,
,Chapter 1 Issues and Trends in Pediatric Nursing
Multiple Choice
Identifythechoicethatbestcompletesthestatementoranswersthequestion.
1. Thenursehasprovidedapresentationtomiddleschoolchildrenaboutnursingasacareer.Oneofthechildr
enstatedthathewantedtobeapediatricnurse,becausehewantstotakecareofbabiesandlittle“kids.”What
wouldbeanappropriateresponsetothismiddleschool–agedchild?
1. “Nursingisageneralpractice;allnursesmustknowhowtotakecareofallagesofpatients.”
2. “Asapediatricnurse,youwouldgettocareforbabiesandlittlekidsaswellaschildrent
hroughtheirteenageyears.”
3. “Whatyouaredescribingisactuallyaneonatalnurse.Neonatalnursesworkwithnewbo
rnbabies,toddlers,andpreschool-agechildren.”
4. “Beingapediatricnurserequiresamaster’sdegree,sobesuretoworkhardinschool!”
2. Themedical-
surgicalfloatnurseisassignedtothepediatricunitforthefirsttimeandstatesthattheskillsare“thesamea
sgeneralnursingsincechildrenarelittleadultswithsmallerbodies.”Whatcomponentofpediatricnursi
ngcontraindicatesthisstatement?
1. Pediatricnursinginvolvescarebasedonthedevelopmentallevelofthepatient.
2. Pediatricnursinginvolvesthepatient’sfamilyintheplanofcare.
3. Pediatricnursinginbasedonpreventionofinfectiousdiseases.
4. Pediatricnursinginvolvesculturalsensitivityinpatientcare.
3. TheculturallysensitivepediatricnurseisawareoftheracialmakeupoftheU.S.population.Whichofthef
ollowingreflectsthedemographicsoftheU.S.pediatricpopulationin2018,basedonU.S.CensusBurea
udata?
1. TheAmericanIndianandAlaskaNativepopulationrepresentone-
fifthofthepediatricpopulation.
2. AbouthalfofthechildrenfallinthecategoryofsomethingotherthanWhitenon-
Hispanic.
3. ThepopulationofAsianchildrendecreasedfrom2015to2018.
4. TherewasnochangeinthepopulationofNon-
Hispanicchildrenwhorepresenttwoormoreracesbetween2015and2018.
4. Thenurseatafamilyclinicisprovidingcaretoanadolescentpatientdiagnosedwithdiabetes.Thepatientha
sverbalizeddiscomfortwiththefeelingsofisolationwhenunabletodrinkalcoholwiththeirfriends.Which
ofthefollowingwouldbethemostappropriateresponsetothisstatement?
1. “Drinkingalcoholisnotonlyillegalbutdangerousforyourbloodsugarcontrolandove
rallwell-being.”
2. “Youcanstilldrinkalcohol,inmoderation,ifyoucontrolthesugarspikewithmorein
sulin.”
3. “Prepareforalcoholintakewithmorewaterandlesscarbohydratesbeforedrinkingtoslo
wsugarspikes.”
4. “Itisunderstandablethatyouwanttobeincluded,butperhapswecanworkoutaplanonh
owtoworkthroughthosesituations.”
, 5. Whichstatementbestdescribesthecommoncoreconceptsofthedifferentmodelsofpediatricnursing
?
1. Allmodelsfocusontheopencommunicationbetweenthechildandnurse.
2. Allmodelsfocusonimportanceoffamilyrelationshiptothechild.
3. Allmodelsfocusonsafeguardingthechild’sdignityduringcare.
4. Allmodelsfocusoncoordinationofcareneedsthatariseduringillness.
6. Whichofthefollowingtasksisassociatedwiththepediatricmedicalhomecaremodelofpediatricnursing?
1. Thenurserefersthefamilytoachildhoodcancersupportgrouppriortodischargefromthe
hospital.
2. Thenurseincludesasimpleexplanationoftheproceduretothechildbasedonthechild’sd
evelopmentallevel.
3. Thenurseincludesthefamily’sculturalcelebrationsandobservationswhileprovi
dingcaretothechild.
4. Thenursedevelopstheplanofcarewiththechildandfamilyasthefocalpointoftheinterv
entions.
7. Thepediatricnursebeginsaresearchprojecton8-year-
oldpatientswiththemedicaldiagnosisofpediatricacute-
onsetneuropsychiatricsyndrome(PANS).Thefamilyhasconsentedtotheresearch,butasthenursebegi
nstoadministertheintervention,thepatientrefusestocooperate.Whatistheappropriateresponsetothisr
efusal?
1. Thenurseshoulddiscusswiththefamilytheoptionsofperformingtheinterv
entionwithoutthechild’sknowledge.
2. Thenurseshouldexplaintothechildthatthisisnecessaryandpromisearewardattheendof
theresearchproject.
3. Thenurseshouldrefusetoperformtheinterventionuntilthechildconsentstotheinterve
ntionandproject.
4. Thenurseshoulddiscusstheprosandconsoftheresearchprojectwiththechildandfocu
sontheoutcomes.
8. Anurseisprovidingrelationship-
basedcaretoapediatricpatient.Whichofthefollowingisachallengethenurseislikelytoencounterwh
ileusingthismodelofcare?
1. Maintainingasterilefieldforaprocedurewitharestlesstoddler
2. Communicatingwiththeblendedfamilyonregularbasis
3. Treatingchildrenwithantibiotic-resistantillnesses
4. Caringforalargernumberofchildrenwithautismspectrumdisordersandchildh
ooddepression
9. Thepediatricnursedesirestoexpandhisorhercareeroptionstobecomethehospital’snurseeducatorof
pediatrics.Whichofthefollowingisnecessaryforthisnursetoachievethiscareergoal?
1. Thenurseisrecommendedtoearnaminimumofamaster’sdegreeinnursing.
2. Thenursemustearnaminimumofadoctoratedegreeinnursing.
3. Thenursemustimplementanddevelopresearchinnursingpractice.
4. Thenursemustimplementaplantoobtaincertificationinpediatrics.
,Chapter 1 Issues and Trends in Pediatric Nursing
Multiple Choice
Identifythechoicethatbestcompletesthestatementoranswersthequestion.
1. Thenursehasprovidedapresentationtomiddleschoolchildrenaboutnursingasacareer.Oneofthechildr
enstatedthathewantedtobeapediatricnurse,becausehewantstotakecareofbabiesandlittle“kids.”What
wouldbeanappropriateresponsetothismiddleschool–agedchild?
1. “Nursingisageneralpractice;allnursesmustknowhowtotakecareofallagesofpatients.”
2. “Asapediatricnurse,youwouldgettocareforbabiesandlittlekidsaswellaschildrent
hroughtheirteenageyears.”
3. “Whatyouaredescribingisactuallyaneonatalnurse.Neonatalnursesworkwithnewbo
rnbabies,toddlers,andpreschool-agechildren.”
4. “Beingapediatricnurserequiresamaster’sdegree,sobesuretoworkhardinschool!”
2. Themedical-
surgicalfloatnurseisassignedtothepediatricunitforthefirsttimeandstatesthattheskillsare“thesamea
sgeneralnursingsincechildrenarelittleadultswithsmallerbodies.”Whatcomponentofpediatricnursi
ngcontraindicatesthisstatement?
1. Pediatricnursinginvolvescarebasedonthedevelopmentallevelofthepatient.
2. Pediatricnursinginvolvesthepatient’sfamilyintheplanofcare.
3. Pediatricnursinginbasedonpreventionofinfectiousdiseases.
4. Pediatricnursinginvolvesculturalsensitivityinpatientcare.
3. TheculturallysensitivepediatricnurseisawareoftheracialmakeupoftheU.S.population.Whichofthef
ollowingreflectsthedemographicsoftheU.S.pediatricpopulationin2018,basedonU.S.CensusBurea
udata?
1. TheAmericanIndianandAlaskaNativepopulationrepresentone-
fifthofthepediatricpopulation.
2. AbouthalfofthechildrenfallinthecategoryofsomethingotherthanWhitenon-
Hispanic.
3. ThepopulationofAsianchildrendecreasedfrom2015to2018.
4. TherewasnochangeinthepopulationofNon-
Hispanicchildrenwhorepresenttwoormoreracesbetween2015and2018.
4. Thenurseatafamilyclinicisprovidingcaretoanadolescentpatientdiagnosedwithdiabetes.Thepatientha
sverbalizeddiscomfortwiththefeelingsofisolationwhenunabletodrinkalcoholwiththeirfriends.Which
ofthefollowingwouldbethemostappropriateresponsetothisstatement?
1. “Drinkingalcoholisnotonlyillegalbutdangerousforyourbloodsugarcontrolandove
rallwell-being.”
2. “Youcanstilldrinkalcohol,inmoderation,ifyoucontrolthesugarspikewithmorein
sulin.”
3. “Prepareforalcoholintakewithmorewaterandlesscarbohydratesbeforedrinkingtoslo
wsugarspikes.”
4. “Itisunderstandablethatyouwanttobeincluded,butperhapswecanworkoutaplanonh
owtoworkthroughthosesituations.”
, 5. Whichstatementbestdescribesthecommoncoreconceptsofthedifferentmodelsofpediatricnursing
?
1. Allmodelsfocusontheopencommunicationbetweenthechildandnurse.
2. Allmodelsfocusonimportanceoffamilyrelationshiptothechild.
3. Allmodelsfocusonsafeguardingthechild’sdignityduringcare.
4. Allmodelsfocusoncoordinationofcareneedsthatariseduringillness.
6. Whichofthefollowingtasksisassociatedwiththepediatricmedicalhomecaremodelofpediatricnursing?
1. Thenurserefersthefamilytoachildhoodcancersupportgrouppriortodischargefromthe
hospital.
2. Thenurseincludesasimpleexplanationoftheproceduretothechildbasedonthechild’sd
evelopmentallevel.
3. Thenurseincludesthefamily’sculturalcelebrationsandobservationswhileprovi
dingcaretothechild.
4. Thenursedevelopstheplanofcarewiththechildandfamilyasthefocalpointoftheinterv
entions.
7. Thepediatricnursebeginsaresearchprojecton8-year-
oldpatientswiththemedicaldiagnosisofpediatricacute-
onsetneuropsychiatricsyndrome(PANS).Thefamilyhasconsentedtotheresearch,butasthenursebegi
nstoadministertheintervention,thepatientrefusestocooperate.Whatistheappropriateresponsetothisr
efusal?
1. Thenurseshoulddiscusswiththefamilytheoptionsofperformingtheinterv
entionwithoutthechild’sknowledge.
2. Thenurseshouldexplaintothechildthatthisisnecessaryandpromisearewardattheendof
theresearchproject.
3. Thenurseshouldrefusetoperformtheinterventionuntilthechildconsentstotheinterve
ntionandproject.
4. Thenurseshoulddiscusstheprosandconsoftheresearchprojectwiththechildandfocu
sontheoutcomes.
8. Anurseisprovidingrelationship-
basedcaretoapediatricpatient.Whichofthefollowingisachallengethenurseislikelytoencounterwh
ileusingthismodelofcare?
1. Maintainingasterilefieldforaprocedurewitharestlesstoddler
2. Communicatingwiththeblendedfamilyonregularbasis
3. Treatingchildrenwithantibiotic-resistantillnesses
4. Caringforalargernumberofchildrenwithautismspectrumdisordersandchildh
ooddepression
9. Thepediatricnursedesirestoexpandhisorhercareeroptionstobecomethehospital’snurseeducatorof
pediatrics.Whichofthefollowingisnecessaryforthisnursetoachievethiscareergoal?
1. Thenurseisrecommendedtoearnaminimumofamaster’sdegreeinnursing.
2. Thenursemustearnaminimumofadoctoratedegreeinnursing.
3. Thenursemustimplementanddevelopresearchinnursingpractice.
4. Thenursemustimplementaplantoobtaincertificationinpediatrics.
