TEST BANK FOR ADVANCED ASSESSMENT INTERPRETING FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES 4th Edition, Mary Jo Goolsby, Laurie Grubbs

ADVANCED PHARMACOLOGY TEST BANK, QUESTIONS AND ANSWERS n n n n n n n




WITH RATIONALES n




The nurse strives to provide culturally competent care for children in a health
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clinic that follows the principles of health supervision. Which of the following
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nursing actions reflects this type of care?A) The nurse treats all children the s
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ame regardless of their culture.
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B) The nurse negotiates a care plan with the child and family.
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C) The nurse researches the child's culture and provides care based on th
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e findings.
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D) The nurse provides future-based care for culturally diverse children. -
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ANS-B) The nurse negotiates a care plan with the child and family.
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The nurse is aware that the community affects the health of its members. Whic
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h of the following statements accurately reflect a community influence of h
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ealth care? Select all answers that apply.
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A) A community can be a contributor to a child's health or be the cause of his
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or her n


illnesses.
B) The child's health should be separated from the health of the sur
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rounding
community.
C) Community support and resources are necessary for children with si
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gnificant
problems.
D) Poverty has not been linked to an increase in health problems in co
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mmunities.
E) The breakdown of community and family support systems can lead to de
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pression
and violence.
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,F) Ideally, the child's medical home is located outside the community -
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nANS-
A) A community can be a contributor to a child's health or be the cause of
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his or her
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illnesses.
C) Community support and resources are necessary for children with signifi
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cant
problems.
E) The breakdown of community and family support systems can lead to dep
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ression
and violence.
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,The nurse is providing atraumatic care to children in a hospital setting. Whic
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h of the following are principles of this philosophy of care? Select all answers
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that apply. n


A) Avoid or reduce painful procedures
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B) Avoid or reduce physical distress
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C) Minimize parent-child interactions n n


D) Provide child-centered care n n


E) Minimize child control n n


F) Use core primary nursing
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(chapter 30) - ANS-A, B, F n n n n n




Avoid or reduce painful procedures, Avoid or reduce physical distress, Use c
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ore primary nursing
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The nurse is consulting with a child life specialist (CLS) to help minimize the st
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ress of hospitalization for a child. Which of the following services would the
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CLS provide? Select all answers that apply.
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A) Medical preparation for tests, surgeries, and other medical procedures
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B) Support before and after, but not during, medical procedures
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C) Activities to support normal growth and development
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D) Grief and bereavement support
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E) Emergency room interventions for children and familiesn n n n n n


F) Only inpatient consultations with families - ANS-C, D, E
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, Activities to support normal growth and development., Grief and bereaveme
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nt support, Emergency room interventions for children and families
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The nurse is implementing interventions to prevent physical stressors for a 9
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-year-
old child receiving chemotherapy in the hospital. Which of the following is
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an example of using atraumatic care for this child?
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A) Use restraint or "holding down" of the child during the procedure to pre
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vent injury. n


B) Have the parent stand near and/or rub the child's feet during the pr
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ocedure.
C) Insert a saline lock if the child will require multiple doses of parenteral me
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dications.
D) Avoid using numbing techniques for multiple blood draws or IV inser
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tion. - ANS- n n


C) Insert a saline lock if the child will require multiple doses of parentera
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l medications.
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The nurse contacts a child life specialist (CLS) to work with children on a pedia
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tric ward. What is the primary goal of the CLS?
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A) Decrease anxiety and fear during hospitalization and painful pr
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ocedures
B) Keep children who are hospitalized distracted from pain
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C) Perform medical procedures using atraumatic principles
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D) Act as a liaison between the nurse and the child - ANS-
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A) Decrease anxiety and fear during hospitalization and painful proced
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ures

The nurse is preparing a child and his family for a lumbar puncture. Which of th
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e following would be a primary intervention instituted by the CLS to keep the
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child safe? n


A) Distraction methods n


B) Stimulation methods n


C) Therapeutic hugging n


D) Therapeutic touch - ANS-C) Therapeutic hugging n n n n n