Child Health Nursing, 3e Update (Ball et al.)
Chapter 1 Child Health Nursing: Concepts, Roles, and Issues
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
1
GENIUSDOC
, 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
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
2
GENIUSDOC
, 4) The role of the registered nurse as a nurse educator is to:
1. provide primary care for healthy children.
2. assist the family in making informed decisions by providing information about the pros and
cons of the treatment plan.
3. assist the primary care nurse with procedures requiring advanced practice skills.
4. communicate with the hospitalized school-aged child's classroom teacher to assist the child in
achieving classroom goals.
Answer: 2
Explanation: 1. The nurse educator does not provide primary care for healthy children.
2. The educator works with the family to make informed choices through education and
explanation.
3. The nurse educator does not assist with procedures requiring advance practice skills.
4. The nurse educator is concerned with teaching child and parent health care practices related to
the child's condition.
Page Ref: 5, 6
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
Nurs/Int Con: Nursing Process: Planning
Learning Outcome: 1-1
5) A 7-year-old child has been admitted for acute appendicitis. The parents are questioning the
nurse about expectations during the child's recovery. Which information tool would be most
useful in answering a parent's questions about timing of key events?
1. Healthy People 2020
2. National clinical practice guidelines
3. Child mortality statistics
4. Critical clinical pathways
Answer: 4
Explanation: 1. Healthy People 2020 contains objectives set by the U.S. government to improve
the health and reduce the incidence of death in the twenty-first century.
2. National clinical practice guidelines promote uniformity in care for specific disease conditions
by suggesting expected outcomes from specific interventions.
3. Child mortality statistics can be compared with those from other decades for the evaluation of
achievement toward health care goals.
4. Critical clinical pathways are interdisciplinary documents provided by a hospital to suggest
ideal sequencing and timing of events and interventions for specific diseases to improve
efficiency of care and enhance recovery. These pathways serve as models outlining the typical
hospital stay for individuals with specified conditions.
Page Ref: 11
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Nurs/Int Con: Nursing Process: Planning
Learning Outcome: 1-2
3
GENIUSDOC
, 6) The telephone triage nurse at a pediatric clinic knows that each call is important. However,
recognizing that infant deaths are the most frequent in this group, the nurse must be extra
attentive during the call from the parent of an infant who is:
1. between six and eight months old.
2. of a Native American family.
3. of a non-Hispanic black family.
4. younger than four weeks old.
Answer: 4
Explanation: 1. About two-thirds of infant deaths occur much earlier—in the first 28 days of
life.
2. Native American and Alaskan natives experience an infant mortality rate of 8.3 per 100,000
live births.
3. During 2000, the infant mortality statistics for non-Hispanic blacks was 13.6 per 100,000 live
births.
4. Over two-thirds of all infant deaths occur during the first 28 days after birth.
Page Ref: 13
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Nurs/Int Con: Nursing Process: Planning
Learning Outcome: 1-3
7) When discussing injury prevention with the parents of a toddler, which statement indicates
teaching has been successful? "The leading cause of death in children is:
1. unintentional injury."
2. infectious disease."
3. congenital anomalies."
4. cancer."
Answer: 1
Explanation: 1. The most common cause of death for children between 1 and 19 years of age is
unintentional injury, which includes motor vehicle crashes, drowning, fire, burns, firearms, and
suffocation.
2. Infectious disease is not the cause of most deaths in children.
3. The leading cause of death in children is unintentional injuries, not congenital anomalies.
4. Cancer is not the leading cause of child mortality.
Page Ref: 13, 14
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Nurs/Int Con: Nursing Process: Evaluation
Learning Outcome: 1-3
4
GENIUSDOC
Chapter 1 Child Health Nursing: Concepts, Roles, and Issues
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
1
GENIUSDOC
, 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
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
2
GENIUSDOC
, 4) The role of the registered nurse as a nurse educator is to:
1. provide primary care for healthy children.
2. assist the family in making informed decisions by providing information about the pros and
cons of the treatment plan.
3. assist the primary care nurse with procedures requiring advanced practice skills.
4. communicate with the hospitalized school-aged child's classroom teacher to assist the child in
achieving classroom goals.
Answer: 2
Explanation: 1. The nurse educator does not provide primary care for healthy children.
2. The educator works with the family to make informed choices through education and
explanation.
3. The nurse educator does not assist with procedures requiring advance practice skills.
4. The nurse educator is concerned with teaching child and parent health care practices related to
the child's condition.
Page Ref: 5, 6
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
Nurs/Int Con: Nursing Process: Planning
Learning Outcome: 1-1
5) A 7-year-old child has been admitted for acute appendicitis. The parents are questioning the
nurse about expectations during the child's recovery. Which information tool would be most
useful in answering a parent's questions about timing of key events?
1. Healthy People 2020
2. National clinical practice guidelines
3. Child mortality statistics
4. Critical clinical pathways
Answer: 4
Explanation: 1. Healthy People 2020 contains objectives set by the U.S. government to improve
the health and reduce the incidence of death in the twenty-first century.
2. National clinical practice guidelines promote uniformity in care for specific disease conditions
by suggesting expected outcomes from specific interventions.
3. Child mortality statistics can be compared with those from other decades for the evaluation of
achievement toward health care goals.
4. Critical clinical pathways are interdisciplinary documents provided by a hospital to suggest
ideal sequencing and timing of events and interventions for specific diseases to improve
efficiency of care and enhance recovery. These pathways serve as models outlining the typical
hospital stay for individuals with specified conditions.
Page Ref: 11
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Nurs/Int Con: Nursing Process: Planning
Learning Outcome: 1-2
3
GENIUSDOC
, 6) The telephone triage nurse at a pediatric clinic knows that each call is important. However,
recognizing that infant deaths are the most frequent in this group, the nurse must be extra
attentive during the call from the parent of an infant who is:
1. between six and eight months old.
2. of a Native American family.
3. of a non-Hispanic black family.
4. younger than four weeks old.
Answer: 4
Explanation: 1. About two-thirds of infant deaths occur much earlier—in the first 28 days of
life.
2. Native American and Alaskan natives experience an infant mortality rate of 8.3 per 100,000
live births.
3. During 2000, the infant mortality statistics for non-Hispanic blacks was 13.6 per 100,000 live
births.
4. Over two-thirds of all infant deaths occur during the first 28 days after birth.
Page Ref: 13
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Nurs/Int Con: Nursing Process: Planning
Learning Outcome: 1-3
7) When discussing injury prevention with the parents of a toddler, which statement indicates
teaching has been successful? "The leading cause of death in children is:
1. unintentional injury."
2. infectious disease."
3. congenital anomalies."
4. cancer."
Answer: 1
Explanation: 1. The most common cause of death for children between 1 and 19 years of age is
unintentional injury, which includes motor vehicle crashes, drowning, fire, burns, firearms, and
suffocation.
2. Infectious disease is not the cause of most deaths in children.
3. The leading cause of death in children is unintentional injuries, not congenital anomalies.
4. Cancer is not the leading cause of child mortality.
Page Ref: 13, 14
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Nurs/Int Con: Nursing Process: Evaluation
Learning Outcome: 1-3
4
GENIUSDOC
