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