,Principles of Pediatric Nursing: Caring for Children, 7e (Ball et al.)
vi vi vi vi vi vi vi vi vi vi
Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
vi v i v i vi vi vi vi vi vi vi vi vi vi
1) Which nursing role is not directly involved when providing family-
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centered approach to the pediatric population?
vi vi vi vi vi
1. Advocacy
2. Case management vi
3. Patient education vi
4. Researcher
Answer: 4 v i
Explanation: 1. A researcher is not involved in the family- v i vi vi vi vi vi vi vi vi
centered approach to patient care of children and their families. Advocacy, case management, and
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
patient education are all roles directly involved in the care of children and their families.
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
2. A researcher is not involved in the family-
vi vi vi vi vi vi vi
centered approach to patient care of children and their families. Advocacy, case management, and
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
patient education are all roles directly involved in the care of children and their families.
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
3. A researcher is not involved in the family-
vi vi vi vi vi vi vi
centered approach to patient care of children and their families. Advocacy, case management, and
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
patient education are all roles directly involved in the care of children and their families.
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
4. A researcher is not involved in the family-
vi vi vi vi vi vi vi
centered approach to patient care of children and their families. Advocacy, case management, and
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
patient education are all roles directly involved in the care of children and their families.
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
Page Ref: 4 vi vi
Cognitive Level: Analyzing vi v i
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standards:
vi vi v i vi vi vi vi vi vi vi vi
QSEN Competencies: Patient-centered care | AACN Essential Competencies:
v i vi vi vi vi vi vi vi
Essential II: Basic organizational and systems leadership for quality care and patient safety | NLN
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Assessment
vi vi vi vi vi vi vi vi
/Coordination of care vi vi
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare. M
vi v i vi vi vi vi vi vi vi vi vi vi
NL LO: Family-centered care
vi v i vi
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that fe
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
deral guidelines are in place that delineate which pediatrics clients must give assent for partici
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
pation in research trials. Based upon the client's age, the nurse would seek assent from which c
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
hildren?
Select all that apply. vi vi vi
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
vi vi vi vi vi vi vi vi vi
2. The 7-year- vi
old leukemia client electing to receive a newly developed medication, now being researched.
vi vi vi vi vi vi vi vi vi vi vi vi
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
vi vi vi vi vi vi vi vi vi vi vi
4. The 13-year- vi
old client commencing participation in a research program for Attention Deficit Hyperactivity Di
vi vi vi vi vi vi vi vi vi vi vi vi
sorder (ADHD) treatments. vi vi
Answer: 2, 3, 4 v i vi vi
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must r
v i vi vi vi vi vi vi vi vi vi vi vi vi vi
eceive developmentally appropriate information about healthcare procedures and treatments and gi
vi vi vi vi vi vi vi vi vi vi
ve assent.
vi
2. Federal guidelines mandate that research participants 7 years old and older must receive deve
vi vi vi vi vi vi vi vi vi vi vi vi vi
lopmentally appropriate information about healthcare procedures and treatments and give assent
vi vi vi vi vi vi vi vi vi vi
.
3. Federal guidelines mandate that research participants 7 years old and older must receive deve
vi vi vi vi vi vi vi vi vi vi vi vi vi
lopmentally appropriate information about healthcare procedures and treatments and give assent
vi vi vi vi vi vi vi vi vi vi
.
4. Federal guidelines mandate that research participants 7 years old and older must receive deve
vi vi vi vi vi vi vi vi vi vi vi vi vi
lopmentally appropriate information about healthcare procedures and treatments and give assent
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.
Page Ref: 11, 12 vi vi vi
Cognitive Level: Applying vi v i
Client Need &Sub: Psychosocial Integrity
vi vi v i vi
Standards: QSEN Competencies: Patient- v i vi vi
centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and regul
vi vi vi vi vi vi vi vi vi vi vi vi
atory environments | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nur
vi vi vi vi vi vi vi vi vi vi
sing Process: Planning/Coordination of care
vi vi vi vi
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric nursing
vi v i vi vi vi vi vi vi vi vi vi vi vi vi v
practice.
i
MNL LO: Developmentally appropriate care
vi v i vi vi
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
appropriate for the nurse to complete? vi vi vi vi vi
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
vi vi vi vi vi vi vi vi vi vi
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical re
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
covery.
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local support-
vi vi vi vi vi vi vi vi vi vi vi vi vi
group options.
vi vi
4. Diagnose a 6-year- vi vi
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
vi vi vi vi vi vi vi vi vi vi v i
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing n
v i vi vi vi vi vi vi vi vi vi vi vi vi
ursing care interventions, and educating client and family at developmentally appropriate levels; c
vi vi vi vi vi vi vi vi vi vi vi vi
lient advocacy, case management, minimization of distress, and enhancement of coping. Advanced
vi vi vi vi vi vi vi vi vi vi vi
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
vi vi vi vi vi vi vi vi vi vi vi
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing care in
vi vi vi vi vi vi vi vi vi vi vi vi vi
terventions, and educating client and family at developmentally appropriate levels; client advoc
vi vi vi vi vi vi vi vi vi vi vi
acy, case management, minimization of distress, and enhancement of coping. Advanced practic
vi vi vi vi vi vi vi vi vi vi vi
e nurse practitioners perform assessment, diagnosis, and management of health conditions.
vi vi vi vi vi vi vi vi vi vi
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing care in
vi vi vi vi vi vi vi vi vi vi vi vi vi
terventions, and educating client and family at developmentally appropriate levels; client advoc
vi vi vi vi vi vi vi vi vi vi vi
acy, case management, minimization of distress, and enhancement of coping. Advanced practic
vi vi vi vi vi vi vi vi vi vi vi
e nurse practitioners perform assessment, diagnosis, and management of health conditions.
vi vi vi vi vi vi vi vi vi vi
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing care in
vi vi vi vi vi vi vi vi vi vi vi vi vi
terventions, and educating client and family at developmentally appropriate levels; client advoc
vi vi vi vi vi vi vi vi vi vi vi
acy, case management, minimization of distress, and enhancement of coping. Advanced practic
vi vi vi vi vi vi vi vi vi vi vi
e nurse practitioners perform assessment, diagnosis, and management of health conditions.
vi vi vi vi vi vi vi vi vi vi
Page Ref: 2-4 vi vi
Cognitive Level: Applying vi v i
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standards:
vi vi v i vi vi vi vi vi vi vi vi
QSEN Competencies: Patient-centered care | AACN Essential Competencies:
v i vi vi vi vi vi vi vi
Essential II: Basic organizational and systems leadership for quality care and patient safety | NLN
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Implement
vi vi vi vi vi vi vi vi
ation/Coordination of care vi vi
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare. M
vi v i vi vi vi vi vi vi vi vi vi vi
NL LO: Pediatric nursing care
vi v i vi vi
vi vi vi vi vi vi vi vi vi vi
Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
vi v i v i vi vi vi vi vi vi vi vi vi vi
1) Which nursing role is not directly involved when providing family-
vi vi vi vi vi vi vi vi vi
centered approach to the pediatric population?
vi vi vi vi vi
1. Advocacy
2. Case management vi
3. Patient education vi
4. Researcher
Answer: 4 v i
Explanation: 1. A researcher is not involved in the family- v i vi vi vi vi vi vi vi vi
centered approach to patient care of children and their families. Advocacy, case management, and
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
patient education are all roles directly involved in the care of children and their families.
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
2. A researcher is not involved in the family-
vi vi vi vi vi vi vi
centered approach to patient care of children and their families. Advocacy, case management, and
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
patient education are all roles directly involved in the care of children and their families.
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
3. A researcher is not involved in the family-
vi vi vi vi vi vi vi
centered approach to patient care of children and their families. Advocacy, case management, and
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
patient education are all roles directly involved in the care of children and their families.
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
4. A researcher is not involved in the family-
vi vi vi vi vi vi vi
centered approach to patient care of children and their families. Advocacy, case management, and
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
patient education are all roles directly involved in the care of children and their families.
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
Page Ref: 4 vi vi
Cognitive Level: Analyzing vi v i
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standards:
vi vi v i vi vi vi vi vi vi vi vi
QSEN Competencies: Patient-centered care | AACN Essential Competencies:
v i vi vi vi vi vi vi vi
Essential II: Basic organizational and systems leadership for quality care and patient safety | NLN
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Assessment
vi vi vi vi vi vi vi vi
/Coordination of care vi vi
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare. M
vi v i vi vi vi vi vi vi vi vi vi vi
NL LO: Family-centered care
vi v i vi
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that fe
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
deral guidelines are in place that delineate which pediatrics clients must give assent for partici
vi vi vi vi vi vi vi vi vi vi vi vi vi vi
pation in research trials. Based upon the client's age, the nurse would seek assent from which c
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
hildren?
Select all that apply. vi vi vi
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
vi vi vi vi vi vi vi vi vi
2. The 7-year- vi
old leukemia client electing to receive a newly developed medication, now being researched.
vi vi vi vi vi vi vi vi vi vi vi vi
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
vi vi vi vi vi vi vi vi vi vi vi
4. The 13-year- vi
old client commencing participation in a research program for Attention Deficit Hyperactivity Di
vi vi vi vi vi vi vi vi vi vi vi vi
sorder (ADHD) treatments. vi vi
Answer: 2, 3, 4 v i vi vi
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must r
v i vi vi vi vi vi vi vi vi vi vi vi vi vi
eceive developmentally appropriate information about healthcare procedures and treatments and gi
vi vi vi vi vi vi vi vi vi vi
ve assent.
vi
2. Federal guidelines mandate that research participants 7 years old and older must receive deve
vi vi vi vi vi vi vi vi vi vi vi vi vi
lopmentally appropriate information about healthcare procedures and treatments and give assent
vi vi vi vi vi vi vi vi vi vi
.
3. Federal guidelines mandate that research participants 7 years old and older must receive deve
vi vi vi vi vi vi vi vi vi vi vi vi vi
lopmentally appropriate information about healthcare procedures and treatments and give assent
vi vi vi vi vi vi vi vi vi vi
.
4. Federal guidelines mandate that research participants 7 years old and older must receive deve
vi vi vi vi vi vi vi vi vi vi vi vi vi
lopmentally appropriate information about healthcare procedures and treatments and give assent
vi vi vi vi vi vi vi vi vi vi
.
Page Ref: 11, 12 vi vi vi
Cognitive Level: Applying vi v i
Client Need &Sub: Psychosocial Integrity
vi vi v i vi
Standards: QSEN Competencies: Patient- v i vi vi
centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and regul
vi vi vi vi vi vi vi vi vi vi vi vi
atory environments | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nur
vi vi vi vi vi vi vi vi vi vi
sing Process: Planning/Coordination of care
vi vi vi vi
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric nursing
vi v i vi vi vi vi vi vi vi vi vi vi vi vi v
practice.
i
MNL LO: Developmentally appropriate care
vi v i vi vi
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
appropriate for the nurse to complete? vi vi vi vi vi
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
vi vi vi vi vi vi vi vi vi vi
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical re
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
covery.
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local support-
vi vi vi vi vi vi vi vi vi vi vi vi vi
group options.
vi vi
4. Diagnose a 6-year- vi vi
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
vi vi vi vi vi vi vi vi vi vi v i
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing n
v i vi vi vi vi vi vi vi vi vi vi vi vi
ursing care interventions, and educating client and family at developmentally appropriate levels; c
vi vi vi vi vi vi vi vi vi vi vi vi
lient advocacy, case management, minimization of distress, and enhancement of coping. Advanced
vi vi vi vi vi vi vi vi vi vi vi
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
vi vi vi vi vi vi vi vi vi vi vi
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing care in
vi vi vi vi vi vi vi vi vi vi vi vi vi
terventions, and educating client and family at developmentally appropriate levels; client advoc
vi vi vi vi vi vi vi vi vi vi vi
acy, case management, minimization of distress, and enhancement of coping. Advanced practic
vi vi vi vi vi vi vi vi vi vi vi
e nurse practitioners perform assessment, diagnosis, and management of health conditions.
vi vi vi vi vi vi vi vi vi vi
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing care in
vi vi vi vi vi vi vi vi vi vi vi vi vi
terventions, and educating client and family at developmentally appropriate levels; client advoc
vi vi vi vi vi vi vi vi vi vi vi
acy, case management, minimization of distress, and enhancement of coping. Advanced practic
vi vi vi vi vi vi vi vi vi vi vi
e nurse practitioners perform assessment, diagnosis, and management of health conditions.
vi vi vi vi vi vi vi vi vi vi
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing care in
vi vi vi vi vi vi vi vi vi vi vi vi vi
terventions, and educating client and family at developmentally appropriate levels; client advoc
vi vi vi vi vi vi vi vi vi vi vi
acy, case management, minimization of distress, and enhancement of coping. Advanced practic
vi vi vi vi vi vi vi vi vi vi vi
e nurse practitioners perform assessment, diagnosis, and management of health conditions.
vi vi vi vi vi vi vi vi vi vi
Page Ref: 2-4 vi vi
Cognitive Level: Applying vi v i
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standards:
vi vi v i vi vi vi vi vi vi vi vi
QSEN Competencies: Patient-centered care | AACN Essential Competencies:
v i vi vi vi vi vi vi vi
Essential II: Basic organizational and systems leadership for quality care and patient safety | NLN
vi vi vi vi vi vi vi vi vi vi vi vi vi vi vi
Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Implement
vi vi vi vi vi vi vi vi
ation/Coordination of care vi vi
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare. M
vi v i vi vi vi vi vi vi vi vi vi vi
NL LO: Pediatric nursing care
vi v i vi vi
