NURSING MISC TEST BANK Essentials of Pediatric NURSING MISC TEST BANK Essentials of Pediatric
Nursing 4th Edition Kyle Carman Test Bank Questions Nursing 4th Edition Kyle Carman Test Bank Questions
with Complete Solutions New Update 2023 with Complete Solutions New Update 2023
Essentials of Pediatric Nursing 4th Edition Kyle Carman Test Bank PTS: 1 DIF: Cognitive Level: Remember REF: 7
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
CHAPTER 1 Introduction to Child Health and Pediatric Nursing 4. Which leading cause of death topic should the nurse emphasize to a group of African-
MULTIPLE CHOICE American boys ranging in ages 15 to 19 years?
1. A nurse is planning a teaching session for parents of preschool children. Which a. Suicide
statement explains why the nurse should include information about morbidity and b. Cancer
mortality? c. Firearm homicide
a. Life-span statistics are included in the data. d. Occupational injuries
b. It explains effectiveness of treatment. ANS: C
c. Cost-effective treatment is detailed for the general population. Firearm homicide is the second overall cause of death in this age group and the leading
d. High-risk age groups for certain disorders or hazards are identified. cause of death in African-American males. Suicide is the third-leading cause of death in
ANS: D this population. Cancer, although a major health problem, is the fourth-leading cause of
Analysis of morbidity and mortality data provides the parents with information about death in this age group. Occupational injuries do not contribute to a significant death rate
which groups of individuals are at risk for which health problems. Life-span statistics is a for this age group.
part of the mortality data. Treatment modalities and cost are not included in morbidity PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8
and mortality data. TOP: Integrated Process: Nursing Process: Planning
PTS: 1 DIF: Cognitive Level: Apply REF: 6-8 MSC: Area of Client Needs: Health Promotion and Maintenance
TOP: Integrated Process: Nursing Process: Planning 5. Which is the major cause of death for children older than 1 year?
MSC: Area of Client Needs: Health Promotion and Maintenance a. Cancer
2. A clinic nurse is planning a teaching session about childhood obesity prevention for b. Heart disease
parents of school-age children. The nurse should include which associated risk of obesity c. Unintentional injuries
in the teaching plan? d. Congenital anomalies
a. Type I diabetes ANS: C
b. Respiratory disease Unintentional injuries (accidents) are the leading cause of death after age 1 year through
c. Celiac disease adolescence. Congenital anomalies are the leading cause of death in those younger than 1
d. Type II diabetes year. Cancer ranks either second or fourth, depending on the age group, and heart disease
ANS: D ranks fifth in the majority of the age groups.
Childhood obesity has been associated with the rise of type II diabetes in children. Type I PTS: 1 DIF: Cognitive Level: Remember REF: 8
diabetes is not associated with obesity and has a genetic component. Respiratory disease TOP: Integrated Process: Nursing Process: Planning
is not associated with obesity, and celiac disease is the inability to metabolize gluten in MSC: Area of Client Needs: Health Promotion and Maintenance
foods and is not associated with obesity. 6. Which is the leading cause of death from unintentional injuries for females ranging in
PTS: 1 DIF: Cognitive Level: Apply REF: 3 age from 1 to 14?
TOP: Integrated Process: Nursing Process: Planning a. Mechanical suffocation
MSC: Area of Client Needs: Health Promotion and Maintenance b. Drowning
3. Which is the leading cause of death in infants younger than 1 year? c. Motorvehicle-related fatalities
a. Congenital anomalies d. Fire- and burn-related fatalities
b. Sudden infant death syndrome ANS: C
c. Respiratory distress syndrome Motorvehicle-related fatalities are the leading cause of death for females ranging in age
d. Bacterial sepsis of the newborn from 1 to 14, either as passengers or as pedestrians. Mechanical suffocation is fourth or
ANS: A fifth, depending on the age. Drowning is the second- or third-leading cause of death,
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden depending on the age. Fire- and burn-related fatalities are the second-leading cause of
infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress death.
syndrome accounts for 3.4% of deaths in this age group. Infections specific to the PTS: 1 DIF: Cognitive Level: Remember REF: 4
perinatal period account for 2.7% of deaths in this age group. TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
,NURSING MISC TEST BANK Essentials of Pediatric NURSING MISC TEST BANK Essentials of Pediatric
Nursing 4th Edition Kyle Carman Test Bank Questions Nursing 4th Edition Kyle Carman Test Bank Questions
with Complete Solutions New Update 2023 with Complete Solutions New Update 2023
7. Which factor most impacts the type of injury a child is susceptible to, according to the 10. The nurse is preparing an in-service education to staff about atraumatic care for
childs age? pediatric patients. Which intervention should the nurse include?
a. Physical health of the child a. Prepare the child for separation from parents during hospitalization by reviewing a
b. Developmental level of the child video.
c. Educational level of the child b. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a
d. Number of responsible adults in the home stuffed animal.
ANS: B c. Help the child accept the loss of control associated with hospitalization.
The childs developmental stage determines the type of injury that is likely to occur. The d. Help the child accept pain that is connected with a treatment or procedure.
childs physical health may facilitate the childs recovery from an injury but does not ANS: B
impact the type of injury. Educational level is related to developmental level, but it is not Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy,
as important as the childs developmental level in determining the type of injury. The providing play activities for expression of fear and aggression, providing choices, and
number of responsible adults in the home may affect the number of unintentional injuries, respecting cultural differences are components of atraumatic care. In the provision of
but the type of injury is related to the childs developmental stage. atraumatic care, the separation of child from parents during hospitalization is minimized.
PTS: 1 DIF: Cognitive Level: Understand REF: 3-4 The nurse should promote a sense of control for the child. Preventing and minimizing
TOP: Integrated Process: Nursing Process: Planning bodily injury and pain are major components of atraumatic care.
MSC: Area of Client Needs: Health Promotion and Maintenance PTS: 1 DIF: Cognitive Level: Understand REF: 9
8. Which is now referred to as the new morbidity? TOP: Integrated Process: Nursing Process: Implementation
a. Limitations in the major activities of daily living MSC: Area of Client Needs: Psychosocial Integrity
b. Unintentional injuries that cause chronic health problems 11. Which is most suggestive that a nurse has a nontherapeutic relationship with a patient
c. Discoveries of new therapies to treat health problems and family?
d. Behavioral, social, and educational problems that alter health a. Staff is concerned about the nurses actions with the patient and family.
ANS: D b. Staff assignments allow the nurse to care for same patient and family over an extended
The new morbidity reflects the behavioral, social, and educational problems that interfere time.
with the childs social and academic development. It is currently estimated that the c. Nurse is able to withdraw emotionally when emotional overload occurs but still
incidence of these issues is from 5% to 30%. Limitations in major activities of daily remains committed.
living and unintentional injuries that result in chronic health problems are included in d. Nurse uses teaching skills to instruct patient and family rather than doing everything
morbidity data. Discovery of new therapies would be reflected in changes in morbidity for them.
data over time. ANS: A
PTS: 1 DIF: Cognitive Level: Remember REF: 3 An important clue to a nontherapeutic staff-patient relationship is concern of other staff
TOP: Integrated Process: Nursing Process: Assessment members. Allowing the nurse to care for the same patient over time would be therapeutic
MSC: Area of Client Needs: Health Promotion and Maintenance for the patient and family. Nurses who are able to somewhat withdraw emotionally can
9. A nurse on a pediatric unit is practicing family-centered care. Which is most protect themselves while providing therapeutic care. Nurses using teaching skills to
descriptive of the care the nurse is delivering? instruct patient and family will assist in transitioning the child and family to self-care.
a. Taking over total care of the child to reduce stress on the family PTS: 1 DIF: Cognitive Level: Analyze REF: 9
b. Encouraging family dependence on health care systems TOP: Integrated Process: Nursing Process: Assessment
c. Recognizing that the family is the constant in a childs life MSC: Area of Client Needs: Psychosocial Integrity
d. Excluding families from the decision-making process 12. Which is most descriptive of clinical reasoning?
ANS: C a. A simple developmental process
The three key components of family-centered care are respect, collaboration, and support. b. Purposeful and goal-directed
Family-centered care recognizes the family as the constant in the childs life. Taking over c. Based on deliberate and irrational thought
total care does not include the family in the process and may increase stress instead of d. Assists individuals in guessing what is most appropriate
reducing stress. The family should be enabled and empowered to work with the health ANS: B
care system. The family is expected to be part of the decision-making process. Clinical reasoning is a complex, developmental process based on rational and deliberate
PTS: 1 DIF: Cognitive Level: Remember REF: 8 thought. Clinical reasoning is not a developmental process. Clinical reasoning is based on
TOP: Integrated Process: Nursing Process: Implementation rational and deliberate thought. Clinical reasoning is not a guessing process.
MSC: Area of Client Needs: Health Promotion and Maintenance PTS: 1 DIF: Cognitive Level: Understand REF: 12
,NURSING MISC TEST BANK Essentials of Pediatric NURSING MISC TEST BANK Essentials of Pediatric
Nursing 4th Edition Kyle Carman Test Bank Questions Nursing 4th Edition Kyle Carman Test Bank Questions
with Complete Solutions New Update 2023 with Complete Solutions New Update 2023
TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care 16. A child has a postoperative appendectomy incision covered by a dressing. The nurse
13. A nurse makes the decision to apply a topical anesthetic to a childs skin before has just completed a prescribed dressing change for this child. Which description is an
drawing blood. Which ethical principle is the nurse demonstrating? accurate documentation of this procedure?
a. Autonomy a. Dressing change to appendectomy incision completed, child tolerated procedure well,
b. Beneficence parent present
c. Justice b. No complications noted during dressing change to appendectomy incision
d. Truthfulness c. Appendectomy incision non-reddened, sutures intact, no drainage noted on old
ANS: B dressing, new dressing applied, procedure tolerated well by child
Beneficence is the obligation to promote the patients well-being. Applying a topical d. No changes to appendectomy incisional area, dressing changed, child complained of
anesthetic before drawing blood promotes reducing the discomfort of the venipuncture. pain during procedure, new dressing clean, dry and intact
Autonomy is the patients right to be self-governing. Justice is the concept of fairness. ANS: C
Truthfulness is the concept of honesty. The nurse should document assessments and reassessments. Appearance of the incision
PTS: 1 DIF: Cognitive Level: Understand REF: 11 described in objective terms should be included during a dressing change. The nurse
TOP: Integrated Process: Nursing Process: Implementation should document patients response and the outcomes of the care provided. In this
MSC: Area of Client Needs: Physiological Integrity example, these include drainage on the old dressing, the application of the new dressing,
14. Which action by the nurse demonstrates use of evidence-based practice (EBP)? and the childs response. The other statements partially fulfill the requirements of
a. Gathering equipment for a procedure documenting assessments and reassessments, patients response, and outcome, but do not
b. Documenting changes in a patients status include all three.
c. Questioning the use of daily central line dressing changes PTS: 1 DIF: Cognitive Level: Analyze REF: 14
d. Clarifying a physicians prescription for morphine TOP: Integrated Process: Nursing Process: Implementation
ANS: C MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
The nurse who questions the daily central line dressing change is ascertaining whether 17. A nurse is planning a class on accident prevention for parents of toddlers. Which
clinical interventions result in positive outcomes for patients. This demonstrates safety topic is the priority for this class?
evidence-based practice (EBP), which implies questioning why something is effective a. Appropriate use of car seat restraints
and whether a better approach exists. Gathering equipment for a procedure and b. Safety crossing the street
documenting changes in a patients status are practices that follow established guidelines. c. Helmet use when riding a bicycle
Clarifying a physicians prescription for morphine constitutes safe nursing care. d. Poison control numbers
PTS: 1 DIF: Cognitive Level: Apply REF: 11 ANS: A
TOP: Integrated Process: Nursing Process: Evaluation Motor vehicle accidents (MVAs) continue to be the most common cause of death in
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care children older than 1 year, therefore the priority topic is appropriate use of car seat
15. A nurse is admitting a toddler to the hospital. The toddler is with both parents and is restraints. Safety crossing the street and bicycle helmet use are topics that should be
currently sitting comfortably on a parents lap. The parents state they will need to leave included for preschool parents but are not priorities for parents of toddlers. Information
for a brief period. Which type of nursing diagnosis should the nurse formulate for this about poison control is important for parents of toddlers and would be a safety topic to
child? include but is not the priority over appropriate use of car seat restraints.
a. Risk for anxiety PTS: 1 DIF: Cognitive Level: Apply REF: 3-4
b. Anxiety TOP: Integrated Process: Nursing Process: Planning
c. Readiness for enhanced coping MSC: Area of Client Needs: Health Promotion and Maintenance
d. Ineffective coping MULTIPLE RESPONSE
ANS: A 1. Which behaviors by the nurse indicate a therapeutic relationship with children and
A potential problem is categorized as a risk. The toddler has a risk to become anxious families? (Select all that apply.)
when the parents leave. Nursing interventions will be geared toward reducing the risk. a. Spending off-duty time with children and families
The child is not showing current anxiety or ineffective coping. The child is not at a point b. Asking questions if families are not participating in the care
for readiness for enhanced coping, especially because the parents will be leaving. c. Clarifying information for families
PTS: 1 DIF: Cognitive Level: Remember REF: 12 d. Buying toys for a hospitalized child
TOP: Integrated Process: Nursing Process: Diagnosis e. Learning about the familys religious preferences
, NURSING MISC TEST BANK Essentials of Pediatric NURSING MISC TEST BANK Essentials of Pediatric
Nursing 4th Edition Kyle Carman Test Bank Questions Nursing 4th Edition Kyle Carman Test Bank Questions
with Complete Solutions New Update 2023 with Complete Solutions New Update 2023
ANS: B, C, E 2. Which family theory explains how families react to stressful events and suggests
Asking questions if families are not participating in the care, clarifying information for factors that promote adaptation to these events?
families, and learning about the familys religious preferences are positive actions and a. Interactional theory
foster therapeutic relationships with children and families. Spending off-duty time with b. Developmental systems theory
children and families and buying toys for a hospitalized child are negative actions and c. Family stress theory
indicate overinvolvement with children and families, which is nontherapeutic. d. Duvalls developmental theory
PTS: 1 DIF: Cognitive Level: Understand REF: 9-10 ANS: C
TOP: Integrated Process: Nursing Process: Evaluation Family stress theory explains the reaction of families to stressful events. In addition, the
MSC: Area of Client Needs: Psychosocial Integrity theory helps suggest factors that promote adaptation to the stress. Stressors, both positive
ESSAY and negative, are cumulative and affect the family. Adaptation requires a change in family
1. A nurse is formulating a clinical question for evidence-based practice. Place in order structure or interaction. Interactional theory is not a family theory. Interactions are the
the steps the nurse should use to clarify the scope of the problem and clinical topic of basis of general systems theory. Developmental systems theory is an outgrowth of
interest. Begin with the first step of the process and proceed ordering the steps ending Duvalls theory. The family is described as a small group, a semiclosed system of
with the final step of the process. Provide answer as lowercase letters separated by personalities that interact with the larger cultural system. Changes do not occur in one
commas (e.g., a, b, c, d, e). part of the family without changes in others. Duvalls developmental theory describes
a. Intervention eight developmental tasks of the family throughout its life span.
b. Outcome PTS: 1 DIF: Cognitive Level: Understand REF: 24
c. Population TOP: Integrated Process: Nursing Process: Assessment
d. Time MSC: Area of Client Needs: Health Promotion and Maintenance
e. Control 3. Which is the term for a family in which the paternal grandmother, the parents, and two
ANS: minor children live together?
c, a, e, b, d a. Blended
When formulating a clinical question for evidence-based practice, the nurse should b. Nuclear
follow a concise, organized way that allows for clear answers. Good clinical questions c. Binuclear
should be asked in the PICOT (population, intervention, control, outcome, time) format d. Extended
to assist with clarity and literature searching. PICOT questions assist with clarifying the ANS: D
scope of the problem and clinical topic of interest. An extended family contains at least one parent, one or more children, and one or more
CHAPTER 2 Factors Influencing Child Health members (related or unrelated) other than a parent or sibling. A blended family contains
MULTIPLE CHOICE at least one step-parent, step-sibling, or half-sibling. The nuclear family consists of two
1. A nurse is selecting a family theory to assess a patients family dynamics. Which family parents and their children. No other relatives or nonrelatives are present in the household.
theory best describes a series of tasks for the family throughout its life span? In binuclear families, parents continue the parenting role while terminating the spousal
a. Interactional theory unit. For example, when joint custody is assigned by the court, each parent has equal
b. Developmental systems theory rights and responsibilities for the minor child or children.
c. Structural-functional theory PTS: 1 DIF: Cognitive Level: Remember REF: 24-26
d. Duvalls developmental theory TOP: Integrated Process: Nursing Process: Planning
ANS: D MSC: Area of Client Needs: Health Promotion and Maintenance
Duvalls developmental theory describes eight developmental tasks of the family 4. A nurse is assessing a familys structure. Which describes a family in which a mother,
throughout its life span. Interactional theory and structural-functional theory are not her children, and a stepfather live together?
family theories. Developmental systems theory is an outgrowth of Duvalls theory. The a. Blended
family is described as a small group, a semiclosed system of personalities that interact b. Nuclear
with the larger cultural system. Changes do not occur in one part of the family without c. Binuclear
changes in others. d. Extended
PTS: 1 DIF: Cognitive Level: Understand REF: 24-26 ANS: A
TOP: Integrated Process: Nursing Process: Assessment A blended family contains at least one step-parent, step-sibling, or half-sibling. The
MSC: Area of Client Needs: Health Promotion and Maintenance nuclear family consists of two parents and their children. No other relatives or
nonrelatives are present in the household. In binuclear families, parents continue the
Nursing 4th Edition Kyle Carman Test Bank Questions Nursing 4th Edition Kyle Carman Test Bank Questions
with Complete Solutions New Update 2023 with Complete Solutions New Update 2023
Essentials of Pediatric Nursing 4th Edition Kyle Carman Test Bank PTS: 1 DIF: Cognitive Level: Remember REF: 7
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
CHAPTER 1 Introduction to Child Health and Pediatric Nursing 4. Which leading cause of death topic should the nurse emphasize to a group of African-
MULTIPLE CHOICE American boys ranging in ages 15 to 19 years?
1. A nurse is planning a teaching session for parents of preschool children. Which a. Suicide
statement explains why the nurse should include information about morbidity and b. Cancer
mortality? c. Firearm homicide
a. Life-span statistics are included in the data. d. Occupational injuries
b. It explains effectiveness of treatment. ANS: C
c. Cost-effective treatment is detailed for the general population. Firearm homicide is the second overall cause of death in this age group and the leading
d. High-risk age groups for certain disorders or hazards are identified. cause of death in African-American males. Suicide is the third-leading cause of death in
ANS: D this population. Cancer, although a major health problem, is the fourth-leading cause of
Analysis of morbidity and mortality data provides the parents with information about death in this age group. Occupational injuries do not contribute to a significant death rate
which groups of individuals are at risk for which health problems. Life-span statistics is a for this age group.
part of the mortality data. Treatment modalities and cost are not included in morbidity PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8
and mortality data. TOP: Integrated Process: Nursing Process: Planning
PTS: 1 DIF: Cognitive Level: Apply REF: 6-8 MSC: Area of Client Needs: Health Promotion and Maintenance
TOP: Integrated Process: Nursing Process: Planning 5. Which is the major cause of death for children older than 1 year?
MSC: Area of Client Needs: Health Promotion and Maintenance a. Cancer
2. A clinic nurse is planning a teaching session about childhood obesity prevention for b. Heart disease
parents of school-age children. The nurse should include which associated risk of obesity c. Unintentional injuries
in the teaching plan? d. Congenital anomalies
a. Type I diabetes ANS: C
b. Respiratory disease Unintentional injuries (accidents) are the leading cause of death after age 1 year through
c. Celiac disease adolescence. Congenital anomalies are the leading cause of death in those younger than 1
d. Type II diabetes year. Cancer ranks either second or fourth, depending on the age group, and heart disease
ANS: D ranks fifth in the majority of the age groups.
Childhood obesity has been associated with the rise of type II diabetes in children. Type I PTS: 1 DIF: Cognitive Level: Remember REF: 8
diabetes is not associated with obesity and has a genetic component. Respiratory disease TOP: Integrated Process: Nursing Process: Planning
is not associated with obesity, and celiac disease is the inability to metabolize gluten in MSC: Area of Client Needs: Health Promotion and Maintenance
foods and is not associated with obesity. 6. Which is the leading cause of death from unintentional injuries for females ranging in
PTS: 1 DIF: Cognitive Level: Apply REF: 3 age from 1 to 14?
TOP: Integrated Process: Nursing Process: Planning a. Mechanical suffocation
MSC: Area of Client Needs: Health Promotion and Maintenance b. Drowning
3. Which is the leading cause of death in infants younger than 1 year? c. Motorvehicle-related fatalities
a. Congenital anomalies d. Fire- and burn-related fatalities
b. Sudden infant death syndrome ANS: C
c. Respiratory distress syndrome Motorvehicle-related fatalities are the leading cause of death for females ranging in age
d. Bacterial sepsis of the newborn from 1 to 14, either as passengers or as pedestrians. Mechanical suffocation is fourth or
ANS: A fifth, depending on the age. Drowning is the second- or third-leading cause of death,
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden depending on the age. Fire- and burn-related fatalities are the second-leading cause of
infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress death.
syndrome accounts for 3.4% of deaths in this age group. Infections specific to the PTS: 1 DIF: Cognitive Level: Remember REF: 4
perinatal period account for 2.7% of deaths in this age group. TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
,NURSING MISC TEST BANK Essentials of Pediatric NURSING MISC TEST BANK Essentials of Pediatric
Nursing 4th Edition Kyle Carman Test Bank Questions Nursing 4th Edition Kyle Carman Test Bank Questions
with Complete Solutions New Update 2023 with Complete Solutions New Update 2023
7. Which factor most impacts the type of injury a child is susceptible to, according to the 10. The nurse is preparing an in-service education to staff about atraumatic care for
childs age? pediatric patients. Which intervention should the nurse include?
a. Physical health of the child a. Prepare the child for separation from parents during hospitalization by reviewing a
b. Developmental level of the child video.
c. Educational level of the child b. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a
d. Number of responsible adults in the home stuffed animal.
ANS: B c. Help the child accept the loss of control associated with hospitalization.
The childs developmental stage determines the type of injury that is likely to occur. The d. Help the child accept pain that is connected with a treatment or procedure.
childs physical health may facilitate the childs recovery from an injury but does not ANS: B
impact the type of injury. Educational level is related to developmental level, but it is not Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy,
as important as the childs developmental level in determining the type of injury. The providing play activities for expression of fear and aggression, providing choices, and
number of responsible adults in the home may affect the number of unintentional injuries, respecting cultural differences are components of atraumatic care. In the provision of
but the type of injury is related to the childs developmental stage. atraumatic care, the separation of child from parents during hospitalization is minimized.
PTS: 1 DIF: Cognitive Level: Understand REF: 3-4 The nurse should promote a sense of control for the child. Preventing and minimizing
TOP: Integrated Process: Nursing Process: Planning bodily injury and pain are major components of atraumatic care.
MSC: Area of Client Needs: Health Promotion and Maintenance PTS: 1 DIF: Cognitive Level: Understand REF: 9
8. Which is now referred to as the new morbidity? TOP: Integrated Process: Nursing Process: Implementation
a. Limitations in the major activities of daily living MSC: Area of Client Needs: Psychosocial Integrity
b. Unintentional injuries that cause chronic health problems 11. Which is most suggestive that a nurse has a nontherapeutic relationship with a patient
c. Discoveries of new therapies to treat health problems and family?
d. Behavioral, social, and educational problems that alter health a. Staff is concerned about the nurses actions with the patient and family.
ANS: D b. Staff assignments allow the nurse to care for same patient and family over an extended
The new morbidity reflects the behavioral, social, and educational problems that interfere time.
with the childs social and academic development. It is currently estimated that the c. Nurse is able to withdraw emotionally when emotional overload occurs but still
incidence of these issues is from 5% to 30%. Limitations in major activities of daily remains committed.
living and unintentional injuries that result in chronic health problems are included in d. Nurse uses teaching skills to instruct patient and family rather than doing everything
morbidity data. Discovery of new therapies would be reflected in changes in morbidity for them.
data over time. ANS: A
PTS: 1 DIF: Cognitive Level: Remember REF: 3 An important clue to a nontherapeutic staff-patient relationship is concern of other staff
TOP: Integrated Process: Nursing Process: Assessment members. Allowing the nurse to care for the same patient over time would be therapeutic
MSC: Area of Client Needs: Health Promotion and Maintenance for the patient and family. Nurses who are able to somewhat withdraw emotionally can
9. A nurse on a pediatric unit is practicing family-centered care. Which is most protect themselves while providing therapeutic care. Nurses using teaching skills to
descriptive of the care the nurse is delivering? instruct patient and family will assist in transitioning the child and family to self-care.
a. Taking over total care of the child to reduce stress on the family PTS: 1 DIF: Cognitive Level: Analyze REF: 9
b. Encouraging family dependence on health care systems TOP: Integrated Process: Nursing Process: Assessment
c. Recognizing that the family is the constant in a childs life MSC: Area of Client Needs: Psychosocial Integrity
d. Excluding families from the decision-making process 12. Which is most descriptive of clinical reasoning?
ANS: C a. A simple developmental process
The three key components of family-centered care are respect, collaboration, and support. b. Purposeful and goal-directed
Family-centered care recognizes the family as the constant in the childs life. Taking over c. Based on deliberate and irrational thought
total care does not include the family in the process and may increase stress instead of d. Assists individuals in guessing what is most appropriate
reducing stress. The family should be enabled and empowered to work with the health ANS: B
care system. The family is expected to be part of the decision-making process. Clinical reasoning is a complex, developmental process based on rational and deliberate
PTS: 1 DIF: Cognitive Level: Remember REF: 8 thought. Clinical reasoning is not a developmental process. Clinical reasoning is based on
TOP: Integrated Process: Nursing Process: Implementation rational and deliberate thought. Clinical reasoning is not a guessing process.
MSC: Area of Client Needs: Health Promotion and Maintenance PTS: 1 DIF: Cognitive Level: Understand REF: 12
,NURSING MISC TEST BANK Essentials of Pediatric NURSING MISC TEST BANK Essentials of Pediatric
Nursing 4th Edition Kyle Carman Test Bank Questions Nursing 4th Edition Kyle Carman Test Bank Questions
with Complete Solutions New Update 2023 with Complete Solutions New Update 2023
TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care 16. A child has a postoperative appendectomy incision covered by a dressing. The nurse
13. A nurse makes the decision to apply a topical anesthetic to a childs skin before has just completed a prescribed dressing change for this child. Which description is an
drawing blood. Which ethical principle is the nurse demonstrating? accurate documentation of this procedure?
a. Autonomy a. Dressing change to appendectomy incision completed, child tolerated procedure well,
b. Beneficence parent present
c. Justice b. No complications noted during dressing change to appendectomy incision
d. Truthfulness c. Appendectomy incision non-reddened, sutures intact, no drainage noted on old
ANS: B dressing, new dressing applied, procedure tolerated well by child
Beneficence is the obligation to promote the patients well-being. Applying a topical d. No changes to appendectomy incisional area, dressing changed, child complained of
anesthetic before drawing blood promotes reducing the discomfort of the venipuncture. pain during procedure, new dressing clean, dry and intact
Autonomy is the patients right to be self-governing. Justice is the concept of fairness. ANS: C
Truthfulness is the concept of honesty. The nurse should document assessments and reassessments. Appearance of the incision
PTS: 1 DIF: Cognitive Level: Understand REF: 11 described in objective terms should be included during a dressing change. The nurse
TOP: Integrated Process: Nursing Process: Implementation should document patients response and the outcomes of the care provided. In this
MSC: Area of Client Needs: Physiological Integrity example, these include drainage on the old dressing, the application of the new dressing,
14. Which action by the nurse demonstrates use of evidence-based practice (EBP)? and the childs response. The other statements partially fulfill the requirements of
a. Gathering equipment for a procedure documenting assessments and reassessments, patients response, and outcome, but do not
b. Documenting changes in a patients status include all three.
c. Questioning the use of daily central line dressing changes PTS: 1 DIF: Cognitive Level: Analyze REF: 14
d. Clarifying a physicians prescription for morphine TOP: Integrated Process: Nursing Process: Implementation
ANS: C MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
The nurse who questions the daily central line dressing change is ascertaining whether 17. A nurse is planning a class on accident prevention for parents of toddlers. Which
clinical interventions result in positive outcomes for patients. This demonstrates safety topic is the priority for this class?
evidence-based practice (EBP), which implies questioning why something is effective a. Appropriate use of car seat restraints
and whether a better approach exists. Gathering equipment for a procedure and b. Safety crossing the street
documenting changes in a patients status are practices that follow established guidelines. c. Helmet use when riding a bicycle
Clarifying a physicians prescription for morphine constitutes safe nursing care. d. Poison control numbers
PTS: 1 DIF: Cognitive Level: Apply REF: 11 ANS: A
TOP: Integrated Process: Nursing Process: Evaluation Motor vehicle accidents (MVAs) continue to be the most common cause of death in
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care children older than 1 year, therefore the priority topic is appropriate use of car seat
15. A nurse is admitting a toddler to the hospital. The toddler is with both parents and is restraints. Safety crossing the street and bicycle helmet use are topics that should be
currently sitting comfortably on a parents lap. The parents state they will need to leave included for preschool parents but are not priorities for parents of toddlers. Information
for a brief period. Which type of nursing diagnosis should the nurse formulate for this about poison control is important for parents of toddlers and would be a safety topic to
child? include but is not the priority over appropriate use of car seat restraints.
a. Risk for anxiety PTS: 1 DIF: Cognitive Level: Apply REF: 3-4
b. Anxiety TOP: Integrated Process: Nursing Process: Planning
c. Readiness for enhanced coping MSC: Area of Client Needs: Health Promotion and Maintenance
d. Ineffective coping MULTIPLE RESPONSE
ANS: A 1. Which behaviors by the nurse indicate a therapeutic relationship with children and
A potential problem is categorized as a risk. The toddler has a risk to become anxious families? (Select all that apply.)
when the parents leave. Nursing interventions will be geared toward reducing the risk. a. Spending off-duty time with children and families
The child is not showing current anxiety or ineffective coping. The child is not at a point b. Asking questions if families are not participating in the care
for readiness for enhanced coping, especially because the parents will be leaving. c. Clarifying information for families
PTS: 1 DIF: Cognitive Level: Remember REF: 12 d. Buying toys for a hospitalized child
TOP: Integrated Process: Nursing Process: Diagnosis e. Learning about the familys religious preferences
, NURSING MISC TEST BANK Essentials of Pediatric NURSING MISC TEST BANK Essentials of Pediatric
Nursing 4th Edition Kyle Carman Test Bank Questions Nursing 4th Edition Kyle Carman Test Bank Questions
with Complete Solutions New Update 2023 with Complete Solutions New Update 2023
ANS: B, C, E 2. Which family theory explains how families react to stressful events and suggests
Asking questions if families are not participating in the care, clarifying information for factors that promote adaptation to these events?
families, and learning about the familys religious preferences are positive actions and a. Interactional theory
foster therapeutic relationships with children and families. Spending off-duty time with b. Developmental systems theory
children and families and buying toys for a hospitalized child are negative actions and c. Family stress theory
indicate overinvolvement with children and families, which is nontherapeutic. d. Duvalls developmental theory
PTS: 1 DIF: Cognitive Level: Understand REF: 9-10 ANS: C
TOP: Integrated Process: Nursing Process: Evaluation Family stress theory explains the reaction of families to stressful events. In addition, the
MSC: Area of Client Needs: Psychosocial Integrity theory helps suggest factors that promote adaptation to the stress. Stressors, both positive
ESSAY and negative, are cumulative and affect the family. Adaptation requires a change in family
1. A nurse is formulating a clinical question for evidence-based practice. Place in order structure or interaction. Interactional theory is not a family theory. Interactions are the
the steps the nurse should use to clarify the scope of the problem and clinical topic of basis of general systems theory. Developmental systems theory is an outgrowth of
interest. Begin with the first step of the process and proceed ordering the steps ending Duvalls theory. The family is described as a small group, a semiclosed system of
with the final step of the process. Provide answer as lowercase letters separated by personalities that interact with the larger cultural system. Changes do not occur in one
commas (e.g., a, b, c, d, e). part of the family without changes in others. Duvalls developmental theory describes
a. Intervention eight developmental tasks of the family throughout its life span.
b. Outcome PTS: 1 DIF: Cognitive Level: Understand REF: 24
c. Population TOP: Integrated Process: Nursing Process: Assessment
d. Time MSC: Area of Client Needs: Health Promotion and Maintenance
e. Control 3. Which is the term for a family in which the paternal grandmother, the parents, and two
ANS: minor children live together?
c, a, e, b, d a. Blended
When formulating a clinical question for evidence-based practice, the nurse should b. Nuclear
follow a concise, organized way that allows for clear answers. Good clinical questions c. Binuclear
should be asked in the PICOT (population, intervention, control, outcome, time) format d. Extended
to assist with clarity and literature searching. PICOT questions assist with clarifying the ANS: D
scope of the problem and clinical topic of interest. An extended family contains at least one parent, one or more children, and one or more
CHAPTER 2 Factors Influencing Child Health members (related or unrelated) other than a parent or sibling. A blended family contains
MULTIPLE CHOICE at least one step-parent, step-sibling, or half-sibling. The nuclear family consists of two
1. A nurse is selecting a family theory to assess a patients family dynamics. Which family parents and their children. No other relatives or nonrelatives are present in the household.
theory best describes a series of tasks for the family throughout its life span? In binuclear families, parents continue the parenting role while terminating the spousal
a. Interactional theory unit. For example, when joint custody is assigned by the court, each parent has equal
b. Developmental systems theory rights and responsibilities for the minor child or children.
c. Structural-functional theory PTS: 1 DIF: Cognitive Level: Remember REF: 24-26
d. Duvalls developmental theory TOP: Integrated Process: Nursing Process: Planning
ANS: D MSC: Area of Client Needs: Health Promotion and Maintenance
Duvalls developmental theory describes eight developmental tasks of the family 4. A nurse is assessing a familys structure. Which describes a family in which a mother,
throughout its life span. Interactional theory and structural-functional theory are not her children, and a stepfather live together?
family theories. Developmental systems theory is an outgrowth of Duvalls theory. The a. Blended
family is described as a small group, a semiclosed system of personalities that interact b. Nuclear
with the larger cultural system. Changes do not occur in one part of the family without c. Binuclear
changes in others. d. Extended
PTS: 1 DIF: Cognitive Level: Understand REF: 24-26 ANS: A
TOP: Integrated Process: Nursing Process: Assessment A blended family contains at least one step-parent, step-sibling, or half-sibling. The
MSC: Area of Client Needs: Health Promotion and Maintenance nuclear family consists of two parents and their children. No other relatives or
nonrelatives are present in the household. In binuclear families, parents continue the
