NUR 336 – Pathophysiology for Nursing Practice – Exam 1 Review with
Questions and Correct answers
What are some differences in nursing care for pediatric patients in comparison to adult
patients? - correct answer Assess for:
- developmental milestones
- physical maturation: motor skills, growth, body system maturation, puberty (Tanner scale),
immunizations
- cognitive maturation: includes language development and learningWhat
What did Erikson study? - correct answer psychosocial development
What did Piaget study? - correct answer cognitive development in children
- He believed that children constructed their understanding of the world as they grow.
What did Freud study? - correct answer psychosexual development
- believed libido (sexual energy) is the driving force of behaviors (sexual impulse)
What did Kohlberg study? - correct answer moral development
What are the core concepts of the family centered care model? - correct answer - dignity and
respect for patient and fam
- sharing info with fam
- family should participate in collaborative care planning
What are the core concepts of the relationship based care model? - correct answer - entire
family is the focal point of care
- nurse should work towards building a relationship with the family members
- care is individualized and addresses family concerns
- goal of all staff is to respect, understand, and address the needs and concerns of the fam
- children and families are engaged in care and making decisions about care
- open communication between all members is imperative
- protect the patient's dignity and well-being
what are the core concepts of the pediatric medical home-care coordination model? - correct
answer - reach out proactively
,- care during transitions needs to be comprehensive (child transitioning to palliative care needs
pain relief, medical treatment, and holistic care)
- care coordination
- referrals to community services to aid in non-medical care (social services if neither parent is
employed)
- specialized healthcare needs will required leadership and management (nurse can aid by
ensuring the patient is set with specialty care appointments and transportation means. all
aspects/barriers must be addressed)
What makes the National Children's study a unique data source? - correct answer the
participants of these studies are followed up with from birth through 21 y/o and assessed for
the effect of environmental factors on health and development
What is a nuclear family? - correct answer a couple (male and female) and their dependent
children not living with grandparents, regarded as a basic social unit
What is a non-nuclear family? - correct answer anything deviating from "traditional" family
structure including multi-generation households, LGBTQIA+ parents, blended families, or
remarried spouse of deceased partner
What are the 6 standards of practice? - correct answer 1. Assessment
2. Diagnosis
3. Outcomes Identification
4. Planning
5. Implementation (includes case management and coordination of care, health teaching,
promotion, restoration, maintenance, consultation, treatment, prescriptive authority, and
referral)
6. Evaluation
What are the 11 standards of professional performance? - correct answer 1. quality of practice
2. outcome measurement
3. education
4. communication
5. ethics
6. collaboration
7. research and clinical scholarship
, 8. resource utilization
9. leadership
10. accountability
11. advocacy
What are some situations that can pose challenges for a therapeutic relationship in peds? -
correct answer abused/neglected
terminal illness
substance use disorders
chronic illnesses
challenging/argumentative teens
noncompliant families/patients
children of mentally ill parents (BPD, Bipolar, depression, anxiety)
What are some examples of what a non-therapeutic relationship would look like? - correct
answer - excessive distance
- over-involvement
- enmeshment
What are some ways in which a nurse can practice family centered care? - correct answer -
involve families in medical rounds, shift change reports, and care plans
- adapt schedules around family as much as possible
- reduce stimuli (noise and light at night)
- provide program info to breastfeeding moms about free/affordable food
- help fam eat food from home
- create fam space in hospital room and facilities
- signs to knock on door
What are some of the benefits of providing family centered care? - correct answer - better
fam/patient learning
- decreases fam/patient stress
- increases medical treatment adherence
Questions and Correct answers
What are some differences in nursing care for pediatric patients in comparison to adult
patients? - correct answer Assess for:
- developmental milestones
- physical maturation: motor skills, growth, body system maturation, puberty (Tanner scale),
immunizations
- cognitive maturation: includes language development and learningWhat
What did Erikson study? - correct answer psychosocial development
What did Piaget study? - correct answer cognitive development in children
- He believed that children constructed their understanding of the world as they grow.
What did Freud study? - correct answer psychosexual development
- believed libido (sexual energy) is the driving force of behaviors (sexual impulse)
What did Kohlberg study? - correct answer moral development
What are the core concepts of the family centered care model? - correct answer - dignity and
respect for patient and fam
- sharing info with fam
- family should participate in collaborative care planning
What are the core concepts of the relationship based care model? - correct answer - entire
family is the focal point of care
- nurse should work towards building a relationship with the family members
- care is individualized and addresses family concerns
- goal of all staff is to respect, understand, and address the needs and concerns of the fam
- children and families are engaged in care and making decisions about care
- open communication between all members is imperative
- protect the patient's dignity and well-being
what are the core concepts of the pediatric medical home-care coordination model? - correct
answer - reach out proactively
,- care during transitions needs to be comprehensive (child transitioning to palliative care needs
pain relief, medical treatment, and holistic care)
- care coordination
- referrals to community services to aid in non-medical care (social services if neither parent is
employed)
- specialized healthcare needs will required leadership and management (nurse can aid by
ensuring the patient is set with specialty care appointments and transportation means. all
aspects/barriers must be addressed)
What makes the National Children's study a unique data source? - correct answer the
participants of these studies are followed up with from birth through 21 y/o and assessed for
the effect of environmental factors on health and development
What is a nuclear family? - correct answer a couple (male and female) and their dependent
children not living with grandparents, regarded as a basic social unit
What is a non-nuclear family? - correct answer anything deviating from "traditional" family
structure including multi-generation households, LGBTQIA+ parents, blended families, or
remarried spouse of deceased partner
What are the 6 standards of practice? - correct answer 1. Assessment
2. Diagnosis
3. Outcomes Identification
4. Planning
5. Implementation (includes case management and coordination of care, health teaching,
promotion, restoration, maintenance, consultation, treatment, prescriptive authority, and
referral)
6. Evaluation
What are the 11 standards of professional performance? - correct answer 1. quality of practice
2. outcome measurement
3. education
4. communication
5. ethics
6. collaboration
7. research and clinical scholarship
, 8. resource utilization
9. leadership
10. accountability
11. advocacy
What are some situations that can pose challenges for a therapeutic relationship in peds? -
correct answer abused/neglected
terminal illness
substance use disorders
chronic illnesses
challenging/argumentative teens
noncompliant families/patients
children of mentally ill parents (BPD, Bipolar, depression, anxiety)
What are some examples of what a non-therapeutic relationship would look like? - correct
answer - excessive distance
- over-involvement
- enmeshment
What are some ways in which a nurse can practice family centered care? - correct answer -
involve families in medical rounds, shift change reports, and care plans
- adapt schedules around family as much as possible
- reduce stimuli (noise and light at night)
- provide program info to breastfeeding moms about free/affordable food
- help fam eat food from home
- create fam space in hospital room and facilities
- signs to knock on door
What are some of the benefits of providing family centered care? - correct answer - better
fam/patient learning
- decreases fam/patient stress
- increases medical treatment adherence
