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/
to/ the/ pediatric/ population?
1. Advocacy
2. Case/ management
3. Patient/ education
4. Researche
r/ Answer:/ 4
Explanation:/ 1./ A/ researcher/ is/ not/ involved/ in/ the/ family-centered/ approach/ to/ patient/ care/ of/
children/ 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/
and/ their/ 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/
and/ their/ 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/
and/ their/ 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:/ QSEN/ Competencies:/ Patient-centered/ care/ |/ AACN/ Essential/
Competencies:/ Essential/ V:/ Healthcare/ policy,/ finance,/ and/ regulatory/ environments/ |/ NLN/
Competencies:/ Nursing/ judgement/ |/ Nursing/Integrated/ Concepts:/ Nursing/ Process:/
Planning/Coordination/ of/ care
Learning/ Outcome:/ LO/ 1.6/ Examine/ three/ unique/ pediatric/ legal/ and/ ethical/ issues/ in/ pediatric/
nursing/ practice.
MNL/ LO:/ Developmentally/ appropriate/ care
, 3) The/ nurse/ in/ a/ pediatric/ acute/ care/ unit/ is/ assigned/ the/ following/ tasks./ Which/ task/ is/ not
appropriate/ for/ the/ nurse/ to/ complete?
1. Diagnose/ an/ 8-year-old/ with/ acute/ otitis/ media/ and/ prescribe/ an/ antibiotic.
2. Listen/ to/ the/ concerns/ of/ an/ adolescent/ about/ being/ out/ of/ school/ for/ a/
lengthy/ surgical/ recovery.
3. Provide/ information/ to/ a/ mother/ of/ a/ newly/ diagnosed/ 4-year-old/ diabetic/ about/
local/ support-/ group/ options.
4. Diagnose/ a/ 6-year-old/ with/ Diversional/ Activity/ Deficit/ related/ to/ placement/ in/
isolation./ Answer:/ 1
Explanation:/ 1./ The/ role/ of/ the/ pediatric/ nurse/ includes/ providing/ nursing/ assessment,/ directing/
nursing/ care/ interventions,/ and/ educating/ client/ and/ family/ at/ developmentally/
appropriate/ levels;/ client/ advocacy,/ case/ management,/ minimization/ of/ distress,/ and/ enhancement/
of/ coping./ Advanced/ practice/ nurse/ practitioners/ perform/ assessment,/ diagnosis,/ and/ management/
of/ health/ conditions.
2. The/ role/ of/ the/ pediatric/ nurse/ includes/ providing/ nursing/ assessment,/ directing/
nursing/ care/ interventions,/ and/ educating/ client/ and/ family/ at/ developmentally/
appropriate/ levels;/ client/ advocacy,/ case/ management,/ minimization/ of/ distress,/ and/
enhancement/ of/ coping./ Advanced/ practice/ nurse/ practitioners/ perform/ assessment,/
diagnosis,/ and/ management/ of/ health/ conditions.
3. The/ role/ of/ the/ pediatric/ nurse/ includes/ providing/ nursing/ assessment,/ directing/
nursing/ care/ interventions,/ and/ educating/ client/ and/ family/ at/ developmentally/
appropriate/ levels;/ client/ advocacy,/ case/ management,/ minimization/ of/ distress,/ and/
enhancement/ of/ coping./ Advanced/ practice/ nurse/ practitioners/ perform/ assessment,/
diagnosis,/ and/ management/ of/ health/ conditions.
4. The/ role/ of/ the/ pediatric/ nurse/ includes/ providing/ nursing/ assessment,/ directing/
nursing/ care/ interventions,/ and/ educating/ client/ and/ family/ at/ developmentally/
appropriate/ levels;/ client/ advocacy,/ case/ management,/ minimization/ of/ distress,/ and/
enhancement/ of/ coping./ Advanced/ practice/ nurse/ practitioners/ perform/ assessment,/
diagnosis,/ and/ management/ of/ health/ conditions.
Page/ Ref:/ 2-4
Cognitive/ Level:/ Applying
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:/
Implementation/Coordination/ of/ care
Learning/ Outcome:/ LO/ 1.2/ Compare/ the/ roles/ of/ nurses/ in/ child/ healthcare./
MNL/ LO:/ Pediatric/ nursing/ care