Davis Advantage for Pediatric Nursing 3e
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Chapter 1 Issues and Trends in Pediatric Nursing
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. The nurse has provided a presentation to middle school children about nursing as a career. One of
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the children stated that he wanted to be a pediatric nurse, because he wants to take care of babies
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and little ―kids.‖ What would be an appropriate response to this middle school–aged child?
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1. ―Nursing is a general practice; all nurses must know how to take care of all ages of
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patients.‖
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2. ―As a pediatric nurse, you would get to care for babies and little kids as well as
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children through their teenage years.‖
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3. ―What you are describing is actually a neonatal nurse. Neonatal nurses work with
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newborn babies, toddlers, and preschool-age children.‖
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4. ―Being a pediatric nurse requires a master’s degree, so be sure to work hard in
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school!‖ v
2. The medical-surgical float nurse is assigned to the pediatric unit for the first time and states that
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the skills are ―the same as general nursing since children are little adults with smaller bodies.‖
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What component of pediatric nursing contraindicates this statement?
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1. Pediatric nursing involves care based on the developmental level of the patient.
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2. Pediatric nursing involves the patient’s family in the plan of care. v v v v v v v v v v
3. Pediatric nursing in based on prevention of infectious diseases. v v v v v v v v
4. Pediatric nursing involves cultural sensitivity in patient care. v v v v v v v
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population.
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Which of the following reflects the demographics of the U.S. pediatric population in 2018, based
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on U.S. Census Bureau data?
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1. The American Indian and Alaska Native population represent one-fifth of the
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pediatric population.
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2. About half of the children fall in the category of something other than White non-
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Hispanic.v
3. The population of Asian children decreased from 2015 to 2018.
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4. There was no change in the population of Non-Hispanic children who represent
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two or more races between 2015 and 2018.
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4. The nurse at a family clinic is providing care to an adolescent patient diagnosed with diabetes. The
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patient has verbalized discomfort with the feelings of isolation when unable to drink alcohol with
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their friends. Which of the following would be the most appropriate response to this statement?
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1. ―Drinking alcohol is not only illegal but dangerous for your blood sugar control v v v v v v v v v v v v
and overall well-being.‖
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2. ―You can still drink alcohol, in moderation, if you control the sugar spike with
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more insulin.‖
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3. ―Prepare for alcohol intake with more water and less carbohydrates before drinking
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to slow sugar spikes.‖
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4. ―It is understandable that you want to be included, but perhaps we can work out a
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plan on how to work through those situations.‖
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, Rudd 2
Davis Advantage for Pediatric Nursing 3e
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5. Which statement best describes the common core concepts of the different models of pediatric
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nursing?
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1. All models focus on the open communication between the child and nurse.
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2. All models focus on importance of family relationship to the child.
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3. All models focus on safeguarding the child’s dignity during care.
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4. All models focus on coordination of care needs that arise during illness.
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6. Which of the following tasks is associated with the pediatric medical home care model of pediatric
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nursing?
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1. The nurse refers the family to a childhood cancer support group prior to discharge
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from the hospital.
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2. The nurse includes a simple explanation of the procedure to the child based on the
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child’s developmental level.
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3. The nurse includes the family’s cultural celebrations and observations while
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providing care to the child.
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4. The nurse develops the plan of care with the child and family as the focal point of
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the interventions.
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7. The pediatric nurse begins a research project on 8-year-old patients with the medical diagnosis of
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pediatric acute-onset neuropsychiatric syndrome (PANS). The family has consented to the
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research, but as the nurse begins to administer the intervention, the patient refuses to cooperate.
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What is the appropriate response to this refusal?
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1. The nurse should discuss with the family the options of performing the
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intervention without the child’s knowledge.
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2. The nurse should explain to the child that this is necessary and promise a reward at
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the end of the research project.
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3. The nurse should refuse to perform the intervention until the child consents to the
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intervention and project.
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4. The nurse should discuss the pros and cons of the research project with the child
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and focus on the outcomes.
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8. A nurse is providing relationship-based care to a pediatric patient. Which of the following is a
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challenge the nurse is likely to encounter while using this model of care?
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1. Maintaining a sterile field for a procedure with a restless toddler v v v v v v v v v v
2. Communicating with the blended family on regular basis v v v v v v v
3. Treating children with antibiotic-resistant illnesses
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4. Caring for a larger number of children with autism spectrum disorders and
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childhood depression
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9. The pediatric nurse desires to expand his or her career options to become the hospital’s nurse
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educator of pediatrics. Which of the following is necessary for this nurse to achieve this career
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goal?
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1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
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2. The nurse must earn a minimum of a doctorate degree in nursing.
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3. The nurse must implement and develop research in nursing practice.
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4. The nurse must implement a plan to obtain certification in pediatrics.
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Davis Advantage for Pediatric Nursing 3e
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10. The school nurse is developing a teaching session for the population of children in a middle
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school. The nurse has determined that the greatest need for the overall health of the children is
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promotion of healthy foods. Which of the following interventions is most likely to be effective?
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1. Remove all unhealthy snacks from the vending machines.
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2. Have a poster contest on healthy eating options.
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3. Survey the student population during lunch breaks.
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4. Engage the students in healthy choices with cooking lessons.
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11. The nurse recognizes the needs of professional development to provide safe and effective care to
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the pediatric population by attending which of the following courses?
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1. Procedure with rationale to administer human papilloma vaccine to the middle
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school population
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2. Study review of the incidence of bullying and intimidation in the elementary
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school population
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3. Demographic study of the U.S. population with regard to cultural diversity and v v v v v v v v v v v
practices
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4. How to provide individual health care education for the children without parental
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interference
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12. Which of the following continuing education courses would best enhance the pediatric nurse’s
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practice in relationship to current trends?
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1. Evidence-based practice on improving antibiotic adherence with education to the v v v v v v v v v
family unit
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2. Evidence-based practice on proper administration of antibiotics for children with v v v v v v v v v
autoimmune diseases
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3. How to enhance communication with children in regards to adherence to antibiotic
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4. How to decrease instances of exacerbation of infections of children with
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autoimmune diseases with antibiotics
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13. The pediatric nurse is developing interventions for a school-aged child based on the nursing
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diagnosis of imbalanced nutrition related to a body mass index (BMI) of 37 and poor food choices
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as evidenced by patient’s mother’s food diary for the family and child’s statements of food
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preferences. Which of the following would be an appropriate nursing intervention?
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1. Provide the child and family with information from https://www.MyPlate.gov for
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healthy food options.
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2. Increase the child’s activity by incorporating the child’s friends into a plan of
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healthy exercise options.
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3. Explain the importance of balancing diet and exercise to prevent obesity to the
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child and family.
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4. Provide information on the increased risk for potential disease processes such as
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diabetes and hypertension.
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14. The nurse is developing interventions for a transgender adolescent based on the nursing diagnosis
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decreased self-esteem related to transgender identity as evidenced by statements of feeling
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“worthless, different, and alone.” What would be the most appropriate intervention based on the
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diagnosis?
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1. Give positive feedback on personal choices as appropriate.
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