INFANTS AND CHILDREN, 12TH EDITION BY: MARILYN
J. HOCKENBERRY, ELIZABETH A. DUFFY, KAREN GIBBS
LATEST UPDATE.
,Chapter c01: cPerspectives cof cPediatric cNursing
Hockenberry: cWong’s cNursing cCare cof cInfants cand cChildren,
c12th c cEdition
MULTIPLE cCHOICE
1. What cis cthe cmajor ccause cof cdeath cfor cchildren cin cthe cUnited cStates?
a. Heart cdisease
b. Childhood ccancer
c. Injuries
d. Congenital canomalies
ANS: c C
Unintentional cinjuries c(accidents) care cthe cleading ccause cof cdeath cafter cage c1 cyear cthrough
cadolescence. cThe cleading ccause cof cdeath cfor cthose cyounger cthan c1 cyear cis ccongenital
canomalies, cand cchildhood ccancers cand cheart cdisease ccause ca csignificantly clower cpercentage cof
cdeaths cin cchildren colder cthan c1 cyear cof cage.
DIF: Cognitive cLevel: cUnderstanding TOP: cNursing cProcess:
cPlanning cMSC: c Client cNeeds: cHealth cPromotion cand cMaintenance
2. Parents cof ca chospitalized ctoddler cask cthe cnurse, c“What cis cmeant cby cfamily-centered ccare?”
cThe cnurse cshould crespond cwith cwhich cstatement?
a. Family-centered ccare creduces cthe ceffect cof ccultural cdiversity con cthe cfamily.
b. Family-centered ccare cencourages cfamily cdependence con cthe chealth ccare
csystem.
c. Family-centered ccare crecognizes cthat cthe cfamily cis cthe cconstant cin ca cchild’s
clife.
d. Family-centered ccare cavoids cexpecting cfamilies cto cbe cpart cof cthe cdecision-
making cprocess.
ANS: c C
The cthree ckey ccomponents cof cfamily-centered ccare care crespect, ccollaboration, cand csupport.
cFamily- ccentered ccare crecognizes cthe cfamily cas cthe cconstant cin cthe cchild’s clife. cThe cfamily
cshould cbe cenabled cand cempowered cto cwork cwith cthe chealth ccare csystem cand cis cexpected cto cbe
cpart cof cthe cdecision-making cprocess. cThe cnurse cshould calso csupport cthe cfamily’s ccultural
cdiversity, cnot creduce cits ceffect.
DIF: Cognitive cLevel: cApplying TOP: cNursing cProcess:
cImplementation cMSC: c Client cNeeds: cHealth cPromotion cand cMaintenance
3. Evidence-based cpractice c(EBP), ca cdecision-making cmodel, cis cbest cdescribed cas cwhich?
a. Using cinformation cin ctextbooks cto cguide ccare
b. Combining cknowledge cwith cclinical cexperience cand cintuition
c. Using ca cprofessional ccode cof cethics cas ca cmeans cfor cdecision cmaking
d. Gathering call cevidence cthat capplies cto cthe cchild’s chealth cand cfamily
csituation
ANS: c B
EBP chelps cfocus con cmeasurable coutcomes; cthe cuse cof cdemonstrated, ceffective cinterventions; cand
cquestioning cthe cbest capproach. cEBP cinvolves cdecision cmaking cbased con cthe cintegration cof cthe
cbest cresearch cevidence ccombined cwith cclinical cexpertise cand cpatient cvalues.
,Wong's cNursing cCare cof cInfants cand cChildren c12th cEdition cby cHockenberry cTest
cBank
DIF: Cognitive cLevel: cRemembering TOP: cNursing cProcess:
cPlanning cMSC: c Client cNeeds: cSafe cand cEffective cCare cEnvironment
4. The cnurse cis ctalking cto ca cgroup cof cparents cof cschool-age cchildren cat can cafter-school
cprogram cabout cchildhood chealth cproblems. cWhich cstatement cshould cthe cnurse cinclude cin
cthe cteaching?
a. Childhood cobesity cis cthe cmost ccommon cnutritional cproblem camong cchildren.
b. Immunization crates care cthe csame camong cchildren cof cdifferent craces cand
cethnicity.
c. Dental ccaries cis cnot ca cproblem ccommonly cseen cin cchildren csince cthe
cintroduction cof cfluorinated cwater.
d. Mental chealth cproblems care ctypically cnot cseen cin cschool-age cchildren cbut cmay
cbe cdiagnosed cin cadolescents.
ANS: c A
When cteaching cparents cof cschool-age cchildren cabout cchildhood chealth cproblems, cthe cnurse
cshould cinclude cinformation cabout cchildhood cobesity cbecause cit cis cthe cmost ccommon cproblem
camong cchildren cand cis cassociated cwith ctype c2 cdiabetes. cTeaching cparents cabout cways cto cprevent
cobesity cis cimportant cto cinclude. cImmunization crates cdiffer cdepending con cthe cchild’s crace cand
cethnicity; cdental ccaries ccontinues cto cbe ca ccommon cchronic cdisease cin cchildhood; cand cmental
chealth cproblems care cseen cin cchildren cas cyoung cas cschool cage, cnot cjust cin cadolescents.
DIF: Cognitive cLevel: cApplying TOP: cIntegrated cProcess:
cTeaching/Learning cMSC: c Client cNeeds: cHealth cPromotion cand cMaintenance
5. The cnurse cis cplanning ccare cfor ca chospitalized cpreschool-aged cchild. cWhich cshould cthe cnurse
cplan cto censure catraumatic ccare?
a. Limit cexplanation cof cprocedures cbecause cthe cchild cis cpreschool caged.
b. Ask cthat call cfamily cmembers cleave cthe croom cwhen cperforming cprocedures.
c. Allow cthe cchild cto cchoose cthe ctype cof cjuice cto cdrink cwith cthe cadministration
cof coral cmedications.
d. Explain cthat cEMLA ccream ccannot cbe cused cfor cthe cmorning clab cdraw cbecause
cthere cis cnot ctime cfor cit cto cbe ceffective.
ANS: c C
The coverriding cgoal cin cproviding catraumatic ccare cis cfirst, cdo cno charm. cAllowing cthe cchild, ca
cchoice cof cjuice cto cdrink cwhen ctaking coral cmedications cprovides cthe cchild cwith ca csense cof
ccontrol. cThe cpreschool cchild cshould cbe cprepared cbefore cprocedures, cso climiting cexplanations cof
cprocedures cwould cincrease canxiety. cThe cfamily cshould cbe callowed cto cstay cwith cthe cchild cduring
cprocedures, cminimizing cstress.
Lidocaine/prilocaine c(EMLA) ccream cis ca ctopical clocal canesthetic. cThe cnurse cshould cplan cto cuse cthe
cprescribed ccream cin ctime cfor cmorning claboratory cdraws cto cminimize cpain.
DIF: Cognitive cLevel: cApplying TOP: cNursing cProcess:
cPlanning cMSC: c Client cNeeds: cHealth cPromotion cand cMaintenance
6. Which csituation cdenotes ca cnontherapeutic cnurse–patient–family crelationship?
a. The cnurse cis cplanning cto cread ca cfavorite cfairy ctale cto ca cpatient.
b. During cshift creport, cthe cnurse cis ccriticizing cparents cfor cnot cvisiting ctheir cchild.
c. The cnurse cis cdiscussing cwith ca cfellow cnurse cthe cemotional cdraw cto ca ccertain
cpatient.
d. The cnurse cis cworking cwith ca cfamily cto cfind cways cto cdecrease cthe cfamily’s
cdependence con chealth ccare cproviders.
, Wong's cNursing cCare cof cInfants cand cChildren c12th cEdition cby cHockenberry cTest
cBank
ANS: c B
Criticizing cparents cfor cnot cvisiting cin cshift creport cis cnontherapeutic cand cshows can cunder
cinvolvement cwith cthe cparents. cReading ca cfairy ctale cis ca ctherapeutic cand cage-appropriate caction.
cDiscussing cfeelings cof can cemotional cdraw cwith ca cfellow cnurse cis ctherapeutic cand cshows ca
cwillingness cto cunderstand cfeelings. cWorking cwith cparents cto cdecrease cdependence con chealth
ccare cproviders cis ctherapeutic cand chelps cto cempower cthe cfamily.
DIF: Cognitive cLevel: cAnalyzing TOP: cIntegrated cProcess:
cCaring cMSC: c Client cNeeds: cPsychosocial cIntegrity
7. The cnurse cis caware cthat cwhich cage-group cis cat crisk cfor cchildhood cinjury cbecause cof cthe
ccognitive ccharacteristic cof cmagical cand cegocentric cthinking?
a. Preschool
b. Young cschool cage
c. Middle cschool
cage
d. Adolescent
ANS: c A
Preschool cchildren chave cthe ccognitive ccharacteristic cof cmagical cand cegocentric cthinking, cmeaning
cthey care cunable cto ccomprehend cdanger cto cself cor cothers. cYoung cand cmiddle cschool-aged
cchildren chave ctransitional ccognitive cprocesses, cand cthey cmay cattempt cdangerous cacts cwithout
cdetailed cplanning cbut crecognize cdanger cto cthemselves cor cothers. cAdolescents chave cformal
coperational ccognitive cprocesses cand care cpreoccupied cwith cabstract cthinking.
DIF: Cognitive cLevel: cUnderstanding TOP: c Nursing cProcess:
cAssessment cMSC: c Client cNeeds: cSafe cand cEffective cCare cEnvironment
8. The cschool cnurse cis cassessing cchildren cfor crisk cfactors crelated cto cchildhood cinjuries. cWhich
cchild chas cthe cmost crisk cfactors crelated cto cchildhood cinjury?
a. Female, cmultiple csiblings, cstable chome clife
b. Male, chigh cactivity clevel, cstressful chome clife
c. Male, ceven ctempered, chistory cof cprevious cinjuries
d. Female, creacts cnegatively cto cnew csituations, cno cserious cprevious
cinjuries
ANS: c B
Boys chave ca cpreponderance cfor cinjuries cover cgirls cbecause cof ca cdifference cin cbehavioral
ccharacteristics, ca chigh cactivity ctemperament cis cassociated cwith crisk-taking cbehaviors, cand cstress
cpredisposes cchildren cto cincreased crisk ctaking cand cself-destructive cbehaviors. cTherefore, ca cmale
cchild cwith ca chigh cactivity clevel cand cliving cin ca cstressful cenvironment chas cthe chighest cnumber cof
crisk cfactors. cA cgirl cwith cseveral csiblings cand ca cstable chome clife cis clow crisk. cA cboy cwith
cprevious cinjuries chas ctwo crisk cfactors, cbut can ceven ctemper cis cnot ca crisk cfactor cfor cinjuries. cA
cgirl cwho creacts cnegatively cto cnew csituations cbut chas cno cprevious cserious cillnesses chas conly cone
crisk cfactor.
DIF: Cognitive cLevel: cAnalyzing TOP: c Nursing cProcess:
cAssessment cMSC: c Client cNeeds: cSafe cand cEffective cCare cEnvironment
9. An cadolescent cpatient cwants cto cmake cdecisions cabout ctreatment coptions, calong cwith chis cparents.
cWhich cmoral cvalue cis cthe cnurse cdisplaying cwhen csupporting cthe cadolescent cto cmake cdecisions?
a. Justice