WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Family-Centered
Care Philosophy
Stem
A 3-year-old toddler with newly diagnosed type 1 diabetes is
admitted for diabetes education. The parents express anxiety
and ask the nurse to “just tell us what to do.” The child is shy
but clings to the mother. Which nursing approach best aligns
with family-centered pediatric care?
Options
A. Provide a written care plan and instruct parents to follow it;
minimize child involvement to reduce anxiety.
B. Invite parents to identify concerns and participate in hands-
on teaching with the child present.
C. Focus teaching on parents only; schedule a separate session
,for the child later.
D. Reinforce strict adherence to the hospital regimen and limit
parental decision-making to avoid confusion.
Correct answer
B
Rationales
Correct (B): Family-centered care recognizes family members as
partners in decision-making and education; involving parents in
hands-on teaching while the child is present supports parental
confidence and models care for the child. This approach
reduces anxiety, promotes safety, and aligns with Wong’s
emphasis on collaboration and family strengths.
A: Providing a plan without engagement overlooks parents’
need for participation and may reduce adherence; excluding the
child removes developmental considerations.
C: Deferring child involvement ignores the toddler’s needs for
reassurance and the family’s preference for integrated learning;
separate sessions risk fragmented care.
D: Limiting parental input is contrary to family-centered
principles and may harm trust and long-term diabetes
management.
Teaching point
Engage families as partners; include developmentally
appropriate child participation during education.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
2
Reference
Ch. 1 — Health Care for Children — Access and Continuity of
Care
Stem
An 8-year-old child who recently moved frequently has missed
routine immunizations and well-child visits. At a clinic visit, the
parent reports limited transportation and variable work
schedules. Which nursing intervention most effectively
addresses barriers to continuity of pediatric primary care?
Options
A. Advise the parent to schedule appointments on weekends
and offer a printed vaccination schedule.
B. Refer the family to social services for transportation
assistance and arrange reminder calls/texts.
C. Emphasize the importance of routine care and ask the parent
to prioritize clinic visits.
D. Provide catch-up immunizations today and discharge without
additional referrals.
Correct answer
B
, Rationales
Correct (B): Wong highlights addressing social determinants of
health to improve access; referring to social services for
transportation and implementing reminders addresses practical
barriers and promotes continuity. This family-centered strategy
supports adherence and equitable care.
A: Scheduling advice and a schedule alone may be insufficient
given transportation and work constraints; needs systems
support.
C: Emphasizing importance without addressing barriers can
blame families and unlikely change attendance.
D: Providing immunizations is necessary but insufficient—
without support and reminders, future continuity remains at
risk.
Teaching point
Address practical barriers (transportation, reminders) to
improve pediatric care continuity.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
3
Reference
Ch. 1 — Health Promotion — Anticipatory Guidance and
Developmental Surveillance
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Family-Centered
Care Philosophy
Stem
A 3-year-old toddler with newly diagnosed type 1 diabetes is
admitted for diabetes education. The parents express anxiety
and ask the nurse to “just tell us what to do.” The child is shy
but clings to the mother. Which nursing approach best aligns
with family-centered pediatric care?
Options
A. Provide a written care plan and instruct parents to follow it;
minimize child involvement to reduce anxiety.
B. Invite parents to identify concerns and participate in hands-
on teaching with the child present.
C. Focus teaching on parents only; schedule a separate session
,for the child later.
D. Reinforce strict adherence to the hospital regimen and limit
parental decision-making to avoid confusion.
Correct answer
B
Rationales
Correct (B): Family-centered care recognizes family members as
partners in decision-making and education; involving parents in
hands-on teaching while the child is present supports parental
confidence and models care for the child. This approach
reduces anxiety, promotes safety, and aligns with Wong’s
emphasis on collaboration and family strengths.
A: Providing a plan without engagement overlooks parents’
need for participation and may reduce adherence; excluding the
child removes developmental considerations.
C: Deferring child involvement ignores the toddler’s needs for
reassurance and the family’s preference for integrated learning;
separate sessions risk fragmented care.
D: Limiting parental input is contrary to family-centered
principles and may harm trust and long-term diabetes
management.
Teaching point
Engage families as partners; include developmentally
appropriate child participation during education.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
2
Reference
Ch. 1 — Health Care for Children — Access and Continuity of
Care
Stem
An 8-year-old child who recently moved frequently has missed
routine immunizations and well-child visits. At a clinic visit, the
parent reports limited transportation and variable work
schedules. Which nursing intervention most effectively
addresses barriers to continuity of pediatric primary care?
Options
A. Advise the parent to schedule appointments on weekends
and offer a printed vaccination schedule.
B. Refer the family to social services for transportation
assistance and arrange reminder calls/texts.
C. Emphasize the importance of routine care and ask the parent
to prioritize clinic visits.
D. Provide catch-up immunizations today and discharge without
additional referrals.
Correct answer
B
, Rationales
Correct (B): Wong highlights addressing social determinants of
health to improve access; referring to social services for
transportation and implementing reminders addresses practical
barriers and promotes continuity. This family-centered strategy
supports adherence and equitable care.
A: Scheduling advice and a schedule alone may be insufficient
given transportation and work constraints; needs systems
support.
C: Emphasizing importance without addressing barriers can
blame families and unlikely change attendance.
D: Providing immunizations is necessary but insufficient—
without support and reminders, future continuity remains at
risk.
Teaching point
Address practical barriers (transportation, reminders) to
improve pediatric care continuity.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
3
Reference
Ch. 1 — Health Promotion — Anticipatory Guidance and
Developmental Surveillance
