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ESSENTIALS OF PEDIATRIC NURSING 3RD EDITION KYLE TEST BANK
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ESSENTIALSOF o oo




PEDIATRIC NUR oo




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, ESSENTIALS OF PEDIATRIC NURSING 3RD EDITION KYLE TEST BANK oo oo oo oo oo oo oo oo




Origin: Chapter 1, 1 o o oo oo



1. The nurse providing family-
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centered care in a hospital setting reflects on the focus of the health care provided in to
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day's society. Which statement best describes the current definition of health?
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A) Health is described as 'an absence of disease.' oo oo oo oo oo oo oo



B) Health is measured by monitoring mortality and morbidity of a group.
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C) Health is a state of complete physical, mental, and social well-being.
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D) Technological gains made in health care are shared equally among all children. oo oo oo oo oo oo oo oo oo oo oo oo



Ans: C oo



Feedback:
In the past, health was defined simply as the absence of disease; health was measured by
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monitoring the mortality and morbidity of a group. Over the past century, however, the
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focus of health has shifted to disease prevention, health promotion, and wellness. The
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World Health Organization (2013) defines health as "a state of complete physical, ment
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al, and social well-
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being, and not merely the absence of disease or infirmity." The gains in child health hav
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e been huge, but, unfortunately, these gains are not shared equally among all children.
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Origin: Chapter 1, 2 o o oo oo



2. The student nurse is learning about the past history of child health and health care in the
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United States. Which statement accurately reflects the condition of health care in the pa
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st and current centuries?
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A) In past centuries in the U nNi t Ue dR SSI tNa Gt eTs B, .tCheO M
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s today due to the simpler style of living.
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B) In the current century, mortality rates are high, but life expectancy has increased
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due to technological advances. oo oo oo



C) In the late eighteenth and early nineteenth centuries urban public health
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improvements made cities healthier places for growing children. oo oo oo oo oo oo oo



D) By the late twentieth century unintentional injuries rather than infectious diseases
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had become the leading cause of death for children older than 1 year old.
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Ans: D oo



Feedback:
In past centuries in the United States, the health of the country was poorer than it is toda
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y; mortality rates were high and life expectancy was short. Over the years the health of ch
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ildren received more and more attention, leading to a better understanding of sources of
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illness and improvements in sanitation, water, and nutrition. As a result, by the late twe
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ntieth century unintentional injuries rather than infectious diseases had become the leadi
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ng cause of death for children older than 1 year old.
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Origin: Chapter 1, 3 o o oo oo



3. The nurse is administering a number of therapeutic interventions for neonates, infants,
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and children on the pediatric unit. Which intervention contributes to an increase in ch
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ronic illness seen in early childhood?
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A) Administering antibiotics to prevent lethal infections oo oo oo oo oo



B) Vaccinating children to prevent childhood diseases oo oo oo oo oo



C) Using mechanical ventilation for premature infants oo oo oo oo oo



D) Using corticosteroids as a treatment for asthma oo oo oo oo oo oo oo



Ans: C oo



Feedback:
Using mechanical ventilation and medications to foster lung development in premature inf
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ants increases their survival rate. Yet the infants who survive are often faced with myriad
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chronic illnesses. Administering antibiotics to prevent lethal infections, vaccinating chil
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dren to prevent childhood diseases, and using corticosteroids as a treatment for asthma m
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ay cause side effects, but do not contribute to chronic illness in children.
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Origin: Chapter 1, 4 o o oo oo



4. The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy People.
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Which nursing action best reflects the nurse fostering this health care agenda?
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A) The nurse signs up for classes to obtain an advanced degree in nursing
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B) The nurse volunteers at a local health care clinic providing free vaccinations for
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low-income populations NURSINGTB.COM oo oo



C) The nurse performs an in-service on basic hospital equipment for student nurses
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D) The nurse compiles nursing articles on evidence- oo oo oo oo oo oo



based practices in nursing to present at a hospital training seminar
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Ans: B oo



Feedback:
Healthy People is a comprehensive health promotion and disease prevention agenda that
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is working toward improving the quantity and quality of life for all Americans (U.S. De
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partment of Health and Human Services, 2010). Overarching goals are to eliminate prev
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entable disease, disability, injury, and premature death; achieve health equity, eliminate
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disparities, and improve the health of all groups; create physical and social environment
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s that promote good health; and promote healthy development and behaviors across eve
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ry stage of life. Volunteering at a local health care clinic directly reflects the goal of imp
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roving the health of all groups of people. Signing up for classes, performing in-
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services on equipment, and compiling nursing articles on evidence-
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based practices in nursing are all worthwhile activities that foster health care delivery, b
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ut are not as directly linked to the agenda of promoting health in the community.
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Origin: Chapter 1, 5 o o oo oo



5. The neonatal nurse researches the neonatal and mortality rates in the United States.
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Which statements accurately describe these measurements of child health? Select all
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that apply. oo



A) Neonatal mortality is the number of infant deaths occurring in the first 28 days of
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life per 1,000 live births. oo oo oo oo



B) The infant mortality rate refers to the number of deaths occurring in the first 6
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months of life. oo oo



C) Neonatal mortality is documented as the number of deaths in relation to 1,000 live
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births.
D) The infant mortality rate is used as an index of the general health of a country.
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E) In 2007, the infant mortality rate in the United States was 6.8 per 1,000 live births.
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F) The infant mortality rate is consistent from state to state as well as between ethnic
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groups.
Ans: A, C, D, E oo oo oo oo



Feedback:
Neonatal mortality is the number of infant deaths occurring in the first 28 days of life
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per 1,000 live births. The infant mortality rate refers to the number of deaths occurring
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in the first 12 months of life and is documented as the number of deaths in relation to
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1,000 live births. The infant mortality rate is used as an index of the general health of a
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country; generally, this statistic is one of the most significant measures of children's h
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ealth. In 2007, the infant mortality rate in the United States was 6.8 per 1,000 live birt
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hs. The infant mortality rate varies greatly from state to state as well as between ethnic
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groups.
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