Test Bank Pediatric Nursing: Critical Co
xn xn xn xn xn
mponents of Nursing Care 3rd Edition Ru
xn xn xn xn xn xn
dd
, Rudd 1
Davis Advantage for Pediatric Nursing 3
xn xn xn xn xn Test Bank Ch01 xn xn
e
Chapter 1 Issues and Trends in Pediatric Nursing
xn xn xn xn xn xn xn
Multiple Choice
xn
Identify the choice that best completes the statement or answers the question.
xn xn xn xn xn xn xn xn xn xn xn
1. The nurse has provided a presentation to middle school children about nursing as a career. One
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
of the children stated that he wanted to be a pediatric nurse, because he wants to take care of
n xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
babies and little ―kids.‖ What would be an appropriate response to this middle school–
xn xn xn xn xn xn xn xn xn xn xn xn xn
aged child? xn
1. ―Nursing is a general practice; all nurses must know how to take care of all ages
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
of patients.‖ n xn
2. ―As a pediatric nurse, you would get to care for babies and little kids as well
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
as children through their teenage years.‖
xn xn xn xn xn
3. ―What you are describing is actually a neonatal nurse. Neonatal nurses work wi
xn xn xn xn xn xn xn xn xn xn xn xn
th newborn babies, toddlers, and preschool-age children.‖
xn xn xn xn xn xn
4. ―Being a pediatric nurse requires a master’s degree, so be sure to work hard
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
in school!‖ xn
2. The medical- xn
surgical float nurse is assigned to the pediatric unit for the first time and states that the skills
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
are ―the same as general nursing since children are little adults with smaller bodies.‖ What c
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
omponent of pediatric nursing contraindicates this statement?
xn xn xn xn xn xn
1. Pediatric nursing involves care based on the developmental level of the patient.
xn xn xn xn xn xn xn xn xn xn xn
2. Pediatric nursing involves the patient’s family in the plan of care.
xn xn xn xn xn xn xn xn xn xn
3. Pediatric nursing in based on prevention of infectious diseases.
xn xn xn xn xn xn xn xn
4. Pediatric nursing involves cultural sensitivity in patient care.
xn xn xn xn xn xn xn
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population.
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
Which of the following reflects the demographics of the U.S. pediatric population in 2018, bas
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ed on U.S. Census Bureau data?
xn xn xn xn xn
1. The American Indian and Alaska Native population represent one-
xn xn xn xn xn xn xn xn
fifth of the pediatric population. xn xn xn xn
2. About half of the children fall in the category of something other than White no
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
n- Hispanic. xn
3. The population of Asian children decreased from 2015 to 2018.
xn xn xn xn xn xn xn xn xn
4. There was no change in the population of Non- xn xn xn xn xn xn xn xn
Hispanic children who represent two or more races between 2015 and 2018.
xn xn xn xn xn xn xn xn xn xn xn
4. The nurse at a family clinic is providing care to an adolescent patient diagnosed with diabetes. T
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
he patient has verbalized discomfort with the feelings of isolation when unable to drink alcohol
xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
with their friends. Which of the following would be the most appropriate response to this state
n xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ment?
1. ―Drinking alcohol is not only illegal but dangerous for your blood sugar contr
xn xn xn xn xn xn xn xn xn xn xn xn
ol and overall well-being.‖
xn xn xn
2. ―You can still drink alcohol, in moderation, if you control the sugar spike wi
xn xn xn xn xn xn xn xn xn xn xn xn xn
th more insulin.‖ xn xn
3. ―Prepare for alcohol intake with more water and less carbohydrates before drinkin
xn xn xn xn xn xn xn xn xn xn xn
g to slow sugar spikes.‖
xn xn xn xn
4. ―It is understandable that you want to be included, but perhaps we can work ou
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
t a plan on how to work through those situations.‖
xn xn xn xn xn xn xn xn xn
, Rudd 2
Davis Advantage for Pediatric Nursing 3
xn Test Bank Ch01
xn xn xn xn xn xn
e
5. Which statement best describes the common core concepts of the different models of pediatr
xn xn xn xn xn xn xn xn xn xn xn xn xn
ic nursing?
xn
1. All models focus on the open communication between the child and nurse.
xn xn xn xn xn xn xn xn xn xn xn
2. All models focus on importance of family relationship to the child.
xn xn xn xn xn xn xn xn xn xn
3. All models focus on safeguarding the child’s dignity during care.
xn xn xn xn xn xn xn xn xn
4. All models focus on coordination of care needs that arise during illness.
xn xn xn xn xn xn xn xn xn xn xn
6. Which of the following tasks is associated with the pediatric medical home care model of pediat
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ric nursing?
xn
1. The nurse refers the family to a childhood cancer support group prior to dischar
xn xn xn xn xn xn xn xn xn xn xn xn xn
ge from the hospital. xn xn xn
2. The nurse includes a simple explanation of the procedure to the child based on t
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
he child’s developmental level.
xn xn xn
3. The nurse includes the family’s cultural celebrations and observations whil
xn xn xn xn xn xn xn xn xn
e providing care to the child.
xn xn xn xn xn
4. The nurse develops the plan of care with the child and family as the focal point
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
of the interventions.
n xn xn
7. The pediatric nurse begins a research project on 8-year-
xn xn xn xn xn xn xn xn
old patients with the medical diagnosis of pediatric acute-
xn xn xn xn xn xn xn xn
onset neuropsychiatric syndrome (PANS). The family has consented to the research, but as the
xn xn xn xn xn xn xn xn xn xn xn xn xn
nurse begins to administer the intervention, the patient refuses to cooperate. What is the appr
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
opriate response to this refusal? xn xn xn xn
1. The nurse should discuss with the family the options of performing t
xn xn xn xn xn xn xn xn xn xn xn
he intervention without the child’s knowledge.
xn xn xn xn xn
2. The nurse should explain to the child that this is necessary and promise a reward
xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
at the end of the research project.
n xn xn xn xn xn xn
3. The nurse should refuse to perform the intervention until the child consents to t
xn xn xn xn xn xn xn xn xn xn xn xn xn
he intervention and project.
xn xn xn
4. The nurse should discuss the pros and cons of the research project with the chi
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ld and focus on the outcomes.
xn xn xn xn xn
8. A nurse is providing relationship-
xn xn xn xn
based care to a pediatric patient. Which of the following is a challenge the nurse is likely t
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
o encounter while using this model of care?
xn xn xn xn xn xn xn
1. Maintaining a sterile field for a procedure with a restless toddler xn xn xn xn xn xn xn xn xn xn
2. Communicating with the blended family on regular basis xn xn xn xn xn xn xn
3. Treating children with antibiotic-resistant illnesses xn xn xn xn
4. Caring for a larger number of children with autism spectrum disorders an
xn xn xn xn xn xn xn xn xn xn xn
d childhood depression
xn xn
9. The pediatric nurse desires to expand his or her career options to become the hospital’s nur
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
se educator of pediatrics. Which of the following is necessary for this nurse to achieve this c
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
areer goal? xn
1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
xn xn xn xn xn xn xn xn xn xn xn xn xn
2. The nurse must earn a minimum of a doctorate degree in nursing.
xn xn xn xn xn xn xn xn xn xn xn
3. The nurse must implement and develop research in nursing practice.
xn xn xn xn xn xn xn xn xn
4. The nurse must implement a plan to obtain certification in pediatrics.
xn xn xn xn xn xn xn xn xn xn
, Rudd 3
Davis Advantage for Pediatric Nursing 3
xn xn xn xn xn Test Bank Ch01 xn xn
e
10. The school nurse is developing a teaching session for the population of children in a mi
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ddle school. The nurse has determined that the greatest need for the overall health of the chi
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ldren is promotion of healthy foods. Which of the following interventions is most likely to be
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
neffective?
1. Remove all unhealthy snacks from the vending machines.
xn xn xn xn xn xn xn
2. Have a poster contest on healthy eating options.
xn xn xn xn xn xn xn
3. Survey the student population during lunch breaks.
xn xn xn xn xn xn
4. Engage the students in healthy choices with cooking lessons.
xn xn xn xn xn xn xn xn
11. The nurse recognizes the needs of professional development to provide safe and effective
xn xn xn xn xn xn xn xn xn xn xn xn xn x
care to the pediatric population by attending which of the following courses?
n xn xn xn xn xn xn xn xn xn xn xn
1. Procedure with rationale to administer human papilloma vaccine to the middl
xn xn xn xn xn xn xn xn xn xn
e school population
xn xn
2. Study review of the incidence of bullying and intimidation in the elementar
xn xn xn xn xn xn xn xn xn xn xn
y school population
xn xn
3. Demographic study of the U.S. population with regard to cultural diversity an
xn xn xn xn xn xn xn xn xn xn xn
d practicesxn
4. How to provide individual health care education for the children without parent
xn xn xn xn xn xn xn xn xn xn xn
al interferencexn
12. Which of the following continuing education courses would best enhance the pediatric
xn xn xn xn xn xn xn xn xn xn xn xn xn
nurse’s practice in relationship to current trends?
xn xn xn xn xn xn
1. Evidence-
based practice on improving antibiotic adherence with education to the family
xn xn xn xn xn xn xn xn xn xn xn
unit
2. Evidence-
based practice on proper administration of antibiotics for children with autoim
xn xn xn xn xn xn xn xn xn xn
mune diseases xn
3. How to enhance communication with children in regards to adherence to antibiot
xn xn xn xn xn xn xn xn xn xn xn
ic use xn
4. How to decrease instances of exacerbation of infections of children wit
xn xn xn xn xn xn xn xn xn xn
h autoimmune diseases with antibiotics
xn xn xn xn
13. The pediatric nurse is developing interventions for a school-
xn xn xn xn xn xn xn xn xn
aged child based on the nursing diagnosis of imbalanced nutrition related to a body mass index
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
(BMI) of 37 and poor food choices as evidenced by patient’s mother’s food diary for the family
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
and child’s statements of food preferences. Which of the following would be an appropriate nur
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
sing intervention?
xn
1. Provide the child and family with information from https://www.MyPlate.gov f
xn xn xn xn xn xn xn xn xn
or healthy food options.
xn xn xn
2. Increase the child’s activity by incorporating the child’s friends into a plan
xn xn xn xn xn xn xn xn xn xn xn xn
of healthy exercise options.
xn xn xn
3. Explain the importance of balancing diet and exercise to prevent obesity to t
xn xn xn xn xn xn xn xn xn xn xn xn
he child and family.
xn xn xn
4. Provide information on the increased risk for potential disease processes such
xn xn xn xn xn xn xn xn xn xn xn
as diabetes and hypertension.
xn xn xn
14. The nurse is developing interventions for a transgender adolescent based on the nursing di
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
xn xn xn xn xn
mponents of Nursing Care 3rd Edition Ru
xn xn xn xn xn xn
dd
, Rudd 1
Davis Advantage for Pediatric Nursing 3
xn xn xn xn xn Test Bank Ch01 xn xn
e
Chapter 1 Issues and Trends in Pediatric Nursing
xn xn xn xn xn xn xn
Multiple Choice
xn
Identify the choice that best completes the statement or answers the question.
xn xn xn xn xn xn xn xn xn xn xn
1. The nurse has provided a presentation to middle school children about nursing as a career. One
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
of the children stated that he wanted to be a pediatric nurse, because he wants to take care of
n xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
babies and little ―kids.‖ What would be an appropriate response to this middle school–
xn xn xn xn xn xn xn xn xn xn xn xn xn
aged child? xn
1. ―Nursing is a general practice; all nurses must know how to take care of all ages
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
of patients.‖ n xn
2. ―As a pediatric nurse, you would get to care for babies and little kids as well
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
as children through their teenage years.‖
xn xn xn xn xn
3. ―What you are describing is actually a neonatal nurse. Neonatal nurses work wi
xn xn xn xn xn xn xn xn xn xn xn xn
th newborn babies, toddlers, and preschool-age children.‖
xn xn xn xn xn xn
4. ―Being a pediatric nurse requires a master’s degree, so be sure to work hard
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
in school!‖ xn
2. The medical- xn
surgical float nurse is assigned to the pediatric unit for the first time and states that the skills
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
are ―the same as general nursing since children are little adults with smaller bodies.‖ What c
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
omponent of pediatric nursing contraindicates this statement?
xn xn xn xn xn xn
1. Pediatric nursing involves care based on the developmental level of the patient.
xn xn xn xn xn xn xn xn xn xn xn
2. Pediatric nursing involves the patient’s family in the plan of care.
xn xn xn xn xn xn xn xn xn xn
3. Pediatric nursing in based on prevention of infectious diseases.
xn xn xn xn xn xn xn xn
4. Pediatric nursing involves cultural sensitivity in patient care.
xn xn xn xn xn xn xn
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population.
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
Which of the following reflects the demographics of the U.S. pediatric population in 2018, bas
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ed on U.S. Census Bureau data?
xn xn xn xn xn
1. The American Indian and Alaska Native population represent one-
xn xn xn xn xn xn xn xn
fifth of the pediatric population. xn xn xn xn
2. About half of the children fall in the category of something other than White no
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
n- Hispanic. xn
3. The population of Asian children decreased from 2015 to 2018.
xn xn xn xn xn xn xn xn xn
4. There was no change in the population of Non- xn xn xn xn xn xn xn xn
Hispanic children who represent two or more races between 2015 and 2018.
xn xn xn xn xn xn xn xn xn xn xn
4. The nurse at a family clinic is providing care to an adolescent patient diagnosed with diabetes. T
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
he patient has verbalized discomfort with the feelings of isolation when unable to drink alcohol
xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
with their friends. Which of the following would be the most appropriate response to this state
n xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ment?
1. ―Drinking alcohol is not only illegal but dangerous for your blood sugar contr
xn xn xn xn xn xn xn xn xn xn xn xn
ol and overall well-being.‖
xn xn xn
2. ―You can still drink alcohol, in moderation, if you control the sugar spike wi
xn xn xn xn xn xn xn xn xn xn xn xn xn
th more insulin.‖ xn xn
3. ―Prepare for alcohol intake with more water and less carbohydrates before drinkin
xn xn xn xn xn xn xn xn xn xn xn
g to slow sugar spikes.‖
xn xn xn xn
4. ―It is understandable that you want to be included, but perhaps we can work ou
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
t a plan on how to work through those situations.‖
xn xn xn xn xn xn xn xn xn
, Rudd 2
Davis Advantage for Pediatric Nursing 3
xn Test Bank Ch01
xn xn xn xn xn xn
e
5. Which statement best describes the common core concepts of the different models of pediatr
xn xn xn xn xn xn xn xn xn xn xn xn xn
ic nursing?
xn
1. All models focus on the open communication between the child and nurse.
xn xn xn xn xn xn xn xn xn xn xn
2. All models focus on importance of family relationship to the child.
xn xn xn xn xn xn xn xn xn xn
3. All models focus on safeguarding the child’s dignity during care.
xn xn xn xn xn xn xn xn xn
4. All models focus on coordination of care needs that arise during illness.
xn xn xn xn xn xn xn xn xn xn xn
6. Which of the following tasks is associated with the pediatric medical home care model of pediat
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ric nursing?
xn
1. The nurse refers the family to a childhood cancer support group prior to dischar
xn xn xn xn xn xn xn xn xn xn xn xn xn
ge from the hospital. xn xn xn
2. The nurse includes a simple explanation of the procedure to the child based on t
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
he child’s developmental level.
xn xn xn
3. The nurse includes the family’s cultural celebrations and observations whil
xn xn xn xn xn xn xn xn xn
e providing care to the child.
xn xn xn xn xn
4. The nurse develops the plan of care with the child and family as the focal point
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
of the interventions.
n xn xn
7. The pediatric nurse begins a research project on 8-year-
xn xn xn xn xn xn xn xn
old patients with the medical diagnosis of pediatric acute-
xn xn xn xn xn xn xn xn
onset neuropsychiatric syndrome (PANS). The family has consented to the research, but as the
xn xn xn xn xn xn xn xn xn xn xn xn xn
nurse begins to administer the intervention, the patient refuses to cooperate. What is the appr
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
opriate response to this refusal? xn xn xn xn
1. The nurse should discuss with the family the options of performing t
xn xn xn xn xn xn xn xn xn xn xn
he intervention without the child’s knowledge.
xn xn xn xn xn
2. The nurse should explain to the child that this is necessary and promise a reward
xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
at the end of the research project.
n xn xn xn xn xn xn
3. The nurse should refuse to perform the intervention until the child consents to t
xn xn xn xn xn xn xn xn xn xn xn xn xn
he intervention and project.
xn xn xn
4. The nurse should discuss the pros and cons of the research project with the chi
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ld and focus on the outcomes.
xn xn xn xn xn
8. A nurse is providing relationship-
xn xn xn xn
based care to a pediatric patient. Which of the following is a challenge the nurse is likely t
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
o encounter while using this model of care?
xn xn xn xn xn xn xn
1. Maintaining a sterile field for a procedure with a restless toddler xn xn xn xn xn xn xn xn xn xn
2. Communicating with the blended family on regular basis xn xn xn xn xn xn xn
3. Treating children with antibiotic-resistant illnesses xn xn xn xn
4. Caring for a larger number of children with autism spectrum disorders an
xn xn xn xn xn xn xn xn xn xn xn
d childhood depression
xn xn
9. The pediatric nurse desires to expand his or her career options to become the hospital’s nur
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
se educator of pediatrics. Which of the following is necessary for this nurse to achieve this c
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
areer goal? xn
1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
xn xn xn xn xn xn xn xn xn xn xn xn xn
2. The nurse must earn a minimum of a doctorate degree in nursing.
xn xn xn xn xn xn xn xn xn xn xn
3. The nurse must implement and develop research in nursing practice.
xn xn xn xn xn xn xn xn xn
4. The nurse must implement a plan to obtain certification in pediatrics.
xn xn xn xn xn xn xn xn xn xn
, Rudd 3
Davis Advantage for Pediatric Nursing 3
xn xn xn xn xn Test Bank Ch01 xn xn
e
10. The school nurse is developing a teaching session for the population of children in a mi
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ddle school. The nurse has determined that the greatest need for the overall health of the chi
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ldren is promotion of healthy foods. Which of the following interventions is most likely to be
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn x
neffective?
1. Remove all unhealthy snacks from the vending machines.
xn xn xn xn xn xn xn
2. Have a poster contest on healthy eating options.
xn xn xn xn xn xn xn
3. Survey the student population during lunch breaks.
xn xn xn xn xn xn
4. Engage the students in healthy choices with cooking lessons.
xn xn xn xn xn xn xn xn
11. The nurse recognizes the needs of professional development to provide safe and effective
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care to the pediatric population by attending which of the following courses?
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1. Procedure with rationale to administer human papilloma vaccine to the middl
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e school population
xn xn
2. Study review of the incidence of bullying and intimidation in the elementar
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y school population
xn xn
3. Demographic study of the U.S. population with regard to cultural diversity an
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d practicesxn
4. How to provide individual health care education for the children without parent
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al interferencexn
12. Which of the following continuing education courses would best enhance the pediatric
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nurse’s practice in relationship to current trends?
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1. Evidence-
based practice on improving antibiotic adherence with education to the family
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unit
2. Evidence-
based practice on proper administration of antibiotics for children with autoim
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mune diseases xn
3. How to enhance communication with children in regards to adherence to antibiot
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ic use xn
4. How to decrease instances of exacerbation of infections of children wit
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h autoimmune diseases with antibiotics
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13. The pediatric nurse is developing interventions for a school-
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aged child based on the nursing diagnosis of imbalanced nutrition related to a body mass index
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(BMI) of 37 and poor food choices as evidenced by patient’s mother’s food diary for the family
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and child’s statements of food preferences. Which of the following would be an appropriate nur
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sing intervention?
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1. Provide the child and family with information from https://www.MyPlate.gov f
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or healthy food options.
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2. Increase the child’s activity by incorporating the child’s friends into a plan
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of healthy exercise options.
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3. Explain the importance of balancing diet and exercise to prevent obesity to t
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he child and family.
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4. Provide information on the increased risk for potential disease processes such
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as diabetes and hypertension.
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14. The nurse is developing interventions for a transgender adolescent based on the nursing di
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