Nurs 3444 Final Exam 1 Questions And
Complete Answers.
Role of nurse in pediatric healthcare - Answer - interact effectively with children and family
- modify assessment techniques to age
- help reduce pain and stress
- calculate med dosages
- provide safety
- adapt procedures to age & development
Goals in education - Answer Help child/parents
- make informed choices
- adapt to healthcare settings
- prepare for procedures
Nurse case management - Answer - importance of coordinated interprofessional team
- nurse often aware of family's desires
- continuity of care
Evidence based practice - Answer - ask question
- collect evidence
- analyze evidence
- integrate evidence with experience
- evaluate change in practice
Pediatric mortality statistic - Answer infant mortality:
5.96 deaths/1000 live births
,more than 2x as high in black infants than white infants
most common cause of death for children 1-19 y/o is unintentional injury
Leading cause of infant * mortality - Answer 1. congenital malformations
2. low birth weight
3. maternal complications
4. SIDS
5. unintentional injuries
Informed consent in pediatric care - Answer parents usually asked
- can refuse consent at any time
- assent: voluntary agreement to accept treatment
Parents have authority to make choices about health care except: - Answer - choice of treatment
doesn't permit lifesaving treatment for child
- potential conflict of interest (ex. abuse)
- child and parent don't agree on treatment options
Ethical issues in pediatric care - Answer - life-sustaining treatment
- genetic testing
- organ transplantation
Limiting or withdrawing life-sustaining treatment - Answer depends on:
- ability to maintain life
- quality of life
- family's wishes (therapeutic alliance, help resolve conflicts)
- choosing among treatment options
- religious & cultural differences
, Family-Centered Care - Answer Mutually beneficial partnership between families and nurse, each party
respects knowledge, skills, cultural beliefs the other brings to healthcare encounter
- collaboration = optimal outcome
- parent perspective can be critical
family focused care = health professional is expert
Nuclear family - Answer Married biologic parents and child, no other relatives
Child-free family - Answer Child free by choice or because of issues related to
Extended family - Answer Couple shares house and child rearing responsibilities with relatives
Extended kin network family - Answer Type of extended family
Two nuclear families live in close proximity to each other
Share support, chores, goods, services
Single-parent family - Answer a family in which only one parent is present to care for the children
- widowed, divorced, separated, etc
Single mother by choice family - Answer family composed of an unmarried woman who chooses to
conceive or adopt without a life partner
Blended/reconstituted nuclear family - Answer 2 parents with biologic children from previous marriage
or relationship who marry
Binuclear family - Answer a type of family consisting of divorced parents living in two separate
households but remaining one family in spirit for the sake of the children
- joint custody
Complete Answers.
Role of nurse in pediatric healthcare - Answer - interact effectively with children and family
- modify assessment techniques to age
- help reduce pain and stress
- calculate med dosages
- provide safety
- adapt procedures to age & development
Goals in education - Answer Help child/parents
- make informed choices
- adapt to healthcare settings
- prepare for procedures
Nurse case management - Answer - importance of coordinated interprofessional team
- nurse often aware of family's desires
- continuity of care
Evidence based practice - Answer - ask question
- collect evidence
- analyze evidence
- integrate evidence with experience
- evaluate change in practice
Pediatric mortality statistic - Answer infant mortality:
5.96 deaths/1000 live births
,more than 2x as high in black infants than white infants
most common cause of death for children 1-19 y/o is unintentional injury
Leading cause of infant * mortality - Answer 1. congenital malformations
2. low birth weight
3. maternal complications
4. SIDS
5. unintentional injuries
Informed consent in pediatric care - Answer parents usually asked
- can refuse consent at any time
- assent: voluntary agreement to accept treatment
Parents have authority to make choices about health care except: - Answer - choice of treatment
doesn't permit lifesaving treatment for child
- potential conflict of interest (ex. abuse)
- child and parent don't agree on treatment options
Ethical issues in pediatric care - Answer - life-sustaining treatment
- genetic testing
- organ transplantation
Limiting or withdrawing life-sustaining treatment - Answer depends on:
- ability to maintain life
- quality of life
- family's wishes (therapeutic alliance, help resolve conflicts)
- choosing among treatment options
- religious & cultural differences
, Family-Centered Care - Answer Mutually beneficial partnership between families and nurse, each party
respects knowledge, skills, cultural beliefs the other brings to healthcare encounter
- collaboration = optimal outcome
- parent perspective can be critical
family focused care = health professional is expert
Nuclear family - Answer Married biologic parents and child, no other relatives
Child-free family - Answer Child free by choice or because of issues related to
Extended family - Answer Couple shares house and child rearing responsibilities with relatives
Extended kin network family - Answer Type of extended family
Two nuclear families live in close proximity to each other
Share support, chores, goods, services
Single-parent family - Answer a family in which only one parent is present to care for the children
- widowed, divorced, separated, etc
Single mother by choice family - Answer family composed of an unmarried woman who chooses to
conceive or adopt without a life partner
Blended/reconstituted nuclear family - Answer 2 parents with biologic children from previous marriage
or relationship who marry
Binuclear family - Answer a type of family consisting of divorced parents living in two separate
households but remaining one family in spirit for the sake of the children
- joint custody
