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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-centered approach to the
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pediatric population?
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1. Advocacy
2. Case management T L
3. Patient education T L
4. Researcher
Answer: 4 T L
Explanation: 1. A researcher is not involved in the family-centered approach to patient care of T L T L T L T L T L L
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children and their families. Advocacy, case management, and patient education are all roles
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directly 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
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their families. Advocacy, case management, and patient education are all roles directly involved
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in the 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
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their families. Advocacy, case management, and patient education are all roles directly involved
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in the care of children and their families.
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4. A researcher is not involved in the family-centered approach to patient care of children and
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their families. Advocacy, case management, and patient education are all roles directly involved
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in the care of children and their families.
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Page Ref: 4 T L T L
Cognitive Level: Analyzing T L T L
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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Essential II: 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
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Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
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MNL 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?
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Select all that apply. T L T L T L
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 being
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researched.
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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 Deficit
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Hyperactivity Disorder (ADHD) treatments.
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Answer: 2, 3, 4 T L T L T L
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must T L T L T L T L T L T L T L T L T L T L T L T L T L
receive developmentally appropriate information about healthcare procedures and treatments and
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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 give
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assent.
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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 give
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assent.
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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 give
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assent.
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Page Ref: 11, 12
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Cognitive Level: Applying T L T L
Client Need &Sub: Psychosocial Integrity
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Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies: T L T L T L T L T L T L T L T L
Essential V: Healthcare policy, finance, and regulatory environments | NLN Competencies:
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Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of
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care
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Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
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nursing practice.
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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?
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1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic. T L T L T L T L T L T L T L T L T L T L
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
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recovery.
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3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local support-
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group options. T L
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation.
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Answer: 1
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Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing T L T L T L T L T L T L T L T L T L T L T L T L
nursing care interventions, and educating client and family at developmentally appropriate
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levels; client advocacy, case management, minimization of distress, and enhancement of coping.
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Advanced practice nurse practitioners perform assessment, diagnosis, and management of health
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conditions.
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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; client
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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.
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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; client
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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.
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4. 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; client
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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.
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Page Ref: 2-4
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Cognitive Level: Applying T L T L
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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Essential II: 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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Implementation/Coordination of care
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Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
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MNL LO: Pediatric nursing care
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