Chapterm1m Nurse'smRoleminmCaremof mthemChild:mHospital,mCommunity,mandmHome
1) Whichmnursingmrolemismnotmdirectlyminvolved mwhenmprovidingmfamily-
centered mapproachmtomthempediatricmpopulation?
1. Advocacy
2. Casemmanagement
3. Patient meducation
4. Researcher
Answer:m 4
m
Explanation:m 1.mAmresearchermismnot minvolved minmthemfamily-
centered mapproachmtompatient mcaremof mchildrenmand mtheirmfamilies.mAdvocacy,mcasemmanagement
,mand mpatient meducationmaremallmrolesmdirectlyminvolved minmthemcaremof mchildrenmand mtheirmfamili
es.
2. A mresearchermismnot minvolved minmthemfamily-
centered mapproachmtompatient mcaremof mchildrenmand mtheirmfamilies.mAdvocacy,mcasemmanagement,
mand mpatient meducationmaremallmrolesmdirectlyminvolved m
inmthemcaremof mchildrenmand mtheirmfamilies.
3. A mresearchermismnot minvolved minmthemfamily-
centered mapproachmtompatient mcaremof mchildrenmand mtheirmfamilies.mAdvocacy,mcasemmanagement,
mand mpatient meducationmaremallmrolesmdirectlyminvolved m
inmthemcaremof mchildrenmand mtheirmfamilies.
4. A mresearchermismnot minvolved minmthemfamily-
centered mapproachmtompatient mcaremof mchildrenmand mtheirmfamilies.mAdvocacy,mcasemmanagement,
mand mpatient meducationmaremallmrolesmdirectlyminvolved m
inmthemcaremof mchildrenmand mtheirmfamilies.
PagemRef:m4
CognitivemLevel:m Analyzing
Client mNeed m&Sub:mSafemand mEffectivemCaremEnvironment:mManagement mof mCaremStanda
rds:m QSEN mCompetencies:mPatient-centered mcarem|mAACN mEssentialmCompetencies:
EssentialmII:mBasicmorganizationalmand msystemsmleadershipmformqualitymcaremand mpatient msafet
ym|mNLN mCompetencies:mProfessionalmidentitym|mNursing/Integrated mConcepts:mNursingmProc
ess:mAssessment/Coordinationmof mcare
LearningmOutcome:m LOm1.2mComparemthemrolesmof mnursesminmchild mhealthca
re.mMNLmLO:mmFamily-centered mcare
,2) A mnursemismworkingmwithmpediatricmclientsminmamresearchmfacility.m Themnursemrecognizesmth
at mfederalmguidelinesmareminmplacemthat mdelineatemwhichmpediatricsmclientsmmust mgivemassent mf
ormparticipationminmresearchmtrials.mBased muponmthemclient'smage,mthemnurse mwould mseekmassent
mfromm whichmchildren?
Select mallmthat mapply.
1. Themprecociousm4-year-old mcommencingmasm amcysticmfibrosism research-studymparticipant.
2. Them7-year-
old mleukemiamclient melectingmtomreceivemamnewlymdeveloped mmedication,mnowmbeingmresearched.
3. Them10-year-old mcommencingminmanminvestigativemstudymformclientsmwithmprecociousmpuberty.
4. Them13-year-
old mclient mcommencingmparticipationminmamresearchmprogrammformAttentionmDeficit mHyperactivit
ymDisorderm(ADHD)mtreatments.
Answer:m 2,m3,m4
Explanation:m1.mFederalmguidelinesmmandatemthat mresearchmparticipantsm7myearsmold mand moldermmu
st mreceivemdevelopmentallymappropriateminformationmabout mhealthcaremproceduresmand mtreatmentsm
and mgivemassent.
2. Federalmguidelinesmmandatemthat mresearchmparticipantsm7myearsmold mand moldermmust mreceivem
developmentallymappropriateminformationmabout mhealthcaremproceduresmand mtreatmentsmand mgi
vemassent.
3. Federalmguidelinesmmandatemthat mresearchmparticipantsm7myearsmold mand moldermmust mreceivem
developmentallymappropriateminformationmabout mhealthcaremproceduresmand mtreatmentsmand mgi
vemassent.
4. Federalmguidelinesmmandatemthat mresearchmparticipantsm7myearsmold mand moldermmust mreceivem
developmentallymappropriateminformationmabout mhealthcaremproceduresmand mtreatmentsmand mgi
vemassent.
PagemRef:m11,m12
CognitivemLevel:m Applying
Client mNeed m&Sub:m PsychosocialmIntegrity
Standards:mQSEN mCompetencies:mPatient-
centered mcarem|mAACN mEssentialmCompetencies:mEssentialmV:mHealthcarempolicy,mfinance,mand
mregulatorymenvironmentsm|mNLN mCompetencies:mNursingmjudgement m|mNursing/Integrated mCo
ncepts:mNursingmProcess:mPlanning/Coordinationmof mcare
LearningmOutcome:m LOm1.6mExaminemthreemuniquempediatricmlegalmand methicalmissuesm inmpediat
ricmnursingmpractice.
MNLmLO:m Developmentallymappropriatemcare
,3) Themnurseminmampediatricmacutemcaremunit mismassigned mthemfollowingmtasks.mWhichmtaskmis mnot
appropriatemformthemnursemtomcomplete?
1. Diagnosemanm8-year-old mwithmacutemotitismmediamand mprescribemanmantibiotic.
2. Listenmtomthemconcernsmof manmadolescent mabout mbeingmout mof mschoolmformamlengthymsurgi
calmrecovery.
3. Provideminformationmtomammothermof mamnewlymdiagnosed m4-year-
old mdiabeticmabout mlocalmsupport-mgroupmoptions.
4. Diagnosemam6-year-
old mwithmDiversionalmActivitymDeficit mrelated mtomplacement minmisolation.mAnswer:m 1
Explanation:m1.mThemrolemof mthempediatricmnursemincludesmprovidingmnursingmassessment,mdirectin
gmnursingmcareminterventions,mand meducatingmclient mand mfamilymat mdevelopmentallymappropriatemle
vels;mclient madvocacy,mcasemmanagement,mminimizationmof mdistress,mand menhancement mof mcoping
.mAdvanced mpracticemnursempractitionersmperformmassessment,mdiagnosis,mand mmanagement mof mhea
lthmconditions.
2. Themrolemof mthempediatricmnursemincludesmprovidingmnursingmassessment,mdirectingmnursingmc
areminterventions,mand meducatingmclient mand mfamilymat mdevelopmentallymappropriatemlevels;mclie
nt madvocacy,mcasemmanagement,mminimizationmof mdistress,mand menhancement mof mcoping.mAdva
nced mpracticemnursempractitionersmperformmassessment,mdiagnosis,mand mmanagement mof mhealthm
conditions.
3. Themrolemof mthempediatricmnursemincludesmprovidingmnursingmassessment,mdirectingmnursingm c
areminterventions,mand meducatingmclient mand mfamilymat mdevelopmentallymappropriatemlevels;mclie
nt madvocacy,mcasemmanagement,mminimizationmof mdistress,mand menhancement mof mcoping.mAdva
nced mpracticemnursempractitionersmperformmassessment,mdiagnosis,mand mmanagement mof mhealthm
conditions.
4. Themrolemof mthempediatricmnursemincludesmprovidingmnursingmassessment,mdirectingmnursingmc
areminterventions,mand meducatingmclient mand mfamilymat mdevelopmentallymappropriatemlevels;mclie
nt madvocacy,mcasemmanagement,mminimizationmof mdistress,mand menhancement mof mcoping.mAdva
nced mpracticemnursempractitionersmperformmassessment,mdiagnosis,mand mmanagement mof mhealthm
conditions.
PagemRef:m2-4
CognitivemLevel:m Applying
Client mNeed m&Sub:mSafemand mEffectivemCaremEnvironment:mManagement mof mCaremStanda
rds:m QSEN mCompetencies:mPatient-centered mcarem|mAACN mEssentialmCompetencies:
EssentialmII:mBasicmorganizationalmand msystemsmleadershipmformqualitymcaremand mpatient msafet
ym|mNLN mCompetencies:mProfessionalmidentitym|mNursing/Integrated mConcepts:mNursingmProc
ess:mImplementation/Coordinationmof mcare
LearningmOutcome:m LOm1.2mComparemthemrolesmof mnursesminmchild mhealthca
re.mMNLmLO:mmPediatricmnursingmcare
, 4) A m7-year-
old mchild mismadmitted mformacutemappendicitis.mThemparentsmaremquestioningmthemnursemabout mexpe
ctationsmduringmthemchild'smrecovery.mWhichminformationmtoolmwould mbemmost musefulminmansweri
ngmamparent'smquestionsmabout mthemtimingmof mkeymevents?
1. HealthymPeoplem2020
2. Clinicalmpathways
3. Child mmortalitymstatistics
4. Nationalmclinicalmpracticemguideline
smAnswer:m 2
Explanation:m1.mClinicalmpathwaysmareminterdisciplinary mdocumentsmprovided mbymamhospitalmtoms
uggest midealmsequencingmand mtimingmof meventsmand minterventionsmformspecificmdiseasesmtomimpro
vemefficiencymof mcaremand menhancemrecovery.mThismpathwaymservesmasmam modelmoutliningmthemtypi
calmhospitalmstaymformindividualsmwithmspecified mconditions.mHealthymPeoplem2020mcontainsmobje
ctivesmset mbymthemU.S.mgovernment mtomimprovemthemhealthmand mreducemthemincidencemof mdeathminmt
he
twenty-
first mcentury.mChild mmortalitymstatisticsmcanmbemcompared mwithmthosemfrommothermdecadesmformtheme
valuationmof machievement mtoward mhealth-
caremgoals.mNationalmclinicalmpracticemguidelinesmpromotemuniformityminmcaremformspecificmdisease
mconditionsmbymsuggestingmexpected moutcomesmfromm specificminterventions.
2. Clinicalmpathwaysmareminterdisciplinarymdocumentsmprovided mbymamhospitalmtomsuggest midealmse
quencingmand mtimingmof meventsmand minterventionsmformspecificmdiseasesmtomimprovemefficiencymof m
caremand menhancemrecovery.mThismpathwaymservesmasmammodelmoutliningmthemtypicalmhospitalmstaym
formindividualsmwithmspecified mconditions.mHealthymPeoplem2020mcontainsmobjectivesmset mbymthemU
.S.mgovernment mtomimprovemthemhealthmand mreducemthemincidencemof mdeathminmthemtwenty-
first mcentury.mChild mmortalitymstatisticsmcanmbemcompared mwithmthosemfrommothermdecadesmformthem
evaluationmof machievement mtoward mhealth-
caremgoals.mNationalmclinicalmpracticemguidelinesmpromotemuniformityminmcaremformspecificmdisease
mconditionsmbymsuggestingmexpected moutcomesmfrommspecificminterventions.
3. Clinicalmpathwaysmareminterdisciplinarymdocumentsmprovided mbymamhospitalmtomsuggest midealmse
quencingmand mtimingmof meventsmand minterventionsmformspecificmdiseasesmtomimprovemefficiencymof m
caremand menhancemrecovery.mThismpathwaymservesmasmammodelmoutliningmthemtypicalmhospitalmstaym
formindividualsmwithmspecified mconditions.mHealthymPeoplem2020mcontainsmobjectivesmset mbymthemU
.S.mgovernment mtomimprovemthemhealthmand mreducemthemincidencemof mdeathminmthemtwenty-
first mcentury.mChild mmortalitymstatisticsmcanmbemcompared mwithmthosemfrommothermdecadesmformthem
evaluationmof machievement mtoward mhealth-
caremgoals.mNationalmclinicalmpracticemguidelinesmpromotemuniformityminmcaremformspecificmdisease
mconditionsmbymsuggestingmexpected moutcomesmfrommspecificminterventions.
4. Clinicalmpathwaysmareminterdisciplinarymdocumentsmprovided mbymamhospitalmtomsuggest midealmse
quencingmand mtimingmof meventsmand minterventionsmformspecificmdiseasesmtomimprovemefficiencymof m
caremand menhancemrecovery.mThismpathwaymservesmasmammodelmoutliningmthemtypicalmhospitalmstaym
formindividualsmwithmspecified mconditions.mHealthymPeoplem2020mcontainsmobjectivesmset mbymthemU
.S.mgovernment mtomimprovemthemhealthmand mreducemthemincidencemof mdeathminmthemtwenty-
first mcentury.mChild mmortalitymstatisticsmcanmbemcompared mwithmthosemfrommothermdecadesmformthem
evaluationmof machievement mtoward mhealth-
caremgoals.mNationalmclinicalmpracticemguidelinesmpromotemuniformityminmcaremformspecificmdisease
mconditionsmbymsuggestingmexpected moutcomesmfrommspecificminterventions.
PagemRef:m1,m2
CognitivemLevel:m Applying
Client mNeed m&Sub:m PsychosocialmIntegrity
Standards:mQSEN mCompetencies:mPatient-