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Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
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1) Whichnursingroleisnotdirectlyinvolvedwhenprovidingfamily-centered approach tothe
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pediatric population?
c c
1. Advocacy
2. Case management c
3. Patient education c
4. Researcher
Answer: 4 c
Explanation: 1.Aresearcher is not involvedinthefamily-centered approach to patient careof
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children and their families. Advocacy, case management, and patient education are all roles
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directly involved in the care of children and their families.
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2. A researcher is not involved in the family-centered approach to patient care of children and their
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families.Advocacy,casemanagement,andpatient educationareall rolesdirectlyinvolved in the care
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of children and their families.
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3. A researcher is not involved in the family-centered approach to patient care of children and their
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families.Advocacy,casemanagement,andpatient educationareall rolesdirectlyinvolved in the care
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of children and their families.
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4. A researcher is not involved in the family-centered approach to patient care of children and their
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families.Advocacy,casemanagement,andpatient educationareall rolesdirectlyinvolved in the care
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of children and their families.
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Page Ref: 4 c c
Cognitive Level: Analyzing c c
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standards:
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cQSEN Competencies: Patient-centered care | AACN Essential Competencies: EssentialII:
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Basicorganizational andsystemsleadershipforqualitycareandpatient safety | NLN
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Competencies: Professional identity |Nursing/Integrated Concepts: Nursing Process:
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Assessment/Coordination of care
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LearningOutcome: LO1.2Comparetherolesofnursesinchildhealthcare. MNL
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LO: Family-centered care
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,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
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federal guidelines are in place that delineate which pediatrics clients must give assent for
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participation inresearchtrials. Based upontheclient's age,thenursewould seek assentfrom which
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children?
c
Select all that apply.
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1. Theprecocious 4-year-old commencing as a cystic fibrosis research-study participant.
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2. The7-year-oldleukemiaclientelectingtoreceive anewlydevelopedmedication, nowbeing
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researched.
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3. The10-year-old commencing in an investigative study forclients with precocious puberty.
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4. The13-year-oldclientcommencingparticipationinaresearchprogramforAttentionDeficit
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Hyperactivity Disorder (ADHD) treatments.
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Answer: 2, 3, 4 c c c
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
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receive developmentally appropriate information about healthcare procedures and treatments and
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give assent.
c c
2. Federal guidelines mandate that research participants 7 years old and older must receive
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developmentally appropriate information about healthcare procedures and treatments and give
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assent.
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3. Federal guidelines mandate that research participants 7 years old and older must receive
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developmentallyappropriateinformationabouthealthcareproceduresandtreatmentsandgive
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assent.
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4. Federal guidelines mandate that research participants 7 years old and older must receive
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developmentallyappropriateinformationabouthealthcareproceduresandtreatmentsandgive
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assent.
c
Page Ref: 11, 12
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Cognitive Level: Applying c c
Client Need &Sub: Psychosocial Integrity
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Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
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Essential V: Healthcare policy, finance, and regulatory environments | NLN Competencies:
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Nursingjudgement|Nursing/IntegratedConcepts:NursingProcess:Planning/Coordinationof
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care
c
LearningOutcome: LO1.6 Examinethreeunique pediatriclegal andethical issues inpediatric
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nursing practice.
c c
MNL LO: Developmentally appropriate care
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, 3) Thenurse in a pediatric acute care unit is assigned the following tasks. Which task is not
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appropriate for the nurse to complete? c c c c c
1. Diagnosean 8-year-old with acute otitis media and prescribe an antibiotic.
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2. Listentotheconcernsofanadolescent about being outofschool foralengthy surgical
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recovery.
c
3. Provideinformationtoamotherofanewly diagnosed 4-year-old diabeticabout local support- group
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options.
c
4. Diagnosea6-year-oldwithDiversional ActivityDeficit relatedtoplacement inisolation.
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Answer: 1
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Explanation: 1. Therole of the pediatric nurseincludes providing nursing assessment, directing
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nursing care interventions, and educating client and family at developmentally appropriate levels;
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clientadvocacy,casemanagement,minimizationofdistress,andenhancementofcoping. Advanced
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practicenursepractitionersperformassessment,diagnosis,andmanagementofhealth conditions.
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2. Theroleofthepediatricnurseincludes providing nursingassessment,directing nursingcare
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interventions, and educating client and family at developmentally appropriate levels; client
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advocacy, case management, minimization of distress, and enhancement of coping. Advanced
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practice nurse practitioners perform assessment, diagnosis, and management of health
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conditions.
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3. Theroleofthepediatricnurseincludesproviding nursingassessment,directing nursingcare
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interventions, and educating client and family at developmentally appropriate levels; client
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advocacy, case management, minimization ofdistress, and enhancement of coping. Advanced
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practice nurse practitioners perform assessment, diagnosis, and management of health
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conditions.
c
4. Theroleofthepediatricnurseincludes providing nursingassessment,directing nursingcare
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interventions, and educating client and family at developmentally appropriate levels; client
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advocacy, case management, minimization of distress, and enhancement of coping. Advanced
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practice nurse practitioners perform assessment, diagnosis, and management of health
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conditions.
c
PageRef: 2-4
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Cognitive Level: Applying c c
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standards:
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cQSEN Competencies: Patient-centered care | AACN Essential Competencies: EssentialII:
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Basicorganizational andsystemsleadershipforquality careandpatientsafety | NLN
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Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
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Implementation/Coordination of care
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LearningOutcome: LO1.2Comparetherolesofnursesinchildhealthcare. MNL
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LO: Pediatric nursing care
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