Test Bank
,CHAPTER 1 NURSE'S ROLE IN CARE OF THE CHILD:
HOSPITAL,COMMUNITY, AND HOME
1) Which nursing role is not directly involved when providing family-centered
approach tothe pediatric population?
1. Advocacy
2. Case management
3. Patient education
4. Rese
archer
Answer:
4
Explanation: 1. A researcher is not involved in the family-centered approach to patient
care ofchildren and their families. Advocacy, case management, and patient education
are all roles directly involved in the care of children and their families.
2. A researcher is not involved in the family-centered approach to patient care of
children andtheir families. Advocacy, case management, and patient education are all
roles directly involved in the care of children and their families.
3. A researcher is not involved in the family-centered approach to patient care of
children andtheir families. Advocacy, case management, and patient education are all
roles directly involved in the care of children and their families.
4. A researcher is not involved in the family-centered approach to patient care of
children andtheir families. Advocacy, case management, and patient education are all
roles directly involved in the care of children and their families.
Page Ref: 4
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential
Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient
safety |NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing
Process: Assessment/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child
healthcare.MNL LO: Family-centered care
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
federal guidelines are in place that delineate which pediatrics clients must give assent for
participation in research trials. Based upon the client's age, the nurse would seek assent
from which children?
Select all that apply.
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now
being researched.
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
4. The 13-year-old client commencing participation in a research program for Attention
Deficit Hyperactivity Disorder (ADHD) treatments.
Answer: 2, 3, 4
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
receive developmentally appropriate information about healthcare procedures and treatments and
give assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and
give assent.
3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and
give assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and
give assent.
Page Ref: 11, 12
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards:aQSENaCompetencies:aPatient-
centeredacarea|aAACNaEssentialaCompetencies:aEssentialaV:aHealthcarea policy,afinance,a andare
gulatorya environmentsa |a NLNaCompetencies:aNursingajudgementa|aNursing/IntegratedaConcept
s:aNursingaProcess:aPlanning/Coordinationaofacare
LearningaOutcome:a LOa1.6aExamineathreeauniqueapediatricalegalaandaethicalaissuesainapediatrica
nursingapractice.
MNLaLO:a Developmentallyaappropriateacare
, 3) Theanurseainaaapediatricaacuteacareaunitaisaassignedatheafollowingatasks.aWhichataskaisa not
appropriateaforatheanurseatoacomplete?
1. Diagnoseaana8-year-oldawithaacuteaotitisamediaaandaprescribeaanaantibiotic.
2. Listenatoatheaconcernsaofaanaadolescentaaboutabeingaoutaofaschoolaforaaaleng
thyasurgicalarecovery.
3. Provideainformationatoaaamotheraofaaanewlyadiagnoseda4-year-
oldadiabeticaaboutalocalasupport-agroupaoptions.
4. Diagnoseaaa6-year-
oldawithaDiversionalaActivityaDeficitarelatedatoaplacementainaisolation.aAnswer:a1
Explanation:a1.aThearoleaofatheapediatricanurseaincludesaprovidinganursingaassessment,adirectin
ganursinga carea interventions,a anda educatinga clienta anda familya ata developmentallya appropria
tealevels;aclientaadvocacy,acaseamanagement,aminimizationaofadistress,aandaenhancementaofacopi
ng.aAdvancedapracticeanurseapractitionersaperformaassessment,adiagnosis,aandamanagementaofah
ealthaconditions.
2. Thearoleaofatheapediatricanurseaincludesaprovidinganursingaassessment,adirectinganursi
ngacareainterventions,aandaeducatingaclientaandafamilyaatadevelopmentallyaappropriateal
evels;aclientaadvocacy,acaseamanagement,aminimizationaofadistress,aandaenhancementaof
acoping.aAdvancedapracticeanurseapractitionersaperformaassessment,adiagnosis,aandamana
gementaofahealthaconditions.
3. Thearoleaofatheapediatricanurseaincludesaprovidinganursingaassessment,adirectinganursi
ngacareainterventions,aandaeducatingaclientaandafamilyaatadevelopmentallyaappropriateal
evels;aclientaadvocacy,acaseamanagement,aminimizationaofadistress,aandaenhancementaof
acoping.aAdvancedapracticeanurseapractitionersaperformaassessment,adiagnosis,aandamana
gementaofahealthaconditions.
4. Thearoleaofatheapediatricanurseaincludesaprovidinganursingaassessment,adirectinganursi
ngacareainterventions,aandaeducatingaclientaandafamilyaatadevelopmentallyaappropriateal
evels;aclientaadvocacy,acaseamanagement,aminimizationaofadistress,aandaenhancementaof
acoping.aAdvancedapracticeanurseapractitionersaperformaassessment,adiagnosis,aandamana
gementaofahealthaconditions.
PageaRef:a2-4
CognitiveaLevel:a Applying
ClientaNeeda&Sub:aSafeaandaEffectiveaCareaEnvironment:aManagementaofaCareaStandar
ds:a QSENaCompetencies:aPatient-centeredacarea|aAACNaEssentialaCompetencies:
EssentialaII:aBasicaorganizationalaandasystemsaleadershipaforaqualityacareaandapatientasafety
a|aNLNaCompetencies:aProfessionalaidentitya|aNursing/IntegratedaConcepts:aNursingaProce
ss:aImplementation/Coordinationaofacare
LearningaOutcome:a LOa1.2aCompareathearolesaofanursesainachildahealthcare.aM
NLaLO:aPediatricanursingacare
,CHAPTER 1 NURSE'S ROLE IN CARE OF THE CHILD:
HOSPITAL,COMMUNITY, AND HOME
1) Which nursing role is not directly involved when providing family-centered
approach tothe pediatric population?
1. Advocacy
2. Case management
3. Patient education
4. Rese
archer
Answer:
4
Explanation: 1. A researcher is not involved in the family-centered approach to patient
care ofchildren and their families. Advocacy, case management, and patient education
are all roles directly involved in the care of children and their families.
2. A researcher is not involved in the family-centered approach to patient care of
children andtheir families. Advocacy, case management, and patient education are all
roles directly involved in the care of children and their families.
3. A researcher is not involved in the family-centered approach to patient care of
children andtheir families. Advocacy, case management, and patient education are all
roles directly involved in the care of children and their families.
4. A researcher is not involved in the family-centered approach to patient care of
children andtheir families. Advocacy, case management, and patient education are all
roles directly involved in the care of children and their families.
Page Ref: 4
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential
Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient
safety |NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing
Process: Assessment/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child
healthcare.MNL LO: Family-centered care
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
federal guidelines are in place that delineate which pediatrics clients must give assent for
participation in research trials. Based upon the client's age, the nurse would seek assent
from which children?
Select all that apply.
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now
being researched.
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
4. The 13-year-old client commencing participation in a research program for Attention
Deficit Hyperactivity Disorder (ADHD) treatments.
Answer: 2, 3, 4
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
receive developmentally appropriate information about healthcare procedures and treatments and
give assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and
give assent.
3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and
give assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and
give assent.
Page Ref: 11, 12
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards:aQSENaCompetencies:aPatient-
centeredacarea|aAACNaEssentialaCompetencies:aEssentialaV:aHealthcarea policy,afinance,a andare
gulatorya environmentsa |a NLNaCompetencies:aNursingajudgementa|aNursing/IntegratedaConcept
s:aNursingaProcess:aPlanning/Coordinationaofacare
LearningaOutcome:a LOa1.6aExamineathreeauniqueapediatricalegalaandaethicalaissuesainapediatrica
nursingapractice.
MNLaLO:a Developmentallyaappropriateacare
, 3) Theanurseainaaapediatricaacuteacareaunitaisaassignedatheafollowingatasks.aWhichataskaisa not
appropriateaforatheanurseatoacomplete?
1. Diagnoseaana8-year-oldawithaacuteaotitisamediaaandaprescribeaanaantibiotic.
2. Listenatoatheaconcernsaofaanaadolescentaaboutabeingaoutaofaschoolaforaaaleng
thyasurgicalarecovery.
3. Provideainformationatoaaamotheraofaaanewlyadiagnoseda4-year-
oldadiabeticaaboutalocalasupport-agroupaoptions.
4. Diagnoseaaa6-year-
oldawithaDiversionalaActivityaDeficitarelatedatoaplacementainaisolation.aAnswer:a1
Explanation:a1.aThearoleaofatheapediatricanurseaincludesaprovidinganursingaassessment,adirectin
ganursinga carea interventions,a anda educatinga clienta anda familya ata developmentallya appropria
tealevels;aclientaadvocacy,acaseamanagement,aminimizationaofadistress,aandaenhancementaofacopi
ng.aAdvancedapracticeanurseapractitionersaperformaassessment,adiagnosis,aandamanagementaofah
ealthaconditions.
2. Thearoleaofatheapediatricanurseaincludesaprovidinganursingaassessment,adirectinganursi
ngacareainterventions,aandaeducatingaclientaandafamilyaatadevelopmentallyaappropriateal
evels;aclientaadvocacy,acaseamanagement,aminimizationaofadistress,aandaenhancementaof
acoping.aAdvancedapracticeanurseapractitionersaperformaassessment,adiagnosis,aandamana
gementaofahealthaconditions.
3. Thearoleaofatheapediatricanurseaincludesaprovidinganursingaassessment,adirectinganursi
ngacareainterventions,aandaeducatingaclientaandafamilyaatadevelopmentallyaappropriateal
evels;aclientaadvocacy,acaseamanagement,aminimizationaofadistress,aandaenhancementaof
acoping.aAdvancedapracticeanurseapractitionersaperformaassessment,adiagnosis,aandamana
gementaofahealthaconditions.
4. Thearoleaofatheapediatricanurseaincludesaprovidinganursingaassessment,adirectinganursi
ngacareainterventions,aandaeducatingaclientaandafamilyaatadevelopmentallyaappropriateal
evels;aclientaadvocacy,acaseamanagement,aminimizationaofadistress,aandaenhancementaof
acoping.aAdvancedapracticeanurseapractitionersaperformaassessment,adiagnosis,aandamana
gementaofahealthaconditions.
PageaRef:a2-4
CognitiveaLevel:a Applying
ClientaNeeda&Sub:aSafeaandaEffectiveaCareaEnvironment:aManagementaofaCareaStandar
ds:a QSENaCompetencies:aPatient-centeredacarea|aAACNaEssentialaCompetencies:
EssentialaII:aBasicaorganizationalaandasystemsaleadershipaforaqualityacareaandapatientasafety
a|aNLNaCompetencies:aProfessionalaidentitya|aNursing/IntegratedaConcepts:aNursingaProce
ss:aImplementation/Coordinationaofacare
LearningaOutcome:a LOa1.2aCompareathearolesaofanursesainachildahealthcare.aM
NLaLO:aPediatricanursingacare
