TEST BANK For Wong's Nursing Care of Infants and Children, 12th Edition (Hockenberry, 2024), Verified Chapters 1 - 34, Complete Newest Version

Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children, 12
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th Edition
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MULTIPLE CHOICE x@




1. What is the major cause of death for children in the United States?
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a. Heart disease x@


b. Childhood cancer x@


c. Injuries
d. Congenital anomalies x@




ANS: C x@


Unintentional injuries (accidents) are the leading cause of death after age 1 year through adole
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scence. The leading cause of death for those younger than 1 year is congenital anomalies, and
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@childhood cancers and heart disease cause a significantly lower percentage of deaths in childre
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n older than 1 year of age.
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DIF: Cognitive Level: Understanding x@ x@


TOP: Nursing Process: Planning MSC: Client Needs: Health Pr
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omotion and Maintenance
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2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
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centered care?‖ The nurse should respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family.
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b. Family-
centered care encourages family dependence on the health care system.
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c. Family-
centered care recognizes that the family is the constant in a child‘s life.
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d. Family-centered care avoids expecting families to be part of the decision-
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making process. x@




ANS: C x@


The three key components of family-
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centered care are respect, collaboration, and support. Family-
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centered care recognizes the family as the constant in the child‘s life. The family should be
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enabled and empowered to work with the health care system and is expected to be part of the
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decision-
making process. The nurse should also support the family‘s cultural diversity, not reduce its ef
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fect.

DIF: Cognitive Level: Applying x@ x@


TOP: Nursing Process: Implementation MSC: Client Needs: Health Pr
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omotion and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which?
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a. Using information in textbooks to guide care
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b. Combining knowledge with clinical experience and intuition
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c. Using a professional code of ethics as a means for decision making
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d. Gathering all evidence that applies to the child‘s health and family situ
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ation
ANS: B x@


EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and
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, questioning the best approach. EBP involves decision making based on the integration of the b
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est research evidence combined with clinical expertise and patient values.
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, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Tes
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t Bank




DIF: Cognitive Level: Remembering x@ x@


TOP: Nursing Process: Planning MSC: Client Needs: Safe and
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Effective Care Environment x@ x@




4. The nurse is talking to a group of parents of school-age children at an after-
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school program about childhood health problems. Which statement should the nurse includ
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e in the teaching?
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a. Childhood obesity is the most common nutritional problem among children.
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b. Immunization rates are the same among children of different races and ethnic
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ity.
c. Dental caries is not a problem commonly seen in children since the introduct
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ion of fluorinated water.x@ x@ x@


d. Mental health problems are typically not seen in school-
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age children but may be diagnosed in adolescents.
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ANS: A x@


When teaching parents of school-
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age children about childhood health problems, the nurse should include information about child
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hood obesity because it is the most common problem among children and is associated with ty
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pe 2 diabetes. Teaching parents about ways to prevent obesity is important to include. Immuni
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zation rates differ depending on the child‘s race and ethnicity; dental caries continues to be a c
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ommon chronic disease in childhood; and mental health problems are seen in children as youn
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g as school age, not just in adolescents.
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DIF: Cognitive Level: Applying x@ x@


TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Pr
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omotion and Maintenance x@ x@




5. The nurse is planning care for a hospitalized preschool-
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aged child. Which should the nurse plan to ensure atraumatic care?
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a. Limit explanation of procedures because the child is preschool aged.
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b. Ask that all family members leave the room when performing procedures.
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c. Allow the child to choose the type of juice to drink with the administration
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of oral medications. x@ x@


d. Explain that EMLA cream cannot be used for the morning lab draw because
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there is not time for it to be effective.
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ANS: C x@


The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a ch
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oice of juice to drink when taking oral medications provides the child with a sense of control.
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The preschool child should be prepared before procedures, so limiting explanations of procedur
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es would increase anxiety. The family should be allowed to stay with the child during procedu
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res, minimizing stress.
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Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the
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prescribed cream in time for morning laboratory draws to minimize pain.
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DIF: Cognitive Level: Applying x@ x@


TOP: Nursing Process: Planning MSC: Client Needs: Health Pr
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omotion and Maintenance x@ x@




6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
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a. The nurse is planning to read a favorite fairy tale to a patient.
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b. During shift report, the nurse is criticizing parents for not visiting their child.
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c. The nurse is discussing with a fellow nurse the emotional draw to a certain
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