DAVIS ADVANTAGE FOR PEDIATRIC NURSING: CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION KATHRYN RUDD
Chapter 1 Issues and Trends in Pediatric Nursing
MULTIPLE CHOICE
Identify the choice that best completes the statement or answers the question.
1.
2.
...
DAVIS ADVANTAGE FOR PEDIATRIC NURSING: CRITICAL
COMPONENTS OF NURSING CARE, 3RD EDITION KATHRYN RUDD
TESTBANK| ALL CHAPTERS 1 - 22 | COMPLETE GUIDE FOR 2024-
2025(ANSWER KEY AT THE END OF EACH CHAPTER)
,Chapter 1 Issues and Trends in Pediatric Nursing
MULTIPLE CHOICE
Identify the choice that best completes the statement or answers the question.
1. The nurse practitioner has provided a presentation to middle school children about nursing as a
career. One ofthe children stated that he wanted to be a pediatric nurse practitioner, because he
wants to take care of babies and little “kids.” What would be an appropriate response to this
middle school–aged child?
1. “Nursing is a general practice; all nurse practitioners must know how to take care
of all ages ofclients.”
2. “As a pediatric nurse practitioner, you would get to care for babies and little
kids as well aschildren through their teenage years.”
3. “What you are describing is actually a neonatal nurse practitioner. Neonatal
nurse practitioners work withnewborn babies, toddlers, and preschool-age
children.”
4. “Being a pediatric nurse practitioner requires a master’s degree, so be sure to
2. work hard inschool!”
The medical-surgical float nurse practitioner is assigned to the pediatric unit for the first time and
states thatthe skills are “the same as general nursing since children are little adults with smaller
bodies.” What component of pediatric nursing contraindicates this statement?
1. Pediatric nursing involves care based on the developmental level of the client.
2. Pediatric nursing involves the client’s family in the plan of care.
3. Pediatric nursing in based on prevention of infectious diseases.
3. 4. Pediatric nursing involves cultural sensitivity in client care.
The culturally sensitive pediatric nurse practitioner is aware of the racial makeup of the U.S.
population. Which of the following reflects the demographics of the U.S. pediatric population in
2018, basedon U.S. Census Bureau data?
1. The American Indian and Alaska Native population represent one-fifth of the
pediatric population.
2. About half of the children fall in the category of something other than White non-
Hispanic.
3. The population of Asian children decreased from 2015 to 2018.
4. There was no change in the population of Non-Hispanic children who represent
4. two or more races between 2015 and 2018.
The nurse practitioner at a family clinic is providing care to an adolescent client diagnosed with
diabetes. The client has verbalized discomfort with the feelings of isolation when unable to drink
alcohol with their friends. Which of the following would be the most appropriate response to this
statement?
1. “Drinking alcohol is not only illegal but dangerous for your blood sugar control
and overall well-being.”
2. “You can still drink alcohol, in moderation, if you control the sugar spike with
more insulin.”
3. “Prepare for alcohol intake with more water and less carbohydrates before drinking
to slow sugar spikes.”
4. “It is understandable that you want to be included, but perhaps we can work out a
plan on how to work through those situations.”
,5. Which statement best describes the common core concepts of the different models of pediatric
nursing?
1. All models focus on the open communication between the child and nurse practitioner.
2. All models focus on importance of family relationship to the child.
3. All models focus on safeguarding the child’s dignity during care.
4. All models focus on coordination of care needs that arise during illness.
6. Which of the following tasks is associated with the pediatric medical home care model of pediatric
nursing?
1. The nurse practitioner refers the family to a childhood cancer support group prior
to discharge from the hospital.
2. The nurse practitioner includes a simple explanation of the procedure to the child
based on thechild’s developmental level.
3. The nurse practitioner includes the family’s cultural celebrations and
observations whileproviding care to the child.
4. The nurse practitioner develops the plan of care with the child and family as the
focal point ofthe interventions.
7. The pediatric nurse practitioner begins a research project on 8-year-old clients with the medical
diagnosis ofpediatric acute-onset neuropsychiatric syndrome (PANS). The family has consented
to the research, but as the nurse practitioner begins to administer the intervention, the client
refuses to cooperate. What is the appropriate response to this refusal?
1. The nurse practitioner should discuss with the family the options of
performing the intervention without the child’s knowledge.
2. The nurse practitioner should explain to the child that this is necessary and
promise a reward atthe end of the research project.
3. The nurse practitioner should refuse to perform the intervention until the child
consents to theintervention and project.
4. The nurse practitioner should discuss the pros and cons of the research project
with the childand focus on the outcomes.
8. A nurse practitioner is providing relationship-based care to a pediatric client. Which of the
following is achallenge the nurse practitioner is likely to encounter while using this model of
care?
1. Maintaining a sterile field for a procedure with a restless toddler
2. Communicating with the blended family on regular basis
3. Treating children with antibiotic-resistant illnesses
4. Caring for a larger number of children with autism spectrum disorders and
childhood depression
9.
The pediatric nurse practitioner desires to expand his or her career options to become the
hospital’s nurse practitioner educator of pediatrics. Which of the following is necessary for this
nurse practitioner to achieve this careergoal?
1. The nurse practitioner is recommended to earn a minimum of a master’s degree in nursing.
2. The nurse practitioner must earn a minimum of a doctorate degree in nursing.
3. The nurse practitioner must implement and develop research in nursing practice.
4. The nurse practitioner must implement a plan to obtain certification in pediatrics.
, 10. The school nurse practitioner is developing a teaching session for the population of children in a
middle school. The nurse practitioner has determined that the greatest need for the overall
health of the children is promotion of healthy foods. Which of the following interventions is
most likely to be effective?
1. Remove all unhealthy snacks from the vending machines.
2. Have a poster contest on healthy eating options.
3. Survey the student population during lunch breaks.
4. Engage the students in healthy choices with cooking lessons.
11. The nurse practitioner recognizes the needs of professional development to provide safe and
effective care tothe pediatric population by attending which of the following courses?
1. Procedure with rationale to administer human papilloma vaccine to the middle
school population
2. Study review of the incidence of bullying and intimidation in the elementary
school population
3. Demographic study of the U.S. population with regard to cultural diversity and
practices
4. How to provide individual health care education for the children without parental
interference
12. Which of the following continuing education courses would best enhance the pediatric nurse
practitioner’spractice in relationship to current trends?
1. Evidence-based practice on improving antibiotic adherence with education to the
family unit
2. Evidence-based practice on proper administration of antibiotics for children with
autoimmune diseases
3. How to enhance communication with children in regards to adherence to antibiotic
use
4. How to decrease instances of exacerbation of infections of children with
autoimmune diseases with antibiotics
13. The pediatric nurse practitioner is developing interventions for a school-aged child based on the
nursing diagnosis of imbalanced nutrition related to a body mass index (BMI) of 37 and poor food
choicesas evidenced by client’s mother’s food diary for the family and child’s statements of food
preferences. Which of the following would be an appropriate nursing intervention?
1. Provide the child and family with information from https://www.MyPlate.gov for
healthy food options.
2. Increase the child’s activity by incorporating the child’s friends into a plan of
healthy exercise options.
3. Explain the importance of balancing diet and exercise to prevent obesity to the
child and family.
4. Provide information on the increased risk for potential disease processes such as
diabetes and hypertension.
14. The nurse practitioner is developing interventions for a transgender adolescent based on the
nursing diagnosisdecreased self-esteem related to transgender identity as evidenced by
statements of feeling “worthless, different, and alone.” What would be the most appropriate
intervention based on thediagnosis?
1. Give positive RATIONALE on personal choices as appropriate.
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