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CHAPTER 1 NURSE'S ROLE IN CARE OF THE CHILD: HOSPITAL, Y1
COMMUNITY, AND HOME Y1 Y1
1) Which nursing role is not directly involved when providing family-centered approach to
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the pediatric population?
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1. Advocacy
2. Case management J Y1
3. Patient education JY1
4. Researche
r Answer: 4
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Explanation: 1. A researcher is not involved in the family-centered approach to patient care of J Y 1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1
children and their families. Advocacy, case management, and patient education are all roles
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directly involved in the care of children and their families.
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2. A researcher is not involved in the family-centered approach to patient care of children and
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their families. Advocacy, case management, and patient education are all roles directly involved
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in the care of children and their families.
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3. A researcher is not involved in the family-centered approach to patient care of children and
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their families. Advocacy, case management, and patient education are all roles directly involved
J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1
in the care of children and their families.
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4. A researcher is not involved in the family-centered approach to patient care of children and
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their families. Advocacy, case management, and patient education are all roles directly involved
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in the care of children and their families.
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Page Ref: 4 JY1 JY1
Cognitive Level: JY1 J Y 1 Analyzing
Client Need &Sub: Safe and Effective
J Y Care Environment:
1 J Y 1 J Y 1 J Y 1 J Y 1 J Y 1 J Y 1 J Y 1
Management of Care Standards: QSEN Competencies: Patient-centered care | AACN J Y 1 J Y 1 JY1 J Y 1 JY1 JY1 JY1 JY1 JY1 JY1
Essential Competencies: JY1
Essential II: Basic organizational and systems leadership for quality care and patient safety | NLN
JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1
Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1
Assessment/Coordination of care JY1 JY1
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
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MNL LO: Family-centered care JY1 J Y 1 JY1
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
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federal guidelines are in place that delineate which pediatrics clients must give assent for
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participation in research trials. Based upon the client's age, the nurse would seek assent J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1
from which children?
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Select all that apply. JY1 JY1 JY1
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
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2. The 7-year-old leukemia client electing to receive a newly developed medication, now
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being researched. J Y1
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
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4. The 13-year-old client commencing participation in a research program for Attention
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Deficit Hyperactivity Disorder (ADHD) treatments.
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Answer: J Y 1 2, 3, 4 JY1 JY1
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must JY1 JY1 JY1 JY1 JY1 JY1 JY 1 JY1 JY 1 JY1 JY1 JY1 JY1 JY1
receive developmentally appropriate information about healthcare procedures and treatments and
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give assent.
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2. Federal guidelines mandate that research participants 7 years old and older must receive
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developmentally appropriate information about healthcare procedures and treatments and JY1 JY1 J Y1 JY1 JY1 JY1 J Y1 JY1 JY 1
give assent.
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3. Federal guidelines mandate that research participants 7 years old and older must receive
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developmentally appropriate information about healthcare procedures and treatments and JY1 JY1 J Y1 JY1 JY1 JY1 J Y1 JY1 JY 1
give assent.
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4. Federal guidelines mandate that research participants 7 years old and older must receive
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developmentally appropriate information about healthcare procedures and treatments and JY1 JY1 J Y1 JY1 JY1 JY1 J Y1 JY1 JY 1
give assent.
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Page Ref: 11, 12
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Cognitive Level: JY1 J Y 1 Applying
Client Need &Sub: JY1 JY1 J Y 1 Psychosocial Integrity JY1
Standards: QSEN Competencies: Patient-centered care | AACN Essential J Y 1 J Y 1 J Y 1 J Y 1 J Y 1 J Y 1 J Y 1 J Y 1
Competencies: Essential V: Healthcare policy, finance, and regulatory environments | JY1 JY1 JY1 J Y 1 JY1 J Y 1 JY1 J Y 1 J Y 1 J Y 1
NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process:
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Planning/Coordination of care JY1 JY1
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
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nursing practice. JY1
MNL LO: JY1 J Y 1 Developmentally appropriate care JY1 JY1
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
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appropriate for the nurse to complete? JY1 JY1 JY1 JY1 JY1
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic. J Y1 J Y1 J Y1 J Y1 J Y1 JY1 J Y1 J Y1 J Y1 J Y1
2. Listen to the concerns of an adolescent about being out of school for a lengthy
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surgical recovery. J Y1
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about localJ Y1 J Y1 JY1 JY1 J Y1 JY1 J Y1 JY1 J Y1 J Y1 JY1 JY1 J Y1
support- group options. J Y1 J Y1
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation. JY1 JY1 J Y1 JY1 JY1 JY1 JY1 JY1 J Y1 JY1 JY1 J Y1
Answer: 1 J Y 1
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing JY1 JY1 JY1 JY1 JY1 JY1 JY 1 JY1 JY1 JY1 JY1 JY1 JY1
nursing care interventions, and educating client and family at developmentally
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appropriate levels; client advocacy, case management, minimization of distress, and enhancement of JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1
coping. Advanced practice nurse practitioners perform assessment, diagnosis, and management of
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health conditions. JY1
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing
J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1
care interventions, and educating client and family at developmentally appropriate levels;
J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1
client advocacy, case management, minimization of distress, and enhancement of coping.
J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1
Advanced practice nurse practitioners perform assessment, diagnosis, and management of
JY1 JY1 JY1 JY1 JY1 JY1 JY1 J Y1 JY1 J Y1
health conditions. J Y1
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing
J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1
care interventions, and educating client and family at developmentally appropriate levels;
J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1
client advocacy, case management, minimization of distress, and enhancement of coping.
J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1
Advanced practice nurse practitioners perform assessment, diagnosis, and management of
JY1 JY1 JY1 JY1 JY1 JY1 JY1 J Y1 JY1 J Y1
health conditions. J Y1
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing
J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1
care interventions, and educating client and family at developmentally appropriate levels;
J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1
client advocacy, case management, minimization of distress, and enhancement of coping.
J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1 J Y1
Advanced practice nurse practitioners perform assessment, diagnosis, and management of
JY1 JY1 JY1 JY1 JY1 JY1 JY1 J Y1 JY1 J Y1
health conditions. J Y1
Page Ref: 2-4
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Cognitive Level: JY1 J Y 1 Applying
Client Need &Sub:J Safe Yand Effective1Care Environment: J Y 1 J Y 1 J Y 1 J Y 1 J Y 1 J Y 1 J Y 1
Management of Care Standards: QSEN Competencies: Patient-centered care | AACN J Y 1 J Y 1 JY1 J Y 1 JY1 JY1 JY1 JY1 JY1 JY1
Essential Competencies: JY1
Essential II: Basic organizational and systems leadership for quality care and patient safety | NLN
JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1
Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1
Implementation/Coordination of care JY 1 JY1
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
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MNL LO: Pediatric nursing care
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