,Chapter 1 Nurs e’ s Role in Care of the Child: Hospital, Community, and Home
1) Which nursing role is not directly involved when providing family-centered approach to the
pediatric population? 1. Advocacy
2. Case management
3. Patient education
4. Researcher
Answer: 4
Explanation: 1. A researcher is not involved in the family-centered approach to patient care of
children and their families. Advocacy, case management, and patient education are all roles
directly involved in the care of children and their families.
2. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
3. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
4. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
Page Ref: 4
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Assessment/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Family-centered care
2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
federal guidelines are in place that delineate which pediatrics clients must give assent for
participation in research trials. Based upon the client's age, the nurse would seek assent from
which children?
Select all that apply.
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
,2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
4. The 13-year-old client commencing participation in a research program for Attention Deficit
Hyperactivity Disorder (ADHD) treatments.
Answer: 2, 3, 4
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
receive developmentally appropriate information about healthcare procedures and treatments and
give assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
Page Ref: 11, 12
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential V: Healthcare policy, finance, and regulatory environments | NLN Competencies:
Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of
care
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
nursing practice.
MNL LO: Developmentally appropriate care
3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
appropriate for the nurse to complete?
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
recovery.
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local
supportgroup options.
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation.
Answer: 1
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing
nursing care interventions, and educating client and family at developmentally appropriate
levels; client advocacy, case management, minimization of distress, and enhancement of coping.
Advanced practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
, advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions. Page Ref: 2-4
Cognitive Level: Applying
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Implementation/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Pediatric nursing care
4) A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse
about expectations during the child's recovery. Which information tool would be most useful in
answering a parent's questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
Answer: 2
Explanation: 1. Clinical pathways are interdisciplinary documents provided by a hospital to
suggest ideal sequencing and timing of events and interventions for specific diseases to improve
efficiency of care and enhance recovery. This pathway serves as a model outlining the typical
hospital stay for individuals with specified conditions. Healthy People 2020 contains objectives
set by the U.S. government to improve the health and reduce the incidence of death in the
twenty-first century. Child mortality statistics can be compared with those from other decades
for the evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes
from specific interventions.
2. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century.
Child mortality statistics can be compared with those from other decades for the evaluation of
achievement toward health-care goals. National clinical practice guidelines promote uniformity
1) Which nursing role is not directly involved when providing family-centered approach to the
pediatric population? 1. Advocacy
2. Case management
3. Patient education
4. Researcher
Answer: 4
Explanation: 1. A researcher is not involved in the family-centered approach to patient care of
children and their families. Advocacy, case management, and patient education are all roles
directly involved in the care of children and their families.
2. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
3. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
4. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
Page Ref: 4
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Assessment/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Family-centered care
2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
federal guidelines are in place that delineate which pediatrics clients must give assent for
participation in research trials. Based upon the client's age, the nurse would seek assent from
which children?
Select all that apply.
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
,2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
4. The 13-year-old client commencing participation in a research program for Attention Deficit
Hyperactivity Disorder (ADHD) treatments.
Answer: 2, 3, 4
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
receive developmentally appropriate information about healthcare procedures and treatments and
give assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
Page Ref: 11, 12
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential V: Healthcare policy, finance, and regulatory environments | NLN Competencies:
Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of
care
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
nursing practice.
MNL LO: Developmentally appropriate care
3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
appropriate for the nurse to complete?
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
recovery.
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local
supportgroup options.
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation.
Answer: 1
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing
nursing care interventions, and educating client and family at developmentally appropriate
levels; client advocacy, case management, minimization of distress, and enhancement of coping.
Advanced practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
, advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions. Page Ref: 2-4
Cognitive Level: Applying
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Implementation/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Pediatric nursing care
4) A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse
about expectations during the child's recovery. Which information tool would be most useful in
answering a parent's questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
Answer: 2
Explanation: 1. Clinical pathways are interdisciplinary documents provided by a hospital to
suggest ideal sequencing and timing of events and interventions for specific diseases to improve
efficiency of care and enhance recovery. This pathway serves as a model outlining the typical
hospital stay for individuals with specified conditions. Healthy People 2020 contains objectives
set by the U.S. government to improve the health and reduce the incidence of death in the
twenty-first century. Child mortality statistics can be compared with those from other decades
for the evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes
from specific interventions.
2. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century.
Child mortality statistics can be compared with those from other decades for the evaluation of
achievement toward health-care goals. National clinical practice guidelines promote uniformity
