NURSING 11TH EDITION BY MARILYN J.
HOCKENBERRY ISBN-10; 0323829570 /ISBN-
13; 978-0323829571 COMPLETE GUIDE A+ ALL
CHAPTER (1-31)
# TEST BANK: WONG'S ESSENTIALS OF PEDIATRIC NURSING 11TH EDITION
## Chapter 01: Perspectives of Pediatric Nursing
### Question 1
The nurse would include which associated risk when planning a teaching session about childhood
obesity?
a. Type I diabetes
b. Respiratory disease
c. Celiac disease
d. Type II diabetes
**Correct Answer: D**
**Rationale:** Childhood obesity has been associated with the rise of type II diabetes in children. Type I
diabetes is not associated with obesity and has a genetic component. Respiratory disease is not
associated with obesity, and celiac disease is the inability to metabolize gluten in foods and is not
associated with obesity.
---
,### Question 2
Which second-leading cause of death topic would the nurse emphasize to a group of boys ranging in age
from 15 to 19 years?
a. Suicide
b. Cancer
c. Homicide
d. Occupational injuries
**Correct Answer: C**
**Rationale:** Firearm homicide is the second overall cause of death in this age group and the leading
cause of death in African-American males. Suicide is the third-leading cause of death in this population.
Cancer, although a major health problem, is the fourth-leading cause of death in this age group.
Occupational injuries do not contribute to a significant death rate for this age group.
---
### Question 3
Which is the major cause of death for children older than 1 year?
a. Cancer
b. Heart disease
c. Unintentional injuries
d. Congenital anomalies
**Correct Answer: C**
**Rationale:** Unintentional injuries (accidents) are the leading cause of death after age 1 year through
adolescence. Congenital anomalies are the leading cause of death in those younger than 1 year. Cancer
ranks either second or fourth, depending on the age group, and heart disease ranks fifth in the majority
of the age groups.
,---
### Question 4
Which factor most impacts the type of injury a child is susceptible to, according to the child's age?
a. Physical health of the child
b. Developmental level of the child
c. Educational level of the child
d. Number of responsible adults in the home
**Correct Answer: B**
**Rationale:** The child's developmental stage determines the type of injury that is likely to occur. The
child's physical health may facilitate the child's recovery from an injury but does not impact the type of
injury. Educational level is related to developmental level, but it is not as important as the child's
developmental level in determining the type of injury. The number of responsible adults in the home
may affect the number of unintentional injuries, but the type of injury is related to the child's
developmental stage.
---
### Question 5
A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the
nurse is delivering?
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
c. Recognizing that the family is the constant in a child's life
d. Excluding families from the decision-making process
**Correct Answer: C**
, **Rationale:** The three key components of family-centered care are respect, collaboration, and
support. Family-centered care recognizes the family as the constant in the child's life. Taking over total
care does not include the family in the process and may increase stress instead of reducing stress. The
family should be enabled and empowered to work with the health care system. The family is expected
to be part of the decision-making process.
---
### Question 6
Which intervention would the nurse include when providing atraumatic care?
a. Prepare the child for separation from parents during hospitalization by reviewing a video
b. Prepare the child before any unfamiliar treatment or procedure
c. Help the child accept the loss of control associated with hospitalization
d. Help the child accept pain that is connected with a treatment or procedure
**Correct Answer: B**
**Rationale:** Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy,
providing play activities for expression of fear and aggression, providing choices, and respecting cultural
differences are components of atraumatic care. In the provision of atraumatic care, the separation of
child from parents during hospitalization is minimized. The nurse should promote a sense of control for
the child. Preventing and minimizing bodily injury and pain are major components of atraumatic care.
---
### Question 7
Which is suggestive that a nurse has a nontherapeutic relationship with a patient and family?
a. Staff is concerned about the nurse's closeness with the patient and family
b. Staff assignments allow the nurse to care for same patient and family over an extended time
c. Nurse is able to withdraw emotionally when emotional overload occurs but still remains committed
d. Nurse uses teaching skills to instruct patient and family rather than doing everything for them