Essentials Of Pediatric NUR-Chap 1 Prep U 100%QUESTION AND ANSWER

Essentials Of Pediatric NUR-Chap 1 Prep U 100%QUESTION AND ANSWER What is the number one cause for mortality among children? - CORRECT ANSWERMotor vehicle accidents The nurse is assessing the vital signs of a child who is being evaluated in an urgent care center. The child is to be seen by the pediatric nurse practitioner (PNP). The mother asks, "Why is my child seeing the PNP and not the doctor?" What is the best response by the nurse? - CORRECT ANSWER-"The PNP is an experienced RN with advanced education in the diagnosis and treatment of children." When caring for an adolescent, in which case must the nurse share information with the parents no matter which state the care is provided in? - CORRECT ANSWERTuberculosis The school nurse is planning a screening program. What items should be included to address issues related to the "new morbidity"? - CORRECT ANSWER-Academic difficulties, violence, and other mental health issues Consent for urgent treatment is needed for a minor. The parents are unable to be at the hospital. What action by the nurse constitutes informed consent? - CORRECT ANSWER-Telephone consent with two witnesses listening simultaneously Explanation Telephone consent documented with two witness signatures is appropriate The nurse is caring for a 2-year-old boy who needs a lumbar puncture. His mother is present. What would prevent informed consent from being obtained? - CORRECT ANSWER-Learning the mother is not the custodial parent Explanation It would not be legal for this mother to give consent. The parents of a 12-year-old child preparing to undergo surgery explain to the nurse that their religious beliefs do not allow for blood transfusions. What initial action by the nurse is most appropriate? - CORRECT ANSWER-Document the parents' requests. You are going to provide an education program to early grade-school children. Which of the following topics would address the number one cause of death for this age group? - CORRECT ANSWER-The importance of crossing streets safely Explanation Motor-vehicle accidents are a leading cause of death in this age group. The nurse is talking with the mother of a 2-year-old girl during a scheduled visit. Which of the following teaching subjects least supports the emphasis on preventive care? - CORRECT ANSWER-Explaining how to teach self hand washing Explanation: Teaching hand washing helps to prevent infection, emphasizes preventive care, and is basic to avoiding many common illnesses. The nurse is caring for a 14-year-old boy with a debilitating illness who wants to attend school. Which of the following interventions addresses the child's physical health but not his quality of life? - CORRECT ANSWER-Assessing the child's daily oxygen supplement needs After teaching a group of nursing students about major threats to children's health, the instructor determines that the teaching was successful when the students state which of the following? - CORRECT ANSWER-The prevalence of chronic disease is increasing. Morbidity rates among children are most highly associated with which cause? - CORRECT ANSWER-Environmental factors Explanation The factors most commonly associated with child morbidity are environmental and socioeconomic problems. The more difficult the societal issues and the more marked the environmental poverty, the higher the illness rates and childhood morbidity A 16-year-old child is admitted to the hospital for treatment after a motor vehicle crash. Review of the child's record reveals that she has the legal right to consent to and make decisions for treatment. What is the term for this client's status? - CORRECT ANSWEREmancipated minor More nurses are stepping into the role of the advanced practice nurse. Which of the following would be the nurse to provide care for children under the age of 18? - CORRECT ANSWER-Pediatric nurse practitioner In 2007 the World Factbook published statistics that showed the United States still lagged behind other industrialized nations in the incidence of infant mortality. What is one reason that the United States has a higher infant mortality rate than other countries? - CORRECT ANSWER-Low birth weight Explanation Many factors may be associated with high infant mortality rates and poor health. Low birth weight and late or nonexistent prenatal care are the main factors in the poor rankings in infant mortality. A nurse is looking for information about advocacy activities related to promoting literacy. Which of the following would be most appropriate for the nurse to contact? - CORRECT ANSWER-Society of Pediatric Nurses (SPN) Explanation The Society of Pediatric Nurses (SPN) has several position statements regarding advocacy issues such as promoting literacy, preventing violence against children, and pediatric injury prevention. A nurse is considering employment in a practice that promotes family-centered care. When considering this position, the nurse recognizes that this philosophy will: - CORRECT ANSWER-promote the involvement of the child and parents as members of the health care team. When describing the State Children's Health Insurance Program (SCHIP) to a group of families, which of the following would the nurse include? - CORRECT ANSWER-It provides health insurance to children whose families are not eligible for Medicaid but cannot afford to purchase health insurance Explanation The State Children's Health Insurance Program (SCHIP) is designed to expand health insurance to children whose families make too much money to qualify for Medicaid, but who cannot afford to purchase health insurance To decrease childhood mortality, pediatric nurses need to consistently engage in what activity throughout all age groups? - CORRECT ANSWER-Teach injury prevention and proper safety practices. Explanation: The leading cause of death throughout childhood is unintentional injury. Pediatric nurses are developing more home care and community-based services for children with chronic illnesses because: - CORRECT ANSWER-Increasing numbers of children live with chronic disabilities due to advances in healthcare that allow children with formerly fatal diseases to survive. Explanation Advances in health care have led to more children living with chronic illness or disability. A nurse is reviewing the medical record of a terminally ill child who has a DNAR order. The nurse interprets this as refraining from which of the following? - CORRECT ANSWER-Performing cardiopulmonary resuscitation