NURS 306 - Exam 1 Complete Questions
with correct Answers
goal of pediatric nursing - correct answer-✅promote and assist the child in maintaining optimal levels of
health while recognizing the influence of the family on the child's wellbeing
Family-Centered Care - correct answer-✅mutually beneficial partnership between child, family, and
health care team (and usually community)
recognizes and values the role of the family in the health of the child (stability)
family is child's primary support
family's knowledge of child's health/illness is vital
family is the expert on the child's health condition, usual behaviors, routine, and needs
Nurses support families as the primary caregiver and decision maker, acknowledge family expertise,
consider family needs, and recognize individuality of family
benefits of family-centered care - correct answer-✅improves outcomes and customer satisfaction
atraumatic care - correct answer-✅care that minimizes physical care and psychological distress (do no
harm)
follows 3 principals: minimize physical stressors, prevent parent-child separation, promote sense of
control (give choices on control)
examples: utilizing treatment rooms, child life, therapeutic dolls, rooming patients with parents
always less invasive to most invasive, prevent separation from parents
Child Advocacy - correct answer-✅nurse assists child/family to make informed choices and act in child's
best interest
safeguards/advances the interests of children/families by knowing their needs/resources, informing
them of their rights/options, assisting them to make informed decisions
ensure families are aware of available health services, informed of treatments/procedures, involved in
child's care
Legal, moral & ethical issues - correct answer-✅parents/guardians generally make choices about their
child's health
in some situations, child can consent to procedures without parent's knowledge
refusal of medical care vs neglect - physicians/judicial system advocate for child
advances in science & technology - increased number of ethical dilemmas
informed consent - comes from parent but involves older child/adolescent
in an emergency, medical care is provided and attempts are made to reach parents
confidentiality - HIPPA, exceptions include a threat to themselves or others
exceptions for parental consent - correct answer-✅emergency room care or any life saving interventions
emancipated minor
minors may seek medical treatment for the following: mental health, pregnancy and sexual care, HIV and
STDs testing/treatment, drug or alcohol counseling/treatment and care for crime-related injury
therapeutic relationship - correct answer-✅foundation for providing high-quality nursing care
establish meaningful relationships with children & families yet separate enough to distinguish own
feelings
boundaries are positive, professional, & promote family's control of child's health (boundaries are often
blurred in pediatrics)
blurred boundaries serve nurse's personal needs rather than meeting family's needs
parents perceive caring as a sign of quality nursing care
therapeutic communication - correct answer-✅involves use of open-ended questions, reflection,
paraphrasing, acknowledgement of emotions
, nonverbal skills: active listening, open posture, eye contact, nod head, note child/parents' nonverbals
provide information and support on the child's developmental level and use age-appropriate methods
be honest with parents, parents want to be valued and should be equal partners in the health care team
multidisciplinary approach - correct answer-✅caring for pediatric patients requires professionals from
multiple disciplines
nurses need to collaborate with other professionals
recognize your limitations and refer to specialized services
nurses often acts as the care coordinator
mortality - correct answer-✅number of individuals who have died over a period of time
neonatal mortality - correct answer-✅number of infant deaths in first 28 days of life
infant mortality - correct answer-✅number of deaths occurring in first year of life
childhood mortality - correct answer-✅significant decreases in 20th century
disparities still exist
higher rate in ages 1-4 than 5-14
leading cause of death from birth-1 year - correct answer-✅congenital
leading cause of death 1-24 years - correct answer-✅unintentional injury
health promotion - correct answer-✅appropriate development
nutrition
mental health
oral health (fluoride in water, fluorinated toothpaste after 2 years old to prevent toxicity)
sexual development (body changes discussed starting at 8-9)
safety & injury prevention
disease prevention (flu: October-April, summer is broken bone season, fall is GI bugs)
nutrition - correct answer-✅deprivation of essential nutrients can seriously interfere with brain
development and other functions
requirements change over a child's life and have great influence on child's physical growth and
intellectual development
provides essentials required to maintain health and prevent illness
deficiencies or excess - zinc deficiency can cause cognitive delays
food jag - will only eat one food for a period of time and then moves on, developmentally appropriate
educate - prevent overweight and ensure all nutrients are eaten
healthy education is behavior, begins as toddler
factors contributing to poor nutrition - correct answer-✅inadequate food intake, unsound food
practices, easy accessibility of nutritionally inadequate foods, lack of education
inadequate nutrition is associated with... - correct answer-✅lower cognitive ability, poor
emotional/mental health, increases susceptibility to childhood illnesses, increased risk for mortality and
stunted physical growth
is juice recommended? - correct answer-✅no, unless constipated
should chose water or milk first
-juice has no nutritional value
Weight by percentile - correct answer-✅underweight = <5th percentile
healthy = >5 to <85th percentile
overweight = >85 to <95 percentile
Obese = BMI >95 percentile
obesity causes - correct answer-✅electronic media, lack of physical activity, abundance of unhealthy
food choices, genetic influences, poverty (healthy food is expensive), where you live( inner-city has
limited options)
growth charts curve - correct answer-✅goal = bell curve
with correct Answers
goal of pediatric nursing - correct answer-✅promote and assist the child in maintaining optimal levels of
health while recognizing the influence of the family on the child's wellbeing
Family-Centered Care - correct answer-✅mutually beneficial partnership between child, family, and
health care team (and usually community)
recognizes and values the role of the family in the health of the child (stability)
family is child's primary support
family's knowledge of child's health/illness is vital
family is the expert on the child's health condition, usual behaviors, routine, and needs
Nurses support families as the primary caregiver and decision maker, acknowledge family expertise,
consider family needs, and recognize individuality of family
benefits of family-centered care - correct answer-✅improves outcomes and customer satisfaction
atraumatic care - correct answer-✅care that minimizes physical care and psychological distress (do no
harm)
follows 3 principals: minimize physical stressors, prevent parent-child separation, promote sense of
control (give choices on control)
examples: utilizing treatment rooms, child life, therapeutic dolls, rooming patients with parents
always less invasive to most invasive, prevent separation from parents
Child Advocacy - correct answer-✅nurse assists child/family to make informed choices and act in child's
best interest
safeguards/advances the interests of children/families by knowing their needs/resources, informing
them of their rights/options, assisting them to make informed decisions
ensure families are aware of available health services, informed of treatments/procedures, involved in
child's care
Legal, moral & ethical issues - correct answer-✅parents/guardians generally make choices about their
child's health
in some situations, child can consent to procedures without parent's knowledge
refusal of medical care vs neglect - physicians/judicial system advocate for child
advances in science & technology - increased number of ethical dilemmas
informed consent - comes from parent but involves older child/adolescent
in an emergency, medical care is provided and attempts are made to reach parents
confidentiality - HIPPA, exceptions include a threat to themselves or others
exceptions for parental consent - correct answer-✅emergency room care or any life saving interventions
emancipated minor
minors may seek medical treatment for the following: mental health, pregnancy and sexual care, HIV and
STDs testing/treatment, drug or alcohol counseling/treatment and care for crime-related injury
therapeutic relationship - correct answer-✅foundation for providing high-quality nursing care
establish meaningful relationships with children & families yet separate enough to distinguish own
feelings
boundaries are positive, professional, & promote family's control of child's health (boundaries are often
blurred in pediatrics)
blurred boundaries serve nurse's personal needs rather than meeting family's needs
parents perceive caring as a sign of quality nursing care
therapeutic communication - correct answer-✅involves use of open-ended questions, reflection,
paraphrasing, acknowledgement of emotions
, nonverbal skills: active listening, open posture, eye contact, nod head, note child/parents' nonverbals
provide information and support on the child's developmental level and use age-appropriate methods
be honest with parents, parents want to be valued and should be equal partners in the health care team
multidisciplinary approach - correct answer-✅caring for pediatric patients requires professionals from
multiple disciplines
nurses need to collaborate with other professionals
recognize your limitations and refer to specialized services
nurses often acts as the care coordinator
mortality - correct answer-✅number of individuals who have died over a period of time
neonatal mortality - correct answer-✅number of infant deaths in first 28 days of life
infant mortality - correct answer-✅number of deaths occurring in first year of life
childhood mortality - correct answer-✅significant decreases in 20th century
disparities still exist
higher rate in ages 1-4 than 5-14
leading cause of death from birth-1 year - correct answer-✅congenital
leading cause of death 1-24 years - correct answer-✅unintentional injury
health promotion - correct answer-✅appropriate development
nutrition
mental health
oral health (fluoride in water, fluorinated toothpaste after 2 years old to prevent toxicity)
sexual development (body changes discussed starting at 8-9)
safety & injury prevention
disease prevention (flu: October-April, summer is broken bone season, fall is GI bugs)
nutrition - correct answer-✅deprivation of essential nutrients can seriously interfere with brain
development and other functions
requirements change over a child's life and have great influence on child's physical growth and
intellectual development
provides essentials required to maintain health and prevent illness
deficiencies or excess - zinc deficiency can cause cognitive delays
food jag - will only eat one food for a period of time and then moves on, developmentally appropriate
educate - prevent overweight and ensure all nutrients are eaten
healthy education is behavior, begins as toddler
factors contributing to poor nutrition - correct answer-✅inadequate food intake, unsound food
practices, easy accessibility of nutritionally inadequate foods, lack of education
inadequate nutrition is associated with... - correct answer-✅lower cognitive ability, poor
emotional/mental health, increases susceptibility to childhood illnesses, increased risk for mortality and
stunted physical growth
is juice recommended? - correct answer-✅no, unless constipated
should chose water or milk first
-juice has no nutritional value
Weight by percentile - correct answer-✅underweight = <5th percentile
healthy = >5 to <85th percentile
overweight = >85 to <95 percentile
Obese = BMI >95 percentile
obesity causes - correct answer-✅electronic media, lack of physical activity, abundance of unhealthy
food choices, genetic influences, poverty (healthy food is expensive), where you live( inner-city has
limited options)
growth charts curve - correct answer-✅goal = bell curve
