Essentials of Pediatric Nursing 4th Edition Kyle Carman Test Bank
CHAPTERr1rIntroductionrtorChildrHealthrandrPediatricrNursingrM
ULTIPLErCHOICE
1. Arnurserisrplanningrarteachingrsessionrforrparentsrofrpreschoolrchildren.rWhichrsta
tementrexplainsrwhyrthernursershouldrincluderinformationraboutrmorbidityrandrmort
ality?
a. Life-spanrstatisticsrarerincludedrinrtherdata.
b. Itrexplainsreffectivenessrofrtreatment.
c. Cost-effectivertreatmentrisrdetailedrforrthergeneralrpopulation.
d. High-
riskragergroupsrforrcertainrdisordersrorrhazardsrareridentified.rANS:rD
Analysisrofrmorbidityrandrmortalityrdatarprovidesrtherparentsrwithrinformationraboutrwhichr
groupsrofrindividualsrareratrriskrforrwhichrhealthrproblems.rLife-
spanrstatisticsrisrarpartrofrthermortalityrdata.rTreatmentrmodalitiesrandrcostrarernotrincludedrinr
morbidityrandrmortalityrdata.
PTS:r 1r DIF:r Cognitiver Level:rApplyr REF:r 6-
8rTOP:rIntegratedrProcess:rNursingrProcess:rPlanning
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
2. Arclinicrnurserisrplanningrarteachingrsessionraboutrchildhoodrobesityrpreventionrforrparen
tsrofrschool-
agerchildren.rThernursershouldrincluderwhichrassociatedrriskrofrobesityrinrtherteachingrplan?
a. TyperIrdiabetes
b. Respiratoryrdisease
c. Celiacrdisease
d. TyperIIrdiabetesr
ANS:rD
ChildhoodrobesityrhasrbeenrassociatedrwithrtherriserofrtyperIIrdiabetesrinrchildren.rTyperIrdiab
etesrisrnotrassociatedrwithrobesityrandrhasrargeneticrcomponent.rRespiratoryrdiseaserisrnotrass
ociatedrwithrobesity,randrceliacrdiseaserisrtherinabilityrtormetabolizerglutenrinrfoodsrandrisrno
trassociatedrwithrobesity.
PTS:r1rDIF:rCognitiverLevel:rApplyrREF:r3
TOP:rIntegratedrProcess:rNursingrProcess:rPlanning
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
3. Whichrisrtherleadingrcauserofrdeathrinrinfantsryoungerrthanr1ryear?
a. Congenitalranomalies
b. Suddenrinfantrdeathrsyndrome
c. Respiratoryrdistressrsyndrome
d. Bacterialrsepsisrofrthernewbornr
ANS:rA
Congenitalranomaliesraccountrforr20.1%rofrdeathsrinrinfantsryoungerrthanr1ryear.rSuddenrinf
antrdeathrsyndromeraccountsrforr8.2%rofrdeathsrinrthisragergroup.rRespiratoryrdistressrsyndro
meraccountsrforr3.4%rofrdeathsrinrthisragergroup.rInfectionsrspecificrtortherperinatalrperiodrac
countrforr2.7%rofrdeathsrinrthisragergroup.
,PTS:r 1r DIF:r Cognitiver Level:r Rememberr REF:r 7rTOP:rI
ntegratedrProcess:rNursingrProcess:rAssessment
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
4. WhichrleadingrcauserofrdeathrtopicrshouldrthernurseremphasizertorargrouprofrAfrican-
rAmericanrboysrrangingrinragesr15rtor19ryears?
a. Suicide
b. Cancer
c. Firearmrhomicide
d. Occupationalrinjuriesr
ANS:rC
Firearmrhomiciderisrthersecondroverallrcauserofrdeathrinrthisragergrouprandrtherleadingrcauser
ofrdeathrinrAfrican-Americanrmales.rSuiciderisrtherthird-
leadingrcauserofrdeathrinrthisrpopulation.rCancer,ralthoughrarmajorrhealthrproblem,risrtherfou
rth-
leadingrcauserofrdeathrinrthisragergroup.rOccupationalrinjuriesrdornotrcontributertorarsignifica
ntrdeathrraterforrthisragergroup.
PTS:r1rDIF:rCognitiverLevel:rUnderstandrREF:r5r|r8rTO
P:rIntegratedrProcess:rNursingrProcess:rPlanning
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
5. Whichrisrthermajorrcauserofrdeathrforrchildrenrolderrthanr1ryear?
a. Cancer
b. Heartrdisease
c. Unintentionalrinjuries
d. Congenitalranomaliesr
ANS:rC
Unintentionalrinjuriesr(accidents)rarertherleadingrcauserofrdeathrafterrager1ryearrthroughradol
escence.rCongenitalranomaliesrarertherleadingrcauserofrdeathrinrthoseryoungerrthanr1ryear.rCa
ncerrranksreitherrsecondrorrfourth,rdependingronrtheragergroup,randrheartrdiseaserranksrfifthri
nrthermajorityrofrtheragergroups.
PTS:r1rDIF:rCognitiverLevel:rRememberrREF:r8rTOP:rI
ntegratedrProcess:rNursingrProcess:rPlanning
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
6. Whichrisrtherleadingrcauserofrdeathrfromrunintentionalrinjuriesrforrfemalesrrangingrinrage
rfromr1rtor14?
a. Mechanicalrsuffocation
b. Drowning
c. Motorvehicle-relatedrfatalities
d. Fire-randrburn-
relatedrfatalitiesrANS:rC
Motorvehicle-
relatedrfatalitiesrarertherleadingrcauserofrdeathrforrfemalesrrangingrinragerfromr1rtor14,reithe
rrasrpassengersrorrasrpedestrians.rMechanicalrsuffocationrisrfourthrorrfifth,rdependingronrth
erage.rDrowningrisrthersecond-rorrthird-leadingrcauserofrdeath,rdependingronrtherage.rFire-
randrburn-relatedrfatalitiesrarerthersecond-leadingrcauserofrdeath.
PTS:r 1r DIF:r Cognitiver Level:r Rememberr REF:r 4rTOP:rI
ntegratedrProcess:rNursingrProcess:rAssessment
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
,7. Whichrfactorrmostrimpactsrthertyperofrinjuryrarchildrisrsusceptiblerto,raccordingrtortherchil
dsrage?
a. Physicalrhealthrofrtherchild
b. Developmentalrlevelrofrtherchild
c. Educationalrlevelrofrtherchild
d. Numberrofrresponsibleradultsrinrtherhomer
ANS:rB
Therchildsrdevelopmentalrstagerdeterminesrthertyperofrinjuryrthatrisrlikelyrtoroccur.rTherchild
srphysicalrhealthrmayrfacilitatertherchildsrrecoveryrfromranrinjuryrbutrdoesrnotrimpactrthertyp
erofrinjury.rEducationalrlevelrisrrelatedrtordevelopmentalrlevel,rbutritrisrnotrasrimportantrasrther
childsrdevelopmentalrlevelrinrdeterminingrthertyperofrinjury.rThernumberrofrresponsibleradul
tsrinrtherhomermayraffectrthernumberrofrunintentionalrinjuries,rbutrthertyperofrinjuryrisrrelatedrt
ortherchildsrdevelopmentalrstage.
PTS:r1rDIF:rCognitiverLevel:rUnderstandrREF:r3-
4rTOP:rIntegratedrProcess:rNursingrProcess:rPlanning
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
8. Whichrisrnowrreferredrtorasrthernewrmorbidity?
a. Limitationsrinrthermajorractivitiesrofrdailyrliving
b. Unintentionalrinjuriesrthatrcauserchronicrhealthrproblems
c. Discoveriesrofrnewrtherapiesrtortreatrhealthrproblems
d. Behavioral,rsocial,randreducationalrproblemsrthatralterrhealthrA
NS:rD
Thernewrmorbidityrreflectsrtherbehavioral,rsocial,randreducationalrproblemsrthatrinterfererwit
hrtherchildsrsocialrandracademicrdevelopment.rItrisrcurrentlyrestimatedrthatrtherincidencerofrt
heserissuesrisrfromr5%rtor30%.rLimitationsrinrmajorractivitiesrofrdailyrlivingrandrunintention
alrinjuriesrthatrresultrinrchronicrhealthrproblemsrarerincludedrinrmorbidityrdata.rDiscoveryrofr
newrtherapiesrwouldrberreflectedrinrchangesrinrmorbidityrdataroverrtime.
PTS:r 1r DIF:r Cognitiver Level:r Rememberr REF:r 3rTOP:rI
ntegratedrProcess:rNursingrProcess:rAssessment
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
9. Arnurseronrarpediatricrunitrisrpracticingrfamily-
centeredrcare.rWhichrisrmostrdescriptiverofrthercarerthernurserisrdelivering?
a. Takingroverrtotalrcarerofrtherchildrtorreducerstressronrtherfamily
b. Encouragingrfamilyrdependenceronrhealthrcarersystems
c. Recognizingrthatrtherfamilyrisrtherconstantrinrarchildsrlife
d. Excludingrfamiliesrfromrtherdecision-
makingrprocessrANS:rC
Therthreerkeyrcomponentsrofrfamily-
centeredrcarerarerrespect,rcollaboration,randrsupport.rFamily-
centeredrcarerrecognizesrtherfamilyrasrtherconstantrinrtherchildsrlife.rTakingroverrtotalrcarerdo
esrnotrincludertherfamilyrinrtherprocessrandrmayrincreaserstressrinsteadrofrreducingrstress.rTh
erfamilyrshouldrberenabledrandrempoweredrtorworkrwithrtherhealthrcarersystem.rTherfamilyris
rexpectedrtorberpartrofrtherdecision-makingrprocess.
PTS:r1rDIF:rCognitiverLevel:rRememberrREF:r8
TOP:rIntegratedrProcess:rNursingrProcess:rImplementationrMSC:r
ArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
, 10. Thernurserisrpreparingranrin-
servicereducationrtorstaffraboutratraumaticrcarerforrpediatricrpatients.rWhichrinterventi
onrshouldrthernurserinclude?
a. Preparertherchildrforrseparationrfromrparentsrduringrhospitalizationrbyrreviewingrarvi
deo.
b. Preparertherchildrbeforeranyrunfamiliarrtreatmentrorrprocedurerbyrdemonstratingronrarstu
ffedranimal.
c. Helprtherchildracceptrtherlossrofrcontrolrassociatedrwithrhospitalization.
d. Helprtherchildracceptrpainrthatrisrconnectedrwithrartreatmentrorrprocedure.rA
NS:rB
Preparingrtherchildrforranyrunfamiliarrtreatments,rcontrollingrpain,rallowingrprivacy,rprovid
ingrplayractivitiesrforrexpressionrofrfearrandraggression,rprovidingrchoices,randrrespectingrc
ulturalrdifferencesrarercomponentsrofratraumaticrcare.rInrtherprovisionrofratraumaticrcare,rth
erseparationrofrchildrfromrparentsrduringrhospitalizationrisrminimized.rThernursershouldrpro
moterarsenserofrcontrolrforrtherchild.rPreventingrandrminimizingrbodilyrinjuryrandrpainrarerm
ajorrcomponentsrofratraumaticrcare.
PTS:r1rDIF:rCognitiverLevel:rUnderstandrREF:r9
TOP:rIntegratedrProcess:rNursingrProcess:rImplementationr
MSC:rArearofrClientrNeeds:rPsychosocialrIntegrity
11. Whichrisrmostrsuggestiverthatrarnurserhasrarnontherapeuticrrelationshiprwithrarpatientrand
rfamily?
a. Staffrisrconcernedraboutrthernursesractionsrwithrtherpatientrandrfamily.
b. Staffrassignmentsrallowrthernursertorcarerforrsamerpatientrandrfamilyroverranrextendedrtim
e.
c. Nurserisrablertorwithdrawremotionallyrwhenremotionalroverloadroccursrbutrstillrre
mainsrcommitted.
d. Nurserusesrteachingrskillsrtorinstructrpatientrandrfamilyrratherrthanrdoingreverythingrforr
them.
ANS:rA
Anrimportantrcluertorarnontherapeuticrstaff-
patientrrelationshiprisrconcernrofrotherrstaffrmembers.rAllowingrthernursertorcarerforrthersame
rpatientroverrtimerwouldrbertherapeuticrforrtherpatientrandrfamily.rNursesrwhorarerablertorsom
ewhatrwithdrawremotionallyrcanrprotectrthemselvesrwhilerprovidingrtherapeuticrcare.rNurse
srusingrteachingrskillsrtorinstructrpatientrandrfamilyrwillrassistrinrtransitioningrtherchildrandrfa
milyrtorself-care.
PTS:r1rDIF:rCognitiverLevel:rAnalyzerREF:r9
TOP:rIntegratedrProcess:rNursingrProcess:rAssessmentrMSC
:rArearofrClientrNeeds:rPsychosocialrIntegrity
12. Whichrisrmostrdescriptiverofrclinicalrreasoning?
a. Arsimplerdevelopmentalrprocess
b. Purposefulrandrgoal-directed
c. Basedronrdeliberaterandrirrationalrthought
d. AssistsrindividualsrinrguessingrwhatrisrmostrappropriaterA
NS:rB
Clinicalrreasoningrisrarcomplex,rdevelopmentalrprocessrbasedronrrationalrandrdeliberaterthou
ght.rClinicalrreasoningrisrnotrardevelopmentalrprocess.rClinicalrreasoningrisrbasedronrrationalr
andrdeliberaterthought.rClinicalrreasoningrisrnotrarguessingrprocess.
PTS:r1rDIF:rCognitiverLevel:rUnderstandrREF:r12
CHAPTERr1rIntroductionrtorChildrHealthrandrPediatricrNursingrM
ULTIPLErCHOICE
1. Arnurserisrplanningrarteachingrsessionrforrparentsrofrpreschoolrchildren.rWhichrsta
tementrexplainsrwhyrthernursershouldrincluderinformationraboutrmorbidityrandrmort
ality?
a. Life-spanrstatisticsrarerincludedrinrtherdata.
b. Itrexplainsreffectivenessrofrtreatment.
c. Cost-effectivertreatmentrisrdetailedrforrthergeneralrpopulation.
d. High-
riskragergroupsrforrcertainrdisordersrorrhazardsrareridentified.rANS:rD
Analysisrofrmorbidityrandrmortalityrdatarprovidesrtherparentsrwithrinformationraboutrwhichr
groupsrofrindividualsrareratrriskrforrwhichrhealthrproblems.rLife-
spanrstatisticsrisrarpartrofrthermortalityrdata.rTreatmentrmodalitiesrandrcostrarernotrincludedrinr
morbidityrandrmortalityrdata.
PTS:r 1r DIF:r Cognitiver Level:rApplyr REF:r 6-
8rTOP:rIntegratedrProcess:rNursingrProcess:rPlanning
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
2. Arclinicrnurserisrplanningrarteachingrsessionraboutrchildhoodrobesityrpreventionrforrparen
tsrofrschool-
agerchildren.rThernursershouldrincluderwhichrassociatedrriskrofrobesityrinrtherteachingrplan?
a. TyperIrdiabetes
b. Respiratoryrdisease
c. Celiacrdisease
d. TyperIIrdiabetesr
ANS:rD
ChildhoodrobesityrhasrbeenrassociatedrwithrtherriserofrtyperIIrdiabetesrinrchildren.rTyperIrdiab
etesrisrnotrassociatedrwithrobesityrandrhasrargeneticrcomponent.rRespiratoryrdiseaserisrnotrass
ociatedrwithrobesity,randrceliacrdiseaserisrtherinabilityrtormetabolizerglutenrinrfoodsrandrisrno
trassociatedrwithrobesity.
PTS:r1rDIF:rCognitiverLevel:rApplyrREF:r3
TOP:rIntegratedrProcess:rNursingrProcess:rPlanning
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
3. Whichrisrtherleadingrcauserofrdeathrinrinfantsryoungerrthanr1ryear?
a. Congenitalranomalies
b. Suddenrinfantrdeathrsyndrome
c. Respiratoryrdistressrsyndrome
d. Bacterialrsepsisrofrthernewbornr
ANS:rA
Congenitalranomaliesraccountrforr20.1%rofrdeathsrinrinfantsryoungerrthanr1ryear.rSuddenrinf
antrdeathrsyndromeraccountsrforr8.2%rofrdeathsrinrthisragergroup.rRespiratoryrdistressrsyndro
meraccountsrforr3.4%rofrdeathsrinrthisragergroup.rInfectionsrspecificrtortherperinatalrperiodrac
countrforr2.7%rofrdeathsrinrthisragergroup.
,PTS:r 1r DIF:r Cognitiver Level:r Rememberr REF:r 7rTOP:rI
ntegratedrProcess:rNursingrProcess:rAssessment
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
4. WhichrleadingrcauserofrdeathrtopicrshouldrthernurseremphasizertorargrouprofrAfrican-
rAmericanrboysrrangingrinragesr15rtor19ryears?
a. Suicide
b. Cancer
c. Firearmrhomicide
d. Occupationalrinjuriesr
ANS:rC
Firearmrhomiciderisrthersecondroverallrcauserofrdeathrinrthisragergrouprandrtherleadingrcauser
ofrdeathrinrAfrican-Americanrmales.rSuiciderisrtherthird-
leadingrcauserofrdeathrinrthisrpopulation.rCancer,ralthoughrarmajorrhealthrproblem,risrtherfou
rth-
leadingrcauserofrdeathrinrthisragergroup.rOccupationalrinjuriesrdornotrcontributertorarsignifica
ntrdeathrraterforrthisragergroup.
PTS:r1rDIF:rCognitiverLevel:rUnderstandrREF:r5r|r8rTO
P:rIntegratedrProcess:rNursingrProcess:rPlanning
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
5. Whichrisrthermajorrcauserofrdeathrforrchildrenrolderrthanr1ryear?
a. Cancer
b. Heartrdisease
c. Unintentionalrinjuries
d. Congenitalranomaliesr
ANS:rC
Unintentionalrinjuriesr(accidents)rarertherleadingrcauserofrdeathrafterrager1ryearrthroughradol
escence.rCongenitalranomaliesrarertherleadingrcauserofrdeathrinrthoseryoungerrthanr1ryear.rCa
ncerrranksreitherrsecondrorrfourth,rdependingronrtheragergroup,randrheartrdiseaserranksrfifthri
nrthermajorityrofrtheragergroups.
PTS:r1rDIF:rCognitiverLevel:rRememberrREF:r8rTOP:rI
ntegratedrProcess:rNursingrProcess:rPlanning
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
6. Whichrisrtherleadingrcauserofrdeathrfromrunintentionalrinjuriesrforrfemalesrrangingrinrage
rfromr1rtor14?
a. Mechanicalrsuffocation
b. Drowning
c. Motorvehicle-relatedrfatalities
d. Fire-randrburn-
relatedrfatalitiesrANS:rC
Motorvehicle-
relatedrfatalitiesrarertherleadingrcauserofrdeathrforrfemalesrrangingrinragerfromr1rtor14,reithe
rrasrpassengersrorrasrpedestrians.rMechanicalrsuffocationrisrfourthrorrfifth,rdependingronrth
erage.rDrowningrisrthersecond-rorrthird-leadingrcauserofrdeath,rdependingronrtherage.rFire-
randrburn-relatedrfatalitiesrarerthersecond-leadingrcauserofrdeath.
PTS:r 1r DIF:r Cognitiver Level:r Rememberr REF:r 4rTOP:rI
ntegratedrProcess:rNursingrProcess:rAssessment
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
,7. Whichrfactorrmostrimpactsrthertyperofrinjuryrarchildrisrsusceptiblerto,raccordingrtortherchil
dsrage?
a. Physicalrhealthrofrtherchild
b. Developmentalrlevelrofrtherchild
c. Educationalrlevelrofrtherchild
d. Numberrofrresponsibleradultsrinrtherhomer
ANS:rB
Therchildsrdevelopmentalrstagerdeterminesrthertyperofrinjuryrthatrisrlikelyrtoroccur.rTherchild
srphysicalrhealthrmayrfacilitatertherchildsrrecoveryrfromranrinjuryrbutrdoesrnotrimpactrthertyp
erofrinjury.rEducationalrlevelrisrrelatedrtordevelopmentalrlevel,rbutritrisrnotrasrimportantrasrther
childsrdevelopmentalrlevelrinrdeterminingrthertyperofrinjury.rThernumberrofrresponsibleradul
tsrinrtherhomermayraffectrthernumberrofrunintentionalrinjuries,rbutrthertyperofrinjuryrisrrelatedrt
ortherchildsrdevelopmentalrstage.
PTS:r1rDIF:rCognitiverLevel:rUnderstandrREF:r3-
4rTOP:rIntegratedrProcess:rNursingrProcess:rPlanning
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
8. Whichrisrnowrreferredrtorasrthernewrmorbidity?
a. Limitationsrinrthermajorractivitiesrofrdailyrliving
b. Unintentionalrinjuriesrthatrcauserchronicrhealthrproblems
c. Discoveriesrofrnewrtherapiesrtortreatrhealthrproblems
d. Behavioral,rsocial,randreducationalrproblemsrthatralterrhealthrA
NS:rD
Thernewrmorbidityrreflectsrtherbehavioral,rsocial,randreducationalrproblemsrthatrinterfererwit
hrtherchildsrsocialrandracademicrdevelopment.rItrisrcurrentlyrestimatedrthatrtherincidencerofrt
heserissuesrisrfromr5%rtor30%.rLimitationsrinrmajorractivitiesrofrdailyrlivingrandrunintention
alrinjuriesrthatrresultrinrchronicrhealthrproblemsrarerincludedrinrmorbidityrdata.rDiscoveryrofr
newrtherapiesrwouldrberreflectedrinrchangesrinrmorbidityrdataroverrtime.
PTS:r 1r DIF:r Cognitiver Level:r Rememberr REF:r 3rTOP:rI
ntegratedrProcess:rNursingrProcess:rAssessment
MSC:rArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
9. Arnurseronrarpediatricrunitrisrpracticingrfamily-
centeredrcare.rWhichrisrmostrdescriptiverofrthercarerthernurserisrdelivering?
a. Takingroverrtotalrcarerofrtherchildrtorreducerstressronrtherfamily
b. Encouragingrfamilyrdependenceronrhealthrcarersystems
c. Recognizingrthatrtherfamilyrisrtherconstantrinrarchildsrlife
d. Excludingrfamiliesrfromrtherdecision-
makingrprocessrANS:rC
Therthreerkeyrcomponentsrofrfamily-
centeredrcarerarerrespect,rcollaboration,randrsupport.rFamily-
centeredrcarerrecognizesrtherfamilyrasrtherconstantrinrtherchildsrlife.rTakingroverrtotalrcarerdo
esrnotrincludertherfamilyrinrtherprocessrandrmayrincreaserstressrinsteadrofrreducingrstress.rTh
erfamilyrshouldrberenabledrandrempoweredrtorworkrwithrtherhealthrcarersystem.rTherfamilyris
rexpectedrtorberpartrofrtherdecision-makingrprocess.
PTS:r1rDIF:rCognitiverLevel:rRememberrREF:r8
TOP:rIntegratedrProcess:rNursingrProcess:rImplementationrMSC:r
ArearofrClientrNeeds:rHealthrPromotionrandrMaintenance
, 10. Thernurserisrpreparingranrin-
servicereducationrtorstaffraboutratraumaticrcarerforrpediatricrpatients.rWhichrinterventi
onrshouldrthernurserinclude?
a. Preparertherchildrforrseparationrfromrparentsrduringrhospitalizationrbyrreviewingrarvi
deo.
b. Preparertherchildrbeforeranyrunfamiliarrtreatmentrorrprocedurerbyrdemonstratingronrarstu
ffedranimal.
c. Helprtherchildracceptrtherlossrofrcontrolrassociatedrwithrhospitalization.
d. Helprtherchildracceptrpainrthatrisrconnectedrwithrartreatmentrorrprocedure.rA
NS:rB
Preparingrtherchildrforranyrunfamiliarrtreatments,rcontrollingrpain,rallowingrprivacy,rprovid
ingrplayractivitiesrforrexpressionrofrfearrandraggression,rprovidingrchoices,randrrespectingrc
ulturalrdifferencesrarercomponentsrofratraumaticrcare.rInrtherprovisionrofratraumaticrcare,rth
erseparationrofrchildrfromrparentsrduringrhospitalizationrisrminimized.rThernursershouldrpro
moterarsenserofrcontrolrforrtherchild.rPreventingrandrminimizingrbodilyrinjuryrandrpainrarerm
ajorrcomponentsrofratraumaticrcare.
PTS:r1rDIF:rCognitiverLevel:rUnderstandrREF:r9
TOP:rIntegratedrProcess:rNursingrProcess:rImplementationr
MSC:rArearofrClientrNeeds:rPsychosocialrIntegrity
11. Whichrisrmostrsuggestiverthatrarnurserhasrarnontherapeuticrrelationshiprwithrarpatientrand
rfamily?
a. Staffrisrconcernedraboutrthernursesractionsrwithrtherpatientrandrfamily.
b. Staffrassignmentsrallowrthernursertorcarerforrsamerpatientrandrfamilyroverranrextendedrtim
e.
c. Nurserisrablertorwithdrawremotionallyrwhenremotionalroverloadroccursrbutrstillrre
mainsrcommitted.
d. Nurserusesrteachingrskillsrtorinstructrpatientrandrfamilyrratherrthanrdoingreverythingrforr
them.
ANS:rA
Anrimportantrcluertorarnontherapeuticrstaff-
patientrrelationshiprisrconcernrofrotherrstaffrmembers.rAllowingrthernursertorcarerforrthersame
rpatientroverrtimerwouldrbertherapeuticrforrtherpatientrandrfamily.rNursesrwhorarerablertorsom
ewhatrwithdrawremotionallyrcanrprotectrthemselvesrwhilerprovidingrtherapeuticrcare.rNurse
srusingrteachingrskillsrtorinstructrpatientrandrfamilyrwillrassistrinrtransitioningrtherchildrandrfa
milyrtorself-care.
PTS:r1rDIF:rCognitiverLevel:rAnalyzerREF:r9
TOP:rIntegratedrProcess:rNursingrProcess:rAssessmentrMSC
:rArearofrClientrNeeds:rPsychosocialrIntegrity
12. Whichrisrmostrdescriptiverofrclinicalrreasoning?
a. Arsimplerdevelopmentalrprocess
b. Purposefulrandrgoal-directed
c. Basedronrdeliberaterandrirrationalrthought
d. AssistsrindividualsrinrguessingrwhatrisrmostrappropriaterA
NS:rB
Clinicalrreasoningrisrarcomplex,rdevelopmentalrprocessrbasedronrrationalrandrdeliberaterthou
ght.rClinicalrreasoningrisrnotrardevelopmentalrprocess.rClinicalrreasoningrisrbasedronrrationalr
andrdeliberaterthought.rClinicalrreasoningrisrnotrarguessingrprocess.
PTS:r1rDIF:rCognitiverLevel:rUnderstandrREF:r12
