vi vi vi vi vi
hANS: D i
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The new morbidity reflects the behavioral, social, and educational problems that interfere
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v
with the childs social and academic development. It is currently estimated that the incide
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nce of these issues is from 5% to 30%. Limitations in major activities of daily living and
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unintentional injuries that result in chronic health problems are included in morbidity dat
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a. Discovery of new therapies would be reflected in changes in morbidity data over time.
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PTS: 1 DIF: Cognitive Level: Remember REF: 3 TO
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P: Integrated Process: Nursing Process: Assessment
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MSC: Area of Client Needs: Health Promotion and Maintenance
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9. A nurse on a pediatric unit is practicing family-
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centered care. Which is mostdescriptive of the care the nurse is delivering?
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a. Taking over total care of the child to reduce stress on the family
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b. Encouraging family dependence on health care systems vi vi vi vi vi vi
c. Recognizing that the family is the constant in a childs life vi vi vi vi vi vi vi vi vi vi
d. Excluding families from the decision- vi vi vi vi
making processANS: C vi vi vi
The three key components of family-
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centered care are respect, collaboration, and support.Family-
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centered care recognizes the family as the constant in the childs life. Taking over total ca
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re does not include the family in the process and may increase stress instead of reducing
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stress. The family should be enabled and empowered to work with the health care system
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. The family is expected to be part of the decision-making process.
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PTS: 1 DIF: Cognitive Level: Remember REF: 8
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TOP: Integrated Process: Nursing Process: Implementation MS
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C: Area of Client Needs: Health Promotion and Maintenance
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