Origin:l Chapterl1,l1
Pagel1
,Origin:l Chapterl1,l2
Pagel2
, Origin:l Chapterl1,l3
CHAPTER:l INTRODUCTIONl TOl CHILDl HEALTHlANDl PEDIATRICl NURSING
Origin:l Chapterl1,l1
1. Thelnurselprovidinglfamily-
centeredlcarelinlalhospitallsettinglreflectslonlthelfocusloflthelhealthlcarelprovidedlinltoday's
lsociety.lWhichlstatementlbestldescribeslthelcurrentldefinitionloflhealth?
A) Healthlisldescribedlasl'anlabsencelofldisease.'
B) Healthlislmeasuredlbylmonitoringlmortalitylandlmorbidityloflalgroup.
C) Healthlislalstateloflcompletelphysical,lmental,landlsociallwell-being.
D) Technologicallgainslmadelinlhealthlcarelarelsharedlequallylamonglalllchildren.lAn
s:lC
Feedback:
Inlthelpast,lhealthlwasldefinedlsimplylaslthelabsencelofldisease;lhealthlwaslmeasuredlbylmoni
toringlthelmortalitylandlmorbidityloflalgroup.lOverlthelpastlcentury,lhowever,lthelfocusloflhe
althlhaslshiftedltoldiseaselprevention,lhealthlpromotion,landlwellness.lThelWorldlHealthlOr
ganizationl(2013)ldefineslhealthlasl"alstateloflcompletelphysical,lmental,landlsociallwell-
being,landlnotlmerelylthelabsencelofldiseaselorlinfirmity."lThelgainslinlchildlhealthlhavelbee
nlhuge,lbut,lunfortunately,ltheselgainslarelnotlsharedlequallylamonglalllchildren.
2. ThelstudentlnurselisllearninglaboutlthelpastlhistoryloflchildlhealthlandlhealthlcarelinlthelUnite
dlStates.lWhichlstatementlaccuratelylreflectslthelconditionloflhealthlcarelinlthelpastlandlcurr
entlcenturies?
A) InlpastlcenturieslinlthelUnitedlStates,lthelhealthloflthelcountrylwaslbetterlthanlitlisltoday
ldueltolthelsimplerlstylelofl living.
B) Inlthelcurrentlcentury,lmortalitylrateslarelhigh,lbutllifelexpectancylhaslincreasedlduel
toltechnologicalladvances.
C) Inlthellateleighteenthlandlearlylnineteenthlcenturieslurbanlpubliclhealthlim
provementslmadelcitieslhealthierlplaceslforlgrowinglchildren.
D) Bylthellateltwentiethlcenturylunintentionallinjurieslratherlthanlinfectiousldiseaseslha
dlbecomelthelleadinglcauselofldeathlforlchildrenlolderlthanl1lyearlold.
Ans:l D
Feedback:
InlpastlcenturieslinlthelUnitedlStates,lthelhealthloflthelcountrylwaslpoorerlthanlitlisltoday;lmo
rtalitylrateslwerelhighlandllifelexpectancylwaslshort.lOverlthelyearslthelhealthloflchildrenlrece
ivedlmorelandlmorelattention,lleadingltolalbetterlunderstandingloflsourcesloflillnesslandlimpr
ovementslinlsanitation,lwater,landlnutrition.lAslalresult,lbylthellateltwentiethlcenturyluninten
tionallinjurieslratherlthanlinfectiousldiseaseslhadlbecomelthelleadinglcauselofldeathlforlchild
renlolderlthanl1lyearlold.
Origin:l Chapterl1,l3
3. Thelnurselisladministeringlalnumberlofltherapeuticlinterventionslforlneonates,linfants,land
lchildrenlonlthelpediatriclunit.lWhichlinterventionlcontributesltolanlincreaselinlchroniclilln
esslseenlinlearlylchildhood?
A) Administeringlantibioticsltolpreventllethallinfections
B) Vaccinatinglchildrenltolpreventlchildhoodldiseases
C) Usinglmechanicallventilationlforlprematurelinfants
Pagel3
, Origin:l Chapterl1,l4
D) UsinglcorticosteroidslaslaltreatmentlforlasthmalA
ns:lC
Feedback:
Usinglmechanicallventilationlandlmedicationsltolfosterllungldevelopmentlinlprematurelinfant
slincreasesltheirlsurvivallrate.lYetlthelinfantslwholsurvivelareloftenlfacedlwithlmyriadlchronic
lillnesses.lAdministeringlantibioticsltolpreventllethallinfections,lvaccinatinglchildrenltolprev
entlchildhoodldiseases,landlusinglcorticosteroidslaslaltreatmentlforlasthmalmaylcauselsideleff
ects,lbutldolnotlcontributeltolchroniclillnesslinlchildren.
4. ThelnurselislreviewinglalcopyloflthelU.S.lSurgeonlGeneral'slReport,lHealthylPeople.
Whichlnursinglactionlbestlreflectslthelnurselfosteringlthislhealthlcarelagenda?
A) Thelnurselsignsluplforlclassesltolobtainlanladvancedldegreelinlnursing
B) Thelnurselvolunteerslatlallocallhealthlcarelcliniclprovidinglfreelvaccinationslforllow
-incomelpopulations
C) Thelnurselperformslanlin-servicelonlbasiclhospitallequipmentlforlstudentlnurses
D) Thelnurselcompileslnursinglarticleslonlevidence-
basedlpracticeslinlnursingltolpresentlatlalhospitalltraininglseminar
Ans:l B
Feedback:
HealthylPeoplelislalcomprehensivelhealthlpromotionlandldiseaselpreventionlagendalthatlislw
orkingltowardlimprovinglthelquantitylandlqualitylofllifelforlalllAmericansl(U.S.lDepartment
loflHealthlandlHumanlServices,l2010).lOverarchinglgoalslareltoleliminatelpreventableldisea
se,ldisability,linjury,landlprematureldeath;lachievelhealthlequity,leliminateldisparities,landli
mprovelthelhealthloflalllgroups;lcreatelphysicallandlsociallenvironmentslthatlpromotelgoodl
health;landlpromotelhealthyldevelopmentlandlbehaviorslacrossleverylstagelofllife.lVoluntee
ringlatlallocallhealthlcarelclinicldirectlylreflectslthelgoalloflimprovinglthelhealthloflalllgroupsl
oflpeople.lSigningluplforlclasses,lperforminglin-
serviceslonlequipment,landlcompilinglnursinglarticleslonlevidence-
basedlpracticeslinlnursinglarelalllworthwhilelactivitieslthatlfosterlhealthlcareldelivery,lbutlar
elnotlasldirectlyllinkedltolthelagendaloflpromotinglhealthlinlthelcommunity.
Pagel4
Pagel1
,Origin:l Chapterl1,l2
Pagel2
, Origin:l Chapterl1,l3
CHAPTER:l INTRODUCTIONl TOl CHILDl HEALTHlANDl PEDIATRICl NURSING
Origin:l Chapterl1,l1
1. Thelnurselprovidinglfamily-
centeredlcarelinlalhospitallsettinglreflectslonlthelfocusloflthelhealthlcarelprovidedlinltoday's
lsociety.lWhichlstatementlbestldescribeslthelcurrentldefinitionloflhealth?
A) Healthlisldescribedlasl'anlabsencelofldisease.'
B) Healthlislmeasuredlbylmonitoringlmortalitylandlmorbidityloflalgroup.
C) Healthlislalstateloflcompletelphysical,lmental,landlsociallwell-being.
D) Technologicallgainslmadelinlhealthlcarelarelsharedlequallylamonglalllchildren.lAn
s:lC
Feedback:
Inlthelpast,lhealthlwasldefinedlsimplylaslthelabsencelofldisease;lhealthlwaslmeasuredlbylmoni
toringlthelmortalitylandlmorbidityloflalgroup.lOverlthelpastlcentury,lhowever,lthelfocusloflhe
althlhaslshiftedltoldiseaselprevention,lhealthlpromotion,landlwellness.lThelWorldlHealthlOr
ganizationl(2013)ldefineslhealthlasl"alstateloflcompletelphysical,lmental,landlsociallwell-
being,landlnotlmerelylthelabsencelofldiseaselorlinfirmity."lThelgainslinlchildlhealthlhavelbee
nlhuge,lbut,lunfortunately,ltheselgainslarelnotlsharedlequallylamonglalllchildren.
2. ThelstudentlnurselisllearninglaboutlthelpastlhistoryloflchildlhealthlandlhealthlcarelinlthelUnite
dlStates.lWhichlstatementlaccuratelylreflectslthelconditionloflhealthlcarelinlthelpastlandlcurr
entlcenturies?
A) InlpastlcenturieslinlthelUnitedlStates,lthelhealthloflthelcountrylwaslbetterlthanlitlisltoday
ldueltolthelsimplerlstylelofl living.
B) Inlthelcurrentlcentury,lmortalitylrateslarelhigh,lbutllifelexpectancylhaslincreasedlduel
toltechnologicalladvances.
C) Inlthellateleighteenthlandlearlylnineteenthlcenturieslurbanlpubliclhealthlim
provementslmadelcitieslhealthierlplaceslforlgrowinglchildren.
D) Bylthellateltwentiethlcenturylunintentionallinjurieslratherlthanlinfectiousldiseaseslha
dlbecomelthelleadinglcauselofldeathlforlchildrenlolderlthanl1lyearlold.
Ans:l D
Feedback:
InlpastlcenturieslinlthelUnitedlStates,lthelhealthloflthelcountrylwaslpoorerlthanlitlisltoday;lmo
rtalitylrateslwerelhighlandllifelexpectancylwaslshort.lOverlthelyearslthelhealthloflchildrenlrece
ivedlmorelandlmorelattention,lleadingltolalbetterlunderstandingloflsourcesloflillnesslandlimpr
ovementslinlsanitation,lwater,landlnutrition.lAslalresult,lbylthellateltwentiethlcenturyluninten
tionallinjurieslratherlthanlinfectiousldiseaseslhadlbecomelthelleadinglcauselofldeathlforlchild
renlolderlthanl1lyearlold.
Origin:l Chapterl1,l3
3. Thelnurselisladministeringlalnumberlofltherapeuticlinterventionslforlneonates,linfants,land
lchildrenlonlthelpediatriclunit.lWhichlinterventionlcontributesltolanlincreaselinlchroniclilln
esslseenlinlearlylchildhood?
A) Administeringlantibioticsltolpreventllethallinfections
B) Vaccinatinglchildrenltolpreventlchildhoodldiseases
C) Usinglmechanicallventilationlforlprematurelinfants
Pagel3
, Origin:l Chapterl1,l4
D) UsinglcorticosteroidslaslaltreatmentlforlasthmalA
ns:lC
Feedback:
Usinglmechanicallventilationlandlmedicationsltolfosterllungldevelopmentlinlprematurelinfant
slincreasesltheirlsurvivallrate.lYetlthelinfantslwholsurvivelareloftenlfacedlwithlmyriadlchronic
lillnesses.lAdministeringlantibioticsltolpreventllethallinfections,lvaccinatinglchildrenltolprev
entlchildhoodldiseases,landlusinglcorticosteroidslaslaltreatmentlforlasthmalmaylcauselsideleff
ects,lbutldolnotlcontributeltolchroniclillnesslinlchildren.
4. ThelnurselislreviewinglalcopyloflthelU.S.lSurgeonlGeneral'slReport,lHealthylPeople.
Whichlnursinglactionlbestlreflectslthelnurselfosteringlthislhealthlcarelagenda?
A) Thelnurselsignsluplforlclassesltolobtainlanladvancedldegreelinlnursing
B) Thelnurselvolunteerslatlallocallhealthlcarelcliniclprovidinglfreelvaccinationslforllow
-incomelpopulations
C) Thelnurselperformslanlin-servicelonlbasiclhospitallequipmentlforlstudentlnurses
D) Thelnurselcompileslnursinglarticleslonlevidence-
basedlpracticeslinlnursingltolpresentlatlalhospitalltraininglseminar
Ans:l B
Feedback:
HealthylPeoplelislalcomprehensivelhealthlpromotionlandldiseaselpreventionlagendalthatlislw
orkingltowardlimprovinglthelquantitylandlqualitylofllifelforlalllAmericansl(U.S.lDepartment
loflHealthlandlHumanlServices,l2010).lOverarchinglgoalslareltoleliminatelpreventableldisea
se,ldisability,linjury,landlprematureldeath;lachievelhealthlequity,leliminateldisparities,landli
mprovelthelhealthloflalllgroups;lcreatelphysicallandlsociallenvironmentslthatlpromotelgoodl
health;landlpromotelhealthyldevelopmentlandlbehaviorslacrossleverylstagelofllife.lVoluntee
ringlatlallocallhealthlcarelclinicldirectlylreflectslthelgoalloflimprovinglthelhealthloflalllgroupsl
oflpeople.lSigningluplforlclasses,lperforminglin-
serviceslonlequipment,landlcompilinglnursinglarticleslonlevidence-
basedlpracticeslinlnursinglarelalllworthwhilelactivitieslthatlfosterlhealthlcareldelivery,lbutlar
elnotlasldirectlyllinkedltolthelagendaloflpromotinglhealthlinlthelcommunity.
Pagel4
