Test Bank For Nursing Care Of Children Principles And Practice, (James, Nursing Care Of Children) 4Th Edition.

TEST BANK FOR NURSING CARE OF CHILDREN PRINCIPLES AND PRACTICE, (JAMES, NURSING CARE OF CHILDREN) 4TH EDITION. Chapter 01: Introduction to Nursing Care of Children MULTIPLE CHOICE 1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which current trend in the pediatric setting should the nurse expect to find? • Increased hospitalization of children • Decreased number of uninsured children • An increase in ambulatory care • Decreased use of managed care 2. A nurse is referring a low-income family with three children under the age of 5 years to a program that assists with supplemental food supplies. Which program should the nurse refer this family to? • Medicaid • • • Medicare Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program Women, Infants, and Children (WIC) program 3. In most states, adolescents who are not emancipated minors must have parental permission before: • treatment for drug abuse. • • • treatment for sexually transmitted diseases (STDs). obtaining birth control. surgery. 4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia. Which characteristic of a clinical pathway is correct? • Developed and implemented by nurses • Used primarily in the pediatric setting • Specific time lines for sequencing interventions • One of the steps in the nursing process5. When planning a parenting class, the nurse should explain that the leading cause of death in children 1 to 4 years of age in the United States is: • premature birth. • congenital anomalies. • accidental death. • respiratory tract illness. 6. Which statement is true regarding the “quality assurance” or “incident” report? • The report assures the legal department that there is no problem. • Reports are a permanent part of the client’s chart. • The nurse’s notes should contain the following: “Incident report filed and copy placed in chart.” • This report is a form of documentation of an event that may result in legal action. 7. Which client situation fails to meet the first requirement of informed consent? • The parent does not understand the physician’s explanations. • • • The physician gives the parent only a partial list of possible side effects and complications. No parent is available and the physician asks the adolescent to sign the consent form. The infant’s teenage mother signs a consent form because her parent tells her to. 8. A nurse assigned to a child does not know how to perform a treatment that has been prescribed for the child. What should the nurse’s first action be? 4 Delay the treatment until another nurse can do it. 5 6 7 Make the child’s parents aware of the situation. Inform the nursing supervisor of the problem. Arrange to have the child transferred to another unit. 9. A nurse is completing a care plan for a child and is finishing the assessment phase. Which activity is not part of a nursing assessment? 4 Writing nursing diagnoses 5 6 7 Reviewing diagnostic reports Collecting data Setting priorities10. Which patient outcome is stated correctly? 4 The child will administer his insulin injection before breakfast on 10/31. 4 5 6 The child will accept the diagnosis of type 1 diabetes mellitus before discharge. The parents will understand how to determine the child’s daily insulin dosage. The nurse will monitor blood glucose levels before meals and at bedtime. MULTIPLE RESPONSE 1. A nurse is reviewing the nursing care plan for a hospitalized child. Which statements are collaborative problems? Select all that apply. 4 Risk for injury 5 6 7 8 Potential complication of seizure disorder Altered nutrition: Less than body requirements Fluid volume deficit Potential complication of respiratory acidosis 2. Which nursing activities do not meet the standard of care? Select all that apply. 4 Failure to notify a physician about a child’s worsening condition 5 6 7 Calling the supervisor about staffing concerns Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP) Asking the Unlicensed Assistive Personnel (UAP) to take vital signs4 Documenting that a physician was unavailable and the nursing supervisor was notified Chapter 02: Family-Centered Nursing Care MULTIPLE CHOICE 1. A nurse is teaching parents how to apply “time-out” as a disciplinary method for their 4 year old. Parents have understood the teaching if they state which formula correctly guides the use of “time-out”? 4 5 6 7 Use the guideline of 1 minute per each year of the child’s age. Relate the length of the time-out to the severity of the behavior. Never use time-out for a child younger than age 4 years. Follow the time-out with a treat. 2. What is the nurse’s best approach when an 8-year-old boy frequently causes a disruption in the playroom by taking toys from other children? 4 Exclude the child from the playroom. 5 6 7 Explain to the children in the playroom that he is very ill and should be allowed to have the toys. Approach the child in his room and ask, “Would you like it if the other children took your toys from y Approach the child in his room and state, “I am concerned that you are taking the other children’s toy me.” 3. Families that deal most effectively with stress have which behavior patterns? 4 Focus on family problems. 5 6 7 Feel weakened by stress. Expect that some stress is normal. Feel guilty when stress exists. 4. Which family will most likely have the greatest difficulty in coping with an ill child? 4 A single-parent mother who has the support of her parents and siblings 5 6 Parents who have just moved to the area and are living in an apartment while they look for a house The family of a child who has had multiple hospitalizations related to asthma and has adequate relatio nursing staff5. Which is the priority nursing intervention for the family of a child who has been admitted to the hospital? 4 Begin discharge teaching. 5 6 7 Identify and mobilize internal and external strengths. Identify ways in which the family could have prevented their child’s hospitalization. Instruct the parents on normal growth and development. 6. A nurse is planning culturally competent care for a child of Hispanic descent. Which characteristic found in a Hispanic family should the nurse include in the plan of care? 4 Stoicism 5 6 7 Close extended family Docile children are considered weak Very interested in health-promoting lifestyles 7. While reviewing nursing documentation on dietary intake for a 7-year-old child of Asian descent, the nurse notes that he consistently refuses to eat the food on his tray. Which assumption is most likely accurate? 4 He is a picky eater. 5 6 7 He needs less food because he is on bed rest. He may have culturally related food preferences. He is probably eating between meals and spoiling his appetite. 8. To resolve family conflict, it is necessary to have open communication, accurate perception of the problem, and a(n): 4 5 6 7 intact family structure. arbitrator. willingness to consider the view of others. balance in personality types.9. A nurse is planning a parenting class for expectant parents. Which statement is true about the characteristics of a healthy family? 4 5 The parents and children have rigid assignments for all the family tasks. Young families assume total responsibility for the parenting tasks, refusing any assistance. 6 7 The family is overwhelmed by the significant changes that occur as a result of childbirth. Adults agree on the majority of basic parenting principles. 10. A nurse determines that a child consistently displays predictable behavior and is regular in performing daily habits. Which temperament is the child displaying? 4 5 6 7 Easy Slow-to-warm-up Difficult Shy 11. The parent of a child who has had numerous hospitalizations asks the nurse for advice because her child has been having behavior problems at home and in school. In discussing effective discipline, which is an essential component? 4 5 All children display some degree of acting out and this behavior is normal. The child is manipulative and should have firmer limits set on her behavior. 6 7 Use positive reinforcement and encouragement to promote cooperation and the desired behaviors. Underlying reasons for rules should be given and the child should be allowed to decide on which rule followed. 12. A nurse assesses that parents discuss rules with their children when the children do not agree with the rules. Which style of parenting is being displayed? 4 Authoritarian 5 6 7 Authoritative Permissive Disciplinarian13. Which should the nurse expect to be problematic for a family whose religious affiliation is Jehovah’s Witness? 4 Immunizations 5 6 7 Autopsy Organ donation Blood transfusion MULTIPLE RESPONSE 1. The nurse is caring for a child from a Middle Eastern family. Which interventions should the nurse include in planning care? Select all that apply. 4 Include the father in the decision making. 5 6 7 Ask for a dietary consult to maintain religious dietary practices. Plan for a male nurse to care for a female patient. Ask the housekeeping staff to interpret if needed. 2. A nurse is caring for a child with the religion of Christian Science. What interventions should the nurse include in the care plan for this child? Select all that apply. 4 5 6 Offer iced tea to the child who is experiencing fluid volume deficit. Inform the Christian Science practitioner that the child has been admitted to the hospital. Allow parents to sign a form opting out of routine immunizations.4 Ask parents if the child has been baptized and if parents want a pastor to visit. Chapter 03: Communicating with Children MULTIPLE CHOICE 1. Which information should the nurse include when preparing a 5-year-old child for a cardiac catheterization? 4 5 6 7 A detailed explanation of the procedure A description of what the child will feel and see during the procedure An explanation about the dye that will go directly into his vein An assurance to the child that he and the nurse can talk about the procedure when it is over 2. Who are the “experts” in planning for the care of a 9-year-old child with a profound sensory impairment who is hospitalized for surgery? 4 The child’s parents 5 6 7 The child’s teacher The case manager The primary nurse 3. Which is an effective technique for communicating with toddlers? 4 Have the toddler make up a story from a picture. 5 6 7 Involve the toddler in dramatic play with dress-up clothing. Repeatedly read familiar stories to the child. Ask the toddler to draw pictures of his fears. 4. What is the most important consideration for effectively communicating with a child? 4 The child’s chronological age 5 6 7 The parent–child interaction The child’s receptiveness The child’s developmental level5. Which behavior is most likely to encourage open communication? 4 Avoiding eye contact 5 6 7 Folding arms across the chest Standing with head bowed Soft stance with arms loose at the side 6. Which strategy is most likely to encourage a child to express feelings about the hospital experience? 4 Asking close-ended questions 5 6 7 Asking direct questions Sharing personal experiences Actively listening 7. Which is the most appropriate question to ask to encourage conversation when interviewing an adolescent? 4 “Are you in school?” 5 6 7 “Are you doing well in school?” “How is school going for you?” “How do your parents feel about your grades?” 8. What is the most appropriate response for the nurse to make to the parent of a 3-year- old child found in a bed with the side rails down? 4 “You must never leave the child in the room alone with the side rails down.” “I am very concerned about your child’s safety when you leave the side rails down. The hospital 5 6 7 has g that side rails need to be up if the child is in the bed.” “It is hospital policy that side rails need to be up if the child is in bed.” “When parents leave side rails down, they might be considered as uncaring.” 9. Which is an appropriate preoperative teaching plan for a school-age child? 4 Begin preoperative teaching the morning of surgery. 5 6 7 Schedule a tour of the hospital a few weeks before surgery. Show the child books and pictures 4 days before surgery. Limit teaching to 5 minutes and use simple terminology. 10. A primary nurse bought a hospitalized child a new toy to replace a broken one. What is the best interpretation of the nurse’s behavior?4 5 6 7 The nurse