Test bank - Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care 3rd Edition by Kathryn Rudd, All 22 Chapters Covered, Verified Latest Edition

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DAVIS ADVANTAGE for Pediatric Nursing:Critical Components of
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Nursing Care, 3rd Edition by Kathryn Rudd
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,Chapter 1: Issues and Trends in Pediatric Nursing
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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vv 1. The RN has provided a presentation to middle school children about nursing as a career. One
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ofthe children stated that he wanted to be a pediatric RN, because he wants to take care of
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babies and little ―kids.‖ What would be an appropriate response to this middle school–aged
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child? vv



1. ―Nursing is a general practice; all RNs must know how to take care of all ages vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv



ofclients.‖ vv v



2. ―As a pediatric RN, you would get to care for babies and little kids as well
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aschildren through their teenage years.‖
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3. ―What you are describing is actually a neonatal RN. Neonatal RNs work
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withnewborn babies, toddlers, and preschool-age children.‖
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4. ―Being a pediatric RN requires a master’s degree, so be sure to work hard
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inschool!‖ vv v

vv 2.
The medical-surgical float RN is assigned to the pediatric unit for the first time and states thatthe
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skills are ―the same as general nursing since children are little adults with smaller bodies.‖
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What component of pediatric nursing contraindicates this statement?
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1. Pediatric nursing involves care based on the developmental level of the client.
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2. Pediatric nursing involves the client’s family in the plan of care. vv vv vv vv vv vv vv vv vv vv



3. Pediatric nursing in based on prevention of infectious diseases. vv vv vv vv vv vv vv vv



4. Pediatric nursing involves cultural sensitivity in client care. vv vv vv vv vv vv vv


vv 3.
The culturally sensitive pediatric RN is aware of the racial makeup of the U.S. population.
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Which of the following reflects the demographics of the U.S. pediatric population in 2018,
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basedon U.S. Census Bureau data?
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1. The American Indian and Alaska Native population represent one-fifth of
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thepediatric population.
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2. About half of the children fall in the category of something other than White
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non-Hispanic.vv v



3. The population of Asian children decreased from 2015 to 2018.
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4. There was no change in the population of Non-Hispanic children who
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representtwo or more races between 2015 and 2018.
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vv 4.
The RN at a family clinic is providing care to an adolescent client diagnosed with diabetes.
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Theclient has verbalized discomfort with the feelings of isolation when unable to drink alcohol
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with their friends. Which of the following would be the most appropriate response to this
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statement?
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1. ―Drinking alcohol is not only illegal but dangerous for your blood sugar vv vv vv vv vv vv vv vv vv vv vv



controland overall well-being.‖
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2. ―You can still drink alcohol, in moderation, if you control the sugar spike
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withmore insulin.‖
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3. ―Prepare for alcohol intake with more water and less carbohydrates before vv vv vv vv vv vv vv vv vv vv



drinkingto slow sugar spikes.‖
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4. ―It is understandable that you want to be included, but perhaps we can work out
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aplan on how to work through those situations.‖
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,vv 5. Which statement best describes the common core concepts of the different models of
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pediatricnursing?
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1. All models focus on the open communication between the child and RN.
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2. All models focus on importance of family relationship to the child.
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3. All models focus on safeguarding the child’s dignity during care.
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4. All models focus on coordination of care needs that arise during illness.
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vv 6. Which of the following tasks is associated with the pediatric medical home care model of
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pediatricnursing?
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1. The RN refers the family to a childhood cancer support group prior to
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dischargefrom the hospital.
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2. The RN includes a simple explanation of the procedure to the child based on
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thechild’s developmental level.
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3. The RN includes the family’s cultural celebrations and observations
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whileproviding care to the child.
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4. The RN develops the plan of care with the child and family as the focal point
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ofthe interventions.
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vv 7. The pediatric RN begins a research project on 8-year-old clients with the medical diagnosis
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ofpediatric acute-onset neuropsychiatric syndrome (PANS). The family has consented to the
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research, but as the RN begins to administer the intervention, the client refuses to cooperate.
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What is the appropriate response to this refusal?
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1. The RN should discuss with the family the options of performing
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theintervention without the child’s knowledge.
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2. The RN should explain to the child that this is necessary and promise a reward
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atthe end of the research project.
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3. The RN should refuse to perform the intervention until the child consents to
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theintervention and project.
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4. The RN should discuss the pros and cons of the research project with the
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childand focus on the outcomes.
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vv 8. A RN is providing relationship-based care to a pediatric client. Which of the following is
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achallenge the RN is likely to encounter while using this model of care?
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1. Maintaining a sterile field for a procedure with a restless toddler vv vv vv vv vv vv vv vv vv vv



2. Communicating with the blended family on regular basis vv vv vv vv vv vv vv



3. Treating children with antibiotic-resistant illnesses vv vv vv vv



4. Caring for a larger number of children with autism spectrum disorders
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andchildhood depression
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vv 9. The pediatric RN desires to expand his or her career options to become the hospital’s RN
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educator of pediatrics. Which of the following is necessary for this RN to achieve this
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careergoal?
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1. The RN is recommended to earn a minimum of a master’s degree in nursing.
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2. The RN must earn a minimum of a doctorate degree in nursing.
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3. The RN must implement and develop research in nursing practice.
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4. The RN must implement a plan to obtain certification in pediatrics.
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, vv vv vv v v 10. The school RN is developing a teaching session for the population of children in a middle
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school. The RN has determined that the greatest need for the overall health of the children
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is promotion of healthy foods. Which of the following interventions is most likely to be
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effective?
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1. Remove all unhealthy snacks from the vending machines. vv vv vv vv vv vv vv



2. Have a poster contest on healthy eating options.
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3. Survey the learner population during lunch breaks. vv vv vv vv vv vv



4. Engage the learners in healthy choices with cooking lessons.vv vv vv vv vv vv vv vv




vv vv vv v v 11. The RN recognizes the needs of professional development to provide safe and effective care
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tothe pediatric population by attending which of the following courses?
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1. Procedure with rationale to administer human papilloma vaccine to the vv vv vv vv vv vv vv vv vv



middleschool population
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2. Study review of the incidence of bullying and intimidation in the
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elementaryschool population
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3. Demographic study of the U.S. population with regard to cultural diversity vv vv vv vv vv vv vv vv vv vv



andpractices vv v



4. How to provide individual health care education for the children without
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parentalinterference
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vv vv vv v v 12. Which of the following continuing education courses would best enhance the pediatric
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RN’spractice in relationship to current trends?
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1. Evidence-based practice on improving antibiotic adherence with education to vv vv vv vv vv vv vv vv



thefamily unit vv v vv



2. Evidence-based practice on proper administration of antibiotics for children vv vv vv vv vv vv vv vv



withautoimmune diseases
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3. How to enhance communication with children in regards to adherence to
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antibioticuse vv v



4. How to decrease instances of exacerbation of infections of children
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withautoimmune diseases with antibiotics
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vv vv vv v v 13. The pediatric RN is developing interventions for a school-aged child based on the nursing
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diagnosis of imbalanced nutrition related to a body mass index (BMI) of 37 and poor food
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choicesas evidenced by client’s mother’s food diary for the family and child’s statements of food
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preferences. Which of the following would be an appropriate nursing intervention?
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1. Provide the child and family with information from https://www.MyPlate.gov
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forhealthy food options.
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2. Increase the child’s activity by incorporating the child’s friends into a plan
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ofhealthy exercise options.
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3. Explain the importance of balancing diet and exercise to prevent obesity to
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thechild and family.
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4. Provide information on the increased risk for potential disease processes such
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asdiabetes and hypertension.
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vv vv vv v v 14. The RN is developing interventions for a transgender adolescent based on the nursing
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diagnosisdecreased self-esteem related to transgender identity as evidenced by statements of
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feeling “worthless, different, and alone.” What would be the most appropriate intervention
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based on thediagnosis?
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1. Give positive feedback on personal choices as appropriate.
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