` e Test Bank
v e
, PRINCIPLES OF PEDIATRIC NURSING 7th EDITION BY JANE W BALL,RUTH C
BINDLER,KAY COWEN AND MICHELE SHAW TEST BANK EXAM QUESTIONS
AND DETAILED RATIONALES
CHAPTER 1 NURSE'S ROLE
e IN CARE e e e e e OF
e THE ee
CHILD: HOSPITAL,COMMUNITY, AND HOME
v v v e
e
1) Whichvnursingvrolevisvnotvdirectlyvinvolvedvwhenvprovidingvfamilycenteredvapproachvtothevpedi
e
atricvpopulation? e
1. Advocacy
e e
2. Casevmanagement e
3. Patientveducation
e e
4. Resev archerv
e e
Answer: e
4e
Explanation:v1.vAvresearchervisvnotvinvolvedvinvthevfamilycenteredvapproachvtovpatientvcarevofchild
renvandvtheirvfamilies.vAdvocacy,vcasevmanage ment,vandvpatientveducationvarevallvrolesvdirectlyvin
e
volvedvinvthevcarevofvchildrenvandvthe irvfamilies. e e
2. Avresearchervisvnotvinvolvedvinvthevfamilycenteredvapproachvtovpatientvcarevofvchildrenvandth
eirvfamilies.vAdvocacy,vcasevmanag ement,vandvpatientveducationvarevallvrolesvdirectlyvinvolvedvinvt
e
hevcarevofvchildrenvandv theirvfamilies. e e
3. Avresearchervisvnotvinvolvedvinvthevfamilycenteredvapproachvtovpatientvcarevofvchildrenvandth
eirvfamilies.vAdvocacy,vcasevmanag ement,vandvpatientveducationvarevallvrolesvdirectlyvinvolvedvinvt
e
hevcarevofvchildrenvandvt heirvfamilies. e e
4. Avresearchervisvnotvinvolvedvinvthevfamilycenteredvapproachvtovpatientvcarevofvchildrenvandth
eirvfamilies.vAdvocacy,vcasevmanag ement,vandvpatientveducationvarevallvrolesvdirectlyvinvolvedvinvt
e
hevcarevofvchildrenvandv theirvfamilies. e e
PagevRef:v4 e
CognitivevLevel:v Analyzing e e
ClientvNeedv&Sub:vSafevandvEffectivevCarevEnvironment:vManagementvofvCarev Standar e
ds:v QSENvCompetencies:vPatientcenteredvcarev|vAACNvEssentialvCompetencies:
e e
EssentialvII:vBasicvorganizationalvandvsystemsvleadershipvforvqualityvcarevandvpatientvsafety v|NLNvC e
ompetencies:vProfessionalvidentityv|vNursing/IntegratedvConcepts:vNursingvProcess :vAssessment/C e
oordinationvofvcare e
LearningvOutcome:v LOv1.2vComparevthevrolesvofvnursesvinvchildvhealthcare.MNL vLO:vFamily-
e e
centeredvcare e
2) Avnursevisvworkingvwithvpediatricvclientsvinvavresearchvfacility.vThevnursevrecognizesvthatvf ederalv
e e
guidelinesvarevinvplacevthatvdelineatevwhichvpediatricsvclientsvmustvgivevassentvforvp articipationvin e
vresearchvtrials.vBasedvuponvthevclient'svage,vthevnursevwouldvseekvassentvfro mvwhichvchildren? e e
Selectvallvthatvapply. e
,1. Thevprecociousv4-year-oldvcommencingvasvavcysticvfibrosisvresearch-
e
studyvparticipant. 2. Thev7-year- e e
oldvleukemiavclientvelectingvtovreceivevavnewlyvdevelopedvmedication,vnowvbeingvresearch ed e
.
e
3. Thev10-year-
e
oldvcommencingvinvanvinvestigativevstudyvforvclientsvwithvprecociousvpuberty. 4. Thev13-year- e e
oldvclientvcommencingvparticipationvinvavresearchvprogramvforvAttentionvDeficitvHyperac tivityvDis e
orderv(ADHD)vtreatments. e
Answer:v 2,v3,v4e e
Explanation:v1.vFederalvguidelinesvmandatevthatvresearchvparticipantsv7vyearsvoldvandvoldervmustvr e e
ceivevdevelopmentallyvappropriatevinformationvaboutvhealthcarevproceduresvandvtreatmentsvandvg i e
vevassent. e
2. Federalvguidelinesvmandatevthatvresearchvparticipantsv7vyearsvoldvandvoldervmustvreceivev de e
velopmentallyvappropriatevinformationvaboutvhealthcarevproceduresvandvtreatmentsvandv givevas e
sent. e
3. Federalvguidelinesvmandatevthatvresearchvparticipantsv7vyearsvoldvandvoldervmustvreceivev de e
velopmentallyvappropriatevinformationvaboutvhealthcarevproceduresvandvtreatmentsvandv givevas e
sent. e
4. Federalvguidelinesvmandatevthatvresearchvparticipantsv7vyearsvoldvandvoldervmustvreceivev de e
velopmentallyvappropriatevinformationvaboutvhealthcarevproceduresvandvtreatmentsvandv givevas e
sent. PagevRef:v11,v12
e e
CognitivevLevel:v Applying e e
ClientvNeedv&Sub:v PsychosocialvIntegrity e e
Standards:vQSENvCompetencies:vPatientcenteredvcarev|vAACNvEssentialvCompetencies:vEssentialv
V:vHealthcarev policy,vfinance,v andvregu latoryv environmentsv |v NLNvCompetencies:vNursingvjudge
e e e e e e
mentv|vNursing/IntegratedvConcepts:vN ursingvProcess:vPlanning/Coordinationvofvcare
e e
LearningvOutcome:v LOv1.6vExaminevthreevuniquevpediatricvlegalvandvethicalvissuesvinvpediatricvnur
e e
singvpractice. e
MNLvLO:v Developmentallyvappropriatevcare
e e
3) Thevnursevinvavpediatricvacutevcarevunitvisvassignedvthevfollowingvtasks.vWhichvtaskvisvnot approp
e e
riatevforvthevnursevtovcomplete? e
1. Diagnosevanv8-year-oldvwithvacutevotitisvmediavandvprescribevanvantibiotic. e
2. Listenvtovthevconcernsvofvanvadolescentvaboutvbeingvoutvofvschoolvforvavlengthyvs urgicalvrecover e
y. e
3. Providevinformationvtovavmothervofvavnewlyvdiagnosedv4-yearoldvdiabeticvaboutvlocalvsupport-
vgroupvoptions. e
4. Diagnosevav6-year-
oldvwithvDiversionalvActivityvDeficitvrelatedvtovplacementvinvisolation.vAnswer:v1 e
, Explanation:v1.vThevrolevofvthevpediatricvnursevincludesvprovidingvnursingvassessment,vdirectingvn ur e
singv carev interventions,v andv educatingv clientv andv familyv atv developmentallyv appropriatevlev els;vc
e e e e e e e e e e e
lientvadvocacy,vcasevmanagement,vminimizationvofvdistress,vandvenhancementvofvcoping.vAdv anced e
vpracticevnursevpractitionersvperformvassessment,vdiagnosis,vandvmanagementvofvhealthvcondi tions. e e
2. Thevrolevofvthevpediatricvnursevincludesvprovidingvnursingvassessment,vdirectingvnursingvc arev e
interventions,vandveducatingvclientvandvfamilyvatvdevelopmentallyvappropriatevlevels;vcli entvadvo e
cacy,vcasevmanagement,vminimizationvofvdistress,vandvenhancementvofvcoping.vAd vancedvpractic e
evnursevpractitionersvperformvassessment,vdiagnosis,vandvmanagementvofvhe althvconditions. e e
3. Thevrolevofvthevpediatricvnursevincludesvprovidingvnursingvassessment,vdirectingvnursingvc arev e
interventions,vandveducatingvclientvandvfamilyvatvdevelopmentallyvappropriatevlevels;vcli entvadvo e
cacy,vcasevmanagement,vminimizationvofvdistress,vandvenhancementvofvcoping.vAd vancedvpractic e
evnursevpractitionersvperformvassessment,vdiagnosis,vandvmanagementvofvhe althvconditions. e e
4. Thevrolevofvthevpediatricvnursevincludesvprovidingvnursingvassessment,vdirectingvnursingvc arev e
interventions,vandveducatingvclientvandvfamilyvatvdevelopmentallyvappropriatevlevels;vcli entvadvo e
cacy,vcasevmanagement,vminimizationvofvdistress,vandvenhancementvofvcoping.vAd vancedvpractic e
evnursevpractitionersvperformvassessment,vdiagnosis,vandvmanagementvofvhe althvconditions. e e
PagevRef:v2-4 e
CognitivevLevel:v Applying e e
ClientvNeedv&Sub:vSafevandvEffectivevCarevEnvironment:vManagementvofvCarevStandards: vQSENv e
Competencies:vPatient-centeredvcarev|vAACNvEssentialvCompetencies: e
EssentialvII:vBasicvorganizationalvandvsystemsvleadershipvforvqualityvcarevandvpatientvsafetyv|v NLNv e
Competencies:vProfessionalvidentityv|vNursing/IntegratedvConcepts:vNursingvProcess:vI mplementat e
ion/Coordinationvofvcare e
LearningvOutcome:v LOv1.2vComparevthevrolesvofvnursesvinvchildvhealthcare.vMN LvLO:vPediatricvnu
e e
rsingvcare e
4) Av7-year-
e
oldvchildvisvadmittedvforvacutevappendicitis.vThevparentsvarevquestioningvthevnursevaboutvexpec tat e
ionsvduringvthevchild'svrecovery.vWhichvinformationvtoolvwouldvbevmostvusefulvinvansweringv avpar e
ent'svquestionsvaboutvthevtimingvofvkeyvevents? e
1. HealthyvPeoplev2020 e
2. Clinicalvpathways e
3. Childvmortalityvstatistics e
4. Nationalvclinicalvpracticevguidelinesv Answer:v2 e e
Explanation:v1.v Clinicalv pathwaysv arev interdisciplinaryv documentsv providedv byv av hospitalv tovs u
e e e e e e e e e e e
ggestvidealvsequencingvandvtimingvofveventsvandvinterventionsvforvspecificvdiseasesvtovimprovevef f e
iciencyvofvcarevandvenhancevrecovery.vThisvpathwayvservesvasvavmodelvoutliningvthevtypicalvhospi t e
alvstayvforvindividualsvwithvspecifiedvconditions.vHealthyvPeoplev2020vcontainsvobjectivesvsetvbyvt e
hevU.S.vgovernmentvtovimprovevthevhealthvandvreducevthevincidencevofvdeathvinvthe twenty- e
firstvcentury.vChildvmortalityvstatisticsvcanvbevcomparedvwithvthosevfromvothervdecadesvforvthev evalu e
ationv ofv achievementv towardv healthcarev goals.v Nationalv clinicalv practicev guidelinesvpromotevunif
e e e e e e e e e e
ormityvinvcarevforvspecificvdiseasevco nditionsvbyvsuggestingvexpectedvoutcomesvfromvspecificvinter
e
ventions. e
v e
, PRINCIPLES OF PEDIATRIC NURSING 7th EDITION BY JANE W BALL,RUTH C
BINDLER,KAY COWEN AND MICHELE SHAW TEST BANK EXAM QUESTIONS
AND DETAILED RATIONALES
CHAPTER 1 NURSE'S ROLE
e IN CARE e e e e e OF
e THE ee
CHILD: HOSPITAL,COMMUNITY, AND HOME
v v v e
e
1) Whichvnursingvrolevisvnotvdirectlyvinvolvedvwhenvprovidingvfamilycenteredvapproachvtothevpedi
e
atricvpopulation? e
1. Advocacy
e e
2. Casevmanagement e
3. Patientveducation
e e
4. Resev archerv
e e
Answer: e
4e
Explanation:v1.vAvresearchervisvnotvinvolvedvinvthevfamilycenteredvapproachvtovpatientvcarevofchild
renvandvtheirvfamilies.vAdvocacy,vcasevmanage ment,vandvpatientveducationvarevallvrolesvdirectlyvin
e
volvedvinvthevcarevofvchildrenvandvthe irvfamilies. e e
2. Avresearchervisvnotvinvolvedvinvthevfamilycenteredvapproachvtovpatientvcarevofvchildrenvandth
eirvfamilies.vAdvocacy,vcasevmanag ement,vandvpatientveducationvarevallvrolesvdirectlyvinvolvedvinvt
e
hevcarevofvchildrenvandv theirvfamilies. e e
3. Avresearchervisvnotvinvolvedvinvthevfamilycenteredvapproachvtovpatientvcarevofvchildrenvandth
eirvfamilies.vAdvocacy,vcasevmanag ement,vandvpatientveducationvarevallvrolesvdirectlyvinvolvedvinvt
e
hevcarevofvchildrenvandvt heirvfamilies. e e
4. Avresearchervisvnotvinvolvedvinvthevfamilycenteredvapproachvtovpatientvcarevofvchildrenvandth
eirvfamilies.vAdvocacy,vcasevmanag ement,vandvpatientveducationvarevallvrolesvdirectlyvinvolvedvinvt
e
hevcarevofvchildrenvandv theirvfamilies. e e
PagevRef:v4 e
CognitivevLevel:v Analyzing e e
ClientvNeedv&Sub:vSafevandvEffectivevCarevEnvironment:vManagementvofvCarev Standar e
ds:v QSENvCompetencies:vPatientcenteredvcarev|vAACNvEssentialvCompetencies:
e e
EssentialvII:vBasicvorganizationalvandvsystemsvleadershipvforvqualityvcarevandvpatientvsafety v|NLNvC e
ompetencies:vProfessionalvidentityv|vNursing/IntegratedvConcepts:vNursingvProcess :vAssessment/C e
oordinationvofvcare e
LearningvOutcome:v LOv1.2vComparevthevrolesvofvnursesvinvchildvhealthcare.MNL vLO:vFamily-
e e
centeredvcare e
2) Avnursevisvworkingvwithvpediatricvclientsvinvavresearchvfacility.vThevnursevrecognizesvthatvf ederalv
e e
guidelinesvarevinvplacevthatvdelineatevwhichvpediatricsvclientsvmustvgivevassentvforvp articipationvin e
vresearchvtrials.vBasedvuponvthevclient'svage,vthevnursevwouldvseekvassentvfro mvwhichvchildren? e e
Selectvallvthatvapply. e
,1. Thevprecociousv4-year-oldvcommencingvasvavcysticvfibrosisvresearch-
e
studyvparticipant. 2. Thev7-year- e e
oldvleukemiavclientvelectingvtovreceivevavnewlyvdevelopedvmedication,vnowvbeingvresearch ed e
.
e
3. Thev10-year-
e
oldvcommencingvinvanvinvestigativevstudyvforvclientsvwithvprecociousvpuberty. 4. Thev13-year- e e
oldvclientvcommencingvparticipationvinvavresearchvprogramvforvAttentionvDeficitvHyperac tivityvDis e
orderv(ADHD)vtreatments. e
Answer:v 2,v3,v4e e
Explanation:v1.vFederalvguidelinesvmandatevthatvresearchvparticipantsv7vyearsvoldvandvoldervmustvr e e
ceivevdevelopmentallyvappropriatevinformationvaboutvhealthcarevproceduresvandvtreatmentsvandvg i e
vevassent. e
2. Federalvguidelinesvmandatevthatvresearchvparticipantsv7vyearsvoldvandvoldervmustvreceivev de e
velopmentallyvappropriatevinformationvaboutvhealthcarevproceduresvandvtreatmentsvandv givevas e
sent. e
3. Federalvguidelinesvmandatevthatvresearchvparticipantsv7vyearsvoldvandvoldervmustvreceivev de e
velopmentallyvappropriatevinformationvaboutvhealthcarevproceduresvandvtreatmentsvandv givevas e
sent. e
4. Federalvguidelinesvmandatevthatvresearchvparticipantsv7vyearsvoldvandvoldervmustvreceivev de e
velopmentallyvappropriatevinformationvaboutvhealthcarevproceduresvandvtreatmentsvandv givevas e
sent. PagevRef:v11,v12
e e
CognitivevLevel:v Applying e e
ClientvNeedv&Sub:v PsychosocialvIntegrity e e
Standards:vQSENvCompetencies:vPatientcenteredvcarev|vAACNvEssentialvCompetencies:vEssentialv
V:vHealthcarev policy,vfinance,v andvregu latoryv environmentsv |v NLNvCompetencies:vNursingvjudge
e e e e e e
mentv|vNursing/IntegratedvConcepts:vN ursingvProcess:vPlanning/Coordinationvofvcare
e e
LearningvOutcome:v LOv1.6vExaminevthreevuniquevpediatricvlegalvandvethicalvissuesvinvpediatricvnur
e e
singvpractice. e
MNLvLO:v Developmentallyvappropriatevcare
e e
3) Thevnursevinvavpediatricvacutevcarevunitvisvassignedvthevfollowingvtasks.vWhichvtaskvisvnot approp
e e
riatevforvthevnursevtovcomplete? e
1. Diagnosevanv8-year-oldvwithvacutevotitisvmediavandvprescribevanvantibiotic. e
2. Listenvtovthevconcernsvofvanvadolescentvaboutvbeingvoutvofvschoolvforvavlengthyvs urgicalvrecover e
y. e
3. Providevinformationvtovavmothervofvavnewlyvdiagnosedv4-yearoldvdiabeticvaboutvlocalvsupport-
vgroupvoptions. e
4. Diagnosevav6-year-
oldvwithvDiversionalvActivityvDeficitvrelatedvtovplacementvinvisolation.vAnswer:v1 e
, Explanation:v1.vThevrolevofvthevpediatricvnursevincludesvprovidingvnursingvassessment,vdirectingvn ur e
singv carev interventions,v andv educatingv clientv andv familyv atv developmentallyv appropriatevlev els;vc
e e e e e e e e e e e
lientvadvocacy,vcasevmanagement,vminimizationvofvdistress,vandvenhancementvofvcoping.vAdv anced e
vpracticevnursevpractitionersvperformvassessment,vdiagnosis,vandvmanagementvofvhealthvcondi tions. e e
2. Thevrolevofvthevpediatricvnursevincludesvprovidingvnursingvassessment,vdirectingvnursingvc arev e
interventions,vandveducatingvclientvandvfamilyvatvdevelopmentallyvappropriatevlevels;vcli entvadvo e
cacy,vcasevmanagement,vminimizationvofvdistress,vandvenhancementvofvcoping.vAd vancedvpractic e
evnursevpractitionersvperformvassessment,vdiagnosis,vandvmanagementvofvhe althvconditions. e e
3. Thevrolevofvthevpediatricvnursevincludesvprovidingvnursingvassessment,vdirectingvnursingvc arev e
interventions,vandveducatingvclientvandvfamilyvatvdevelopmentallyvappropriatevlevels;vcli entvadvo e
cacy,vcasevmanagement,vminimizationvofvdistress,vandvenhancementvofvcoping.vAd vancedvpractic e
evnursevpractitionersvperformvassessment,vdiagnosis,vandvmanagementvofvhe althvconditions. e e
4. Thevrolevofvthevpediatricvnursevincludesvprovidingvnursingvassessment,vdirectingvnursingvc arev e
interventions,vandveducatingvclientvandvfamilyvatvdevelopmentallyvappropriatevlevels;vcli entvadvo e
cacy,vcasevmanagement,vminimizationvofvdistress,vandvenhancementvofvcoping.vAd vancedvpractic e
evnursevpractitionersvperformvassessment,vdiagnosis,vandvmanagementvofvhe althvconditions. e e
PagevRef:v2-4 e
CognitivevLevel:v Applying e e
ClientvNeedv&Sub:vSafevandvEffectivevCarevEnvironment:vManagementvofvCarevStandards: vQSENv e
Competencies:vPatient-centeredvcarev|vAACNvEssentialvCompetencies: e
EssentialvII:vBasicvorganizationalvandvsystemsvleadershipvforvqualityvcarevandvpatientvsafetyv|v NLNv e
Competencies:vProfessionalvidentityv|vNursing/IntegratedvConcepts:vNursingvProcess:vI mplementat e
ion/Coordinationvofvcare e
LearningvOutcome:v LOv1.2vComparevthevrolesvofvnursesvinvchildvhealthcare.vMN LvLO:vPediatricvnu
e e
rsingvcare e
4) Av7-year-
e
oldvchildvisvadmittedvforvacutevappendicitis.vThevparentsvarevquestioningvthevnursevaboutvexpec tat e
ionsvduringvthevchild'svrecovery.vWhichvinformationvtoolvwouldvbevmostvusefulvinvansweringv avpar e
ent'svquestionsvaboutvthevtimingvofvkeyvevents? e
1. HealthyvPeoplev2020 e
2. Clinicalvpathways e
3. Childvmortalityvstatistics e
4. Nationalvclinicalvpracticevguidelinesv Answer:v2 e e
Explanation:v1.v Clinicalv pathwaysv arev interdisciplinaryv documentsv providedv byv av hospitalv tovs u
e e e e e e e e e e e
ggestvidealvsequencingvandvtimingvofveventsvandvinterventionsvforvspecificvdiseasesvtovimprovevef f e
iciencyvofvcarevandvenhancevrecovery.vThisvpathwayvservesvasvavmodelvoutliningvthevtypicalvhospi t e
alvstayvforvindividualsvwithvspecifiedvconditions.vHealthyvPeoplev2020vcontainsvobjectivesvsetvbyvt e
hevU.S.vgovernmentvtovimprovevthevhealthvandvreducevthevincidencevofvdeathvinvthe twenty- e
firstvcentury.vChildvmortalityvstatisticsvcanvbevcomparedvwithvthosevfromvothervdecadesvforvthev evalu e
ationv ofv achievementv towardv healthcarev goals.v Nationalv clinicalv practicev guidelinesvpromotevunif
e e e e e e e e e e
ormityvinvcarevforvspecificvdiseasevco nditionsvbyvsuggestingvexpectedvoutcomesvfromvspecificvinter
e
ventions. e
