TEST BANK For Wong's Nursing Care of Infants and Children, 12th Edition (Hockenberry, 2024), Verified Chapters 1 - 34, Complete Newest Version

Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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,
,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
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Edition
1




MULTIPLE CHOICE 11




1. What is the major cause of death for children in the United States?
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a. Heart disease 11


b. Childhood cancer 11


c. Injuries
d. Congenital anomalies 11




ANS: C 11


Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescenc
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e. The leading cause of death for those younger than 1 year is congenital anomalies, and childhood
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cancers and heart disease cause a significantly lower percentage of deaths in children older than 1 y
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ear of age.11 11




DIF: Cognitive Level: Understanding 11 11


TOP: Nursing Process: Planning MSC: Client Needs: Health Prom
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otion and Maintenance11 11




2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
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centered care?‖ The 11 11 nurse should respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family.
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b. Family-centered care encourages family dependence on the health care system.
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c. Family-centered care recognizes that the family is the constant in a child‘s life.
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d. Family-centered care avoids expecting families to be part of the decision-
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making process. 11




ANS: C 11


The three key components of family-centered care are respect, collaboration, and support. Family-
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centered care recognizes the family as the constant in the child‘s life. The family should be enable
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d and empowered to work with the health care system and is expected to be part of the decision-
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making process. The nurse should also support the family‘s cultural diversity, not reduce its effect.
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DIF: Cognitive Level: Applying 11 11


TOP: Nursing Process: Implementation MSC: Client Needs: Health Prom
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otion and Maintenance11 11




3. Evidence-based practice (EBP), a decision-making model, is best described as which?
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a. Using information in textbooks to guide care
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b. Combining knowledge with clinical experience and intuition 11 11 11 11 11 11


c. Using a professional code of ethics as a means for decision making
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d. Gathering all evidence that applies to the child‘s health and family situatio
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n
ANS: B 11


EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and que
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stioning the best approach. EBP involves decision making based on the integration of the best resear
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ch evidence combined with clinical expertise and patient values.
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, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ba
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nk




DIF: Cognitive Level: Remembering 11 11


TOP: Nursing Process: Planning MSC: Client Needs: Safe and Eff
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ective Care Environment 11 11




4. The nurse is talking to a group of parents of school-age children at an after-
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school program about childhood health problems. Which statement should the nurse include in
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the teaching?
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a. Childhood obesity is the most common nutritional problem among children.
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b. Immunization rates are the same among children of different races and ethnicity. 11 11 11 11 11 11 11 11 11 11 11


c. Dental caries is not a problem commonly seen in children since the introduction
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of fluorinated water. 11 11


d. Mental health problems are typically not seen in school-
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age children but may be diagnosed in adolescents.
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ANS: A 11


When teaching parents of school-
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age children about childhood health problems, the nurse should include information about childhoo
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d obesity because it is the most common problem among children and is associated with type 2 dia
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betes. Teaching parents about ways to prevent obesity is important to include. Immunization rates d
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iffer depending on the child‘s race and ethnicity; dental caries continues to be a common chronic di
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sease in childhood; and mental health problems are seen in children as young as school age, not ju
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st in adolescents.
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DIF: Cognitive Level: Applying 11 11


TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Prom
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otion and Maintenance
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5. The nurse is planning care for a hospitalized preschool-
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aged child. Which should the nurse plan to ensure atraumatic care?
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a. Limit explanation of procedures because the child is preschool aged.
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b. Ask that all family members leave the room when performing procedures.
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c. Allow the child to choose the type of juice to drink with the administration of or
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al medications. 11


d. Explain that EMLA cream cannot be used for the morning lab draw because ther
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e is not time for it to be effective.
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ANS: C 11


The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice
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of juice to drink when taking oral medications provides the child with a sense of control. The presch
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ool child should be prepared before procedures, so limiting explanations of procedures would incre
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ase anxiety. The family should be allowed to stay with the child during procedures, minimizing stre
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ss.
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescr
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ibed cream in time for morning laboratory draws to minimize pain.
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DIF: Cognitive Level: Applying 11 11


TOP: Nursing Process: Planning MSC: Client Needs: Health Prom
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otion and Maintenance
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6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
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a. The nurse is planning to read a favorite fairy tale to a patient.
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b. During shift report, the nurse is criticizing parents for not visiting their child.
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c. The nurse is discussing with a fellow nurse the emotional draw to a certain patie
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nt.