V V V V V V V V V V V V
,Chapter 01: Perspectives of Pediatric Nursing
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
Edition
MULTIPLE CHOICE
1. WhatVisVtheVmajorVcauseVofVdeathVforVchildrenVinVtheVUnitedVStates?
a. HeartVdisease
b. ChildhoodVcancer
c. Injuries
d. CongenitalVanomalies
ANS:V C
UnintentionalVinjuriesV(accidents)VareVtheVleadingVcauseVofVdeathVafterVageV1VyearVthroughVadolescenc
e.VTheVleadingVcauseVofVdeathVforVthoseVyoungerVthanV1VyearVisVcongenitalVanomalies,VandVchildhoodVc
ancersVandVheartVdiseaseVcauseVaVsignificantlyVlowerVpercentageVofVdeathsVinVchildrenVolderVthanV1Vyea
rVofVage.
DIF: CognitiveVLevel:VUnderstanding
TOP:VNursingVProcess:VPlanningVMSC:V ClientVNeeds:VHealthVPromo
tionVandVMaintenance
2. ParentsVofVaVhospitalizedVtoddlerVaskVtheVnurse,V“WhatVisVmeantVbyVfamily-
centeredVcare?”VTheVnurseVshouldVrespondVwithVwhichVstatement?
a. Family-centeredVcareVreducesVtheVeffectVofVculturalVdiversityVonVtheVfamily.
b. Family-centeredVcareVencouragesVfamilyVdependenceVonVtheVhealthVcareVsystem.
c. Family-centeredVcareVrecognizesVthatVtheVfamilyVisVtheVconstantVinVaVchild’sVlife.
d. Family-centeredVcareVavoidsVexpectingVfamiliesVtoVbeVpartVofVtheVdecision-
makingVprocess.
ANS:V C
TheVthreeVkeyVcomponentsVofVfamily-centeredVcareVareVrespect,Vcollaboration,VandVsupport.VFamily-
VcenteredVcareVrecognizes VtheVfamilyVasVtheVconstantVinVtheVchild’sVlife.VTheVfamilyVshouldVbeVenabled
VandVempoweredVtoVworkVwithVtheVhealthVcareVsystemVandVisVexpectedVtoVbeVpartVofVtheVdecision-
makingVprocess.VTheVnurseVshouldValsoVsupportVtheVfamily’sVculturalVdiversity,VnotVreduceVitsVeffect.
DIF: CognitiveVLevel:VApplying
TOP:VNursingVProcess:VImplementationVMSC:V ClientVNeeds:VHealthVPromo
tionVandVMaintenance
3. Evidence-basedVpracticeV(EBP),VaVdecision-makingVmodel,VisVbestVdescribedVasVwhich?
a. UsingVinformationVinVtextbooksVtoVguideVcare
b. CombiningVknowledgeVwithVclinicalVexperienceVandVintuition
c. UsingVaVprofessionalVcodeVofVethicsVasVaVmeansVforVdecisionVmaking
d. GatheringVallVevidenceVthatVappliesVtoVtheVchild’sVhealthVandVfamilyVsituatio
n
ANS:V B
EBPVhelpsVfocusVonVmeasurableVoutcomes;VtheVuseVofVdemonstrated,VeffectiveVinterventions;VandVques
tioningVtheVbestVapproach.VEBPVinvolvesVdecisionVmakingVbasedVonVtheVintegrationVofVtheVbestVresearc
hVevidenceVcombinedVwithVclinicalVexpertiseVandVpatientVvalues.
,Wong'sVNursingVCareVofVInfantsVandVChildrenV12thVEditionVbyVHockenberryVTestVBa
nk
DIF: CognitiveVLevel:VRemembering
TOP:VNursingVProcess:VPlanningVMSC:V ClientVNeeds:VSafeVandVEffe
ctiveVCareVEnvironment
4. TheVnurseVisVtalkingVtoVaVgroupVofVparentsVofVschool-ageVchildrenVatVanVafter-
schoolVprogramVaboutVchildhoodVhealthVproblems.VWhichVstatementVshouldVtheVnurseVincludeVinV
theVteaching?
a. ChildhoodVobesityVisVtheVmostVcommonVnutritionalVproblemVamongVchildren.
b. ImmunizationVratesVareVtheVsameVamongVchildrenVofVdifferentVracesVandVethnicity.
c. DentalVcariesVisVnotVaVproblemVcommonlyVseenVinVchildrenVsinceVtheVintroductionVo
fVfluorinatedVwater.
d. MentalVhealthVproblemsVareVtypicallyVnotVseenVinVschool-
ageVchildrenVbutVmayVbeVdiagnosedVinVadolescents.
ANS:V A
WhenVteachingVparentsVofVschool-
ageVchildrenVaboutVchildhoodVhealthVproblems,VtheVnurseVshouldVincludeVinformationVaboutVchildhood
VobesityVbecauseVitVisVtheVmostVcommonVproblemVamongVchildrenVandVisVassociatedVwithVtypeV2Vdiabet
es.VTeachingVparentsVaboutVwaysVtoVpreventVobesityVisVimportantVtoVinclude.VImmunizationVratesVdiffer
VdependingVonVtheVchild’sVraceVandVethnicity;VdentalVcariesVcontinuesVtoVbeVaVcommonVchronicVdisease
VinVchildhood;VandVmentalVhealthVproblemsVareVseenVinVchildrenVasVyoungVasVschoolVage,VnotVjustVinVad
olescents.
DIF: CognitiveVLevel:VApplying
TOP:VIntegratedVProcess:VTeaching/LearningVMSC:V ClientVNeeds:VHealthVPromo
tionVandVMaintenance
5. TheVnurseVisVplanningVcareVforVaVhospitalizedVpreschool-
agedVchild.VWhichVshouldVtheVnurseVplanVtoVensureVatraumaticVcare?
a. LimitVexplanationVofVproceduresVbecauseVtheVchildVisVpreschoolVaged.
b. AskVthatVallVfamilyVmembersVleaveVtheVroomVwhenVperformingVprocedures.
c. AllowVtheVchildVtoVchooseVtheVtypeVofVjuiceVtoVdrinkVwithVtheVadministrationVofVor
alVmedications.
d. ExplainVthatVEMLAVcreamVcannotVbeVusedVforVtheVmorningVlabVdrawVbecauseVther
eVisVnotVtimeVforVitVtoVbeVeffective.
ANS:V C
TheVoverridingVgoalVinVprovidingVatraumaticVcareVisVfirst,VdoVnoVharm.VAllowingVtheVchild,VaVchoiceVof
VjuiceVtoVdrinkVwhenVtakingVoralVmedicationsVprovidesVtheVchildVwithVaVsenseVofVcontrol.VTheVpreschoo
lVchildVshouldVbeVpreparedVbeforeVprocedures,VsoVlimitingVexplanationsVofVproceduresVwouldVincreaseV
anxiety.VTheVfamilyVshouldVbeVallowedVtoVstayVwithVtheVchildVduringVprocedures,VminimizingVstress.
Lidocaine/prilocaineV(EMLA)VcreamVisVaVtopicalVlocalVanesthetic.VTheVnurseVshouldVplanVtoVuseVtheVprescri
bedVcreamVinVtimeVforVmorningVlaboratoryVdrawsVtoVminimizeVpain.
DIF: CognitiveVLevel:VApplying
TOP:VNursingVProcess:VPlanningVMSC:V ClientVNeeds:VHealthVPromo
tionVandVMaintenance
6. WhichVsituationVdenotesVaVnontherapeuticVnurse–patient–familyVrelationship?
a. TheVnurseVisVplanningVtoVreadVaVfavoriteVfairyVtaleVtoVaVpatient.
b. DuringVshiftVreport,VtheVnurseVisVcriticizingVparentsVforVnotVvisitingVtheirVchild.
c. TheVnurseVisVdiscussingVwithVaVfellowVnurseVtheVemotionalVdrawVtoVaVcertainVpatien
t.
, Wong'sVNursingVCareVofVInfantsVandVChildrenV12thVEditionVbyVHockenberryVTestVBa
nk d. TheVnurseVisVworkingVwithVaVfamilyVtoVfindVwaysVtoVdecreaseVtheVfamily’sVdepende
nceVonVhealthVcareVproviders.