Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing /
Philosophy of Care
Stem: The pediatric nurse is caring for a 7-year-old admitted for
asthma exacerbation. The child's mother wishes to stay
overnight but is concerned about missing work. Which nursing
action best demonstrates a family-centered care approach?
A. Explain that hospital policy only allows parents to visit during
designated hours.
B. Arrange for a social worker to discuss the mother's work-
related concerns.
C. Provide a comfortable sleeping chair and reassure the
mother that her presence is beneficial for the child's recovery.
D. Suggest the mother go home to rest so the nursing staff can
provide uninterrupted care.
Correct Answer: C
Rationales:
• Correct (C): Family-centered care is a philosophy that
recognizes the family as the constant in a child's life and
encourages their collaboration in care. Providing
accommodations for a parent to stay supports this core
principle (Wong's, 12th ed., Ch. 1: The Art of Pediatric
Nursing).
, • Incorrect (A): This action is rigid and institution-focused,
not family-focused, and ignores the emotional needs of
both the child and parent.
• Incorrect (B): While a social worker may be a helpful
resource, the immediate need is to facilitate the parent's
presence, which is a nursing responsibility.
• Incorrect (D): This action excludes the family and
undermines the therapeutic benefit of parental
involvement in the child's care.
Teaching Point: Family-centered care prioritizes partnering
with and supporting the child's family.
Question 2
Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing /
Role of the Pediatric Nurse
Stem: A school nurse is developing a program to teach third-
grade students proper handwashing techniques to prevent the
spread of influenza. This role is primarily an example of:
A. Coordination and Collaboration
B. Health Teaching
C. Family Advocacy
D. Therapeutic Relationship
Correct Answer: B
Rationales:
• Correct (B): Health teaching is a primary role of the
pediatric nurse, aimed at providing information to
, patients, families, and communities to promote health and
prevent illness (Wong's, 12th ed., Ch. 1: The Art of
Pediatric Nursing).
• Incorrect (A): Coordination involves organizing care among
multiple providers, which is not the focus of this scenario.
• Incorrect (C): Advocacy involves acting on behalf of a child
or family, not direct education.
• Incorrect (D): A therapeutic relationship is built on trust
with a specific patient, not a classroom group.
Teaching Point: Health teaching is a proactive nursing role
focused on disease prevention and health promotion.
Question 3
Chapter & Subtopic: Chapter 1 – Health Care for Children /
Health Promotion
Stem: According to national health promotion goals, which
strategy is most effective for reducing adolescent mortality from
motor vehicle injuries?
A. Implementing school-based driver's education courses.
B. Advocating for strict enforcement of graduated driver
licensing (GDL) laws.
C. Encouraging parents to purchase vehicles with high safety
ratings.
D. Distributing pamphlets on the dangers of distracted driving.
Correct Answer: B
Rationales:
, • Correct (B): Evidence from the CDC shows that graduated
driver licensing (GDL) systems are highly effective in
reducing crash rates among teen drivers by limiting high-
risk driving conditions.
• Incorrect (A): Driver's education alone is less effective than
GDL laws in reducing crash rates.
• Incorrect (C): While safer cars help, they do not address
the primary behavioral risks of novice drivers.
• Incorrect (D): Passive education is less effective than
enforceable legislation and parental involvement in
changing behavior.
Teaching Point: Enforceable policy change (GDL laws) is
more effective than education alone for injury prevention.
Question 4
Chapter & Subtopic: Chapter 1 – Childhood Health Problems /
Obesity
Stem: A school nurse is planning a health promotion initiative
to address childhood obesity. Which strategy aligns best with
the concept of primary prevention?
A. Calculating BMI percentile for all students during annual
screenings.
B. Forming a support group for children identified as
overweight.
C. Collaborating with the cafeteria to increase fresh fruit and
vegetable options.
Chapter 1: Perspectives of Pediatric Nursing.
Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing /
Philosophy of Care
Stem: The pediatric nurse is caring for a 7-year-old admitted for
asthma exacerbation. The child's mother wishes to stay
overnight but is concerned about missing work. Which nursing
action best demonstrates a family-centered care approach?
A. Explain that hospital policy only allows parents to visit during
designated hours.
B. Arrange for a social worker to discuss the mother's work-
related concerns.
C. Provide a comfortable sleeping chair and reassure the
mother that her presence is beneficial for the child's recovery.
D. Suggest the mother go home to rest so the nursing staff can
provide uninterrupted care.
Correct Answer: C
Rationales:
• Correct (C): Family-centered care is a philosophy that
recognizes the family as the constant in a child's life and
encourages their collaboration in care. Providing
accommodations for a parent to stay supports this core
principle (Wong's, 12th ed., Ch. 1: The Art of Pediatric
Nursing).
, • Incorrect (A): This action is rigid and institution-focused,
not family-focused, and ignores the emotional needs of
both the child and parent.
• Incorrect (B): While a social worker may be a helpful
resource, the immediate need is to facilitate the parent's
presence, which is a nursing responsibility.
• Incorrect (D): This action excludes the family and
undermines the therapeutic benefit of parental
involvement in the child's care.
Teaching Point: Family-centered care prioritizes partnering
with and supporting the child's family.
Question 2
Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing /
Role of the Pediatric Nurse
Stem: A school nurse is developing a program to teach third-
grade students proper handwashing techniques to prevent the
spread of influenza. This role is primarily an example of:
A. Coordination and Collaboration
B. Health Teaching
C. Family Advocacy
D. Therapeutic Relationship
Correct Answer: B
Rationales:
• Correct (B): Health teaching is a primary role of the
pediatric nurse, aimed at providing information to
, patients, families, and communities to promote health and
prevent illness (Wong's, 12th ed., Ch. 1: The Art of
Pediatric Nursing).
• Incorrect (A): Coordination involves organizing care among
multiple providers, which is not the focus of this scenario.
• Incorrect (C): Advocacy involves acting on behalf of a child
or family, not direct education.
• Incorrect (D): A therapeutic relationship is built on trust
with a specific patient, not a classroom group.
Teaching Point: Health teaching is a proactive nursing role
focused on disease prevention and health promotion.
Question 3
Chapter & Subtopic: Chapter 1 – Health Care for Children /
Health Promotion
Stem: According to national health promotion goals, which
strategy is most effective for reducing adolescent mortality from
motor vehicle injuries?
A. Implementing school-based driver's education courses.
B. Advocating for strict enforcement of graduated driver
licensing (GDL) laws.
C. Encouraging parents to purchase vehicles with high safety
ratings.
D. Distributing pamphlets on the dangers of distracted driving.
Correct Answer: B
Rationales:
, • Correct (B): Evidence from the CDC shows that graduated
driver licensing (GDL) systems are highly effective in
reducing crash rates among teen drivers by limiting high-
risk driving conditions.
• Incorrect (A): Driver's education alone is less effective than
GDL laws in reducing crash rates.
• Incorrect (C): While safer cars help, they do not address
the primary behavioral risks of novice drivers.
• Incorrect (D): Passive education is less effective than
enforceable legislation and parental involvement in
changing behavior.
Teaching Point: Enforceable policy change (GDL laws) is
more effective than education alone for injury prevention.
Question 4
Chapter & Subtopic: Chapter 1 – Childhood Health Problems /
Obesity
Stem: A school nurse is planning a health promotion initiative
to address childhood obesity. Which strategy aligns best with
the concept of primary prevention?
A. Calculating BMI percentile for all students during annual
screenings.
B. Forming a support group for children identified as
overweight.
C. Collaborating with the cafeteria to increase fresh fruit and
vegetable options.
