TEST BANK FOR CHILD HEALTH NURSING, 3RD
UPDATED EDITION (BALL, 2019)
# TEST BANK FOR CHILD HEALTH NURSING, 3RD UPDATED EDITION (BALL, 2019)
---
## Question 1
A nurse in the pediatric acute care unit is assigned the following tasks. Based on recognizing that the
action defined requires training beyond the preparation of a registered nurse, the nurse would refuse
to:
1. diagnose a six-year-old with diversional activity deficit related to placement in isolation.
2. listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery.
3. diagnose an eight-year-old with acute otitis media, and prescribe an antibiotic.
4. provide information to a mother of a newly diagnosed four-year-old diabetic about local support
group options.
**Answer: 3**
**Explanation:**
1. Nursing diagnoses are a responsibility of the nurse in an acute care unit.
2. Listening to concerns is within the expectations of a nurse in an acute care unit.
3. Advanced practice nurse practitioners perform assessment, diagnosis, and management of health
conditions. The role of the pediatric nurse includes providing nursing assessment, direct nursing care
interventions, client and family education at developmentally appropriate levels, client advocacy, case
management, minimization of distress, and coping enhancement.
,4. Providing information about support groups is within the expectations of the nurse in an acute care
unit.
Page Ref: 4, 5 | Cognitive Level: Applying | Client Need: Safe and Effective Care Environment | Client
Need Sub: Management of Care | Nurs/Int Con: Nursing Process: Implementation | Learning Outcome:
1-1
---
## Question 2
Despite the availability of Children's Health Insurance Programs (CHIP), many eligible children are not
enrolled. The nursing intervention that best helps eligible children to become enrolled is:
1. educating the family about the need for keeping regular well-child visit appointments.
2. assessing details of the family's income and expenditures.
3. limiting costly, unnecessary duplication of services through case management.
4. advocating for the child by encouraging the family to investigate CHIP eligibility.
**Answer: 4**
**Explanation:**
1. While it is the nurse's responsibility to educate the family, this intervention is not what will best help
eligible children to become enrolled.
2. Financial assessment is more commonly the function of a social worker.
3. The case management activity mentioned will not provide a source of funding.
4. In the role of an advocate, a nurse advances the interests of the child by suggesting that the family
investigate CHIP eligibility.
Page Ref: 6, 7 | Cognitive Level: Analyzing | Client Need: Safe and Effective Care Environment | Client
Need Sub: Management of Care | Nurs/Int Con: Nursing Process: Implementation | Learning Outcome:
1-1
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## Question 3
A nurse is examining different nursing roles. Which best illustrates an advanced practice nursing role?
1. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk
children
2. A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit
3. A registered nurse who is the circulating nurse in surgery
4. A registered nurse who is the manager of a large pediatric unit
**Answer: 1**
**Explanation:**
1. A clinical nurse specialist, with whom other nurses consult for expertise in caring for high-risk
children, would define an advanced practice nursing role. Advanced practice nurses have specialized
knowledge and competence in a specific clinical area and have earned a master's degree.
2. A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit might have the
qualifications for an advanced practice nursing staff, but they are not working in that capacity.
3. A registered nurse who is a circulating nurse in surgery is defined as a professional nurse and has
graduated from an accredited program in nursing and completed the licensure examination.
4. A registered nurse who is the manager of a large pediatric unit is defined as a professional nurse and
has graduated from an accredited program in nursing and completed the licensure examination.
Page Ref: 4, 5 | Cognitive Level: Analyzing | Client Need: Safe and Effective Care Environment | Client
Need Sub: Management of Care | Nurs/Int Con: Nursing Process: Assessment | Learning Outcome: 1-1
---
UPDATED EDITION (BALL, 2019)
# TEST BANK FOR CHILD HEALTH NURSING, 3RD UPDATED EDITION (BALL, 2019)
---
## Question 1
A nurse in the pediatric acute care unit is assigned the following tasks. Based on recognizing that the
action defined requires training beyond the preparation of a registered nurse, the nurse would refuse
to:
1. diagnose a six-year-old with diversional activity deficit related to placement in isolation.
2. listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery.
3. diagnose an eight-year-old with acute otitis media, and prescribe an antibiotic.
4. provide information to a mother of a newly diagnosed four-year-old diabetic about local support
group options.
**Answer: 3**
**Explanation:**
1. Nursing diagnoses are a responsibility of the nurse in an acute care unit.
2. Listening to concerns is within the expectations of a nurse in an acute care unit.
3. Advanced practice nurse practitioners perform assessment, diagnosis, and management of health
conditions. The role of the pediatric nurse includes providing nursing assessment, direct nursing care
interventions, client and family education at developmentally appropriate levels, client advocacy, case
management, minimization of distress, and coping enhancement.
,4. Providing information about support groups is within the expectations of the nurse in an acute care
unit.
Page Ref: 4, 5 | Cognitive Level: Applying | Client Need: Safe and Effective Care Environment | Client
Need Sub: Management of Care | Nurs/Int Con: Nursing Process: Implementation | Learning Outcome:
1-1
---
## Question 2
Despite the availability of Children's Health Insurance Programs (CHIP), many eligible children are not
enrolled. The nursing intervention that best helps eligible children to become enrolled is:
1. educating the family about the need for keeping regular well-child visit appointments.
2. assessing details of the family's income and expenditures.
3. limiting costly, unnecessary duplication of services through case management.
4. advocating for the child by encouraging the family to investigate CHIP eligibility.
**Answer: 4**
**Explanation:**
1. While it is the nurse's responsibility to educate the family, this intervention is not what will best help
eligible children to become enrolled.
2. Financial assessment is more commonly the function of a social worker.
3. The case management activity mentioned will not provide a source of funding.
4. In the role of an advocate, a nurse advances the interests of the child by suggesting that the family
investigate CHIP eligibility.
Page Ref: 6, 7 | Cognitive Level: Analyzing | Client Need: Safe and Effective Care Environment | Client
Need Sub: Management of Care | Nurs/Int Con: Nursing Process: Implementation | Learning Outcome:
1-1
, ---
## Question 3
A nurse is examining different nursing roles. Which best illustrates an advanced practice nursing role?
1. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk
children
2. A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit
3. A registered nurse who is the circulating nurse in surgery
4. A registered nurse who is the manager of a large pediatric unit
**Answer: 1**
**Explanation:**
1. A clinical nurse specialist, with whom other nurses consult for expertise in caring for high-risk
children, would define an advanced practice nursing role. Advanced practice nurses have specialized
knowledge and competence in a specific clinical area and have earned a master's degree.
2. A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit might have the
qualifications for an advanced practice nursing staff, but they are not working in that capacity.
3. A registered nurse who is a circulating nurse in surgery is defined as a professional nurse and has
graduated from an accredited program in nursing and completed the licensure examination.
4. A registered nurse who is the manager of a large pediatric unit is defined as a professional nurse and
has graduated from an accredited program in nursing and completed the licensure examination.
Page Ref: 4, 5 | Cognitive Level: Analyzing | Client Need: Safe and Effective Care Environment | Client
Need Sub: Management of Care | Nurs/Int Con: Nursing Process: Assessment | Learning Outcome: 1-1
---
