,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-
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centered approach to the pediatric population?
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1. Advocacy
2. Case management
@
3. Patient education @
4. Researcher
Answer: 4 @
Explanation: 1. A researcher is not involved in the family-
@ @ @ @ @ @ @ @ @
centered approach to patient care of children and their families. Advocacy, case management,
@ @ @ @ @ @ @ @ @ @ @ @ @
and patient education are all roles directly involved in the care of children and their families.
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
2. A researcher is not involved in the family-
@ @ @ @ @ @ @
centered approach to patient care of children and their families. Advocacy, case management,
@ @ @ @ @ @ @ @ @ @ @ @ @
and patient education are all roles directly involved in the care of children and their families.
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
3. A researcher is not involved in the family-
@ @ @ @ @ @ @
centered approach to patient care of children and their families. Advocacy, case management,
@ @ @ @ @ @ @ @ @ @ @ @ @
and patient education are all roles directly involved in the care of children and their families.
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
4. A researcher is not involved in the family-
@ @ @ @ @ @ @
centered approach to patient care of children and their families. Advocacy, case management,
@ @ @ @ @ @ @ @ @ @ @ @ @
and patient education are all roles directly involved in the care of children and their families.
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Page Ref: 4
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Cognitive Level: Analyzing
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Client Need &Sub: Safe and Effective Care Environment: Management of Care Standar
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ds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
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Essential II: Basic organizational and systems leadership for quality care and patient safety | N
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LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Asse
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ssment/Coordination of care @ @
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
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MNL LO: Family-centered care
@ @ @
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes tha
@ @ @ @ @ @ @ @ @ @ @ @ @ @
t federal guidelines are in place that delineate which pediatrics clients must give assent for
@ @ @ @ @ @ @ @ @ @ @ @ @ @
@participation in research trials. Based upon the client's age, the nurse would seek assent fr
@ @ @ @ @ @ @ @ @ @ @ @ @ @
om which children?
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Select all that apply.
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1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
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2. The 7-year- @
old leukemia client electing to receive a newly developed medication, now being researched.
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3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
@ @ @ @ @ @ @ @ @ @ @
4. The 13-year- @
old client commencing participation in a research program for Attention Deficit Hyperactivit
@ @ @ @ @ @ @ @ @ @ @
y Disorder (ADHD) treatments.
@ @ @
Answer: 2, 3, 4 @ @ @
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older mu
@ @ @ @ @ @ @ @ @ @ @ @ @
st receive developmentally appropriate information about healthcare procedures and treatments
@ @ @ @ @ @ @ @ @ @
and give assent.
@ @
2. Federal guidelines mandate that research participants 7 years old and older must receive
@ @ @ @ @ @ @ @ @ @ @ @ @
developmentally appropriate information about healthcare procedures and treatments and giv
@ @ @ @ @ @ @ @ @
e assent.
@
3. Federal guidelines mandate that research participants 7 years old and older must receive
@ @ @ @ @ @ @ @ @ @ @ @ @
developmentally appropriate information about healthcare procedures and treatments and giv
@ @ @ @ @ @ @ @ @
e assent.
@
4. Federal guidelines mandate that research participants 7 years old and older must receive
@ @ @ @ @ @ @ @ @ @ @ @ @
developmentally appropriate information about healthcare procedures and treatments and giv
@ @ @ @ @ @ @ @ @
e assent.
@
Page Ref: 11, 12
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Cognitive Level: Applying @ @
Client Need &Sub: Psychosocial Integrity
@ @ @ @
Standards: QSEN Competencies: Patient-
@ @ @
centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and re
@ @ @ @ @ @ @ @ @ @ @ @
gulatory environments | NLN Competencies: Nursing judgement | Nursing/Integrated Concept
@ @ @ @ @ @ @ @ @
s: Nursing Process: Planning/Coordination of care
@ @ @ @ @
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric nur
@ @ @ @ @ @ @ @ @ @ @ @ @ @
sing practice.
@
MNL LO: Developmentally appropriate care
@ @ @ @
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
appropriate for the nurse to complete?
@ @ @ @ @
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
@ @ @ @ @ @ @ @ @ @
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgic
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
al recovery.
@
3. Provide information to a mother of a newly diagnosed 4-year-
@ @ @ @ @ @ @ @ @
old diabetic about local support- group options.
@ @ @ @ @ @
4. Diagnose a 6-year- @ @
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
@ @ @ @ @ @ @ @ @ @ @
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directin
@ @ @ @ @ @ @ @ @ @ @ @
g nursing care interventions, and educating client and family at developmentally appropriate le
@ @ @ @ @ @ @ @ @ @ @ @
vels; client advocacy, case management, minimization of distress, and enhancement of coping.
@ @ @ @ @ @ @ @ @ @ @ @
Advanced practice nurse practitioners perform assessment, diagnosis, and management of healt
@ @ @ @ @ @ @ @ @ @
h conditions.
@
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
@ @ @ @ @ @ @ @ @ @ @ @
re interventions, and educating client and family at developmentally appropriate levels; clien
@ @ @ @ @ @ @ @ @ @ @
t advocacy, case management, minimization of distress, and enhancement of coping. Advanc
@ @ @ @ @ @ @ @ @ @ @
ed practice nurse practitioners perform assessment, diagnosis, and management of health con
@ @ @ @ @ @ @ @ @ @ @
ditions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
@ @ @ @ @ @ @ @ @ @ @ @
re interventions, and educating client and family at developmentally appropriate levels; clien
@ @ @ @ @ @ @ @ @ @ @
t advocacy, case management, minimization of distress, and enhancement of coping. Advanc
@ @ @ @ @ @ @ @ @ @ @
ed practice nurse practitioners perform assessment, diagnosis, and management of health con
@ @ @ @ @ @ @ @ @ @ @
ditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
@ @ @ @ @ @ @ @ @ @ @ @
re interventions, and educating client and family at developmentally appropriate levels; clien
@ @ @ @ @ @ @ @ @ @ @
t advocacy, case management, minimization of distress, and enhancement of coping. Advanc
@ @ @ @ @ @ @ @ @ @ @
ed practice nurse practitioners perform assessment, diagnosis, and management of health con
@ @ @ @ @ @ @ @ @ @ @
ditions.
Page Ref: 2-4@ @
Cognitive Level: Applying @ @
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standar
@ @ @ @ @ @ @ @ @ @ @
ds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
@ @ @ @ @ @ @ @
Essential II: Basic organizational and systems leadership for quality care and patient safety | N
@ @ @ @ @ @ @ @ @ @ @ @ @ @
LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Impl
@ @ @ @ @ @ @ @ @
ementation/Coordination of care @ @
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
@ @ @ @ @ @ @ @ @ @ @ @
MNL LO: Pediatric nursing care
@ @ @ @
@ @ @ @ @ @ @ @ @ @
Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
@ @@ @ @ @ @ @ @ @ @ @ @
1) Which nursing role is not directly involved when providing family-
@ @ @ @ @ @ @ @ @
centered approach to the pediatric population?
@ @ @ @ @
1. Advocacy
2. Case management
@
3. Patient education @
4. Researcher
Answer: 4 @
Explanation: 1. A researcher is not involved in the family-
@ @ @ @ @ @ @ @ @
centered approach to patient care of children and their families. Advocacy, case management,
@ @ @ @ @ @ @ @ @ @ @ @ @
and patient education are all roles directly involved in the care of children and their families.
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
2. A researcher is not involved in the family-
@ @ @ @ @ @ @
centered approach to patient care of children and their families. Advocacy, case management,
@ @ @ @ @ @ @ @ @ @ @ @ @
and patient education are all roles directly involved in the care of children and their families.
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
3. A researcher is not involved in the family-
@ @ @ @ @ @ @
centered approach to patient care of children and their families. Advocacy, case management,
@ @ @ @ @ @ @ @ @ @ @ @ @
and patient education are all roles directly involved in the care of children and their families.
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
4. A researcher is not involved in the family-
@ @ @ @ @ @ @
centered approach to patient care of children and their families. Advocacy, case management,
@ @ @ @ @ @ @ @ @ @ @ @ @
and patient education are all roles directly involved in the care of children and their families.
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Page Ref: 4
@ @
Cognitive Level: Analyzing
@ @
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standar
@ @ @ @ @ @ @ @ @ @ @
ds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
@ @ @ @ @ @ @ @
Essential II: Basic organizational and systems leadership for quality care and patient safety | N
@ @ @ @ @ @ @ @ @ @ @ @ @ @
LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Asse
@ @ @ @ @ @ @ @ @
ssment/Coordination of care @ @
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
@ @ @ @ @ @ @ @ @ @ @ @
MNL LO: Family-centered care
@ @ @
,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes tha
@ @ @ @ @ @ @ @ @ @ @ @ @ @
t federal guidelines are in place that delineate which pediatrics clients must give assent for
@ @ @ @ @ @ @ @ @ @ @ @ @ @
@participation in research trials. Based upon the client's age, the nurse would seek assent fr
@ @ @ @ @ @ @ @ @ @ @ @ @ @
om which children?
@ @
Select all that apply.
@ @ @
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
@ @ @ @ @ @ @ @ @
2. The 7-year- @
old leukemia client electing to receive a newly developed medication, now being researched.
@ @ @ @ @ @ @ @ @ @ @ @
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
@ @ @ @ @ @ @ @ @ @ @
4. The 13-year- @
old client commencing participation in a research program for Attention Deficit Hyperactivit
@ @ @ @ @ @ @ @ @ @ @
y Disorder (ADHD) treatments.
@ @ @
Answer: 2, 3, 4 @ @ @
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older mu
@ @ @ @ @ @ @ @ @ @ @ @ @
st receive developmentally appropriate information about healthcare procedures and treatments
@ @ @ @ @ @ @ @ @ @
and give assent.
@ @
2. Federal guidelines mandate that research participants 7 years old and older must receive
@ @ @ @ @ @ @ @ @ @ @ @ @
developmentally appropriate information about healthcare procedures and treatments and giv
@ @ @ @ @ @ @ @ @
e assent.
@
3. Federal guidelines mandate that research participants 7 years old and older must receive
@ @ @ @ @ @ @ @ @ @ @ @ @
developmentally appropriate information about healthcare procedures and treatments and giv
@ @ @ @ @ @ @ @ @
e assent.
@
4. Federal guidelines mandate that research participants 7 years old and older must receive
@ @ @ @ @ @ @ @ @ @ @ @ @
developmentally appropriate information about healthcare procedures and treatments and giv
@ @ @ @ @ @ @ @ @
e assent.
@
Page Ref: 11, 12
@ @ @
Cognitive Level: Applying @ @
Client Need &Sub: Psychosocial Integrity
@ @ @ @
Standards: QSEN Competencies: Patient-
@ @ @
centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and re
@ @ @ @ @ @ @ @ @ @ @ @
gulatory environments | NLN Competencies: Nursing judgement | Nursing/Integrated Concept
@ @ @ @ @ @ @ @ @
s: Nursing Process: Planning/Coordination of care
@ @ @ @ @
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric nur
@ @ @ @ @ @ @ @ @ @ @ @ @ @
sing practice.
@
MNL LO: Developmentally appropriate care
@ @ @ @
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
appropriate for the nurse to complete?
@ @ @ @ @
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
@ @ @ @ @ @ @ @ @ @
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgic
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
al recovery.
@
3. Provide information to a mother of a newly diagnosed 4-year-
@ @ @ @ @ @ @ @ @
old diabetic about local support- group options.
@ @ @ @ @ @
4. Diagnose a 6-year- @ @
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
@ @ @ @ @ @ @ @ @ @ @
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directin
@ @ @ @ @ @ @ @ @ @ @ @
g nursing care interventions, and educating client and family at developmentally appropriate le
@ @ @ @ @ @ @ @ @ @ @ @
vels; client advocacy, case management, minimization of distress, and enhancement of coping.
@ @ @ @ @ @ @ @ @ @ @ @
Advanced practice nurse practitioners perform assessment, diagnosis, and management of healt
@ @ @ @ @ @ @ @ @ @
h conditions.
@
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
@ @ @ @ @ @ @ @ @ @ @ @
re interventions, and educating client and family at developmentally appropriate levels; clien
@ @ @ @ @ @ @ @ @ @ @
t advocacy, case management, minimization of distress, and enhancement of coping. Advanc
@ @ @ @ @ @ @ @ @ @ @
ed practice nurse practitioners perform assessment, diagnosis, and management of health con
@ @ @ @ @ @ @ @ @ @ @
ditions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
@ @ @ @ @ @ @ @ @ @ @ @
re interventions, and educating client and family at developmentally appropriate levels; clien
@ @ @ @ @ @ @ @ @ @ @
t advocacy, case management, minimization of distress, and enhancement of coping. Advanc
@ @ @ @ @ @ @ @ @ @ @
ed practice nurse practitioners perform assessment, diagnosis, and management of health con
@ @ @ @ @ @ @ @ @ @ @
ditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing ca
@ @ @ @ @ @ @ @ @ @ @ @
re interventions, and educating client and family at developmentally appropriate levels; clien
@ @ @ @ @ @ @ @ @ @ @
t advocacy, case management, minimization of distress, and enhancement of coping. Advanc
@ @ @ @ @ @ @ @ @ @ @
ed practice nurse practitioners perform assessment, diagnosis, and management of health con
@ @ @ @ @ @ @ @ @ @ @
ditions.
Page Ref: 2-4@ @
Cognitive Level: Applying @ @
Client Need &Sub: Safe and Effective Care Environment: Management of Care Standar
@ @ @ @ @ @ @ @ @ @ @
ds: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
@ @ @ @ @ @ @ @
Essential II: Basic organizational and systems leadership for quality care and patient safety | N
@ @ @ @ @ @ @ @ @ @ @ @ @ @
LN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Impl
@ @ @ @ @ @ @ @ @
ementation/Coordination of care @ @
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
@ @ @ @ @ @ @ @ @ @ @ @
MNL LO: Pediatric nursing care
@ @ @ @