Title: Maternity and Pediatric Nursing, 2e
Page: 1113, Before the procedure
Cognitive Level: Apply
1. Which nursing activities promote health for clients in a
pediatric clinic? Select all that apply.
A. Making referrals for all health care needs
B. Monitoring disease incidence
C. Optimizing the child's level of functioning
D. Monitoring quality of care provided
E. Teaching parents to prevent injury
F. Teaching about immunizations
Ans: C, E, F
Rationale: Health promotion involves providing services proactively, with the goal of
optimizing the child's level of functioning. It ensures the child is growing and developing
appropriately and it promotes the best possible health of the child by teaching parents
and children about preventing injury and illness (e.g., proper immunizations and
anticipatory guidance). Making referrals and monitoring disease incidence and quality of
care provided may occur with this model, but they are not key focal points of health
promotion.
Chapter: 31
Client Needs: Health Promotion and Maintenance
Title: Maternity and Pediatric Nursing, 2e
Page: 1125, Health Promotion
Cognitive Level: Understand
2. The nurse is preparing a presentation to a local parent group about pediatric health
promotion. Which would the nurse emphasize as the focus?
A. Injury prevention
B. Wellness
C. Health maintenance
D. Developmental surveillance
Ans: B
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, Rationale: The focus of health promotion is wellness. Injury and disease prevention,
health maintenance and promotion, and developmental surveillance are all critical
components of wellness.
Chapter: 31
Client Needs: Health Promotion and Maintenance
Title: Maternity and Pediatric Nursing, 2e
Page: 1125, Health Promotion
Cognitive Level: Understand
3. Which nursing action reflects culturally competent care of children?
A. The nurse treats all children the same regardless of their culture.
B. The nurse negotiates a care plan with the child and family.
C. The nurse researches the child's culture and provides care based on the findings.
D. The nurse provides future-based care for culturally diverse children.
Ans: B
Rationale: Optimal wellness for the child requires the nurse and the family to negotiate a
mutually acceptable plan of care. The nurse must consider the culture of children
because if the goals of the health care plan are not consistent with the health belief
system of the family, the plan has little chance for success. Researching the culture is
helpful, but the nurse should not assume all children follow cultural directives and base
the care plan solely on the research. Most health promotion and disease prevention
strategies have a future-based orientation; however, significant numbers of children
belong to cultures with a present-based orientation. For these children, health promotion
activities need shorter-term goals and outcomes to be useful.
Chapter: 31
Client Needs: Health Promotion and Maintenance
Title: Maternity and Pediatric Nursing, 2e
Page: 1129, Health Promotion With Immigrant And Refugee Children
Cognitive Level: Apply
4. The nurse is aware that the community affects the health of its members. Which
statements accurately reflect a community influence of health care? Select all that apply.
A. A community can be a contributor to a child's health or be the cause of his or her
illnesses.
B. The child's health should be separated from the health of the surrounding community.
C. Community support and resources are necessary for children with significant
problems.
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