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,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
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Edition
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MULTIPLE !|CHOICE
1. What !|is !|t he !|major !|cause !|o f !|death !|for !|children !|in !|the !|United !|States?
a. Heart !|disease
b. Childhood !|cancer
c. Injuries
d. Congenital !|anomalies
ANS: !| C
Unintentional !|injuries !|(accidents) !|are !|the !|leading !|cause !|of !|death !|after !|age !|1 !|year !|through
!|adolescence. !|The !|leading !|cause !|of !|death !|for !|those !|younger !|than !|1 !|year !| is !|congenital !|anomalies, !|and
!|childhood !|cancers !|a nd !|heart !|disease !|cause !|a !|significantly !|lower !|percentage !|o f !|deaths !|in !|c hildren
!|o lder !|than !|1 !|year !|of !|age.
DIF: Cognitive !|Level: !|Understanding TOP:!|Nursing !|Process: !|Planning
!|MSC: ! | Client !|Needs: !|Health !|Promotion !|and !|Maintenance
2. Parents !|o f !|a !|hospitalized !|toddler !|ask !|the !|nurse, !|“What !|is !|meant !|by !|family-centered !|care?” !|T he
nurse !|should !|respond !|with !|which !|statement?
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a. 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 !|t hat !|the !|family !|is !|the !|constant !|in !|a !|child’s !|life.
d. Family-centered !|care !|avoids !|expecting !|families !|to !|be !|part !|o f !|the !|decision-making
!|process.
ANS: !| C
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. !|The !|family !|should !|be
!|enabled !|and !|empowered !|t o !|work !|with !|t he !|health !|care !|system !|a nd !|is !|expected !|to !|be !|part !|o f !|t he
!|decision-making !|process. !|The !|nurse !|should !|also !|support !|the !|family’s !|cultural !|diversity, !|not !|reduce
!|its !|effect.
DIF: Cognitive !|Level: !|Applying TOP:!|Nursing !|Process: !|Implementation
!|MSC: ! | Client !|Needs: !|Health !|Promotion !|and !|Maintenance
3. Evidence-based !|practice !|(EBP), !|a !|decision-making !|model, !|is !|best !|described !|as !|which?
a. Using !|information !|in !|textbooks !|to !|guide !|care
b. Combining !|knowledge !|with !|clinical !|experience !|and !|intuition
c. Using !|a !|professional !|code !|o f !|ethics !|as !|a !|means !|for !|decision !|making
d. Gathering !|all !|evidence !|that !|applies !|to !|the !|child’s !|health !|and !|family
situation
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ANS: ! | B
EBP !|helps !|focus !|on !|measurable !|outcomes; !|the !|use !|of !|demonstrated, !|effective !|interventions; !|and
!|questioning !|t he !|best !|approach. !|EBP !|involves !|decision !|making !|based !|o n !|t he !|integration !|o f !|t he !|best
!|research !|evidence !|combined !|with !|clinical !|expertise !|and !|patient !|values.
,Wong's !|Nursing !|Care !|of !|Infants !|and !|Children !|12th !|Edition !|by !|Hockenberry !|Test
!|Bank
DIF: Cognitive !|Level: !|Remembering TOP:!|Nursing !|Process: !|Planning
!|MSC: ! | Client !|Needs: !|Safe !|and !|Effective !|Care !|Environment
4. The !|nurse !|is !|talking !|to !|a !|group !|o f !|parents !|o f !|school-age !|children !|at !|an !|after-school !|program
about !|childhood !|health !|problems. !|Which !|statement !|should !|the !|nurse !|include !|in !|the !|teaching?
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a. Childhood !|o besity !|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
o f !|fluorinated !|water.
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d. Mental!|health !|problems !|are !|typically !|not !|seen !|in !|school-age !|children !|but !|may !|be
!| diagnosed !|in !|adolescents.
ANS: ! | A
When !|teaching !|parents !|of !|school-age !|children !|about !|childhood !|health !|problems, !|the !|nurse !|should
!|include !|information !|about !|childhood !|o besity !|because !|it !|is !|the !|most !|common !|problem !|among
!|children !|and !|is !|associated !|with !|t ype !|2 !|diabetes. !|Teaching !|parents !|about !|ways !|t o !|prevent !|obesity !|is
!|important !|to !|include. !|Immunization !|rates !|differ !|depending !|on !|t he !|child’s !|race !|and !|ethnicity; !|dental
!|caries !|continues !|to !|be !|a !|common !|chronic !|disease !| in !|childhood; !|and !|mental !|health !|problems !|are
!|seen !|in !|children !|as !| young !|as !|school !|age, !|not !|just !| in !|adolescents.
DIF: Cognitive !|Level: !|Applying TOP:!|Integrated !|Process: !|T eaching/Learning
!|MSC: ! | Client !|Needs: !|Health !|Promotion !|and !|Maintenance
5. The !|nurse !|is !|planning !|care !|for !|a !|hospitalized !|preschool-aged !|child. !|Which !|should !|t he !|nurse !|plan
to !|ensure !|atraumatic !|care?
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a. Limit !|explanation !|o f !|procedures !|because !|the !|child !|is !|preschool !|aged.
b. Ask !|that !|all !|family !|members !|leave !|the !|room !|when !|performing !|procedures.
c. Allow !|the !|child !|to !|choose !|the !|t ype !|of !|juice !|to !|drink !|with !|the !|administration !|o f
oral !|medications.
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d. Explain !|that !|EMLA !|cream !|cannot !|be !|used !|for !|the !|morning !|lab !|draw !|because
t here !|is !|not !|time !|for !|it !|to !|be !|effective.
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ANS: !| C
The !|overriding !|goal !|in !|providing !|atraumatic !|care !|is !|first, !|do !|no !|harm. !|Allowing !|the !|child, !|a !|choice
!|of !|juice !|t o !|drink !|when !|t aking !|oral !|medications !|provides !|t he !|child !|with !|a !|sense !|o f !|control. !|The
!|preschool !|child !|should !|be !|prepared !|before !|procedures, !|so !|limiting !|explanations !|of !|procedures
!|would !|increase !|anxiety. !|The !|family !|should !|be !|allowed !|to !|stay !|w ith !|the !|child !|during !|procedures,
!|minimizing !|stress.
Lidocaine/prilocaine !|(EMLA) !|cream !|is !|a !|topical !|local !|anesthetic. !|The !|nurse !|should !|plan !|to !|use !|t he
!|prescribed !|cream !|in !|time !|for !|morning !|laboratory !|draws !|to !|minimize !|pain.
DIF: Cognitive !|Level: !|Applying TOP:!|Nursing !|Process: !|Planning
!|MSC: ! | Client !|Needs: !|Health !|Promotion !|and !|Maintenance
6. Which !|situation !|denotes !|a !|nontherapeutic !|nurse–patient–family !|relationship?
a. The !|nurse !|is !|planning !|to !|read !|a !|favorite !|fairy !|tale !|to !|a !|patient.
b. During !|shift !|report, !|the !|nurse !|is !|criticizing !|parents !|for !|not !|visiting !|their !|child.
c. The !|nurse !|is !|discussing !|with !|a !|fellow !|nurse !|t he !|emotional !|draw !|to !|a !|certain
patient.
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d. The !|nurse !|is !|working !|with !|a !|family !|to !|find !|ways !|to !|decrease !|the !|family’s
!| dependence !|on !|health !|care !|providers.
, Wong's !|Nursing !|Care !|of !|Infants !|and !|Children !|12th !|Edition !|by !|Hockenberry !|Test
!|Bank
ANS: ! | B
Criticizing !|parents !|for !|not !|visiting !|in !|shift !|report !|is !|nontherapeutic !|and !|shows !|an !|under
!|involvement !|with !|t he !|p arents. !|Reading !|a !|fairy !|t ale !|is !|a !|t herapeutic !|and !|age-appropriate !|action.
!|Discussing !|feelings !|of !|an !|emotional !|draw !|with !|a !| fellow !|nurse !| is !|therapeutic !|and !|shows !|a
!|willingness !|to !|understand !|feelings. !|Working !|with !|parents !|to !|decrease !|dependence !|on !|health !|care
!|providers !|is !|therapeutic !|and !|helps !|to !|empower !|the !|family.
DIF: Cognitive !|Level: !|Analyzing TOP:!|Integrated !|Process: !|Caring
!|MSC: ! | Client !|Needs: !|Psychosocial !|Integrity
7. The !|nurse !|is !|aware !|t hat !|which !|age-group !|is !|at !|risk !|for !|childhood !|injury !|because !|o f !|the
cognitive !|characteristic !|of !|magical !|and !|egocentric !|thinking?
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a. Preschool
b. Young !|school !|age
c. Middle !|school !|age
d. Adolescent
ANS: ! | A
Preschool !|children !|have !|the !|cognitive !|characteristic !|of !|magical !|and !|egocentric !|thinking, !|meaning
!|they !|are !|unable !|to !|comprehend !|danger !|to !|self !|or !|others. !|Young !|and !|middle !|school-aged !|children
!|have !|transitional !|cognitive !|processes, !|and !|they !| may !|attempt !|dangerous !|acts !|without !|detailed
!|planning !|but !|recognize !|danger !|to !|t hemselves !|o r !|o thers. !|Adolescents !|have !|formal !|o perational
!|cognitive !|processes !|a nd !|are !|preoccupied !|with !|abstract !|thinking.
DIF: Cognitive !|Level: !|Understanding TOP: ! | Nursing !|Process:
!|Assessment !|MSC: ! | Client !|Needs: !|Safe !|and !|Effective !|Care !|Environment
8. The !|school!|nurse !|is !|assessing !|children !|for !|risk !|factors !|related !|to !|childhood !|injuries. !|Which !|child
has !|the !|most !|risk !|factors !|related !|to !|childhood !|injury?
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a. Female, !|multiple !|siblings, !|stable !|home !|life
b. Male, !|high !|activity !|level, !|stressful !|home !|life
c. Male, !|even !|tempered, !|history !|o f !|previous !|injuries
d. Female, !|reacts !|negatively !|to !|new !|situations, !|no !|serious !|previous
!|injuries
ANS: ! | B
Boys !|have !|a !|preponderance !|for !|injuries !|over !|girls !|because !|of !|a !|difference !|in !|behavioral
!|characteristics, !|a !|high !|activity !|t emperament !|is !|associated !|with !|risk-taking !|behaviors, !|and !|stress
!|predisposes !|children !|t o !|increased !|risk !|taking !|and !|self-destructive !|behaviors. !|Therefore, !|a !|male !|child
!|with !|a !|high !|activity !|level !|and !|living !|in !|a !|stressful !|e nvironment !|has !|t he !|highest !|number !|of !|r isk
!|factors. !|A !|g irl !|w ith !|several !|siblings !|and !|a !|stable !|home !|life !|is !|low !|r isk. !|A !|boy !|w ith !|previous !|injuries
!|has !|t wo !|risk !|factors, !|but !|an !|e ven !|t emper !|is !|not !|a !|risk !|factor !|for !|injuries. !|A !|girl !|who !|reacts !|negatively
!|to !|new !|situations !|but !|has !|no !|previous !|serious !|illnesses !|has !|only !|one !|risk !|factor.
DIF: Cognitive !|Level: !|Analyzing TOP: ! | Nursing !|Process:
!|Assessment !|MSC: ! | Client !|Needs: !|Safe !|and !|Effective !|Care !|Environment
9. An !|adolescent !|patient !|wants !|to !|make !|decisions !|about !|treatment !|options, !|along !|with !|his !|parents.
Which !|moral !|value !|is !|the !|nurse !|displaying !|when !|supporting !|the !|adolescent !|to !|make !|decisions?
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a. Justice