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Exam (elaborations)

MCN 374 Exam 1 - Ch 1, 2, 4-9, 11, 12, 15, 20 Actual Questions and Answers 2026.docx

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MCN 374 Exam 1 - Ch 1, 2, 4-9, 11, 12, 15, 20 Actual Questions and Answers

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MCN 374 Exam 1 - Ch 1, 2, 4-9, 11, 12,
15, 20 Actual Questions and Answers
2026
Which nursing role is not directly involved when providing family-
centered approach to the pediatric population?


1. Advocacy
2. Case management
3. Patient education
4. Researcher -
correct answer ✅A researcher is not involved in the family-
centered approach to patient care of children and their families.
Advocacy, case management, and patient education are all roles
directly involved in the care of children and their families.


The clinic nurse is working with a child with multiple disabilities.
The parents have asked the nurse to help them in meeting with the
school board to develop an Individualized Education Plan (IEP) and
an Individualized Health Plan (IHP). Which nursing intervention is
most appropriate?
1. Providing a written list of the child's medical diagnoses for the
IEP meeting.
2. Offering to wait with the child while the parents attend the IEP
meeting.

,MCN 374 Exam 1 - Ch 1, 2, 4-9, 11, 12,
15, 20 Actual Questions and Answers
2026
3. Listening to the parents' concerns and complaints about the
school district.
4. Presenting verbally the child's cognitive, physical, and social skills
to school officials at the IEP meeting. -
correct answer ✅4. Presenting verbally the child's cognitive,
physical, and social skills to school officials at the IEP meeting.




As an advocate for the child and a partner with the family, the
nurse attends the IEP meeting and presents the child's functional
skills to develop a comprehensive IEP. A list of medical diagnoses
does not accurately inform school officials about the child's skills or
needs. Waiting with the child and listening to parents' concerns
may be kind and empathetic but does not contribute to an action
plan for the child's educational needs.


The nurse is working with a group of parents who have children
with chronic conditions. Which statement by a parent would
indicate a risk for a caregiver burden that could become
overwhelming?

,MCN 374 Exam 1 - Ch 1, 2, 4-9, 11, 12,
15, 20 Actual Questions and Answers
2026
1. "My mother moved in and helped us take our quadruplets
home."
2. "Our health insurance sent us a rejection letter for my child's
brand-name medication, and we must fill out forms to get the
generic."
3. "I chose to quit my job to be home with my child, and my
husband helps in the evening when he can."
4. "I have to care for my child day and night, which leaves little time
for me." -
correct answer ✅4. "I have to care for my child day and night,
which leaves little time for me."




No respite time from caregiving responsibilities may lead to
overwhelming caregiver burden. The family's pitching in to help
indicates family support. Substituting generic for brand-name
medications will not result in caregiver burden. The mother's
choosing to care for the child and receiving help from the husband
indicates family support.

, MCN 374 Exam 1 - Ch 1, 2, 4-9, 11, 12,
15, 20 Actual Questions and Answers
2026
In working with parents of children with chronic diseases, the nurse
is concerned with helping the parents to protect themselves from
compassion fatigue. Which activities are appropriate for the nurse
to encourage? Select all that apply.
1. Sleeping more than 9 hours per 24-hour period
2. Exercising
3. Fostering social relationships
4. Developing a hobby
5. Moving away -
correct answer ✅2. Exercising
3. Fostering social relationships
4. Developing a hobby




Exercising, fostering social relationships, and developing a hobby
all contribute to physical, spiritual, social, and mental rest and
restoration. Sleeping more than the body requires and moving

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