,Principles of Pediatric Nursing: Caring for Children, 7e (Ball et al.)
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Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
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1) Which nursing role is not directly involved when providing family-
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centered approach to the pediatric population?
zx zx zx zx zx
1. Advocacy
2. Case management zx
3. Patient education zx
4. Researcher
Answer: 4 z x
Explanation: 1. A researcher is not involved in the family-
z x zx zx zx zx zx zx zx zx
centered approach to patient care of children and their families. Advocacy, case management,
zx zx zx zx zx zx zx zx zx zx zx zx zx
and patient education are all roles directly involved in the care of children and their families.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
2. A researcher is not involved in the family-
zx zx zx zx zx zx zx
centered approach to patient care of children and their families. Advocacy, case management,
zx zx zx zx zx zx zx zx zx zx zx zx zx
and patient education are all roles directly involved in the care of children and their families.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
3. A researcher is not involved in the family-
zx zx zx zx zx zx zx
centered approach to patient care of children and their families. Advocacy, case management,
zx zx zx zx zx zx zx zx zx zx zx zx zx
and patient education are all roles directly involved in the care of children and their families.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
4. A researcher is not involved in the family-
zx zx zx zx zx zx zx
centered approach to patient care of children and their families. Advocacy, case management,
zx zx zx zx zx zx zx zx zx zx zx zx zx
and patient education are all roles directly involved in the care of children and their families.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
Page Ref: 4
zx zx
Cognitive Level: Analyzing zx z x
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standa
zx zx z x zx zx zx zx zx zx zx zx
rds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
z x zx zx zx zx zx zx zx
Essential II: Basic organizational and systems leadership for quality care and patient safety | N
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Asse
zx zx zx zx zx zx zx zx zx
ssment/Coordination of care zx zx
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
zx z x zx zx zx zx zx zx zx zx zx zx
MNL LO: Family-centered care
zx z x zx
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes th
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
at federal guidelines are in place that delineate which pediatrics clients must give assent f
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
or participation in research trials. Based upon the client's age, the nurse would seek assent
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
from which children? zx zx
Select all that apply. zx zx zx
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
zx zx zx zx zx zx zx zx zx
2. The 7-year- zx
old leukemia client electing to receive a newly developed medication, now being researched.
zx zx zx zx zx zx zx zx zx zx zx zx
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
zx zx zx zx zx zx zx zx zx zx zx
4. The 13-year- zx
old client commencing participation in a research program for Attention Deficit Hyperactivity
zx zx zx zx zx zx zx zx zx zx zx
Disorder (ADHD) treatments.
zx zx zx
Answer: 2, 3, 4 z x zx zx
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older mu
z x zx zx zx zx zx zx zx zx zx zx zx zx
st receive developmentally appropriate information about healthcare procedures and treatments
zx zx zx zx zx zx zx zx zx zx
and give assent.zx zx
2. Federal guidelines mandate that research participants 7 years old and older must receive
zx zx zx zx zx zx zx zx zx zx zx zx zx
developmentally appropriate information about healthcare procedures and treatments and giv
zx zx zx zx zx zx zx zx zx
e assent.
zx
3. Federal guidelines mandate that research participants 7 years old and older must receive
zx zx zx zx zx zx zx zx zx zx zx zx zx
developmentally appropriate information about healthcare procedures and treatments and giv
zx zx zx zx zx zx zx zx zx
e assent.
zx
4. Federal guidelines mandate that research participants 7 years old and older must receive
zx zx zx zx zx zx zx zx zx zx zx zx zx
developmentally appropriate information about healthcare procedures and treatments and giv
zx zx zx zx zx zx zx zx zx
e assent.
zx
Page Ref: 11, 12 zx zx zx
Cognitive Level: Applying zx z x
Client Need &Sub: Psychosocial Integrity
zx zx z x zx
Standards: QSEN Competencies: Patient- z x zx zx
centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and re
zx zx zx zx zx zx zx zx zx zx zx zx
gulatory environments | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts
zx zx zx zx zx zx zx zx zx
: Nursing Process: Planning/Coordination of care
zx zx zx zx zx
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric nur
zx z x zx zx zx zx zx zx zx zx zx zx zx zx
sing practice. zx
MNL LO: Developmentally appropriate care
zx z x zx zx
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
appropriate for the nurse to complete? zx zx zx zx zx
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
zx zx zx zx zx zx zx zx zx zx
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgic
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
al recovery.
zx
3. Provide information to a mother of a newly diagnosed 4-year-
zx zx zx zx zx zx zx zx zx
old diabetic about local support- group options.
zx zx zx zx zx zx
4. Diagnose a 6-year- zx zx
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
zx zx zx zx zx zx zx zx zx zx z x
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directi
z x zx zx zx zx zx zx zx zx zx zx zx
ng nursing care interventions, and educating client and family at developmentally appropriate
zx zx zx zx zx zx zx zx zx zx zx zx
levels; client advocacy, case management, minimization of distress, and enhancement of coping
zx zx zx zx zx zx zx zx zx zx zx
. Advanced practice nurse practitioners perform assessment, diagnosis, and management of heal
zx zx zx zx zx zx zx zx zx zx zx
th conditions.
zx
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing car
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e interventions, and educating client and family at developmentally appropriate levels; client
zx zx zx zx zx zx zx zx zx zx zx z
xadvocacy, case management, minimization of distress, and enhancement of coping. Advance
zx zx zx zx zx zx zx zx zx zx
d practice nurse practitioners perform assessment, diagnosis, and management of health cond
zx zx zx zx zx zx zx zx zx zx zx
itions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing car
zx zx zx zx zx zx zx zx zx zx zx zx
e interventions, and educating client and family at developmentally appropriate levels; client
zx zx zx zx zx zx zx zx zx zx zx z
xadvocacy, case management, minimization of distress, and enhancement of coping. Advance
zx zx zx zx zx zx zx zx zx zx
d practice nurse practitioners perform assessment, diagnosis, and management of health con
zx zx zx zx zx zx zx zx zx zx zx
ditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing car
zx zx zx zx zx zx zx zx zx zx zx zx
e interventions, and educating client and family at developmentally appropriate levels; client
zx zx zx zx zx zx zx zx zx zx zx z
xadvocacy, case management, minimization of distress, and enhancement of coping. Advance
zx zx zx zx zx zx zx zx zx zx
d practice nurse practitioners perform assessment, diagnosis, and management of health cond
zx zx zx zx zx zx zx zx zx zx zx
itions.
Page Ref: 2-4 zx zx
Cognitive Level: Applying zx z x
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standa
zx zx z x zx zx zx zx zx zx zx zx
rds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
z x zx zx zx zx zx zx zx
Essential II: Basic organizational and systems leadership for quality care and patient safety | N
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Impl
zx zx zx zx zx zx zx zx zx
ementation/Coordination of care zx zx
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
zx z x zx zx zx zx zx zx zx zx zx zx
MNL LO: Pediatric nursing care
zx z x zx zx
zx zx zx zx zx zx zx zx zx zx
Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
zx zxzx zx zx zx zx zx zx zx zx zx zx
1) Which nursing role is not directly involved when providing family-
zx zx zx zx zx zx zx zx zx
centered approach to the pediatric population?
zx zx zx zx zx
1. Advocacy
2. Case management zx
3. Patient education zx
4. Researcher
Answer: 4 z x
Explanation: 1. A researcher is not involved in the family-
z x zx zx zx zx zx zx zx zx
centered approach to patient care of children and their families. Advocacy, case management,
zx zx zx zx zx zx zx zx zx zx zx zx zx
and patient education are all roles directly involved in the care of children and their families.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
2. A researcher is not involved in the family-
zx zx zx zx zx zx zx
centered approach to patient care of children and their families. Advocacy, case management,
zx zx zx zx zx zx zx zx zx zx zx zx zx
and patient education are all roles directly involved in the care of children and their families.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
3. A researcher is not involved in the family-
zx zx zx zx zx zx zx
centered approach to patient care of children and their families. Advocacy, case management,
zx zx zx zx zx zx zx zx zx zx zx zx zx
and patient education are all roles directly involved in the care of children and their families.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
4. A researcher is not involved in the family-
zx zx zx zx zx zx zx
centered approach to patient care of children and their families. Advocacy, case management,
zx zx zx zx zx zx zx zx zx zx zx zx zx
and patient education are all roles directly involved in the care of children and their families.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
Page Ref: 4
zx zx
Cognitive Level: Analyzing zx z x
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standa
zx zx z x zx zx zx zx zx zx zx zx
rds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
z x zx zx zx zx zx zx zx
Essential II: Basic organizational and systems leadership for quality care and patient safety | N
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Asse
zx zx zx zx zx zx zx zx zx
ssment/Coordination of care zx zx
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
zx z x zx zx zx zx zx zx zx zx zx zx
MNL LO: Family-centered care
zx z x zx
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes th
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
at federal guidelines are in place that delineate which pediatrics clients must give assent f
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
or participation in research trials. Based upon the client's age, the nurse would seek assent
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
from which children? zx zx
Select all that apply. zx zx zx
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
zx zx zx zx zx zx zx zx zx
2. The 7-year- zx
old leukemia client electing to receive a newly developed medication, now being researched.
zx zx zx zx zx zx zx zx zx zx zx zx
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
zx zx zx zx zx zx zx zx zx zx zx
4. The 13-year- zx
old client commencing participation in a research program for Attention Deficit Hyperactivity
zx zx zx zx zx zx zx zx zx zx zx
Disorder (ADHD) treatments.
zx zx zx
Answer: 2, 3, 4 z x zx zx
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older mu
z x zx zx zx zx zx zx zx zx zx zx zx zx
st receive developmentally appropriate information about healthcare procedures and treatments
zx zx zx zx zx zx zx zx zx zx
and give assent.zx zx
2. Federal guidelines mandate that research participants 7 years old and older must receive
zx zx zx zx zx zx zx zx zx zx zx zx zx
developmentally appropriate information about healthcare procedures and treatments and giv
zx zx zx zx zx zx zx zx zx
e assent.
zx
3. Federal guidelines mandate that research participants 7 years old and older must receive
zx zx zx zx zx zx zx zx zx zx zx zx zx
developmentally appropriate information about healthcare procedures and treatments and giv
zx zx zx zx zx zx zx zx zx
e assent.
zx
4. Federal guidelines mandate that research participants 7 years old and older must receive
zx zx zx zx zx zx zx zx zx zx zx zx zx
developmentally appropriate information about healthcare procedures and treatments and giv
zx zx zx zx zx zx zx zx zx
e assent.
zx
Page Ref: 11, 12 zx zx zx
Cognitive Level: Applying zx z x
Client Need &Sub: Psychosocial Integrity
zx zx z x zx
Standards: QSEN Competencies: Patient- z x zx zx
centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and re
zx zx zx zx zx zx zx zx zx zx zx zx
gulatory environments | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts
zx zx zx zx zx zx zx zx zx
: Nursing Process: Planning/Coordination of care
zx zx zx zx zx
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric nur
zx z x zx zx zx zx zx zx zx zx zx zx zx zx
sing practice. zx
MNL LO: Developmentally appropriate care
zx z x zx zx
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
appropriate for the nurse to complete? zx zx zx zx zx
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
zx zx zx zx zx zx zx zx zx zx
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgic
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
al recovery.
zx
3. Provide information to a mother of a newly diagnosed 4-year-
zx zx zx zx zx zx zx zx zx
old diabetic about local support- group options.
zx zx zx zx zx zx
4. Diagnose a 6-year- zx zx
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
zx zx zx zx zx zx zx zx zx zx z x
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directi
z x zx zx zx zx zx zx zx zx zx zx zx
ng nursing care interventions, and educating client and family at developmentally appropriate
zx zx zx zx zx zx zx zx zx zx zx zx
levels; client advocacy, case management, minimization of distress, and enhancement of coping
zx zx zx zx zx zx zx zx zx zx zx
. Advanced practice nurse practitioners perform assessment, diagnosis, and management of heal
zx zx zx zx zx zx zx zx zx zx zx
th conditions.
zx
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing car
zx zx zx zx zx zx zx zx zx zx zx zx
e interventions, and educating client and family at developmentally appropriate levels; client
zx zx zx zx zx zx zx zx zx zx zx z
xadvocacy, case management, minimization of distress, and enhancement of coping. Advance
zx zx zx zx zx zx zx zx zx zx
d practice nurse practitioners perform assessment, diagnosis, and management of health cond
zx zx zx zx zx zx zx zx zx zx zx
itions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing car
zx zx zx zx zx zx zx zx zx zx zx zx
e interventions, and educating client and family at developmentally appropriate levels; client
zx zx zx zx zx zx zx zx zx zx zx z
xadvocacy, case management, minimization of distress, and enhancement of coping. Advance
zx zx zx zx zx zx zx zx zx zx
d practice nurse practitioners perform assessment, diagnosis, and management of health con
zx zx zx zx zx zx zx zx zx zx zx
ditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing car
zx zx zx zx zx zx zx zx zx zx zx zx
e interventions, and educating client and family at developmentally appropriate levels; client
zx zx zx zx zx zx zx zx zx zx zx z
xadvocacy, case management, minimization of distress, and enhancement of coping. Advance
zx zx zx zx zx zx zx zx zx zx
d practice nurse practitioners perform assessment, diagnosis, and management of health cond
zx zx zx zx zx zx zx zx zx zx zx
itions.
Page Ref: 2-4 zx zx
Cognitive Level: Applying zx z x
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standa
zx zx z x zx zx zx zx zx zx zx zx
rds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
z x zx zx zx zx zx zx zx
Essential II: Basic organizational and systems leadership for quality care and patient safety | N
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Impl
zx zx zx zx zx zx zx zx zx
ementation/Coordination of care zx zx
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
zx z x zx zx zx zx zx zx zx zx zx zx
MNL LO: Pediatric nursing care
zx z x zx zx
