Test Bank for Wong’s Nursing Care of Infants and Children 11th Edition

Test Bank for Wong’s Nursing Care of Infants and Children 11th Edition hapter 01: Perspectives of Pediatric NursingMULTIPLE CHOICE 1. The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries.Compared with other countries that have a population of at least 25 million, the nurse makes whichdetermination?a.The United States is ranked last among 27 countries.b.The United States is ranked similar to 20 other developed countries.c.The United States is ranked in the middle of 20 other developed countries.d.The United States is ranked highest among 27 other industrialized countries.ANS: AAlthough the death rate has decreased, the United States still ranks last in infant mortality among nations witha population of at least 25 million. The United States has the highest infant death rate of developed nations. Stumped 5720 tutors online. Answers in as fast as 15 minutes. DIF: Cognitive Level: RememberingTOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 2. Which is the leading cause of death in infants younger than 1 year in the United States?a.Congenital anomaliesb.Sudden infant death syndromec.Disorders related to short gestation and low birth weightd.Maternal complications specific to the perinatal periodANS: ACongenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with sudden infantdeath syndrome, which accounts for 8.2%; disorders related to short gestation and unspecified low birthweight, which account for 16.5%; and maternal complications such as infections specific to the perinatalperiod, which account for 6.1% of deaths in infants younger than 1 year of age. Stumped 5720 tutors online. Answers in as fast as 15 minutes. DIF: Cognitive Level: RememberingMSC: Client Needs: Health Promotion and Maintenance 3. What is the major cause of death for children older than 1 year in the United States?a.Heart disease Stumped 5720 tutors online. Answers in as fast as 15 minutes. Test Bank - Wong's Nursing Care of Infants and Children (11e by Hockenberry)3b.Childhood cancerc.Unintentional injuriesd.Congenital anomaliesANS: CUnintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. Theleading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heartdisease cause a significantly lower percentage of deaths in children older than 1 year of age.DIF: Cognitive Level: UnderstandingMSC: Client Needs: Health Promotion and Maintenance4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?a.Suicide and cancerb.Suicide and homicidec.Drowning and cancerd.Homicide and heart diseaseANS: BSuicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account for 10.9% ofdeaths, heart disease and cancer account for approximately 5.5%, and homicide and heart disease account for10.9% of the deaths in this age group.DIF: Cognitive Level: RememberingMSC: Client Needs: Health Promotion and Maintenance5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which shouldthe nurse include in the session with regard to deaths caused by injuries?a.More deaths occur in males.b.More deaths occur in females.c.The pattern of deaths does not vary according to age and sex.d.The pattern of deaths does not vary widely among different ethnic groups.ANS: AThe majority of deaths from unintentional injuries occur in males. The pattern of death does vary greatly Test Bank - Wong's Nursing Care of Infants and Children (11e by Hockenberry)4among different ethnic groups, and the causes of unintentional deaths vary with age and gender.DIF: Cognitive Level: ApplyingTOP: Integrated Process: Teaching/LearningMSC: Client Needs: Health Promotion and Maintenance6. What do mortality statistics describe?a.Disease occurring regularly within a geographic locationb.The number of individuals who have died over a specific periodc.The prevalence of specific illness in the population at a particular timed.Disease occurring in more than the number of expected cases in a communityANS: BMortality statistics refer to the number of individuals who have died over a specific period.Morbidity statistics show the prevalence of specific illness in the population at a particular time. Dataregarding disease within a geographic region, or in greater than expected numbers in a community, may beextrapolated from analyzing the morbidity statistics.DIF: Cognitive Level: RememberingMSC: Client Needs: Health Promotion and Maintenance7. The nurse should assess which age group for suicide ideation since suicide in which age group is the thirdleading cause of death?a.Preschoolersb.Young school agec.Middle school aged.Late school age and adolescentsANS: DSuicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age group should belate school age and adolescents. Suicide is not one of the leading causes of death for preschool and young ormiddle school-aged children.DIF: Cognitive Level: UnderstandingTOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance8. Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? The nurse shouldrespond with which statement? Test Bank - Wong's Nursing Care of Infants and Children (11e by Hockenberry)5a.Family-centered care reduces the effect of cultural diversity on the family.b.Family-centered care encourages family dependence on the health care system.c.Family-centered care recognizes that the family is the constant in a childs life.d.Family-centered care avoids expecting families to be part of the decision-making process.ANS: CThe three key components of family-centered care are respect, collaboration, and support. Family-centeredcare recognizes the family as the constant in the childs life. The family should be enabled and empowered towork with the health care system and is expected to be part of the decision-making process. The nurse shouldalso support the familys cultural diversity, not reduce its effect.DIF: Cognitive Level: ApplyingTOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance9. The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive ofclinical reasoning?a.Purposeful and goal directedb.A simple developmental processc.Based on deliberate and irrational thoughtd.Assists individuals in guessing what is most appropriateANS: AClinical reasoning is a complex developmental process based on rational and deliberate thought. Whenthinking is clear, precise, accurate, relevant, consistent, and fair, a logical connection develops between theelements of thought and the problem at hand.DIF: Cognitive Level: ApplyingTOP: Integrated Process: Teaching/LearningMSC: Client Needs: Health Promotion and Maintenance10. Evidence-based practice (EBP), a decision-making model, is best described as which?a.Using information in textbooks to guide careb.Combining knowledge with clinical experience and intuitionc.Using a professional code of ethics as a means for decision making Test Bank - Wong's Nursing Care of Infants and Children (11e by Hockenberry)6d.Gathering all evidence that applies to the childs health and family situationANS: BEBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioningwhat is the best approach. EBP involves decision making based on data, not all evidence on a particularsituation, and involves the latest available data. Nurses can use textbooks to determine areas of concern andpotential involvement.DIF: Cognitive Level: RememberingMSC: Client Needs: Safe and Effective Care Environment11. Which best describes signs and symptoms as part of a nursing diagnosis?a.Description of potential risk factorsb.Identification of actual health problemsc.Human response to state of illness or healthd.Cues and clusters derived from patient assessmentANS: DSigns and symptoms are the cues and clusters of defining characteristics that are derived from a patientassessment and indicate actual health problems. The first part of the nursing diagnosis is the problemstatement, also known as the human response to the state of illness or health. The identification of actual healthproblems may be part of the medical diagnosis. The nursing diagnosis is based on the human response to theseproblems. The human response is therefore a component of the nursing diagnostic statement. Potential riskfactors are used to identify nursing care needs to avoid the development of an actual health problem when apotential one exists.DIF: Cognitive Level: UnderstandingTOP: Integrated Process: Communication and DocumentationMSC: Client Needs: Safe and Effective Care Environment12. The nurse is talking to a group of parents of school-age children at an after-school program aboutchildhood health problems. Which statement should the nurse include in the teaching?a.Childhood obesity is the most common nutritional problem among children.b.Immunization rates are the same among children of different races and ethnicity.c.Dental caries is not a problem commonly seen in children since the introduction of fluoridatedwater.d.Mental health problems are typically not seen in school-age children but may be diagnosed inadolescents. 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