N322 Exam 1 Questions With Complete Solutions
6 national quality priorities for health care QI Correct Answers
-safer care: reduce harm
-each person/family engaged as partner in care
-effective communication/coordination of care
-effective prevention and treatment practices
-promote best practices for healthy living
-more affordable care
Atraumatic care Correct Answers -provision of therapeutic
care in setting, by personnel, & through use of intervention that
eliminate or minimize psychologic and physical distress of child
and family in the health care system
Atraumatic care cont Correct Answers -Overriding goal: First
do no harm
-prevent or minimize child's separation from family, promote
sense of control (for family and chid), prevent or minimize
bodily injury and pain
-Concept of atraumatic care is integral to all nursing care of
child and family
Atraumatic care examples Correct Answers -Therapeutic:
prevention, diagnosis, treatment, palliation of acute or chronic
conditions
-setting: where care is give
-Personnel: anyone providing care
-interventions: psychologic or physical
-psychologic distress: anxiety, fear, anger, disappointment,
sadness, shame, guilt
,-physical distress: sleeplessness, immobilization, pain,
temperature extremes, loud noises, bright lights, darkness
Beneficial effects of hospitalization Correct Answers -
opportunity for child to master stress
-provide new socialization experiences
-access to supportive resources
Binuclear family Correct Answers -divorced parents
continuing parent role
-joint custody: equal rights and responsibility
Biobehavioral Correct Answers -preferred term over
nonpharmacologic
-may be more effective than pharmacologic
Biobehavioral interventions Correct Answers -interrupt cycle
of pain
-help w pain control
-distract, relax
-provide coping strategies
-dec perception of pain
-make pain more tolerable
-dec anxiety
-enhance effectiveness of analgesics
-provide sense of control
-enhance comfort
-promote rest and sleep
Biobehavioral interventions cont Correct Answers -safe,
noninvasive, inexpensive
,-independent nursing functions
-repeated painful procedures
-let child choose specific strategy
-child learn before pain occurs
-help child during procedure
-involve parent
Biobehavioral pain management for neonates Correct Answers
-for painful procedures
-concentrated oral sucrose
-skin to skin
-breastfeeding
-containment
-positioning
-nonnutritive sucking
Bright futures (AAP) Correct Answers -National health
promotion initiative to improve health of US children
-Major themes include: family support, child development,
mental health, healthy nutrition and weight, physical activity,
oral health, healthy sexual development & sexuality, safety &
injury prevention, importance of community resources
broader influences on child health Correct Answers -social
media and mass media: technology has a bigger role, limited
benefit for a child <2, 75% of adolescents have a smart phone
(half feel addicted), potential risks to physical and mental health,
need plan for safe and healthy technology use
Broader influences on child health cont Correct Answers -race
and ethnicity: racism important social determinant of health;
, ethnocentrism (belief that ones own ethnic group superior to
others)
-social class: related to economic and educational levels
-poverty
-land of origin/immigrant status
Child health promotion themes Correct Answers -
development: screening & assessment for early intervention
-nutrition: essential for healthy growth and development
-oral health: dental caries are the most common chronic disease
of childhood (preventable), disparities (race, culture, income),
educate parents (dental hygiene, fluoride, preventative care)
Child poverty Correct Answers -children are the poorest age
group in America
-1 in 6 (12 mil) lived in poverty in 2019
Childhood Health Problems Correct Answers -poverty
-violence/aggression
-noncompliance
-school failure
-adjustment to parental separation & divorce
-mental health issues
Childhood morbidity: acute illness Correct Answers -
symptoms severe enough to limit activity of require medical
care: res (50%, infections and parasites (11%), injuries (15%)
-higher morbidity: homeless, poor, LBW, have chronic illness,
foreign born adopted, in daycare centers
6 national quality priorities for health care QI Correct Answers
-safer care: reduce harm
-each person/family engaged as partner in care
-effective communication/coordination of care
-effective prevention and treatment practices
-promote best practices for healthy living
-more affordable care
Atraumatic care Correct Answers -provision of therapeutic
care in setting, by personnel, & through use of intervention that
eliminate or minimize psychologic and physical distress of child
and family in the health care system
Atraumatic care cont Correct Answers -Overriding goal: First
do no harm
-prevent or minimize child's separation from family, promote
sense of control (for family and chid), prevent or minimize
bodily injury and pain
-Concept of atraumatic care is integral to all nursing care of
child and family
Atraumatic care examples Correct Answers -Therapeutic:
prevention, diagnosis, treatment, palliation of acute or chronic
conditions
-setting: where care is give
-Personnel: anyone providing care
-interventions: psychologic or physical
-psychologic distress: anxiety, fear, anger, disappointment,
sadness, shame, guilt
,-physical distress: sleeplessness, immobilization, pain,
temperature extremes, loud noises, bright lights, darkness
Beneficial effects of hospitalization Correct Answers -
opportunity for child to master stress
-provide new socialization experiences
-access to supportive resources
Binuclear family Correct Answers -divorced parents
continuing parent role
-joint custody: equal rights and responsibility
Biobehavioral Correct Answers -preferred term over
nonpharmacologic
-may be more effective than pharmacologic
Biobehavioral interventions Correct Answers -interrupt cycle
of pain
-help w pain control
-distract, relax
-provide coping strategies
-dec perception of pain
-make pain more tolerable
-dec anxiety
-enhance effectiveness of analgesics
-provide sense of control
-enhance comfort
-promote rest and sleep
Biobehavioral interventions cont Correct Answers -safe,
noninvasive, inexpensive
,-independent nursing functions
-repeated painful procedures
-let child choose specific strategy
-child learn before pain occurs
-help child during procedure
-involve parent
Biobehavioral pain management for neonates Correct Answers
-for painful procedures
-concentrated oral sucrose
-skin to skin
-breastfeeding
-containment
-positioning
-nonnutritive sucking
Bright futures (AAP) Correct Answers -National health
promotion initiative to improve health of US children
-Major themes include: family support, child development,
mental health, healthy nutrition and weight, physical activity,
oral health, healthy sexual development & sexuality, safety &
injury prevention, importance of community resources
broader influences on child health Correct Answers -social
media and mass media: technology has a bigger role, limited
benefit for a child <2, 75% of adolescents have a smart phone
(half feel addicted), potential risks to physical and mental health,
need plan for safe and healthy technology use
Broader influences on child health cont Correct Answers -race
and ethnicity: racism important social determinant of health;
, ethnocentrism (belief that ones own ethnic group superior to
others)
-social class: related to economic and educational levels
-poverty
-land of origin/immigrant status
Child health promotion themes Correct Answers -
development: screening & assessment for early intervention
-nutrition: essential for healthy growth and development
-oral health: dental caries are the most common chronic disease
of childhood (preventable), disparities (race, culture, income),
educate parents (dental hygiene, fluoride, preventative care)
Child poverty Correct Answers -children are the poorest age
group in America
-1 in 6 (12 mil) lived in poverty in 2019
Childhood Health Problems Correct Answers -poverty
-violence/aggression
-noncompliance
-school failure
-adjustment to parental separation & divorce
-mental health issues
Childhood morbidity: acute illness Correct Answers -
symptoms severe enough to limit activity of require medical
care: res (50%, infections and parasites (11%), injuries (15%)
-higher morbidity: homeless, poor, LBW, have chronic illness,
foreign born adopted, in daycare centers
