FULLTESTBANK
ESSENTIALS OF PEDIATRIC NURSING
5TH EDITION BY THERESA
KYLE; SUSAN CARMAN
PRINTED PDF | ORIGINAL DIRECTLY FROM THE
PUBLISHER | 100%VERIFIED ANSWERS |
DOWNLOAD IMMEDIATELY AFTER THE ORDER
,Chapter 1 Introduction To Child Health And
Pediatric Nursing
Multiple Choice
1. A Nurse Is Planning A Teaching Session For Parents Of Preschool Children.
Which Statement Explains Why The Nurse Should Include Information About
Morbidity And mortality?
a. Life-Span Statistics Are Included In The Data.
b. It Explains Effectiveness Of Treatment.
c. Cost-Effective Treatment Is Detailed For The General Population.
d. High-Risk Age Groups For Certain Disorders Or
Hazards Are Identified.
Answer: D
Analysis Of Morbidity And Mortality Data Provides The Parents With Information
About Which Groups Of Individuals Are At Risk For Which Health Problems. Life-Span
Statistics Is A Part Of The Mortality Data. Treatment Modalities And Cost Are Not
Included In Morbidity And Mortality Data.
Points: 1 Difficulty: Cognitive Level:
Apply Ref: 6-8topic; Integrated Process:
Nursing Process:
Planning
Medsc: Area Of Client Needs: Health Promotion And Maintenance
2. A Clinic Nurse Is Planning A Teaching Session About Childhood Obesity Prevention
For Parents Of School-Age Children. The Nurse Should Include Which Associated
Risk Of Obesity In The Teaching Plan?
a. Type I Diabetes
b. Respiratory Disease
c. Celiac Disease
d. Type Ii
Diabetes Answer:
D
Childhood Obesity Has Been Associated With The Rise Of Type Ii Diabetes In Children.
Type I Diabetes Is Not Associated With Obesity And Has A Genetic Component.
Respiratory Disease Is Not Associated With Obesity, And Celiac Disease Is The Inability
To Metabolize Gluten In Foods And Is Not Associated With Obesity.
Points: 1 Difficulty: Cognitive Level: Apply Ref: 3 Topic;
Integrated Process: Nursing Process: Planning Medsc: Area Of
Client Needs: Health Promotion And Maintenance
3. Which Is The Leading Cause Of Death In Infants Younger Than 1 Year?
a. Congenital Anomalies
b. Sudden Infant Death Syndrome
c. Respiratory Distress Syndrome
d. Bacterial Sepsis Of The
Newborn Answer: A
Congenital Anomalies Account For 20.1% Of Deaths In Infants Younger Than 1 Year.
Sudden Infant Death Syndrome Accounts For 8.2% Of Deaths In This Age Group.
Respiratory Distress Syndrome Accounts For 3.4% Of Deaths In This Age Group.
,Infections Specific To The Perinatal Period Account For 2.7% Of Deaths In This Age
Group.
Points: 1 Difficulty: Cognitive Level: Ref: 7 Topic;
Integrated Process: Nursing Process:
Assessment
Medsc: Area Of Client Needs: Health Promotion And Maintenance
4. Which Leading Cause Of Death Topic Should The Nurse Emphasize
To A Group Ofafrican- American Boys Ranging In Ages 15 To 19
Years?
a. Suicide
b. Cancer
c. Firearm Homicide
d. Occupational Injuries
Answer: C
Firearm Homicide Is The Second Overall Cause Of Death In This Age Group And The
Leading Cause Of Death In African-American Males. Suicide Is The Third-Leading
Cause Of Death In This Population. Cancer, Although A Major Health Problem, Is The
Fourth-Leading Cause Of Death In This Age Group. Occupational Injuries Do Not
Contribute To A Significant Death Rate For This Age Group.
Points: 1 Difficulty: Cognitive Level:
Understand Ref: 5 | 8topic; Integrated
Process: Nursing Process: Planning
Medsc: Area Of Client Needs: Health Promotion And Maintenance
5. Which Is The Major Cause Of Death For Children Older Than 1 Year?
a. Cancer
b. Heart Disease
c. Unintentional Injuries
d. Congenital
Anomalies Answer: C
Unintentional Injuries (Accidents) Are The Leading Cause Of Death After Age 1 Year
Through Adolescence. Congenital Anomalies Are The Leading Cause Of Death In Those
Younger Than 1 Year. Cancer Ranks Either Second Or Fourth, Depending On The Age
Group, And Heart Disease Ranks Fifth In The Majority Of The Age Groups.
,Points: 1 Difficulty: Cognitive Level: Ref:
8 Topic; Integrated Process: Nursing
Process: Planning
Medsc: Area Of Client Needs: Health Promotion And Maintenance
6. Which Is The Leading Cause Of Death From Unintentional Injuries For Females
Ranging In Age From 1 To 14?
a. Mechanical Suffocation
b. Drowning
c. Motorvehicle-Related Fatalities
d. Fire- And Burn-Related
Fatalities Answer: C
Motorvehicle-Related Fatalities Are The Leading Cause Of Death For Females Ranging
In Age From 1 To 14, Either As Passengers Or As Pedestrians. Mechanical Suffocation
Is Fourth Or Fifth, Depending On The Age. Drowning Is The Second- Or Third-Leading
Cause Of Death, Depending On The Age. Fire- And Burn-Related Fatalities Are The
Second-Leading Cause Of Death.
Points: 1 Difficulty: Cognitive Level: Ref: 4 Topic;
Integrated Process: Nursing Process:
Assessment
Medsc: Area Of Client Needs: Health Promotion And Maintenance
,7. Which Factor Most Impacts The Type Of Injury A Child Is Susceptible To, According
To The Childs Age?
a. Physical Health Of The Child
b. Developmental Level Of The Child
c. Educational Level Of The Child
d. Number Of Responsible Adults In The
Home Answer: B
The Childs Developmental Stage Determines The Type Of Injury That Is Likely To
Occur. The Childs Physical Health May Facilitate The Childs Recovery From An Injury
But Does Not Impact The Type Of Injury. Educational Level Is Related To
Developmental Level, But It Is Not As Important As The Childs Developmental Level In
Determining The Type Of Injury. The Number Of Responsible Adults In The Home May
Affect The Number Of Unintentional Injuries, But The Type Of Injury Is Related To The
Childs Developmental Stage.
Points: 1 Difficulty: Cognitive Level:
Understand Ref: 3-4topic; Integrated Process:
Nursing Process: Planning
Medsc: Area Of Client Needs: Health Promotion And Maintenance
8. Which Is Now Referred To As The New Morbidity?
a. Limitations In The Major Activities Of Daily Living
b. Unintentional Injuries That Cause Chronic Health Problems
c. Discoveries Of New Therapies To Treat Health Problems
d. Behavioral, Social, And Educational Problems That Alter
Health Answer: D
The New Morbidity Reflects The Behavioral, Social, And Educational Problems That
Interfere With The Childs Social And Academic Development. It Is Currently Estimated
That The Incidence Of These Issues Is From 5% To 30%. Limitations In Major
Activities Of Daily Living And Unintentional Injuries That Result In Chronic Health
Problems Are Included In Morbidity Data. Discovery Of New Therapies Would Be
Reflected In Changes In Morbidity Data Over Time.
Points: 1 Difficulty: Cognitive Level: Ref: 3 Topic;
Integrated Process: Nursing Process:
Assessment
Medsc: Area Of Client Needs: Health Promotion And Maintenance
9. A Nurse On A Pediatric Unit Is Practicing Family-Centered
Care. Which Ismost Descriptive Of The Care The Nurse Is
Delivering?
a. Taking Over Total Care Of The Child To Reduce Stress On The Family
b. Encouraging Family Dependence On Health Care Systems
c. Recognizing That The Family Is The Constant In A Childs Life
d. Excluding Families From The Decision-Making
Process Answer: C
The Three Key Components Of Family-Centered Care Are Respect, Collaboration, And
Support. Family-Centered Care Recognizes The Family As The Constant In The Childs
Life. Taking Over Total Care Does Not Include The Family In The Process And May
Increase Stress Instead Of Reducing Stress. The Family Should Be Enabled And
Empowered To Work With The Health Care System. The Family Is Expected To Be Part
Of The Decision-Making Process.
Points: 1 Difficulty: Cognitive Level: Ref: 8 Topic;
Integrated Process: Nursing Process:
,Implementation Medsc: Area Of Client Needs: Health
Promotion And Maintenance
10. The Nurse Is Preparing An In-Service Education To Staff About Atraumatic
Care Forpediatric Patients. Which Intervention Should The Nurse Include?
a. Prepare The Child For Separation From Parents During Hospitalization By
Reviewing A Video.
b. Prepare The Child Before Any Unfamiliar Treatment Or Procedure By
Demonstrating On A Stuffed Animal.
c. Help The Child Accept The Loss Of Control Associated With Hospitalization.
d. Help The Child Accept Pain That Is Connected With A Treatment Or
Procedure. Answer: B
Preparing The Child For Any Unfamiliar Treatments, Controlling Pain, Allowing
Privacy, Providing Play Activities For Expression Of Fear And Aggression, Providing
Choices, And Respecting Cultural Differences Are Components Of Atraumatic Care. In
The Provision Of Atraumatic Care, The Separation Of Child From Parents During
Hospitalization Is Minimized. The Nurse Should Promote A Sense Of Control For The
Child. Preventing And Minimizing Bodily Injury And Pain Are Major Components Of
Atraumatic Care.
Points: 1 Difficulty: Cognitive Level: Understand Ref: 9 Topic;
Integrated Process: Nursing Process:
Implementationmedsc: Area Of Client Needs: Psychosocial
Integrity
11. Which Is Most Suggestive That A Nurse Has A Nontherapeutic Relationship
With A Patientand Family?
a. Staff Is Concerned About The Nurses Actions With The Patient And Family.
b. Staff Assignments Allow The Nurse To Care For Same Patient And Family
Over An Extendedtime.
c. Nurse Is Able To Withdraw Emotionally When Emotional Overload Occurs
But Stillremains Committed.
d. Nurse Uses Teaching Skills To Instruct Patient And Family Rather Than
Doing Everythingfor Them.
Answer: A
An Important Clue To A Nontherapeutic Staff-Patient Relationship Is Concern Of Other
Staff Members. Allowing The Nurse To Care For The Same Patient Over Time Would
Be Therapeuticfor The Patient And Family. Nurses Who Are Able To Somewhat
Withdraw Emotionally Can Protect Themselves While Providing Therapeutic Care.
Nurses Using Teaching Skills To Instruct Patient And Family Will Assist In
Transitioning The Child And Family To Self-Care.
Points: 1 Difficulty: Cognitive Level: Analyze Ref: 9 Topic;
Integrated Process: Nursing Process:
Assessmentmedsc: Area Of Client Needs:
Psychosocial Integrity
12. Which Is Most Descriptive Of Clinical Reasoning?
a. A Simple Developmental Process
b. Purposeful And Goal-Directed
c. Based On Deliberate And Irrational Thought
d. Assists Individuals In Guessing What Is Most
Appropriate Answer: B
Clinical Reasoning Is A Complex, Developmental Process Based On Rational And
Deliberate Thought. Clinical Reasoning Is Not A Developmental Process. Clinical
,Reasoning Is Based On Rational And Deliberate Thought. Clinical Reasoning Is Not A
Guessing Process.
Points: 1 Difficulty: Cognitive Level: Understand Ref: 12
Topic; Integrated Process: Nursing Process: Planning
Medsc: Area Of Client Needs: Safe And Effective Care Environment: Management Of
Care
13. A Nurse Makes The Decision To Apply A Topical Anesthetic To A
Childs Skinbefore Drawing Blood. Which Ethical Principle Is The Nurse
Demonstrating?
a. Autonomy
b. Beneficence
c. Justice
d. Truthfulness
Answer: B
Beneficence Is The Obligation To Promote The Patients Well-Being. Applying A Topical
Anesthetic Before Drawing Blood Promotes Reducing The Discomfort Of The
Venipuncture. Autonomy Is The Patients Right To Be Self-Governing. Justice Is The
Concept Of Fairness. Truthfulness Is The Concept Of Honesty.
Points: 1 Difficulty: Cognitive Level: Understand Ref: 11 Topic;
Integrated Process: Nursing Process:
Implementationmedsc: Area Of Client Needs: Physiological
Integrity
14. Which Action By The Nurse Demonstrates Use Of Evidence-Based Practice (Ebp)?
a. Gathering Equipment For A Procedure
b. Documenting Changes In A Patients Status
c. Questioning The Use Of Daily Central Line Dressing Changes
d. Clarifying A Physicians Prescription For
Morphine Answer: C
The Nurse Who Questions The Daily Central Line Dressing Change Is Ascertaining
Whether Clinical Interventions Result In Positive Outcomes For Patients. This
Demonstrates Evidence-Based Practice (Ebp), Which Implies Questioning Why
Something Is Effective And Whether A Better Approach Exists. Gathering Equipment
For A Procedure And Documenting Changes In A Patients Status Are Practices That
Follow Established Guidelines. Clarifying A Physicians Prescription For Morphine
Constitutes Safe Nursing Care.
Points: 1 Difficulty: Cognitive Level: Apply Ref: 11 Topic;
Integrated Process: Nursing Process: Evaluation
Medsc: Area Of Client Needs: Safe And Effective Care Environment: Management Of
Care
15. A Nurse Is Admitting A Toddler To The Hospital. The Toddler Is With Both
Parents And Is Currently Sitting Comfortably On A Parents Lap. The Parents State
They Will Need To Leave For A Brief Period. Which Type Of Nursing Diagnosis
Should The Nurse Formulate Forthis Child?
a. Risk For Anxiety
b. Anxiety
c. Readiness For Enhanced Coping
d. Ineffective
Coping Answer: A
A Potential Problem Is Categorized As A Risk. The Toddler Has A Risk To Become
Anxious When The Parents Leave. Nursing Interventions Will Be Geared Toward
,Reducing The Risk. The Child Is Not Showing Current Anxiety Or Ineffective Coping.
The Child Is Not At A Pointfor Readiness For Enhanced Coping, Especially Because
The Parents Will Be Leaving. Points: 1 Difficulty: Cognitive Level: Ref:
12 Topic; Integrated Process: Nursing
Process: Diagnosis
Medsc: Area Of Client Needs: Health Promotion And Maintenance
16. A Child Has A Postoperative Appendectomy Incision Covered By A
Dressing. The Nurse Has Just Completed A Prescribed Dressing Change For This
Child. Which Descriptionis An Accurate Documentation Of This Procedure?
a. Dressing Change To Appendectomy Incision Completed, Child Tolerated Procedure
Well, Parent Present
b. No Complications Noted During Dressing Change To Appendectomy Incision
c. Appendectomy Incision Non-Reddened, Sutures Intact, No Drainage Noted
On Old Dressing, New Dressing Applied, Procedure Tolerated Well By Child
d. No Changes To Appendectomy Incisional Area, Dressing Changed, Child
Complained Of Pain During Procedure, New Dressing Clean, Dry And Intact
Answer: C
The Nurse Should Document Assessments And Reassessments. Appearance Of The
Incision Described In Objective Terms Should Be Included During A Dressing Change.
The Nurse Should Document Patients Response And The Outcomes Of The Care
Provided. In This Example, These Include Drainage On The Old Dressing, The
Application Of The New Dressing,And The Childs Response. The Other Statements
Partially Fulfill The Requirements Of Documenting Assessments And Reassessments,
Patients Response, And Outcome, But Do Notinclude All Three.
Points: 1 Difficulty: Cognitive Level: Analyze Ref: 14 Topic;
Integrated Process: Nursing Process: Implementation
Medsc: Area Of Client Needs: Safe And Effective Care Environment: Management Of
Care
17. A Nurse Is Planning A Class On Accident Prevention For Parents
Of Toddlers.Which Safety Topic Is The Priority For This Class?
a. Appropriate Use Of Car Seat Restraints
b. Safety Crossing The Street
c. Helmet Use When Riding A Bicycle
d. Poison Control
Numbers Answer: A
Motor Vehicle Accidents (Mvas) Continue To Be The Most Common Cause Of Death In
Children Older Than 1 Year, Therefore The Priority Topic Is Appropriate Use Of Car
Seat Restraints. Safety Crossing The Street And Bicycle Helmet Use Are Topics That
Should Be Included For Preschool Parents But Are Not Priorities For Parents Of
Toddlers. Information About Poison Control Is Important For Parents Of Toddlers And
Would Be A Safety Topic To Include But Is Not The Priority Over Appropriate Use Of
Car Seat Restraints.
Points: 1 Difficulty: Cognitive Level:
Apply Ref: 3-4topic; Integrated Process:
Nursing Process:
Planning
Medsc: Area Of Client Needs: Health Promotion And
Maintenancemultiple Response
1. Which Behaviors By The Nurse Indicate A Therapeutic Relationship With
Children Andfamilies? (Select All That Apply.)
,a. Spending Off-Duty Time With Children And Families
b. Asking Questions If Families Are Not Participating In The Care
c. Clarifying Information For Families
d. Buying Toys For A Hospitalized Child
e. Learning About The Familys Religious Preferences
Answer: B, C, E
Asking Questions If Families Are Not Participating In The Care, Clarifying Information
For Families, And Learning About The Familys Religious Preferences Are Positive
Actions And Foster Therapeutic Relationships With Children And Families. Spending
Off-Duty Time With Children And Families And Buying Toys For A Hospitalized Child
Are Negative Actions And Indicate Overinvolvement With Children And Families,
Which Is Nontherapeutic.
Points: 1 Difficulty: Cognitive Level:
Understand Ref: 9-10 Topic; Integrated Process:
Nursing Process: Evaluationmedsc: Area Of Client
Needs: Psychosocial Integrity Essay
1. A Nurse Is Formulating A Clinical Question For Evidence-Based Practice. Place In
Order The Steps The Nurse Should Use To Clarify The Scope Of The Problem And
Clinical Topic Of Interest. Begin With The First Step Of The Process And Proceed
Ordering The Steps Ending With The Final Step Of The Process. Provide Answer As
Lowercase Letters Separated By Commas (E.G., A, B, C, D, E).
a. Intervention
b. Outcome
c. Population
d. Time
e. Control
Answe R:
C, A, E, B, D
When Formulating A Clinical Question For Evidence-Based Practice, The Nurse
Should Follow A Concise, Organized Way That Allows For Clear Answers. Good
Clinical Questions Should Be Asked In The Picot (Population, Intervention, Control,
Outcome, Time) Format To Assist With Clarity And Literature Searching. Picot
Questions Assist With Clarifying The Scope Of The Problem And Clinical Topic Of
Interest.
Chapter 2 Factors Influencing Child Health
Multiple Choice
1. A Nurse Is Selecting A Family Theory To Assess A Patients Family Dynamics.
Which Family Theory Best Describes A Series Of Tasks For The Family
Throughout Its Life Span?
a. Interactional Theory
b. Developmental Systems Theory
c. Structural-Functional Theory
d. Duvalls Developmental
Theory Answer: D
Duvalls Developmental Theory Describes Eight Developmental Tasks Of The Family
Throughout Its Life Span. Interactional Theory And Structural-Functional Theory Are
Not Family Theories. Developmental Systems Theory Is An Outgrowth Of Duvalls
Theory. The Family Is Described As A Small Group, A Semiclosed System Of
Personalities That Interact With The Larger Cultural System. Changes Do Not Occur In
One Part Of The Family Without Changes In Others.
, Points: 1 Difficulty: Cognitive Level: Understand Ref:
24-26topic; Integrated Process: Nursing Process:
Assessment
Medsc: Area Of Client Needs: Health Promotion And Maintenance
2. Which Family Theory Explains How Families React To Stressful Events And
Suggests Factors That Promote Adaptation To These Events?
a. Interactional Theory
b. Developmental Systems Theory
c. Family Stress Theory
d. Duvalls Developmental
Theory Answer: C
Family Stress Theory Explains The Reaction Of Families To Stressful Events. In
Addition, The Theory Helps Suggest Factors That Promote Adaptation To The Stress.
Stressors, Both Positive And Negative, Are Cumulative And Affect The Family.
Adaptation Requires A Change In Family Structure Or Interaction. Interactional Theory
Is Not A Family Theory. Interactions Are The Basis Of General Systems Theory.
Developmental Systems Theory Is An Outgrowth Of Duvalls Theory. The Family Is
Described As A Small Group, A Semiclosed System Of Personalities That Interact With
The Larger Cultural System. Changes Do Not Occur In One Part Of The Family Without
Changes In Others. Duvalls Developmental Theory Describes Eight Developmental
Tasks Of The Family Throughout Its Life Span.
Points: 1 Difficulty: Cognitive Level:
Understand Ref: 24 Topic; Integrated Process:
Nursing Process: Assessment
Medsc: Area Of Client Needs: Health Promotion And Maintenance
3. Which Is The Term For A Family In Which The Paternal Grandmother, The Parents,
And Two Minor Children Live Together?
a. Blended
b. Nuclear
c. Binuclear
d. Extended
Answer:
D
An Extended Family Contains At Least One Parent, One Or More Children, And One Or
More Members (Related Or Unrelated) Other Than A Parent Or Sibling. A Blended
Family Contains At Least One Step-Parent, Step-Sibling, Or Half-Sibling. The Nuclear
Family Consists Of Two Parents And Their Children. No Other Relatives Or
Nonrelatives Are Present In The Household. In Binuclear Families, Parents Continue The
Parenting Role While Terminating The Spousal Unit. For Example, When Joint Custody
Is Assigned By The Court, Each Parent Has Equal Rights And Responsibilities For The
Minor Child Or Children.
Points: 1 Difficulty: Cognitive Level: Ref:
24-26topic; Integrated Process: Nursing
Process: Planning
Medsc: Area Of Client Needs: Health Promotion And Maintenance
4. A Nurse Is Assessing A Familys Structure. Which Describes A Family In
Which A Mother,Her Children, And A Stepfather Live Together?
a. Blended
b. Nuclear
c. Binuclear
ESSENTIALS OF PEDIATRIC NURSING
5TH EDITION BY THERESA
KYLE; SUSAN CARMAN
PRINTED PDF | ORIGINAL DIRECTLY FROM THE
PUBLISHER | 100%VERIFIED ANSWERS |
DOWNLOAD IMMEDIATELY AFTER THE ORDER
,Chapter 1 Introduction To Child Health And
Pediatric Nursing
Multiple Choice
1. A Nurse Is Planning A Teaching Session For Parents Of Preschool Children.
Which Statement Explains Why The Nurse Should Include Information About
Morbidity And mortality?
a. Life-Span Statistics Are Included In The Data.
b. It Explains Effectiveness Of Treatment.
c. Cost-Effective Treatment Is Detailed For The General Population.
d. High-Risk Age Groups For Certain Disorders Or
Hazards Are Identified.
Answer: D
Analysis Of Morbidity And Mortality Data Provides The Parents With Information
About Which Groups Of Individuals Are At Risk For Which Health Problems. Life-Span
Statistics Is A Part Of The Mortality Data. Treatment Modalities And Cost Are Not
Included In Morbidity And Mortality Data.
Points: 1 Difficulty: Cognitive Level:
Apply Ref: 6-8topic; Integrated Process:
Nursing Process:
Planning
Medsc: Area Of Client Needs: Health Promotion And Maintenance
2. A Clinic Nurse Is Planning A Teaching Session About Childhood Obesity Prevention
For Parents Of School-Age Children. The Nurse Should Include Which Associated
Risk Of Obesity In The Teaching Plan?
a. Type I Diabetes
b. Respiratory Disease
c. Celiac Disease
d. Type Ii
Diabetes Answer:
D
Childhood Obesity Has Been Associated With The Rise Of Type Ii Diabetes In Children.
Type I Diabetes Is Not Associated With Obesity And Has A Genetic Component.
Respiratory Disease Is Not Associated With Obesity, And Celiac Disease Is The Inability
To Metabolize Gluten In Foods And Is Not Associated With Obesity.
Points: 1 Difficulty: Cognitive Level: Apply Ref: 3 Topic;
Integrated Process: Nursing Process: Planning Medsc: Area Of
Client Needs: Health Promotion And Maintenance
3. Which Is The Leading Cause Of Death In Infants Younger Than 1 Year?
a. Congenital Anomalies
b. Sudden Infant Death Syndrome
c. Respiratory Distress Syndrome
d. Bacterial Sepsis Of The
Newborn Answer: A
Congenital Anomalies Account For 20.1% Of Deaths In Infants Younger Than 1 Year.
Sudden Infant Death Syndrome Accounts For 8.2% Of Deaths In This Age Group.
Respiratory Distress Syndrome Accounts For 3.4% Of Deaths In This Age Group.
,Infections Specific To The Perinatal Period Account For 2.7% Of Deaths In This Age
Group.
Points: 1 Difficulty: Cognitive Level: Ref: 7 Topic;
Integrated Process: Nursing Process:
Assessment
Medsc: Area Of Client Needs: Health Promotion And Maintenance
4. Which Leading Cause Of Death Topic Should The Nurse Emphasize
To A Group Ofafrican- American Boys Ranging In Ages 15 To 19
Years?
a. Suicide
b. Cancer
c. Firearm Homicide
d. Occupational Injuries
Answer: C
Firearm Homicide Is The Second Overall Cause Of Death In This Age Group And The
Leading Cause Of Death In African-American Males. Suicide Is The Third-Leading
Cause Of Death In This Population. Cancer, Although A Major Health Problem, Is The
Fourth-Leading Cause Of Death In This Age Group. Occupational Injuries Do Not
Contribute To A Significant Death Rate For This Age Group.
Points: 1 Difficulty: Cognitive Level:
Understand Ref: 5 | 8topic; Integrated
Process: Nursing Process: Planning
Medsc: Area Of Client Needs: Health Promotion And Maintenance
5. Which Is The Major Cause Of Death For Children Older Than 1 Year?
a. Cancer
b. Heart Disease
c. Unintentional Injuries
d. Congenital
Anomalies Answer: C
Unintentional Injuries (Accidents) Are The Leading Cause Of Death After Age 1 Year
Through Adolescence. Congenital Anomalies Are The Leading Cause Of Death In Those
Younger Than 1 Year. Cancer Ranks Either Second Or Fourth, Depending On The Age
Group, And Heart Disease Ranks Fifth In The Majority Of The Age Groups.
,Points: 1 Difficulty: Cognitive Level: Ref:
8 Topic; Integrated Process: Nursing
Process: Planning
Medsc: Area Of Client Needs: Health Promotion And Maintenance
6. Which Is The Leading Cause Of Death From Unintentional Injuries For Females
Ranging In Age From 1 To 14?
a. Mechanical Suffocation
b. Drowning
c. Motorvehicle-Related Fatalities
d. Fire- And Burn-Related
Fatalities Answer: C
Motorvehicle-Related Fatalities Are The Leading Cause Of Death For Females Ranging
In Age From 1 To 14, Either As Passengers Or As Pedestrians. Mechanical Suffocation
Is Fourth Or Fifth, Depending On The Age. Drowning Is The Second- Or Third-Leading
Cause Of Death, Depending On The Age. Fire- And Burn-Related Fatalities Are The
Second-Leading Cause Of Death.
Points: 1 Difficulty: Cognitive Level: Ref: 4 Topic;
Integrated Process: Nursing Process:
Assessment
Medsc: Area Of Client Needs: Health Promotion And Maintenance
,7. Which Factor Most Impacts The Type Of Injury A Child Is Susceptible To, According
To The Childs Age?
a. Physical Health Of The Child
b. Developmental Level Of The Child
c. Educational Level Of The Child
d. Number Of Responsible Adults In The
Home Answer: B
The Childs Developmental Stage Determines The Type Of Injury That Is Likely To
Occur. The Childs Physical Health May Facilitate The Childs Recovery From An Injury
But Does Not Impact The Type Of Injury. Educational Level Is Related To
Developmental Level, But It Is Not As Important As The Childs Developmental Level In
Determining The Type Of Injury. The Number Of Responsible Adults In The Home May
Affect The Number Of Unintentional Injuries, But The Type Of Injury Is Related To The
Childs Developmental Stage.
Points: 1 Difficulty: Cognitive Level:
Understand Ref: 3-4topic; Integrated Process:
Nursing Process: Planning
Medsc: Area Of Client Needs: Health Promotion And Maintenance
8. Which Is Now Referred To As The New Morbidity?
a. Limitations In The Major Activities Of Daily Living
b. Unintentional Injuries That Cause Chronic Health Problems
c. Discoveries Of New Therapies To Treat Health Problems
d. Behavioral, Social, And Educational Problems That Alter
Health Answer: D
The New Morbidity Reflects The Behavioral, Social, And Educational Problems That
Interfere With The Childs Social And Academic Development. It Is Currently Estimated
That The Incidence Of These Issues Is From 5% To 30%. Limitations In Major
Activities Of Daily Living And Unintentional Injuries That Result In Chronic Health
Problems Are Included In Morbidity Data. Discovery Of New Therapies Would Be
Reflected In Changes In Morbidity Data Over Time.
Points: 1 Difficulty: Cognitive Level: Ref: 3 Topic;
Integrated Process: Nursing Process:
Assessment
Medsc: Area Of Client Needs: Health Promotion And Maintenance
9. A Nurse On A Pediatric Unit Is Practicing Family-Centered
Care. Which Ismost Descriptive Of The Care The Nurse Is
Delivering?
a. Taking Over Total Care Of The Child To Reduce Stress On The Family
b. Encouraging Family Dependence On Health Care Systems
c. Recognizing That The Family Is The Constant In A Childs Life
d. Excluding Families From The Decision-Making
Process Answer: C
The Three Key Components Of Family-Centered Care Are Respect, Collaboration, And
Support. Family-Centered Care Recognizes The Family As The Constant In The Childs
Life. Taking Over Total Care Does Not Include The Family In The Process And May
Increase Stress Instead Of Reducing Stress. The Family Should Be Enabled And
Empowered To Work With The Health Care System. The Family Is Expected To Be Part
Of The Decision-Making Process.
Points: 1 Difficulty: Cognitive Level: Ref: 8 Topic;
Integrated Process: Nursing Process:
,Implementation Medsc: Area Of Client Needs: Health
Promotion And Maintenance
10. The Nurse Is Preparing An In-Service Education To Staff About Atraumatic
Care Forpediatric Patients. Which Intervention Should The Nurse Include?
a. Prepare The Child For Separation From Parents During Hospitalization By
Reviewing A Video.
b. Prepare The Child Before Any Unfamiliar Treatment Or Procedure By
Demonstrating On A Stuffed Animal.
c. Help The Child Accept The Loss Of Control Associated With Hospitalization.
d. Help The Child Accept Pain That Is Connected With A Treatment Or
Procedure. Answer: B
Preparing The Child For Any Unfamiliar Treatments, Controlling Pain, Allowing
Privacy, Providing Play Activities For Expression Of Fear And Aggression, Providing
Choices, And Respecting Cultural Differences Are Components Of Atraumatic Care. In
The Provision Of Atraumatic Care, The Separation Of Child From Parents During
Hospitalization Is Minimized. The Nurse Should Promote A Sense Of Control For The
Child. Preventing And Minimizing Bodily Injury And Pain Are Major Components Of
Atraumatic Care.
Points: 1 Difficulty: Cognitive Level: Understand Ref: 9 Topic;
Integrated Process: Nursing Process:
Implementationmedsc: Area Of Client Needs: Psychosocial
Integrity
11. Which Is Most Suggestive That A Nurse Has A Nontherapeutic Relationship
With A Patientand Family?
a. Staff Is Concerned About The Nurses Actions With The Patient And Family.
b. Staff Assignments Allow The Nurse To Care For Same Patient And Family
Over An Extendedtime.
c. Nurse Is Able To Withdraw Emotionally When Emotional Overload Occurs
But Stillremains Committed.
d. Nurse Uses Teaching Skills To Instruct Patient And Family Rather Than
Doing Everythingfor Them.
Answer: A
An Important Clue To A Nontherapeutic Staff-Patient Relationship Is Concern Of Other
Staff Members. Allowing The Nurse To Care For The Same Patient Over Time Would
Be Therapeuticfor The Patient And Family. Nurses Who Are Able To Somewhat
Withdraw Emotionally Can Protect Themselves While Providing Therapeutic Care.
Nurses Using Teaching Skills To Instruct Patient And Family Will Assist In
Transitioning The Child And Family To Self-Care.
Points: 1 Difficulty: Cognitive Level: Analyze Ref: 9 Topic;
Integrated Process: Nursing Process:
Assessmentmedsc: Area Of Client Needs:
Psychosocial Integrity
12. Which Is Most Descriptive Of Clinical Reasoning?
a. A Simple Developmental Process
b. Purposeful And Goal-Directed
c. Based On Deliberate And Irrational Thought
d. Assists Individuals In Guessing What Is Most
Appropriate Answer: B
Clinical Reasoning Is A Complex, Developmental Process Based On Rational And
Deliberate Thought. Clinical Reasoning Is Not A Developmental Process. Clinical
,Reasoning Is Based On Rational And Deliberate Thought. Clinical Reasoning Is Not A
Guessing Process.
Points: 1 Difficulty: Cognitive Level: Understand Ref: 12
Topic; Integrated Process: Nursing Process: Planning
Medsc: Area Of Client Needs: Safe And Effective Care Environment: Management Of
Care
13. A Nurse Makes The Decision To Apply A Topical Anesthetic To A
Childs Skinbefore Drawing Blood. Which Ethical Principle Is The Nurse
Demonstrating?
a. Autonomy
b. Beneficence
c. Justice
d. Truthfulness
Answer: B
Beneficence Is The Obligation To Promote The Patients Well-Being. Applying A Topical
Anesthetic Before Drawing Blood Promotes Reducing The Discomfort Of The
Venipuncture. Autonomy Is The Patients Right To Be Self-Governing. Justice Is The
Concept Of Fairness. Truthfulness Is The Concept Of Honesty.
Points: 1 Difficulty: Cognitive Level: Understand Ref: 11 Topic;
Integrated Process: Nursing Process:
Implementationmedsc: Area Of Client Needs: Physiological
Integrity
14. Which Action By The Nurse Demonstrates Use Of Evidence-Based Practice (Ebp)?
a. Gathering Equipment For A Procedure
b. Documenting Changes In A Patients Status
c. Questioning The Use Of Daily Central Line Dressing Changes
d. Clarifying A Physicians Prescription For
Morphine Answer: C
The Nurse Who Questions The Daily Central Line Dressing Change Is Ascertaining
Whether Clinical Interventions Result In Positive Outcomes For Patients. This
Demonstrates Evidence-Based Practice (Ebp), Which Implies Questioning Why
Something Is Effective And Whether A Better Approach Exists. Gathering Equipment
For A Procedure And Documenting Changes In A Patients Status Are Practices That
Follow Established Guidelines. Clarifying A Physicians Prescription For Morphine
Constitutes Safe Nursing Care.
Points: 1 Difficulty: Cognitive Level: Apply Ref: 11 Topic;
Integrated Process: Nursing Process: Evaluation
Medsc: Area Of Client Needs: Safe And Effective Care Environment: Management Of
Care
15. A Nurse Is Admitting A Toddler To The Hospital. The Toddler Is With Both
Parents And Is Currently Sitting Comfortably On A Parents Lap. The Parents State
They Will Need To Leave For A Brief Period. Which Type Of Nursing Diagnosis
Should The Nurse Formulate Forthis Child?
a. Risk For Anxiety
b. Anxiety
c. Readiness For Enhanced Coping
d. Ineffective
Coping Answer: A
A Potential Problem Is Categorized As A Risk. The Toddler Has A Risk To Become
Anxious When The Parents Leave. Nursing Interventions Will Be Geared Toward
,Reducing The Risk. The Child Is Not Showing Current Anxiety Or Ineffective Coping.
The Child Is Not At A Pointfor Readiness For Enhanced Coping, Especially Because
The Parents Will Be Leaving. Points: 1 Difficulty: Cognitive Level: Ref:
12 Topic; Integrated Process: Nursing
Process: Diagnosis
Medsc: Area Of Client Needs: Health Promotion And Maintenance
16. A Child Has A Postoperative Appendectomy Incision Covered By A
Dressing. The Nurse Has Just Completed A Prescribed Dressing Change For This
Child. Which Descriptionis An Accurate Documentation Of This Procedure?
a. Dressing Change To Appendectomy Incision Completed, Child Tolerated Procedure
Well, Parent Present
b. No Complications Noted During Dressing Change To Appendectomy Incision
c. Appendectomy Incision Non-Reddened, Sutures Intact, No Drainage Noted
On Old Dressing, New Dressing Applied, Procedure Tolerated Well By Child
d. No Changes To Appendectomy Incisional Area, Dressing Changed, Child
Complained Of Pain During Procedure, New Dressing Clean, Dry And Intact
Answer: C
The Nurse Should Document Assessments And Reassessments. Appearance Of The
Incision Described In Objective Terms Should Be Included During A Dressing Change.
The Nurse Should Document Patients Response And The Outcomes Of The Care
Provided. In This Example, These Include Drainage On The Old Dressing, The
Application Of The New Dressing,And The Childs Response. The Other Statements
Partially Fulfill The Requirements Of Documenting Assessments And Reassessments,
Patients Response, And Outcome, But Do Notinclude All Three.
Points: 1 Difficulty: Cognitive Level: Analyze Ref: 14 Topic;
Integrated Process: Nursing Process: Implementation
Medsc: Area Of Client Needs: Safe And Effective Care Environment: Management Of
Care
17. A Nurse Is Planning A Class On Accident Prevention For Parents
Of Toddlers.Which Safety Topic Is The Priority For This Class?
a. Appropriate Use Of Car Seat Restraints
b. Safety Crossing The Street
c. Helmet Use When Riding A Bicycle
d. Poison Control
Numbers Answer: A
Motor Vehicle Accidents (Mvas) Continue To Be The Most Common Cause Of Death In
Children Older Than 1 Year, Therefore The Priority Topic Is Appropriate Use Of Car
Seat Restraints. Safety Crossing The Street And Bicycle Helmet Use Are Topics That
Should Be Included For Preschool Parents But Are Not Priorities For Parents Of
Toddlers. Information About Poison Control Is Important For Parents Of Toddlers And
Would Be A Safety Topic To Include But Is Not The Priority Over Appropriate Use Of
Car Seat Restraints.
Points: 1 Difficulty: Cognitive Level:
Apply Ref: 3-4topic; Integrated Process:
Nursing Process:
Planning
Medsc: Area Of Client Needs: Health Promotion And
Maintenancemultiple Response
1. Which Behaviors By The Nurse Indicate A Therapeutic Relationship With
Children Andfamilies? (Select All That Apply.)
,a. Spending Off-Duty Time With Children And Families
b. Asking Questions If Families Are Not Participating In The Care
c. Clarifying Information For Families
d. Buying Toys For A Hospitalized Child
e. Learning About The Familys Religious Preferences
Answer: B, C, E
Asking Questions If Families Are Not Participating In The Care, Clarifying Information
For Families, And Learning About The Familys Religious Preferences Are Positive
Actions And Foster Therapeutic Relationships With Children And Families. Spending
Off-Duty Time With Children And Families And Buying Toys For A Hospitalized Child
Are Negative Actions And Indicate Overinvolvement With Children And Families,
Which Is Nontherapeutic.
Points: 1 Difficulty: Cognitive Level:
Understand Ref: 9-10 Topic; Integrated Process:
Nursing Process: Evaluationmedsc: Area Of Client
Needs: Psychosocial Integrity Essay
1. A Nurse Is Formulating A Clinical Question For Evidence-Based Practice. Place In
Order The Steps The Nurse Should Use To Clarify The Scope Of The Problem And
Clinical Topic Of Interest. Begin With The First Step Of The Process And Proceed
Ordering The Steps Ending With The Final Step Of The Process. Provide Answer As
Lowercase Letters Separated By Commas (E.G., A, B, C, D, E).
a. Intervention
b. Outcome
c. Population
d. Time
e. Control
Answe R:
C, A, E, B, D
When Formulating A Clinical Question For Evidence-Based Practice, The Nurse
Should Follow A Concise, Organized Way That Allows For Clear Answers. Good
Clinical Questions Should Be Asked In The Picot (Population, Intervention, Control,
Outcome, Time) Format To Assist With Clarity And Literature Searching. Picot
Questions Assist With Clarifying The Scope Of The Problem And Clinical Topic Of
Interest.
Chapter 2 Factors Influencing Child Health
Multiple Choice
1. A Nurse Is Selecting A Family Theory To Assess A Patients Family Dynamics.
Which Family Theory Best Describes A Series Of Tasks For The Family
Throughout Its Life Span?
a. Interactional Theory
b. Developmental Systems Theory
c. Structural-Functional Theory
d. Duvalls Developmental
Theory Answer: D
Duvalls Developmental Theory Describes Eight Developmental Tasks Of The Family
Throughout Its Life Span. Interactional Theory And Structural-Functional Theory Are
Not Family Theories. Developmental Systems Theory Is An Outgrowth Of Duvalls
Theory. The Family Is Described As A Small Group, A Semiclosed System Of
Personalities That Interact With The Larger Cultural System. Changes Do Not Occur In
One Part Of The Family Without Changes In Others.
, Points: 1 Difficulty: Cognitive Level: Understand Ref:
24-26topic; Integrated Process: Nursing Process:
Assessment
Medsc: Area Of Client Needs: Health Promotion And Maintenance
2. Which Family Theory Explains How Families React To Stressful Events And
Suggests Factors That Promote Adaptation To These Events?
a. Interactional Theory
b. Developmental Systems Theory
c. Family Stress Theory
d. Duvalls Developmental
Theory Answer: C
Family Stress Theory Explains The Reaction Of Families To Stressful Events. In
Addition, The Theory Helps Suggest Factors That Promote Adaptation To The Stress.
Stressors, Both Positive And Negative, Are Cumulative And Affect The Family.
Adaptation Requires A Change In Family Structure Or Interaction. Interactional Theory
Is Not A Family Theory. Interactions Are The Basis Of General Systems Theory.
Developmental Systems Theory Is An Outgrowth Of Duvalls Theory. The Family Is
Described As A Small Group, A Semiclosed System Of Personalities That Interact With
The Larger Cultural System. Changes Do Not Occur In One Part Of The Family Without
Changes In Others. Duvalls Developmental Theory Describes Eight Developmental
Tasks Of The Family Throughout Its Life Span.
Points: 1 Difficulty: Cognitive Level:
Understand Ref: 24 Topic; Integrated Process:
Nursing Process: Assessment
Medsc: Area Of Client Needs: Health Promotion And Maintenance
3. Which Is The Term For A Family In Which The Paternal Grandmother, The Parents,
And Two Minor Children Live Together?
a. Blended
b. Nuclear
c. Binuclear
d. Extended
Answer:
D
An Extended Family Contains At Least One Parent, One Or More Children, And One Or
More Members (Related Or Unrelated) Other Than A Parent Or Sibling. A Blended
Family Contains At Least One Step-Parent, Step-Sibling, Or Half-Sibling. The Nuclear
Family Consists Of Two Parents And Their Children. No Other Relatives Or
Nonrelatives Are Present In The Household. In Binuclear Families, Parents Continue The
Parenting Role While Terminating The Spousal Unit. For Example, When Joint Custody
Is Assigned By The Court, Each Parent Has Equal Rights And Responsibilities For The
Minor Child Or Children.
Points: 1 Difficulty: Cognitive Level: Ref:
24-26topic; Integrated Process: Nursing
Process: Planning
Medsc: Area Of Client Needs: Health Promotion And Maintenance
4. A Nurse Is Assessing A Familys Structure. Which Describes A Family In
Which A Mother,Her Children, And A Stepfather Live Together?
a. Blended
b. Nuclear
c. Binuclear
