MCN 374 EXAM 1 QUESTIONS & ANSWERS
NURSE'S ROLE IN CARE OF THE CHILD: HOSPITAL, COMMUNITY AND HOME -
Answers :Bindler-Ball continuum of Pediatric Health care for children and their families
-health maintenance and health promotion
-acute/chronic conditions
-end of life care
Various Roles of the Pediatric Nurse - Answers :DIRECT care
Therapeutic relationship
Pt and family advocacy and caring !!!!
Disease PREVENTION and health promotion
Pt education ***
Support and COUNSELING **
Coordination and Collaboration
Ethical Decision Making
Case mgmt
Research
General Goals of the Pediatric Nurse Providing Direct Pt Care - Answers :Interact
effectively with children and family
Modify physical assessment techniques to AGE**** -- less invasive to more invasive
Identify strategies to REDUCE pain and stress***
Calculate accurate med doses
Provide SAFETY for Childs developmental status ****!!
Adapt procedures to Childs age and development **
Family Centered Care - Answers :Family is a CONSTANT influence and support in a
Childs life ***!!!
-foundational for developing TRUST !!
-PARTNERS IN CARE-- participating in decisions ****
Addressing & meeting emotional, social, physical, spiritual, cultural & developmental
needs of children and families seeking health care **!!
EDUCATE children and their families - make informed choices
Atraumatic Care - Answers :ELIMINATE or MINIMIZE distress **!!
-psychological
-physical
** allow parents to stay in the room**
,Goals of Atraumatic Care: - Answers :PREVENT or minimize separation from the family
****
Promote sense of CONTROL***!!
Prevent or minimize bodily injury and pain
-Emla cream (has lidocaine in it) can put on IV insertion site to numb skin
Ex. - Answers :Foster the child-parent relationship
PREPARE child before any tx or procedure ****
CONTROL pain
Provide PLAY activities for expression of fear and aggression **!!
Major Goal of Pediatric Nursing - Answers :IMPROVE the QUALITY of healthcare for
children and their families **!! -- healthy people 2020
-in the US many disparities in pediatric health care
-large GAPS in health care system
CHIP - Answers :childrens health insurance, financial assistance -- according to
medicaid standards
cont. - Answers :Children < 18 are MORE than 23% of the pop.
Cultural group sizes changing
-DIVERSITY
Family centered care
-families are PARTNERS in care**!!
HEALTH PROMOTION: Provides opportunities to: - Answers :1) REDUCE differences
in current health status among members of different groups ***
2) Ensure EQUAL opportunities and resources
3) Enable ALL children to achieve their FULLEST health potential ***!!
Infant Mortality - Answers :Number of DEATHS per 1000 live births *** during FIRST
year of life
-neonatal (birth-28 days)-- low birth weight, congenital anomalies
-Infant (1-12 months) -- SIDS, congenital anomalies , unintentional injuries
Pediatric Mortality - Answers :Infant mortality was 5.96 deaths/1000 live births in 2013
Disparities -- more than TWICE as high in black infants as in white infants **!!
Five Leading Causes of Infant Mortality -slide 14 - Answers :1) Congenital Malformation
**!!!
2) Low birth WEIGHT
,3) Maternal Complications (intrauterine stroke, hemorrhage)
4) Sudden Infant Death Syndrome (SIDS)
5) Unintentional Injuries (baby suffocated)
Age Specific Death Rates per 100,000 Children for Leading Causes of Mortality -
Answers :most COMMON cause of death for children 1-19 yo is UNINTENTIONAL
INJURY **!! (car accidents, drowning, fire and burns, suffocation, poisoning)
1-9 yo - Answers :unintentional injury****
congenital malformations
homicide
malignant neoplasms
heart disease
flu and pneumonia
Chronic low respiratory disease
10-19 yo - Answers :Unintentional injury** !!! - big factor
Malignant neoplasms
SUICIDE ***
Congenital malformations
HOMICIDE ***
Heart disease
Chronic low respiratory disease
Influenza and pneumonia
Childhood Morbidity - Answers :illness or injury that LIMITS activity, requires MEDICAL
attention or hospitalization, or results in a CHRONIC condition **!!
Stats generally rates per 1000 population
Difficult to define
Childhood Morbidity: 5 leading causes of hospitalization 2011 (ages 1-17): - Answers
:MOOD disorders****!!
Pneumonia
Asthma ***
Appendicitis
Epilepsy
Others
The "New" Morbidity: - Answers :AKA Pediatric SOCIAL ILLNESS**!!
-Behavior, social, and educational problems ****
-Psychosocial factors
--POVERTY, violence, aggression, abused, noncompliance, school failure, adjustment
to parental separation and DIVORCE
, -MENTAL health issues
Health Promotion - Answers :Healthy People 2020 ***!!
-Framework for identifying essential components for child health promotion programs **
-Designed to PREVENT future health problems in children
Evidence Based Practice - Answers :problem solving approach that integrates the
BEST research evidence with a healthcare professional CLINICAL expertise and the
clients VALUES or preferences ***!!
Informed Consent - Answers :formal authorization by the Childs PARENT or guardian
allowing an INVASIVE procedure to be performed or for participation in research ***!!
Patient Self-Determination Act - Answers :directs healthcare institutions to INFORM
hospitalized patients about their RIGHTS, which include making advance directives***
FAMILY CENTERED CARE & CULTURAL CONSIDERATIONS - Answers :
What is a Family? - Answers :2+ individuals who are joined together by marriage, birth,
adoption, and live together in same house ***
Self-Identified
-includes "honorary" members
-dynamic
SHARE resources
-emotional, physical, financial
-guided by common values ***
NONE are typical
FAMILY COMPOSITION: - Answers :Nuclear
Child-free (choice, infertility)
Extended
Extended Kin Network
SINGLE parent
Blended/Reconstituted
Binuclear
Heterosexual Cohabiting **
LGBTQ
Nuclear - Answers :children live in a household with BOTH biologic parents****
Extended Family - Answers :couple shares household and child rearing responsibilities
with parents, siblings, or other relatives ***
NURSE'S ROLE IN CARE OF THE CHILD: HOSPITAL, COMMUNITY AND HOME -
Answers :Bindler-Ball continuum of Pediatric Health care for children and their families
-health maintenance and health promotion
-acute/chronic conditions
-end of life care
Various Roles of the Pediatric Nurse - Answers :DIRECT care
Therapeutic relationship
Pt and family advocacy and caring !!!!
Disease PREVENTION and health promotion
Pt education ***
Support and COUNSELING **
Coordination and Collaboration
Ethical Decision Making
Case mgmt
Research
General Goals of the Pediatric Nurse Providing Direct Pt Care - Answers :Interact
effectively with children and family
Modify physical assessment techniques to AGE**** -- less invasive to more invasive
Identify strategies to REDUCE pain and stress***
Calculate accurate med doses
Provide SAFETY for Childs developmental status ****!!
Adapt procedures to Childs age and development **
Family Centered Care - Answers :Family is a CONSTANT influence and support in a
Childs life ***!!!
-foundational for developing TRUST !!
-PARTNERS IN CARE-- participating in decisions ****
Addressing & meeting emotional, social, physical, spiritual, cultural & developmental
needs of children and families seeking health care **!!
EDUCATE children and their families - make informed choices
Atraumatic Care - Answers :ELIMINATE or MINIMIZE distress **!!
-psychological
-physical
** allow parents to stay in the room**
,Goals of Atraumatic Care: - Answers :PREVENT or minimize separation from the family
****
Promote sense of CONTROL***!!
Prevent or minimize bodily injury and pain
-Emla cream (has lidocaine in it) can put on IV insertion site to numb skin
Ex. - Answers :Foster the child-parent relationship
PREPARE child before any tx or procedure ****
CONTROL pain
Provide PLAY activities for expression of fear and aggression **!!
Major Goal of Pediatric Nursing - Answers :IMPROVE the QUALITY of healthcare for
children and their families **!! -- healthy people 2020
-in the US many disparities in pediatric health care
-large GAPS in health care system
CHIP - Answers :childrens health insurance, financial assistance -- according to
medicaid standards
cont. - Answers :Children < 18 are MORE than 23% of the pop.
Cultural group sizes changing
-DIVERSITY
Family centered care
-families are PARTNERS in care**!!
HEALTH PROMOTION: Provides opportunities to: - Answers :1) REDUCE differences
in current health status among members of different groups ***
2) Ensure EQUAL opportunities and resources
3) Enable ALL children to achieve their FULLEST health potential ***!!
Infant Mortality - Answers :Number of DEATHS per 1000 live births *** during FIRST
year of life
-neonatal (birth-28 days)-- low birth weight, congenital anomalies
-Infant (1-12 months) -- SIDS, congenital anomalies , unintentional injuries
Pediatric Mortality - Answers :Infant mortality was 5.96 deaths/1000 live births in 2013
Disparities -- more than TWICE as high in black infants as in white infants **!!
Five Leading Causes of Infant Mortality -slide 14 - Answers :1) Congenital Malformation
**!!!
2) Low birth WEIGHT
,3) Maternal Complications (intrauterine stroke, hemorrhage)
4) Sudden Infant Death Syndrome (SIDS)
5) Unintentional Injuries (baby suffocated)
Age Specific Death Rates per 100,000 Children for Leading Causes of Mortality -
Answers :most COMMON cause of death for children 1-19 yo is UNINTENTIONAL
INJURY **!! (car accidents, drowning, fire and burns, suffocation, poisoning)
1-9 yo - Answers :unintentional injury****
congenital malformations
homicide
malignant neoplasms
heart disease
flu and pneumonia
Chronic low respiratory disease
10-19 yo - Answers :Unintentional injury** !!! - big factor
Malignant neoplasms
SUICIDE ***
Congenital malformations
HOMICIDE ***
Heart disease
Chronic low respiratory disease
Influenza and pneumonia
Childhood Morbidity - Answers :illness or injury that LIMITS activity, requires MEDICAL
attention or hospitalization, or results in a CHRONIC condition **!!
Stats generally rates per 1000 population
Difficult to define
Childhood Morbidity: 5 leading causes of hospitalization 2011 (ages 1-17): - Answers
:MOOD disorders****!!
Pneumonia
Asthma ***
Appendicitis
Epilepsy
Others
The "New" Morbidity: - Answers :AKA Pediatric SOCIAL ILLNESS**!!
-Behavior, social, and educational problems ****
-Psychosocial factors
--POVERTY, violence, aggression, abused, noncompliance, school failure, adjustment
to parental separation and DIVORCE
, -MENTAL health issues
Health Promotion - Answers :Healthy People 2020 ***!!
-Framework for identifying essential components for child health promotion programs **
-Designed to PREVENT future health problems in children
Evidence Based Practice - Answers :problem solving approach that integrates the
BEST research evidence with a healthcare professional CLINICAL expertise and the
clients VALUES or preferences ***!!
Informed Consent - Answers :formal authorization by the Childs PARENT or guardian
allowing an INVASIVE procedure to be performed or for participation in research ***!!
Patient Self-Determination Act - Answers :directs healthcare institutions to INFORM
hospitalized patients about their RIGHTS, which include making advance directives***
FAMILY CENTERED CARE & CULTURAL CONSIDERATIONS - Answers :
What is a Family? - Answers :2+ individuals who are joined together by marriage, birth,
adoption, and live together in same house ***
Self-Identified
-includes "honorary" members
-dynamic
SHARE resources
-emotional, physical, financial
-guided by common values ***
NONE are typical
FAMILY COMPOSITION: - Answers :Nuclear
Child-free (choice, infertility)
Extended
Extended Kin Network
SINGLE parent
Blended/Reconstituted
Binuclear
Heterosexual Cohabiting **
LGBTQ
Nuclear - Answers :children live in a household with BOTH biologic parents****
Extended Family - Answers :couple shares household and child rearing responsibilities
with parents, siblings, or other relatives ***
