,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-centered approach
yg yg yg yg yg yg yg yg yg yg
to the pediatric population?
yg yg yg yg
1. Advocacy
2. Case management yg
3. Patient education yg
4. Researcher
Answer: 4 yg
Explanation: 1. A researcher is not involved in the family-centered approach to patient care
yg yg yg yg yg yg yg yg yg yg yg yg yg
of children and their families. Advocacy, case management, and patient education are all
yg yg yg yg yg yg yg yg yg yg yg yg yg
roles directly involved in the care of children and their families.
yg yg yg yg yg yg yg yg yg yg yg
2. A researcher is not involved in the family-centered approach to patient care of children
yg yg yg yg yg yg yg yg yg yg yg yg yg
and their families. Advocacy, case management, and patient education are all roles
yg yg yg yg yg yg yg yg yg yg yg yg
directly involved in the care of children and their families.
yg yg yg yg yg yg yg yg yg yg
3. A researcher is not involved in the family-centered approach to patient care of children
yg yg yg yg yg yg yg yg yg yg yg yg yg
and their families. Advocacy, case management, and patient education are all roles
yg yg yg yg yg yg yg yg yg yg yg yg
directly involved in the care of children and their families.
yg yg yg yg yg yg yg yg yg yg
4. A researcher is not involved in the family-centered approach to patient care of children
yg yg yg yg yg yg yg yg yg yg yg yg yg
and their families. Advocacy, case management, and patient education are all roles
yg yg yg yg yg yg yg yg yg yg yg yg
directly involved in the care of children and their families.
yg yg yg yg yg yg yg yg yg yg
Page Ref: 4 yg yg
Cognitive Level: yg y g Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
yg yg yg yg yg yg yg yg yg yg
Standards: QSEN Competencies: Patient-centered care | AACN Essential
yg y g yg yg yg yg yg yg
Competencies:
yg
Essential II: Basic organizational and systems leadership for quality care and patient
yg yg yg yg yg yg yg yg yg yg yg
safety | NLN Competencies: Professional identity | Nursing/Integrated Concepts:
yg yg yg yg yg yg yg yg yg
Nursing Process: Assessment/Coordination of care
yg yg yg yg yg
Learning Outcome: LO 1.2 Compare the roles of nurses in child
yg y g yg yg yg yg yg yg yg yg
healthcare. MNL LO: Family-centered care
yg yg yg yg yg
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes
yg yg yg yg yg yg yg yg yg yg yg yg yg
that federal guidelines are in place that delineate which pediatrics clients must give
yg yg yg yg yg yg yg yg yg yg yg yg yg
assent for participation in research trials. Based upon the client's age, the nurse
yg yg yg yg yg yg yg yg yg yg yg yg yg
would seek assent from which children?
yg yg yg yg yg yg
Select all that apply.
yg yg yg
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
yg yg yg yg yg yg yg yg yg
2. The 7-year-old leukemia client electing to receive a newly developed medication,
yg yg yg yg yg yg yg yg yg yg
now being researched.
yg yg yg
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
yg yg yg yg yg yg yg yg yg yg yg
4. The 13-year-old client commencing participation in a research program for
yg yg yg yg yg yg yg yg yg
Attention Deficit Hyperactivity Disorder (ADHD) treatments.
yg yg yg yg yg yg
Answer: y g 2, 3, 4 yg yg
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older
yg yg yg yg yg yg yg yg yg yg yg yg
must receive developmentally appropriate information about healthcare procedures and
yg yg yg yg yg yg yg yg yg
treatments and give assent.
yg yg yg yg
2. Federal guidelines mandate that research participants 7 years old
yg yg yg yg yg yg yg yg yg and older must yg yg
receive developmentally appropriate information about healthcare
yg yg yg yg yg yg yg procedures and yg
treatments and give assent.
yg yg yg yg
3. Federal guidelines mandate that research participants 7 years old
yg yg yg yg yg yg yg yg yg and older must yg yg
receive developmentally appropriate information about healthcare
yg yg yg yg yg yg yg procedures and yg
treatments and give assent.
yg yg yg yg
4. Federal guidelines mandate that research participants 7 years old
yg yg yg yg yg yg yg yg yg and older must yg yg
receive developmentally appropriate information about healthcare
yg yg yg yg yg yg yg procedures and yg
treatments and give assent.
yg yg yg yg
Page Ref: 11, 12
yg yg yg
Cognitive Level: yg y g Applying
Client Need &Sub:
yg yg y g Psychosocial Integrity yg
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
yg yg yg yg yg yg yg yg
Essential V: Healthcare policy, finance, and regulatory environments | NLN
yg yg yg y g yg y g yg y g y g y g
Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process:
yg yg yg yg yg yg yg yg
Planning/Coordination of care
yg yg yg
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in
yg y g yg yg yg yg yg yg yg yg yg yg
pediatric nursing practice.
yg yg yg
MNL LO: yg y g Developmentally appropriate care yg yg
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
yg yg yg yg yg yg yg yg yg yg yg yg yg yg yg yg
appropriate for the nurse to complete?yg yg yg yg yg
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
yg yg yg yg yg yg yg yg yg yg
2. Listen to the concerns of an adolescent about being out of school for a
yg yg yg yg yg yg yg yg yg yg yg yg yg
lengthy surgical recovery.
yg yg yg
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about
yg yg yg yg yg yg yg yg yg yg yg
local support- group options.
yg yg yg yg
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in
yg yg yg yg yg yg yg yg yg yg
isolation. Answer: 1
yg yg yg
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment,
yg yg yg yg yg yg yg yg yg yg yg
directing nursing care interventions, and educating client and family at
yg yg y g y g y g y g y g y g y g y g
developmentally appropriate levels; client advocacy, case management, minimization of
y g y g yg yg yg yg yg yg yg
distress, and enhancement of coping. Advanced practice nurse practitioners perform
yg yg yg yg yg yg yg yg yg yg
assessment, diagnosis, and management of health conditions.
yg yg yg yg yg yg yg
2. The role of the pediatric nurse includes providing nursing assessment, directing
yg yg yg yg yg yg yg yg yg yg
nursing care interventions, and educating client and family at developmentally
yg yg yg yg yg yg yg yg yg yg
appropriate levels; client advocacy, case management, minimization of distress, and
yg yg yg yg yg yg yg yg yg yg
enhancement of coping. Advanced practice nurse practitioners perform assessment,
yg yg yg yg yg yg yg yg yg
diagnosis, and management of health conditions.
yg yg yg yg yg yg
3. The role of the pediatric nurse includes providing nursing assessment, directing
yg yg yg yg yg yg yg yg yg yg
nursing care interventions, and educating client and family at developmentally
yg yg yg yg yg yg yg yg yg yg
appropriate levels; client advocacy, case management, minimization of distress, and
yg yg yg yg yg yg yg yg yg yg
enhancement of coping. Advanced practice nurse practitioners perform assessment,
yg yg yg yg yg yg yg yg yg
diagnosis, and management of health conditions.
yg yg yg yg yg yg
4. The role of the pediatric nurse includes providing nursing assessment, directing
yg yg yg yg yg yg yg yg yg yg
nursing care interventions, and educating client and family at developmentally
yg yg yg yg yg yg yg yg yg yg
appropriate levels; client advocacy, case management, minimization of distress, and
yg yg yg yg yg yg yg yg yg yg
enhancement of coping. Advanced practice nurse practitioners perform assessment,
yg yg yg yg yg yg yg yg yg
diagnosis, and management of health conditions.
yg yg yg yg yg yg
Page Ref: 2-4
yg yg
Cognitive Level: yg y g Applying
Client Need &Sub: Safe and Effective Care Environment: Management of Care
yg yg yg yg yg yg yg yg yg yg
Standards: QSEN Competencies: Patient-centered care | AACN Essential
yg y g yg yg yg yg yg yg
Competencies:
yg
Essential II: Basic organizational and systems leadership for quality care and patient
yg yg yg yg yg yg yg yg yg yg yg
safety | NLN Competencies: Professional identity | Nursing/Integrated Concepts:
yg yg yg yg yg yg yg yg yg
Nursing Process: Implementation/Coordination of care
yg yg yg yg yg
Learning Outcome: LO 1.2 Compare the roles of nurses in child
yg y g yg yg yg yg yg yg yg yg
healthcare. MNL LO: Pediatric nursing care
yg yg yg yg yg yg
COMMUNITY, AND HOME
yg yg yg
1) Which nursing role is not directly involved when providing family-centered approach
yg yg yg yg yg yg yg yg yg yg
to the pediatric population?
yg yg yg yg
1. Advocacy
2. Case management yg
3. Patient education yg
4. Researcher
Answer: 4 yg
Explanation: 1. A researcher is not involved in the family-centered approach to patient care
yg yg yg yg yg yg yg yg yg yg yg yg yg
of children and their families. Advocacy, case management, and patient education are all
yg yg yg yg yg yg yg yg yg yg yg yg yg
roles directly involved in the care of children and their families.
yg yg yg yg yg yg yg yg yg yg yg
2. A researcher is not involved in the family-centered approach to patient care of children
yg yg yg yg yg yg yg yg yg yg yg yg yg
and their families. Advocacy, case management, and patient education are all roles
yg yg yg yg yg yg yg yg yg yg yg yg
directly involved in the care of children and their families.
yg yg yg yg yg yg yg yg yg yg
3. A researcher is not involved in the family-centered approach to patient care of children
yg yg yg yg yg yg yg yg yg yg yg yg yg
and their families. Advocacy, case management, and patient education are all roles
yg yg yg yg yg yg yg yg yg yg yg yg
directly involved in the care of children and their families.
yg yg yg yg yg yg yg yg yg yg
4. A researcher is not involved in the family-centered approach to patient care of children
yg yg yg yg yg yg yg yg yg yg yg yg yg
and their families. Advocacy, case management, and patient education are all roles
yg yg yg yg yg yg yg yg yg yg yg yg
directly involved in the care of children and their families.
yg yg yg yg yg yg yg yg yg yg
Page Ref: 4 yg yg
Cognitive Level: yg y g Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
yg yg yg yg yg yg yg yg yg yg
Standards: QSEN Competencies: Patient-centered care | AACN Essential
yg y g yg yg yg yg yg yg
Competencies:
yg
Essential II: Basic organizational and systems leadership for quality care and patient
yg yg yg yg yg yg yg yg yg yg yg
safety | NLN Competencies: Professional identity | Nursing/Integrated Concepts:
yg yg yg yg yg yg yg yg yg
Nursing Process: Assessment/Coordination of care
yg yg yg yg yg
Learning Outcome: LO 1.2 Compare the roles of nurses in child
yg y g yg yg yg yg yg yg yg yg
healthcare. MNL LO: Family-centered care
yg yg yg yg yg
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes
yg yg yg yg yg yg yg yg yg yg yg yg yg
that federal guidelines are in place that delineate which pediatrics clients must give
yg yg yg yg yg yg yg yg yg yg yg yg yg
assent for participation in research trials. Based upon the client's age, the nurse
yg yg yg yg yg yg yg yg yg yg yg yg yg
would seek assent from which children?
yg yg yg yg yg yg
Select all that apply.
yg yg yg
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
yg yg yg yg yg yg yg yg yg
2. The 7-year-old leukemia client electing to receive a newly developed medication,
yg yg yg yg yg yg yg yg yg yg
now being researched.
yg yg yg
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
yg yg yg yg yg yg yg yg yg yg yg
4. The 13-year-old client commencing participation in a research program for
yg yg yg yg yg yg yg yg yg
Attention Deficit Hyperactivity Disorder (ADHD) treatments.
yg yg yg yg yg yg
Answer: y g 2, 3, 4 yg yg
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older
yg yg yg yg yg yg yg yg yg yg yg yg
must receive developmentally appropriate information about healthcare procedures and
yg yg yg yg yg yg yg yg yg
treatments and give assent.
yg yg yg yg
2. Federal guidelines mandate that research participants 7 years old
yg yg yg yg yg yg yg yg yg and older must yg yg
receive developmentally appropriate information about healthcare
yg yg yg yg yg yg yg procedures and yg
treatments and give assent.
yg yg yg yg
3. Federal guidelines mandate that research participants 7 years old
yg yg yg yg yg yg yg yg yg and older must yg yg
receive developmentally appropriate information about healthcare
yg yg yg yg yg yg yg procedures and yg
treatments and give assent.
yg yg yg yg
4. Federal guidelines mandate that research participants 7 years old
yg yg yg yg yg yg yg yg yg and older must yg yg
receive developmentally appropriate information about healthcare
yg yg yg yg yg yg yg procedures and yg
treatments and give assent.
yg yg yg yg
Page Ref: 11, 12
yg yg yg
Cognitive Level: yg y g Applying
Client Need &Sub:
yg yg y g Psychosocial Integrity yg
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
yg yg yg yg yg yg yg yg
Essential V: Healthcare policy, finance, and regulatory environments | NLN
yg yg yg y g yg y g yg y g y g y g
Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process:
yg yg yg yg yg yg yg yg
Planning/Coordination of care
yg yg yg
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in
yg y g yg yg yg yg yg yg yg yg yg yg
pediatric nursing practice.
yg yg yg
MNL LO: yg y g Developmentally appropriate care yg yg
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
yg yg yg yg yg yg yg yg yg yg yg yg yg yg yg yg
appropriate for the nurse to complete?yg yg yg yg yg
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
yg yg yg yg yg yg yg yg yg yg
2. Listen to the concerns of an adolescent about being out of school for a
yg yg yg yg yg yg yg yg yg yg yg yg yg
lengthy surgical recovery.
yg yg yg
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about
yg yg yg yg yg yg yg yg yg yg yg
local support- group options.
yg yg yg yg
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in
yg yg yg yg yg yg yg yg yg yg
isolation. Answer: 1
yg yg yg
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment,
yg yg yg yg yg yg yg yg yg yg yg
directing nursing care interventions, and educating client and family at
yg yg y g y g y g y g y g y g y g y g
developmentally appropriate levels; client advocacy, case management, minimization of
y g y g yg yg yg yg yg yg yg
distress, and enhancement of coping. Advanced practice nurse practitioners perform
yg yg yg yg yg yg yg yg yg yg
assessment, diagnosis, and management of health conditions.
yg yg yg yg yg yg yg
2. The role of the pediatric nurse includes providing nursing assessment, directing
yg yg yg yg yg yg yg yg yg yg
nursing care interventions, and educating client and family at developmentally
yg yg yg yg yg yg yg yg yg yg
appropriate levels; client advocacy, case management, minimization of distress, and
yg yg yg yg yg yg yg yg yg yg
enhancement of coping. Advanced practice nurse practitioners perform assessment,
yg yg yg yg yg yg yg yg yg
diagnosis, and management of health conditions.
yg yg yg yg yg yg
3. The role of the pediatric nurse includes providing nursing assessment, directing
yg yg yg yg yg yg yg yg yg yg
nursing care interventions, and educating client and family at developmentally
yg yg yg yg yg yg yg yg yg yg
appropriate levels; client advocacy, case management, minimization of distress, and
yg yg yg yg yg yg yg yg yg yg
enhancement of coping. Advanced practice nurse practitioners perform assessment,
yg yg yg yg yg yg yg yg yg
diagnosis, and management of health conditions.
yg yg yg yg yg yg
4. The role of the pediatric nurse includes providing nursing assessment, directing
yg yg yg yg yg yg yg yg yg yg
nursing care interventions, and educating client and family at developmentally
yg yg yg yg yg yg yg yg yg yg
appropriate levels; client advocacy, case management, minimization of distress, and
yg yg yg yg yg yg yg yg yg yg
enhancement of coping. Advanced practice nurse practitioners perform assessment,
yg yg yg yg yg yg yg yg yg
diagnosis, and management of health conditions.
yg yg yg yg yg yg
Page Ref: 2-4
yg yg
Cognitive Level: yg y g Applying
Client Need &Sub: Safe and Effective Care Environment: Management of Care
yg yg yg yg yg yg yg yg yg yg
Standards: QSEN Competencies: Patient-centered care | AACN Essential
yg y g yg yg yg yg yg yg
Competencies:
yg
Essential II: Basic organizational and systems leadership for quality care and patient
yg yg yg yg yg yg yg yg yg yg yg
safety | NLN Competencies: Professional identity | Nursing/Integrated Concepts:
yg yg yg yg yg yg yg yg yg
Nursing Process: Implementation/Coordination of care
yg yg yg yg yg
Learning Outcome: LO 1.2 Compare the roles of nurses in child
yg y g yg yg yg yg yg yg yg yg
healthcare. MNL LO: Pediatric nursing care
yg yg yg yg yg yg
