TEST BANK Wong's Nursing Care of Infants and Children (12TH) by Marilyn J. Hockenberry Complete Guide Chapter 1-34| LATEST VERSION

Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children,
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12thEdition
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MULTIPLE CHOICE ml




1. What is the major cause of death for children in the United States?
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a. Heart disease ml


b. Childhood cancer ml


c. Injuries
d. Congenital anomalies ml




ANS: C ml


Unintentional injuries (accidents) are the leading cause of death after age 1 year through
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adolescence. The leading cause of death for those younger than 1 year is congenital anomalies,
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and childhood cancers and heart disease cause a significantly lower percentage of deaths in
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children older than 1 yearof age.
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DIF: Cognitive Level: Understanding TOP: Nursing Process: ml ml ml ml ml


PlanningMSC: Client Needs: Health Promotion and Maintenance
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2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-centered care?‖
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The nurseshould respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family. ml ml ml ml ml ml ml ml ml ml


b. Family-centered care encourages family dependence on the health care system. ml ml ml ml ml ml ml ml ml


c. Family-centered care recognizes that the family is the constant in a child‘s ml ml ml ml ml ml ml ml ml ml ml ml


life.
d. Family-centered care avoids expecting families to be part of the decision- ml ml ml ml ml ml ml ml ml ml


makingprocess. m
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ANS: C ml


The three key components of family-centered care are respect, collaboration, and support.
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Family- centered care recognizes the family as the constant in the child‘s life. The family
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should be enabled and empowered to work with the health care system and is expected to be
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part of the decision-makingprocess. The nurse should also support the family‘s cultural
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diversity, not reduce its effect.
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DIF: Cognitive Level: Applying TOP: Nursing Process: ml ml ml ml ml


Implementation MSC: Client Needs: Health Promotion and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which?
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a. Using information in textbooks to guide care
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b. Combining knowledge with clinical experience and intuition
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c. Using a professional code of ethics as a means for decision making
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d. Gathering all evidence that applies to the child‘s health and family
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situation
ANS: B ml


EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and
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questioning the best approach. EBP involves decision making based on the integration of the best
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research evidence combined with clinical expertise and patient values.
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,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test
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Bank




DIF: Cognitive Level: Remembering TOP: Nursing Process:
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PlanningMSC: Client Needs: Safe and Effective Care Environment
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4. The nurse is talking to a group of parents of school-age children at an after-school
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program aboutchildhood health problems. Which statement should the nurse include in the
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teaching?
a. Childhood obesity is the most common nutritional problem among children.
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b. Immunization rates are the same among children of different races and ethnicity.
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c. Dental caries is not a problem commonly seen in children since the
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introduction offluorinated water. ml m
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d. Mental health problems are typically not seen in school-age children but may be
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diagnosed in adolescents. ml ml




ANS: A ml


When teaching parents of school-age children about childhood health problems, the nurse
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should include information about childhood obesity because it is the most common problem
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among children and is associated with type 2 diabetes. Teaching parents about ways to prevent
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obesity is important toinclude. Immunization rates differ depending on the child‘s race and
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ethnicity; dental caries continuesto be a common chronic disease in childhood; and mental
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health problems are seen in children as young as school age, not just in adolescents.
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DIF: Cognitive Level: Applying TOP: Integrated Process:
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Teaching/LearningMSC: Client Needs: Health Promotion and Maintenance
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5. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse
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plan toensure atraumatic care?
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a. Limit explanation of procedures because the child is preschool aged.
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b. Ask that all family members leave the room when performing procedures.
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c. Allow the child to choose the type of juice to drink with the administration of
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oralmedications.
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d. Explain that EMLA cream cannot be used for the morning lab draw because
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thereis not time for it to be effective.
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ANS: C ml


The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a
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choice ofjuice to drink when taking oral medications provides the child with a sense of
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control. The preschoolchild should be prepared before procedures, so limiting explanations of
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procedures would increase anxiety. The family should be allowed to stay with the child during
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procedures, minimizing stress. ml ml


Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the
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prescribed cream in time for morning laboratory draws to minimize pain.
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DIF: Cognitive Level: Applying TOP: Nursing Process:
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PlanningMSC: Client Needs: Health Promotion and Maintenance
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6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
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a. The nurse is planning to read a favorite fairy tale to a patient.
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b. During shift report, the nurse is criticizing parents for not visiting their child.
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c. The nurse is discussing with a fellow nurse the emotional draw to a certain
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patient.
d. The nurse is working with a family to find ways to decrease the family‘s
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dependence on health care providers. ml ml ml ml

, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test
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Bank




ANS: B ml


Criticizing parents for not visiting in shift report is nontherapeutic and shows an under
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involvement with the parents. Reading a fairy tale is a therapeutic and age-appropriate action.
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Discussing feelingsof an emotional draw with a fellow nurse is therapeutic and shows a
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willingness to understand feelings. Working with parents to decrease dependence on health
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care providers is therapeutic and helps to empower the family.
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DIF: Cognitive Level: Analyzing TOP: Integrated Process:ml ml ml ml ml


CaringMSC: Client Needs: Psychosocial Integrity
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7. The nurse is aware that which age-group is at risk for childhood injury because of the
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cognitivecharacteristic of magical and egocentric thinking?
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a. Preschool
b. Young school age ml ml


c. Middle school age ml ml


d. Adolescent

ANS: A ml


Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning
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they are unable to comprehend danger to self or others. Young and middle school-aged children
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have transitional cognitive processes, and they may attempt dangerous acts without detailed
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planning but recognize danger to themselves or others. Adolescents have formal operational
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cognitive processes andare preoccupied with abstract thinking.
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DIF: Cognitive Level: Understanding TOP: Nursing Process: ml ml ml ml ml


Assessment MSC: Client Needs: Safe and Effective Care Environment
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8. The school nurse is assessing children for risk factors related to childhood injuries. Which
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child hasthe most risk factors related to childhood injury?
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a. Female, multiple siblings, stable home life
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b. Male, high activity level, stressful home life
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c. Male, even tempered, history of previous injuries
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d. Female, reacts negatively to new situations, no serious previous
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injuries
ANS: B ml


Boys have a preponderance for injuries over girls because of a difference in behavioral
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characteristics, a high activity temperament is associated with risk-taking behaviors, and stress
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predisposes children toincreased risk taking and self-destructive behaviors. Therefore, a male
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child with a high activity level and living in a stressful environment has the highest number of
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risk factors. A girl with several siblingsand a stable home life is low risk. A boy with previous
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injuries has two risk factors, but an even temperis not a risk factor for injuries. A girl who
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reacts negatively to new situations but has no previous serious illnesses has only one risk factor.
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DIF: Cognitive Level: Analyzing TOP: Nursing Process: ml ml m l ml ml


Assessment MSC: Client Needs: Safe and Effective Care Environment
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9. An adolescent patient wants to make decisions about treatment options, along with his parents.
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Whichmoral value is the nurse displaying when supporting the adolescent to make decisions?
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a. Justice