12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference
Ch. 1, Section: Perspectives of Pediatric Nursing
Question stem
A 4-year-old with a complex chronic condition is
admitted; parents want to remain with the child
24/7. Which nursing action best reflects family-
centered pediatric care?
A. Limit parent presence to visiting hours to
reduce staff interruptions.
B. Encourage parents to stay and involve them
in bedside care tasks.
C. Ask parents to leave during procedures to
,prevent child distress.
D. Request a social work consult and restrict
parental involvement until assessment.
Correct answer: B
Rationale — correct (B)
Family-centered care supports parents’
presence and participation in care; involving
them reduces child anxiety and improves
outcomes. This aligns with Wong’s emphasis on
partnership with families.
Rationales — incorrect
A. Restricting presence prioritizes convenience,
not family-centered care.
C. Excluding parents during procedures may
increase child distress; instead prepare and
involve them.
D. Social work may help, but automatically
restricting involvement is not best practice.
,Teaching point
Involve families as partners; their presence
supports child coping and recovery.
Citation
Hockenberry, M. J. (2022). Wong’s Nursing Care
of Infants and Children (12th ed.), Ch. 1:
Perspectives of Pediatric Nursing.
2
Reference
Ch. 2, Section: Family, Social, Cultural, and
Religious Influences on Child Health Promotion
Question stem
Parents refuse a blood transfusion for their 10-
year-old for religious reasons and request
alternative therapies. The nurse’s first action
should be:
A. Administer the transfusion because it’s life-
saving.
, B. Contact child protective services
immediately.
C. Explore parents’ beliefs and discuss risks,
benefits, and alternatives.
D. Document refusal and discontinue further
discussion.
Correct answer: C
Rationale — correct (C)
Wong emphasizes culturally competent, ethical
care: assess beliefs, provide information, and
negotiate care decisions. Open dialogue may
identify acceptable alternatives.
Rationales — incorrect
A. Overriding parental wishes violates informed
consent unless imminent life threat and legal
criteria met.
B. CPS is for neglect/abuse; discussion and
alternatives should be attempted first.