Essentials of Pediatric Nursing
Origin: Chapter 1, 1
The nurse providing family-centered care in a hospital setting reflects on the focus of
the health care provided in today's society. Which statement best describes the
current definition of health?
A) Health is described as 'an absence of disease.'
B) Health is measured by monitoring mortality and morbidity of a group.
C) Health is a state of complete physical, mental, and social well-being.
D) Technological gains made in health care are shared equally among all children. -
ANS Ans: C
Feedback:
In the past, health was defined simply as the absence of disease; health was
measured by monitoring the mortality and morbidity of a group. Over the past
century, however, the focus of health has shifted to disease prevention, health
promotion, and wellness. The World Health Organization (2013) defines health as "a
state of complete physical, mental, and social well-being, and not merely the
absence of disease or infirmity." The gains in child health have been huge, but,
unfortunately, these gains are not shared equally among all children.
Origin: Chapter 1, 10
The nurse is caring for a 14-year-old girl with multiple health problems. Which of the
following activities would best reflect evidence-based practice by the nurse?
A) Following blood pressure monitoring recommendations
B) Determining how often the vital signs are monitored
C) Using hospital protocol for ordering diagnostic tests
D) Deciding the prescribed medication dose - ANS Ans: A
Feedback:
Using hospital protocol for ordering a diagnostic test, determining how often the vital
signs are monitored, and deciding the medication dose ordered would be the
physician's responsibility. However, following blood pressure monitoring
recommendations would be part of evidence-based practice reflected in the nursing
care delivered.
Origin: Chapter 1, 11
The nurse is caring for a 10-year-old boy with a neuroblastoma. Which activities best
describe the role of the nurse as a care coordinator, collaborator, and consultant?
Select all that apply.
A) Collaborating with the family throughout the care path
B) Advancing the interests of children and their families by knowing their needs
C) Informing children and families of their rights and options
D) Coordinating care provided by the interdisciplinary team
, E) Ensuring that the child's and family's needs are met through activities such as
support groups
F) Providing appropriate client education based on the child's developmental level -
ANS Ans: A, D, E
Feedback:
The pediatric nurse serves as a collaborator, care coordinator, and consultant.
Collaborating with the interdisciplinary health care team, the pediatric nurse
integrates the child's and family's needs into a coordinated plan of care. In the role of
consultant, the pediatric nurse ensures that the child's and family's needs are met
through such activities as support group facilitation or working with the school nurse
to plan the child's care. In the role as a child and family advocate, the nurse
safeguards and advances the interests of children and their families by knowing their
needs and resources, informing them of their rights and options, and assisting them
to make informed decisions. In the role of educator, the nurse instructs and counsels
children and their families about all aspects of health and illness. In this role the
pediatric nurse also ensures that communication with the child and family is based
on the child's age and developmental level.
Origin: Chapter 1, 12
The pediatric nurse operates according to the standards of professional performance
according to the American Nurses Association (ANA) Scope and Standards of
Pediatric Nursing Practice. Which statements accurately reflect these standards?
Select all that apply.
A) The pediatric nurse uses research findings in practice and participates in the
generation of new knowledge.
B) The pediatric nurse plans and delivers safe, effective nursing care regardless of
the cost and its impact on practice.
C) The pediatric nurse acts as an advocate for the hospital staff, physicians, and
other health care team members involved in care of the child.
D) The pediatric nurse's decisions and actions in all areas of practice are determined
in an ethical manner.
E) The pediatric nurse collaborates with the child, family, and physician in providing
care for the child.
F) The health care administrators, not the pediatric - ANS Ans: A, D, E
Feedback:
According to the ANA Scope and Standards of Pediatric Nursing Practice, the
pediatric nurse uses research findings in practice and participates in the generation
of new knowledge; considers factors related to safety, effectiveness, cost in planning
and delivering care, and the impact on practice; and is an advocate for the child and
family. The pediatric nurse's decisions and actions in all areas of practice are
determined in an ethical manner. The pediatric nurse collaborates with the child,
family, and physician in providing care for the child, and systematically improves the
quality and effectiveness of pediatric nursing practice.
Origin: Chapter 1, 1
The nurse providing family-centered care in a hospital setting reflects on the focus of
the health care provided in today's society. Which statement best describes the
current definition of health?
A) Health is described as 'an absence of disease.'
B) Health is measured by monitoring mortality and morbidity of a group.
C) Health is a state of complete physical, mental, and social well-being.
D) Technological gains made in health care are shared equally among all children. -
ANS Ans: C
Feedback:
In the past, health was defined simply as the absence of disease; health was
measured by monitoring the mortality and morbidity of a group. Over the past
century, however, the focus of health has shifted to disease prevention, health
promotion, and wellness. The World Health Organization (2013) defines health as "a
state of complete physical, mental, and social well-being, and not merely the
absence of disease or infirmity." The gains in child health have been huge, but,
unfortunately, these gains are not shared equally among all children.
Origin: Chapter 1, 10
The nurse is caring for a 14-year-old girl with multiple health problems. Which of the
following activities would best reflect evidence-based practice by the nurse?
A) Following blood pressure monitoring recommendations
B) Determining how often the vital signs are monitored
C) Using hospital protocol for ordering diagnostic tests
D) Deciding the prescribed medication dose - ANS Ans: A
Feedback:
Using hospital protocol for ordering a diagnostic test, determining how often the vital
signs are monitored, and deciding the medication dose ordered would be the
physician's responsibility. However, following blood pressure monitoring
recommendations would be part of evidence-based practice reflected in the nursing
care delivered.
Origin: Chapter 1, 11
The nurse is caring for a 10-year-old boy with a neuroblastoma. Which activities best
describe the role of the nurse as a care coordinator, collaborator, and consultant?
Select all that apply.
A) Collaborating with the family throughout the care path
B) Advancing the interests of children and their families by knowing their needs
C) Informing children and families of their rights and options
D) Coordinating care provided by the interdisciplinary team
, E) Ensuring that the child's and family's needs are met through activities such as
support groups
F) Providing appropriate client education based on the child's developmental level -
ANS Ans: A, D, E
Feedback:
The pediatric nurse serves as a collaborator, care coordinator, and consultant.
Collaborating with the interdisciplinary health care team, the pediatric nurse
integrates the child's and family's needs into a coordinated plan of care. In the role of
consultant, the pediatric nurse ensures that the child's and family's needs are met
through such activities as support group facilitation or working with the school nurse
to plan the child's care. In the role as a child and family advocate, the nurse
safeguards and advances the interests of children and their families by knowing their
needs and resources, informing them of their rights and options, and assisting them
to make informed decisions. In the role of educator, the nurse instructs and counsels
children and their families about all aspects of health and illness. In this role the
pediatric nurse also ensures that communication with the child and family is based
on the child's age and developmental level.
Origin: Chapter 1, 12
The pediatric nurse operates according to the standards of professional performance
according to the American Nurses Association (ANA) Scope and Standards of
Pediatric Nursing Practice. Which statements accurately reflect these standards?
Select all that apply.
A) The pediatric nurse uses research findings in practice and participates in the
generation of new knowledge.
B) The pediatric nurse plans and delivers safe, effective nursing care regardless of
the cost and its impact on practice.
C) The pediatric nurse acts as an advocate for the hospital staff, physicians, and
other health care team members involved in care of the child.
D) The pediatric nurse's decisions and actions in all areas of practice are determined
in an ethical manner.
E) The pediatric nurse collaborates with the child, family, and physician in providing
care for the child.
F) The health care administrators, not the pediatric - ANS Ans: A, D, E
Feedback:
According to the ANA Scope and Standards of Pediatric Nursing Practice, the
pediatric nurse uses research findings in practice and participates in the generation
of new knowledge; considers factors related to safety, effectiveness, cost in planning
and delivering care, and the impact on practice; and is an advocate for the child and
family. The pediatric nurse's decisions and actions in all areas of practice are
determined in an ethical manner. The pediatric nurse collaborates with the child,
family, and physician in providing care for the child, and systematically improves the
quality and effectiveness of pediatric nursing practice.
