,Principles of Pediatric Nursing: Caring for Children, 7e (Ball et al.)
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Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
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1) Which nursing role is not directly involved when providing family-
xt xt xt xt xt xt xt xt xt
centered approach to the pediatric population?
xt xt xt xt xt
1. Advocacy
2. Case management xt
3. Patient education xt
4. Researcher
Answer: 4 x t
Explanation: 1. A researcher is not involved in the family-
x t xt xt xt xt xt xt xt xt
centered approach to patient care of children and their families. Advocacy, case management, an
xt xt xt xt xt xt xt xt xt xt xt xt xt
d patient education are all roles directly involved in the care of children and their families.
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
2. A researcher is not involved in the family-
xt xt xt xt xt xt xt
centered approach to patient care of children and their families. Advocacy, case management, a
xt xt xt xt xt xt xt xt xt xt xt xt xt
nd patient education are all roles directly involved in the care of children and their families.
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
3. A researcher is not involved in the family-
xt xt xt xt xt xt xt
centered approach to patient care of children and their families. Advocacy, case management, a
xt xt xt xt xt xt xt xt xt xt xt xt xt
nd patient education are all roles directly involved in the care of children and their families.
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
4. A researcher is not involved in the family-
xt xt xt xt xt xt xt
centered approach to patient care of children and their families. Advocacy, case management, a
xt xt xt xt xt xt xt xt xt xt xt xt xt
nd patient education are all roles directly involved in the care of children and their families.
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
Page Ref: 4 xt xt
Cognitive Level: Analyzing xt x t
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standard
xt xt x t xt xt xt xt xt xt xt xt
s: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
x t xt xt xt xt xt xt xt
Essential II: Basic organizational and systems leadership for quality care and patient safety | NL
xt xt xt xt xt xt xt xt xt xt xt xt xt xt
N Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Assess
xt xt xt xt xt xt xt xt xt
ment/Coordination of care xt xt
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
xt x t xt xt xt xt xt xt xt xt xt xt
MNL LO: Family-centered care
xt x t xt
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
federal guidelines are in place that delineate which pediatrics clients must give assent for pa
xt xt xt xt xt xt xt xt xt xt xt xt xt xt
rticipation in research trials. Based upon the client's age, the nurse would seek assent from w
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
hich children? xt
Select all that apply. xt xt xt
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
xt xt xt xt xt xt xt xt xt
2. The 7-year- xt
old leukemia client electing to receive a newly developed medication, now being researched.
xt xt xt xt xt xt xt xt xt xt xt xt
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
xt xt xt xt xt xt xt xt xt xt xt
4. The 13-year- xt
old client commencing participation in a research program for Attention Deficit Hyperactivity
xt xt xt xt xt xt xt xt xt xt xt xt
Disorder (ADHD) treatments. xt xt
Answer: 2, 3, 4 x t xt xt
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
x t xt xt xt xt xt xt xt xt xt xt xt xt
receive developmentally appropriate information about healthcare procedures and treatments and
xt xt xt xt xt xt xt xt xt xt
give assent.
xt xt
2. Federal guidelines mandate that research participants 7 years old and older must receive de
xt xt xt xt xt xt xt xt xt xt xt xt xt
velopmentally appropriate information about healthcare procedures and treatments and give as
xt xt xt xt xt xt xt xt xt xt
sent.
3. Federal guidelines mandate that research participants 7 years old and older must receive de
xt xt xt xt xt xt xt xt xt xt xt xt xt
velopmentally appropriate information about healthcare procedures and treatments and give as
xt xt xt xt xt xt xt xt xt xt
sent.
4. Federal guidelines mandate that research participants 7 years old and older must receive de
xt xt xt xt xt xt xt xt xt xt xt xt xt
velopmentally appropriate information about healthcare procedures and treatments and give as
xt xt xt xt xt xt xt xt xt xt
sent.
Page Ref: 11, 12xt xt xt
Cognitive Level: Applying xt x t
Client Need &Sub: Psychosocial Integrity
xt xt x t xt
Standards: QSEN Competencies: Patient- x t xt xt
centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and reg
xt xt xt xt xt xt xt xt xt xt xt xt
ulatory environments | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts:
xt xt xt xt xt xt xt xt xt xt
Nursing Process: Planning/Coordination of care
xt xt xt xt
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric nursi
xt x t xt xt xt xt xt xt xt xt xt xt xt xt
ng practice.
xt
MNL LO: Developmentally appropriate care
xt x t xt xt
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
appropriate for the nurse to complete? xt xt xt xt xt
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
xt xt xt xt xt xt xt xt xt xt
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt x
recovery.
t
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local support-
xt xt xt xt xt xt xt xt xt xt xt xt xt
xtgroup options. xt
4. Diagnose a 6-year- xt xt
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
xt xt xt xt xt xt xt xt xt xt x t
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing
x t xt xt xt xt xt xt xt xt xt xt xt
xtnursing care interventions, and educating client and family at developmentally appropriate leve
xt xt xt xt xt xt xt xt xt xt xt
ls; client advocacy, case management, minimization of distress, and enhancement of coping. Adv
xt xt xt xt xt xt xt xt xt xt xt xt
anced practice nurse practitioners perform assessment, diagnosis, and management of health con
xt xt xt xt xt xt xt xt xt xt xt
ditions.
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
xt xt xt xt xt xt xt xt xt xt xt xt xt
interventions, and educating client and family at developmentally appropriate levels; client ad
xt xt xt xt xt xt xt xt xt xt xt
vocacy, case management, minimization of distress, and enhancement of coping. Advanced pr
xt xt xt xt xt xt xt xt xt xt xt
actice nurse practitioners perform assessment, diagnosis, and management of health conditions
xt xt xt xt xt xt xt xt xt xt
.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
xt xt xt xt xt xt xt xt xt xt xt xt xt
interventions, and educating client and family at developmentally appropriate levels; client ad
xt xt xt xt xt xt xt xt xt xt xt
vocacy, case management, minimization of distress, and enhancement of coping. Advanced pr
xt xt xt xt xt xt xt xt xt xt xt
actice nurse practitioners perform assessment, diagnosis, and management of health conditions
xt xt xt xt xt xt xt xt xt xt
.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
xt xt xt xt xt xt xt xt xt xt xt xt xt
interventions, and educating client and family at developmentally appropriate levels; client ad
xt xt xt xt xt xt xt xt xt xt xt
vocacy, case management, minimization of distress, and enhancement of coping. Advanced pr
xt xt xt xt xt xt xt xt xt xt xt
actice nurse practitioners perform assessment, diagnosis, and management of health conditions
xt xt xt xt xt xt xt xt xt xt
.
Page Ref: 2-4 xt xt
Cognitive Level: Applying xt x t
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standard
xt xt x t xt xt xt xt xt xt xt xt
s: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
x t xt xt xt xt xt xt xt
Essential II: Basic organizational and systems leadership for quality care and patient safety | NL
xt xt xt xt xt xt xt xt xt xt xt xt xt xt
N Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Implem
xt xt xt xt xt xt xt xt xt
entation/Coordination of care xt xt
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
xt x t xt xt xt xt xt xt xt xt xt xt
MNL LO: Pediatric nursing care
xt x t xt xt
xt xt xt xt xt xt xt xt xt xt
Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
xt xtxt xt xt xt xt xt xt xt xt xt xt
1) Which nursing role is not directly involved when providing family-
xt xt xt xt xt xt xt xt xt
centered approach to the pediatric population?
xt xt xt xt xt
1. Advocacy
2. Case management xt
3. Patient education xt
4. Researcher
Answer: 4 x t
Explanation: 1. A researcher is not involved in the family-
x t xt xt xt xt xt xt xt xt
centered approach to patient care of children and their families. Advocacy, case management, an
xt xt xt xt xt xt xt xt xt xt xt xt xt
d patient education are all roles directly involved in the care of children and their families.
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
2. A researcher is not involved in the family-
xt xt xt xt xt xt xt
centered approach to patient care of children and their families. Advocacy, case management, a
xt xt xt xt xt xt xt xt xt xt xt xt xt
nd patient education are all roles directly involved in the care of children and their families.
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
3. A researcher is not involved in the family-
xt xt xt xt xt xt xt
centered approach to patient care of children and their families. Advocacy, case management, a
xt xt xt xt xt xt xt xt xt xt xt xt xt
nd patient education are all roles directly involved in the care of children and their families.
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
4. A researcher is not involved in the family-
xt xt xt xt xt xt xt
centered approach to patient care of children and their families. Advocacy, case management, a
xt xt xt xt xt xt xt xt xt xt xt xt xt
nd patient education are all roles directly involved in the care of children and their families.
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
Page Ref: 4 xt xt
Cognitive Level: Analyzing xt x t
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standard
xt xt x t xt xt xt xt xt xt xt xt
s: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
x t xt xt xt xt xt xt xt
Essential II: Basic organizational and systems leadership for quality care and patient safety | NL
xt xt xt xt xt xt xt xt xt xt xt xt xt xt
N Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Assess
xt xt xt xt xt xt xt xt xt
ment/Coordination of care xt xt
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
xt x t xt xt xt xt xt xt xt xt xt xt
MNL LO: Family-centered care
xt x t xt
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
federal guidelines are in place that delineate which pediatrics clients must give assent for pa
xt xt xt xt xt xt xt xt xt xt xt xt xt xt
rticipation in research trials. Based upon the client's age, the nurse would seek assent from w
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
hich children? xt
Select all that apply. xt xt xt
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
xt xt xt xt xt xt xt xt xt
2. The 7-year- xt
old leukemia client electing to receive a newly developed medication, now being researched.
xt xt xt xt xt xt xt xt xt xt xt xt
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
xt xt xt xt xt xt xt xt xt xt xt
4. The 13-year- xt
old client commencing participation in a research program for Attention Deficit Hyperactivity
xt xt xt xt xt xt xt xt xt xt xt xt
Disorder (ADHD) treatments. xt xt
Answer: 2, 3, 4 x t xt xt
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
x t xt xt xt xt xt xt xt xt xt xt xt xt
receive developmentally appropriate information about healthcare procedures and treatments and
xt xt xt xt xt xt xt xt xt xt
give assent.
xt xt
2. Federal guidelines mandate that research participants 7 years old and older must receive de
xt xt xt xt xt xt xt xt xt xt xt xt xt
velopmentally appropriate information about healthcare procedures and treatments and give as
xt xt xt xt xt xt xt xt xt xt
sent.
3. Federal guidelines mandate that research participants 7 years old and older must receive de
xt xt xt xt xt xt xt xt xt xt xt xt xt
velopmentally appropriate information about healthcare procedures and treatments and give as
xt xt xt xt xt xt xt xt xt xt
sent.
4. Federal guidelines mandate that research participants 7 years old and older must receive de
xt xt xt xt xt xt xt xt xt xt xt xt xt
velopmentally appropriate information about healthcare procedures and treatments and give as
xt xt xt xt xt xt xt xt xt xt
sent.
Page Ref: 11, 12xt xt xt
Cognitive Level: Applying xt x t
Client Need &Sub: Psychosocial Integrity
xt xt x t xt
Standards: QSEN Competencies: Patient- x t xt xt
centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and reg
xt xt xt xt xt xt xt xt xt xt xt xt
ulatory environments | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts:
xt xt xt xt xt xt xt xt xt xt
Nursing Process: Planning/Coordination of care
xt xt xt xt
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric nursi
xt x t xt xt xt xt xt xt xt xt xt xt xt xt
ng practice.
xt
MNL LO: Developmentally appropriate care
xt x t xt xt
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt
appropriate for the nurse to complete? xt xt xt xt xt
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
xt xt xt xt xt xt xt xt xt xt
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
xt xt xt xt xt xt xt xt xt xt xt xt xt xt xt x
recovery.
t
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local support-
xt xt xt xt xt xt xt xt xt xt xt xt xt
xtgroup options. xt
4. Diagnose a 6-year- xt xt
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
xt xt xt xt xt xt xt xt xt xt x t
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing
x t xt xt xt xt xt xt xt xt xt xt xt
xtnursing care interventions, and educating client and family at developmentally appropriate leve
xt xt xt xt xt xt xt xt xt xt xt
ls; client advocacy, case management, minimization of distress, and enhancement of coping. Adv
xt xt xt xt xt xt xt xt xt xt xt xt
anced practice nurse practitioners perform assessment, diagnosis, and management of health con
xt xt xt xt xt xt xt xt xt xt xt
ditions.
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
xt xt xt xt xt xt xt xt xt xt xt xt xt
interventions, and educating client and family at developmentally appropriate levels; client ad
xt xt xt xt xt xt xt xt xt xt xt
vocacy, case management, minimization of distress, and enhancement of coping. Advanced pr
xt xt xt xt xt xt xt xt xt xt xt
actice nurse practitioners perform assessment, diagnosis, and management of health conditions
xt xt xt xt xt xt xt xt xt xt
.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
xt xt xt xt xt xt xt xt xt xt xt xt xt
interventions, and educating client and family at developmentally appropriate levels; client ad
xt xt xt xt xt xt xt xt xt xt xt
vocacy, case management, minimization of distress, and enhancement of coping. Advanced pr
xt xt xt xt xt xt xt xt xt xt xt
actice nurse practitioners perform assessment, diagnosis, and management of health conditions
xt xt xt xt xt xt xt xt xt xt
.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
xt xt xt xt xt xt xt xt xt xt xt xt xt
interventions, and educating client and family at developmentally appropriate levels; client ad
xt xt xt xt xt xt xt xt xt xt xt
vocacy, case management, minimization of distress, and enhancement of coping. Advanced pr
xt xt xt xt xt xt xt xt xt xt xt
actice nurse practitioners perform assessment, diagnosis, and management of health conditions
xt xt xt xt xt xt xt xt xt xt
.
Page Ref: 2-4 xt xt
Cognitive Level: Applying xt x t
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standard
xt xt x t xt xt xt xt xt xt xt xt
s: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
x t xt xt xt xt xt xt xt
Essential II: Basic organizational and systems leadership for quality care and patient safety | NL
xt xt xt xt xt xt xt xt xt xt xt xt xt xt
N Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Implem
xt xt xt xt xt xt xt xt xt
entation/Coordination of care xt xt
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
xt x t xt xt xt xt xt xt xt xt xt xt
MNL LO: Pediatric nursing care
xt x t xt xt
