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Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care
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3rd Edition
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TESTBANK u
,Kathryn Rudd: Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care, 3rd Edition
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Chapter 1 Issues andTrends in Pediatric Nursing
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. The nurse has provided a presentation to middle school children about nursing as a career. One of the
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children stated that he wanted to be a pediatric nurse, because he wants to take care of babies and little
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“kids.” What would be an appropriate response to this middle school–aged child?
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1. “Nursing is a general practice; all nurses must know how to take care of all ages of u u u u u u u u u u u u u u u u
patients.” u
2. “As a pediatric nurse, you would get to care for babies and little kids as well as
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children through their teenage years.”
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3. “What you aredescribing is actually a neonatal nurse. Neonatal nurses work with u u u u u u u u u u u u
newborn babies, toddlers, and preschool-age children.”
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4. “Being a pediatric nurse requires a master’s degree, so be sureto work hard in u u u u u u u u u u u u u u
school!” u
2. The medical-surgical float nurse is assigned to thepediatric unit for the first time and states that the
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skills are “the same as general nursing since children are little adults with smaller bodies.” What
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component of pediatric nursing contraindicates this statement?
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1. Pediatric nursing involves care based on the developmental level of the patient. u u u u u u u u u u u
2. Pediatric nursing involves the patient’s family in the plan of care. u u u u u u u u u u
3. Pediatric nursing in based on prevention ofinfectious diseases. u u u u u u u u
4. Pediatric nursing involves cultural sensitivity in patient care. u u u u u u u
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population. Which
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ofthe following reflects the demographics ofthe U.S. pediatric population in 2018, based on U.S.
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Census Bureau data?
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1. The American Indian and Alaska Native population represent one-fifth ofthe
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pediatric population.
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2. About half of the children fall in the category of something other than White non-
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Hispanic. u
3. The population of Asian children decreased from 2015 to 2018.
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4. There was no change in the population ofNon-Hispanic children who represent two
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or more races between 2015 and 2018.
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4. The nurse at a familyclinic is providing care to an adolescent patient diagnosed with diabetes. The
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patient has verbalized discomfort with the feelings of isolation when unable to drink alcohol with their
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friends. Which of the following would be the most appropriate response to this statement?
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1. “Drinking alcohol is not only illegal but dangerous for your blood sugar control and u u u u u u u u u u u u u
overall well-being.”
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2. “You can still drink alcohol, in moderation, if you control the sugar spike with more
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insulin.” u
3. “Prepare for alcohol intake with morewater and less carbohydrates before drinking to u u u u u u u u u u u u
slow sugar spikes.”
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4. “It is understandable that you want to be included, but perhaps we can work out a plan
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on how to work through those situations.”
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,5. Which statement best describes the common core concepts ofthe different models ofpediatric
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nursing?
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1. All models focus on the open communication between the child and nurse.
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2. All models focus on importance of family relationship to the child.
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3. All models focus on safeguarding the child’s dignityduring care.
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4. All models focus on coordination of care needs that arise during illness.
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6. Which of the following tasks is associated with the pediatric medical home care model of pediatric
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nursing?
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1. The nurse refers the family to a childhood cancer support group prior to discharge from
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the hospital.
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2. The nurse includes a simple explanation ofthe procedure to the child based onthe
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child’s developmental level.
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3. The nurse includes the family’s cultural celebrations and observations while
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providing care to the child.
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4. The nurse develops the plan of care with the child and family as the focal point of the
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interventions.
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7. The pediatric nurse begins a research project on 8-year-old patients with the medical diagnosis of
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pediatric acute-onset neuropsychiatric syndrome (PANS). The family has consented to the research,
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but as the nurse begins to administer the intervention, the patient refuses to cooperate. What is the
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appropriate response to this refusal?
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1. The nurse should discuss with the familythe options ofperforming the
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intervention without the child’s knowledge.
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2. The nurse should explain to the child that this is necessary and promise a reward at the
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end of the research project.
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3. The nurse should refuse to perform the intervention untilthe child consents to the
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intervention and project.
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4. The nurse should discuss the pros and cons ofthe research project with the child and
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focus on the outcomes.
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8. A nurse is providing relationship-based care to a pediatric patient. Which of the following is a
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challenge the nurse is likely to encounter while using this model of care?
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1. Maintaining a sterile field for a procedure with a restless toddler u u u u u u u u u u
2. Communicating with the blended family on regular basis u u u u u u u
3. Treating children with antibiotic-resistant illnesses u u u u
4. Caring for alarger number ofchildren with autism spectrum disorders and
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childhood depression
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9. The pediatric nurse desires to expand his or her career options to become the hospital’s nurse
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educator of pediatrics. Which of the following is necessary for this nurse to achieve this career goal?
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1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
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2. The nurse must earn a minimum of a doctorate degree in nursing.
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3. Thenurse must implement and develop research in nursing practice.
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4. The nurse must implement a plan to obtain certification in pediatrics.
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, u 10. The school nurse is developing a teaching session for the population of children in a middle school.
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The nurse has determined that the greatest need for the overall health of the children is promotion of
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healthy foods. Which ofthe following interventions is most likely to be effective?
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1. Remove all unhealthy snacks from the vending machines. u u u u u u u
2. Have a poster contest on healthy eating options.
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3. Survey the student population during lunch breaks. u u u u u u
4. Engage the students in healthy choices with cooking lessons. u u u u u u u u
u 11. The nurse recognizes the needs of professional development to provide safe and effective care to the
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pediatric population by attending which of the following courses?
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1. Procedure with rationale to administer human papilloma vaccine to the middle u u u u u u u u u u
school population
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2. Studyreview of the incidence of bullying and intimidation in the elementary
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school population
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3. Demographic study of the U.S. population with regard to cultural diversity and u u u u u u u u u u u
practices u
4. How to provide individual health care education for the children without parental
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interference u
u 12. Which ofthe following continuing education courses would best enhance the pediatric nurse’s
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practice in relationship to current trends?
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1. Evidence-based practice on improving antibiotic adherence with education to the u u u u u u u u u
family unit u u
2. Evidence-based practice on proper administration ofantibiotics for children with u u u u u u u u u
autoimmune diseases
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3. How to enhance communication with children in regards to adherence to antibiotic use
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4. How to decrease instances ofexacerbation of infections ofchildren with
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autoimmune diseases with antibiotics
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u 13. The pediatric nurse is developing interventions for a school-aged child based on the nursing diagnosis
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of imbalanced nutrition related to a body mass index (BMI) of 37 and poor food choices as evidenced by
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patient’s mother’s food diary for the family and child’s statements of food preferences. Which of the
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following would be an appropriate nursing intervention?
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1. Provide the child and family with information from https://www.MyPlate.gov for
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healthy food options.
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2. Increase the child’s activity byincorporating the child’s friends into a plan of
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healthy exercise options.
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3. Explain the importance ofbalancing diet and exercise to prevent obesityto the
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child and family.
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4. Provide information on the increased risk for potential disease processes such as
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diabetes and hypertension.
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u u 14. The nurse is developing interventions for a transgender adolescent based on the nursing diagnosis
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decreased self-esteem related to transgender identity as evidenced by statements of feeling
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“worthless, different, andalone.” What would be the most appropriate intervention based on the diagnosis?
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1. Givepositive feedback on personal choices as appropriate.
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