,Principles of Pediatric Nursing: Caring for Children, 7e (Ball et al.)
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Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
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1) Which nursing role is not directly involved when providing family-
xq xq xq xq xq xq xq xq xq
centered approach to the pediatric population?
xq xq xq xq xq
1. Advocacy
2. Case management xq
3. Patient education xq
4. Researcher
Answer: 4 x q
Explanation: 1. A researcher is not involved in the family-
x q xq xq xq xq xq xq xq xq
centered approach to patient care of children and their families. Advocacy, case management,
xq xq xq xq xq xq xq xq xq xq xq xq xq
and patient education are all roles directly involved in the care of children and their families.
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
2. A researcher is not involved in the family-
xq xq xq xq xq xq xq
centered approach to patient care of children and their families. Advocacy, case management,
xq xq xq xq xq xq xq xq xq xq xq xq
and patient education are all roles directly involved in the care of children and their families.
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
3. A researcher is not involved in the family-
xq xq xq xq xq xq xq
centered approach to patient care of children and their families. Advocacy, case management,
xq xq xq xq xq xq xq xq xq xq xq xq
and patient education are all roles directly involved in the care of children and their families.
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
4. A researcher is not involved in the family-
xq xq xq xq xq xq xq
centered approach to patient care of children and their families. Advocacy, case management,
xq xq xq xq xq xq xq xq xq xq xq xq
and patient education are all roles directly involved in the care of children and their families.
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
Page Ref: 4xq xq
Cognitive Level: Analyzing xq x q
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standa
xq xq x q xq xq xq xq xq xq xq xq
rds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
x q xq xq xq xq xq xq xq
Essential II: Basic organizational and systems leadership for quality care and patient safety | N
xq xq xq xq xq xq xq xq xq xq xq xq xq xq
LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Asse
xq xq xq xq xq xq xq xq xq
ssment/Coordination of care xq xq
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
xq x q xq xq xq xq xq xq xq xq xq x
MNL LO: Family-centered care
q xq x q xq
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes th
xq xq xq xq xq xq xq xq xq xq xq xq xq xq
at federal guidelines are in place that delineate which pediatrics clients must give assent f
xq xq xq xq xq xq xq xq xq xq xq xq xq xq
or participation in research trials. Based upon the client's age, the nurse would seek assent
xq xq xq xq xq xq xq xq xq xq xq xq xq xq x
qfrom which children?xq xq
Select all that apply. xq xq xq
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
xq xq xq xq xq xq xq xq xq
2. The 7-year- xq
old leukemia client electing to receive a newly developed medication, now being researched.
xq xq xq xq xq xq xq xq xq xq xq xq
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
xq xq xq xq xq xq xq xq xq xq xq
4. The 13-year- xq
old client commencing participation in a research program for Attention Deficit Hyperactivit
xq xq xq xq xq xq xq xq xq xq xq
y Disorder (ADHD) treatments.
xq xq xq
Answer: 2, 3, 4 x q xq xq
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older m
x q xq xq xq xq xq xq xq xq xq xq xq xq
ust receive developmentally appropriate information about healthcare procedures and treatment
xq xq xq xq xq xq xq xq xq
s and give assent.
xq xq xq
2. Federal guidelines mandate that research participants 7 years old and older must receive
xq xq xq xq xq xq xq xq xq xq xq xq xq
developmentally appropriate information about healthcare procedures and treatments and giv
xq xq xq xq xq xq xq xq xq
e assent.
xq
3. Federal guidelines mandate that research participants 7 years old and older must receive
xq xq xq xq xq xq xq xq xq xq xq xq xq
developmentally appropriate information about healthcare procedures and treatments and giv
xq xq xq xq xq xq xq xq xq
e assent.
xq
4. Federal guidelines mandate that research participants 7 years old and older must receive
xq xq xq xq xq xq xq xq xq xq xq xq xq
developmentally appropriate information about healthcare procedures and treatments and giv
xq xq xq xq xq xq xq xq xq
e assent.
xq
Page Ref: 11, 12 xq xq xq
Cognitive Level: Applying xq x q
Client Need &Sub: Psychosocial Integrity
xq xq x q xq
Standards: QSEN Competencies: Patient- x q xq xq
centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and r
xq xq xq xq xq xq xq xq xq xq xq xq
egulatory environments | NLN Competencies: Nursing judgement | Nursing/Integrated Concep
xq xq xq xq xq xq xq xq xq
ts: Nursing Process: Planning/Coordination of care
xq xq xq xq xq
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric nu
xq x q xq xq xq xq xq xq xq xq xq xq xq xq
rsing practice. xq
MNL LO: Developmentally appropriate care
xq x q xq xq
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
appropriate for the nurse to complete? xq xq xq xq xq
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
xq xq xq xq xq xq xq xq xq xq
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgi
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
cal recovery.
xq
3. Provide information to a mother of a newly diagnosed 4-year-
xq xq xq xq xq xq xq xq xq
old diabetic about local support- group options.
xq xq xq xq xq xq
4. Diagnose a 6-year- xq xq
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
xq xq xq xq xq xq xq xq xq xq x q
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directi
x q xq xq xq xq xq xq xq xq xq xq xq
ng nursing care interventions, and educating client and family at developmentally appropriate
xq xq xq xq xq xq xq xq xq xq xq xq
levels; client advocacy, case management, minimization of distress, and enhancement of copin
xq xq xq xq xq xq xq xq xq xq xq
g. Advanced practice nurse practitioners perform assessment, diagnosis, and management of he
xq xq xq xq xq xq xq xq xq xq xq
alth conditions.
xq
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
xq xq xq xq xq xq xq xq xq xq xq xq
re interventions, and educating client and family at developmentally appropriate levels; clie
xq xq xq xq xq xq xq xq xq xq xq
nt advocacy, case management, minimization of distress, and enhancement of coping. Adva
xq xq xq xq xq xq xq xq xq xq xq
nced practice nurse practitioners perform assessment, diagnosis, and management of health
xq xq xq xq xq xq xq xq xq xq xq
conditions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
xq xq xq xq xq xq xq xq xq xq xq xq
re interventions, and educating client and family at developmentally appropriate levels; clie
xq xq xq xq xq xq xq xq xq xq xq
nt advocacy, case management, minimization of distress, and enhancement of coping. Adva
xq xq xq xq xq xq xq xq xq xq xq
nced practice nurse practitioners perform assessment, diagnosis, and management of health
xq xq xq xq xq xq xq xq xq xq xq
conditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
xq xq xq xq xq xq xq xq xq xq xq xq
re interventions, and educating client and family at developmentally appropriate levels; clie
xq xq xq xq xq xq xq xq xq xq xq
nt advocacy, case management, minimization of distress, and enhancement of coping. Adva
xq xq xq xq xq xq xq xq xq xq xq
nced practice nurse practitioners perform assessment, diagnosis, and management of health
xq xq xq xq xq xq xq xq xq xq xq
conditions.
Page Ref: 2-4 xq xq
Cognitive Level: Applying xq x q
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standa
xq xq x q xq xq xq xq xq xq xq xq
rds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
x q xq xq xq xq xq xq xq
Essential II: Basic organizational and systems leadership for quality care and patient safety | N
xq xq xq xq xq xq xq xq xq xq xq xq xq xq
LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Impl
xq xq xq xq xq xq xq xq xq
ementation/Coordination of care xq xq
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
xq x q xq xq xq xq xq xq xq xq xq x
qMNL LO: Pediatric nursing care
xq x q xq xq
xq xq xq xq xq xq xq xq xq xq
Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
xq xqxq xq xq xq xq xq xq xq xq xq xq
1) Which nursing role is not directly involved when providing family-
xq xq xq xq xq xq xq xq xq
centered approach to the pediatric population?
xq xq xq xq xq
1. Advocacy
2. Case management xq
3. Patient education xq
4. Researcher
Answer: 4 x q
Explanation: 1. A researcher is not involved in the family-
x q xq xq xq xq xq xq xq xq
centered approach to patient care of children and their families. Advocacy, case management,
xq xq xq xq xq xq xq xq xq xq xq xq xq
and patient education are all roles directly involved in the care of children and their families.
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
2. A researcher is not involved in the family-
xq xq xq xq xq xq xq
centered approach to patient care of children and their families. Advocacy, case management,
xq xq xq xq xq xq xq xq xq xq xq xq
and patient education are all roles directly involved in the care of children and their families.
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
3. A researcher is not involved in the family-
xq xq xq xq xq xq xq
centered approach to patient care of children and their families. Advocacy, case management,
xq xq xq xq xq xq xq xq xq xq xq xq
and patient education are all roles directly involved in the care of children and their families.
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
4. A researcher is not involved in the family-
xq xq xq xq xq xq xq
centered approach to patient care of children and their families. Advocacy, case management,
xq xq xq xq xq xq xq xq xq xq xq xq
and patient education are all roles directly involved in the care of children and their families.
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
Page Ref: 4xq xq
Cognitive Level: Analyzing xq x q
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standa
xq xq x q xq xq xq xq xq xq xq xq
rds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
x q xq xq xq xq xq xq xq
Essential II: Basic organizational and systems leadership for quality care and patient safety | N
xq xq xq xq xq xq xq xq xq xq xq xq xq xq
LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Asse
xq xq xq xq xq xq xq xq xq
ssment/Coordination of care xq xq
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
xq x q xq xq xq xq xq xq xq xq xq x
MNL LO: Family-centered care
q xq x q xq
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes th
xq xq xq xq xq xq xq xq xq xq xq xq xq xq
at federal guidelines are in place that delineate which pediatrics clients must give assent f
xq xq xq xq xq xq xq xq xq xq xq xq xq xq
or participation in research trials. Based upon the client's age, the nurse would seek assent
xq xq xq xq xq xq xq xq xq xq xq xq xq xq x
qfrom which children?xq xq
Select all that apply. xq xq xq
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
xq xq xq xq xq xq xq xq xq
2. The 7-year- xq
old leukemia client electing to receive a newly developed medication, now being researched.
xq xq xq xq xq xq xq xq xq xq xq xq
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
xq xq xq xq xq xq xq xq xq xq xq
4. The 13-year- xq
old client commencing participation in a research program for Attention Deficit Hyperactivit
xq xq xq xq xq xq xq xq xq xq xq
y Disorder (ADHD) treatments.
xq xq xq
Answer: 2, 3, 4 x q xq xq
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older m
x q xq xq xq xq xq xq xq xq xq xq xq xq
ust receive developmentally appropriate information about healthcare procedures and treatment
xq xq xq xq xq xq xq xq xq
s and give assent.
xq xq xq
2. Federal guidelines mandate that research participants 7 years old and older must receive
xq xq xq xq xq xq xq xq xq xq xq xq xq
developmentally appropriate information about healthcare procedures and treatments and giv
xq xq xq xq xq xq xq xq xq
e assent.
xq
3. Federal guidelines mandate that research participants 7 years old and older must receive
xq xq xq xq xq xq xq xq xq xq xq xq xq
developmentally appropriate information about healthcare procedures and treatments and giv
xq xq xq xq xq xq xq xq xq
e assent.
xq
4. Federal guidelines mandate that research participants 7 years old and older must receive
xq xq xq xq xq xq xq xq xq xq xq xq xq
developmentally appropriate information about healthcare procedures and treatments and giv
xq xq xq xq xq xq xq xq xq
e assent.
xq
Page Ref: 11, 12 xq xq xq
Cognitive Level: Applying xq x q
Client Need &Sub: Psychosocial Integrity
xq xq x q xq
Standards: QSEN Competencies: Patient- x q xq xq
centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and r
xq xq xq xq xq xq xq xq xq xq xq xq
egulatory environments | NLN Competencies: Nursing judgement | Nursing/Integrated Concep
xq xq xq xq xq xq xq xq xq
ts: Nursing Process: Planning/Coordination of care
xq xq xq xq xq
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric nu
xq x q xq xq xq xq xq xq xq xq xq xq xq xq
rsing practice. xq
MNL LO: Developmentally appropriate care
xq x q xq xq
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
appropriate for the nurse to complete? xq xq xq xq xq
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
xq xq xq xq xq xq xq xq xq xq
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgi
xq xq xq xq xq xq xq xq xq xq xq xq xq xq xq
cal recovery.
xq
3. Provide information to a mother of a newly diagnosed 4-year-
xq xq xq xq xq xq xq xq xq
old diabetic about local support- group options.
xq xq xq xq xq xq
4. Diagnose a 6-year- xq xq
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
xq xq xq xq xq xq xq xq xq xq x q
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directi
x q xq xq xq xq xq xq xq xq xq xq xq
ng nursing care interventions, and educating client and family at developmentally appropriate
xq xq xq xq xq xq xq xq xq xq xq xq
levels; client advocacy, case management, minimization of distress, and enhancement of copin
xq xq xq xq xq xq xq xq xq xq xq
g. Advanced practice nurse practitioners perform assessment, diagnosis, and management of he
xq xq xq xq xq xq xq xq xq xq xq
alth conditions.
xq
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
xq xq xq xq xq xq xq xq xq xq xq xq
re interventions, and educating client and family at developmentally appropriate levels; clie
xq xq xq xq xq xq xq xq xq xq xq
nt advocacy, case management, minimization of distress, and enhancement of coping. Adva
xq xq xq xq xq xq xq xq xq xq xq
nced practice nurse practitioners perform assessment, diagnosis, and management of health
xq xq xq xq xq xq xq xq xq xq xq
conditions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
xq xq xq xq xq xq xq xq xq xq xq xq
re interventions, and educating client and family at developmentally appropriate levels; clie
xq xq xq xq xq xq xq xq xq xq xq
nt advocacy, case management, minimization of distress, and enhancement of coping. Adva
xq xq xq xq xq xq xq xq xq xq xq
nced practice nurse practitioners perform assessment, diagnosis, and management of health
xq xq xq xq xq xq xq xq xq xq xq
conditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
xq xq xq xq xq xq xq xq xq xq xq xq
re interventions, and educating client and family at developmentally appropriate levels; clie
xq xq xq xq xq xq xq xq xq xq xq
nt advocacy, case management, minimization of distress, and enhancement of coping. Adva
xq xq xq xq xq xq xq xq xq xq xq
nced practice nurse practitioners perform assessment, diagnosis, and management of health
xq xq xq xq xq xq xq xq xq xq xq
conditions.
Page Ref: 2-4 xq xq
Cognitive Level: Applying xq x q
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standa
xq xq x q xq xq xq xq xq xq xq xq
rds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
x q xq xq xq xq xq xq xq
Essential II: Basic organizational and systems leadership for quality care and patient safety | N
xq xq xq xq xq xq xq xq xq xq xq xq xq xq
LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Impl
xq xq xq xq xq xq xq xq xq
ementation/Coordination of care xq xq
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
xq x q xq xq xq xq xq xq xq xq xq x
qMNL LO: Pediatric nursing care
xq x q xq xq
