Perspectives of Pediatric Nursing:Concepts and Practice Questions
An adolescent patient wants to make decisions about treatment options, along with his parents. Which moral
value is the nurse displaying when supporting the adolescent to make decisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficence - ansANS: B
Autonomy is the patient's right to be self-governing. The adolescent is trying to be autonomous, so the nurse is
supporting this value. Justice is the concept of fairness. Beneficence is the obligation to promote the patient's
well-being. Nonmaleficence is the obligation to minimize or prevent harm
Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each
competing moral value with its definition.
a. Autonomy
b. Nonmaleficence
c. Beneficence
d. Justice
7. The obligation to promote the patient's well-being
8. The obligation to minimize or prevent harm
9. The patient's right to be self-governing
10. The concept of fairness - ans7. ANS: C
8. ANS: B
9. ANS: A
, 10. ANS: D
Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child's health and family situation - ansANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioning
what is the best approach. EBP involves decision making based on data, not all evidence on a particular
situation, and involves the latest available data. Nurses can use textbooks to determine areas of concern and
potential involvement.
In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
a. Suicide and cancer
b. Suicide and homicide
c. Drowning and cancer
d. Homicide and heart disease - ansANS: B
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account for 10.9% of
deaths, heart disease and cancer account for approximately 5.5%, and homicide and heart disease account for
10.9% of the deaths in this age group.
Parents of a hospitalized toddler ask the nurse, "What is meant by family-centered care?" The nurse should
respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child's life.
d. Family-centered care avoids expecting families to be part of the decision-making process. - ansANS: 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 child's life. The family should be enabled and empowered to
work with the health care system and is expected to be part of the decision-making process. The nurse should
An adolescent patient wants to make decisions about treatment options, along with his parents. Which moral
value is the nurse displaying when supporting the adolescent to make decisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficence - ansANS: B
Autonomy is the patient's right to be self-governing. The adolescent is trying to be autonomous, so the nurse is
supporting this value. Justice is the concept of fairness. Beneficence is the obligation to promote the patient's
well-being. Nonmaleficence is the obligation to minimize or prevent harm
Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each
competing moral value with its definition.
a. Autonomy
b. Nonmaleficence
c. Beneficence
d. Justice
7. The obligation to promote the patient's well-being
8. The obligation to minimize or prevent harm
9. The patient's right to be self-governing
10. The concept of fairness - ans7. ANS: C
8. ANS: B
9. ANS: A
, 10. ANS: D
Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child's health and family situation - ansANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioning
what is the best approach. EBP involves decision making based on data, not all evidence on a particular
situation, and involves the latest available data. Nurses can use textbooks to determine areas of concern and
potential involvement.
In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
a. Suicide and cancer
b. Suicide and homicide
c. Drowning and cancer
d. Homicide and heart disease - ansANS: B
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account for 10.9% of
deaths, heart disease and cancer account for approximately 5.5%, and homicide and heart disease account for
10.9% of the deaths in this age group.
Parents of a hospitalized toddler ask the nurse, "What is meant by family-centered care?" The nurse should
respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child's life.
d. Family-centered care avoids expecting families to be part of the decision-making process. - ansANS: 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 child's life. The family should be enabled and empowered to
work with the health care system and is expected to be part of the decision-making process. The nurse should
