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en
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on
C
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on
C
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Test bank for Wong's Nursing Care of Infants and Children 11th Edition by Hockenberry
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Chapter 1-34
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ANS: A, B, D
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Oral health instructions to parents of children should include use of fluoridated water and dental hygiene
beginning with the first tooth eruption. In addition, early childhood caries is a preventable disease and should
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be included in the teaching session. Dental caries is a common, not rare, chronic disease of childhood.
Childhood caries may begin before the first birthday.
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DIF: Cognitive Level: Applying
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TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
7. The school nurse is explaining to older school children that obesity increases the risk for which disorders?
(Select all that apply.)
a. Asthma
b. Hypertension
c. Dyslipidemia
C
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d. Irritable bowel disease
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e. Altered glucose metabolism
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ANS: B, C, E
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Overweight youth have increased risk for a cluster of cardiovascular factors that include hypertension, altered
glucose metabolism, and dyslipidemia. Irritable bowel disease and asthma are not linked to obesity.
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DIF: Cognitive Level: Applying
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
8. The nurse is reviewing the Healthy People 2020 leading health indicators for a child health promotion
program. Which are included in the leading health indicators? (Select all that apply.)
a. Decrease tobacco use.
b. Improve immunization rates.
c. Reduce incidences of cancer.
d. Increase access to health care.
e. Decrease the number of eating disorders.
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Test bank for Wong's Nursing Care of Infants and Children 11th Edition by Hockenberry
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Chapter 1-34
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ANS: A, B, D
The Healthy People 2020 leading health indicators provide a framework for identifying essential components
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for child health promotion programs designed to prevent future health problems in our nations children. Some
of the leading health indicators include decreasing tobacco use, improving immunization rates, and increasing
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access to health care. Reducing the incidence of cancer and decreasing the number of eating disorders are not
on the list as leading health indicators.
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DIF: Cognitive Level: Analyzing
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MSC: Client Needs: Health Promotion and Maintenance
9. Which actions by the nurse demonstrate clinical reasoning? (Select all that apply.)
a. Basing decisions on intuition
b. Considering alternative action
c. Using formal and informal thinking to gather data
d. Giving deliberate thought to a patients problem
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e. Developing an outcome focused on optimum patient care
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ANS: B, C, D, E
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Clinical reasoning is a cognitive process that uses formal and informal thinking to gather and analyze patient
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data, evaluate the significance of the information, and consider alternative actions. Clinical reasoning is a
complex developmental process based on rational and deliberate thought and developing an outcome focused
on optimum patient care. Clinical reasoning is based on the scientific method of inquiry; it is not based solely
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on intuition.
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DIF: Cognitive Level: Applying
MSC: Client Needs: Safe and Effective Care Environment
COMPLETION
1. The nurse is determining if a newborn is classified in the low birth weight (LBW) category of less than 2500
g. The newborns weight is 5 lb, 4 oz. What is the newborns weight in grams? Record your answer in a whole
number.
ANS:
2386
Convert the 4 oz to a decimal by dividing 4 by 16 = 0.25. Use 5.25 lb and divide by 2.2 to get 2.386 kg.
Multiply by 1000 to convert to grams = 2386.
DIF: Cognitive Level: Applying
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
MATCHING
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Test bank for Wong's Nursing Care of Infants and Children 11th Edition by Hockenberry
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Chapter 1-34
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The nursing process is a method of problem identification and problem solving that describes what the nurse
actually does. Match each step of the nursing process with its definition.
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a. Assessment
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b. Diagnosis
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c. Outcomes identification
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d. Planning
e. Implementation
f. Evaluation
1. Problem identification
2. Expected patient goals
3. Purposeful collection of data
C
4. Development of a care plan
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5. Determines if the outcome was met
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6. Interventions are put into action
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1. ANS: B DIF: Cognitive Level: Understanding
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
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2. ANS: C DIF: Cognitive Level: Understanding
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TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
3. ANS: A DIF: Cognitive Level: Understanding
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
4. ANS: D DIF: Cognitive Level: Understanding
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
5. ANS: F DIF: Cognitive Level: Understanding
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
6. ANS: E DIF: Cognitive Level: Understanding
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each
competing moral value with its definition.
a. Autonomy
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Test bank for Wong's Nursing Care of Infants and Children 11th Edition by Hockenberry
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Chapter 1-34
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b. Nonmaleficence
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c. Beneficence
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d. Justice
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7. The obligation to promote the patients well-being
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8. The obligation to minimize or prevent harm
9. The patients right to be self-governing
10. The concept of fairness
7. ANS: C DIF: Cognitive Level: Understanding
TOP: Integrated Process: Caring MSC: Client Needs: Health Promotion and Maintenance
8. ANS: B DIF: Cognitive Level: Understanding
TOP: Integrated Process: Caring MSC: Client Needs: Health Promotion and Maintenance
C
9. ANS: A DIF: Cognitive Level: Understanding
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TOP: Integrated Process: Caring MSC: Client Needs: Health Promotion and Maintenance
10. ANS: D DIF: Cognitive Level: Understanding
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TOP: Integrated Process: Caring MSC: Client Needs: Health Promotion and Maintenance
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