m m m m m
mponents of Nursing Care 3rd Edition R
m m m m m m
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Chapterm1mIssuesmandmTrendsminmPediatricmNursing
MultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersmthemquestion.
1. Themnursemhasmprovidedmampresentationmtommiddlemschoolmchildrenmaboutmnursingmasmamcareer.
mOnemofmthemchildrenmstatedmthatmhe mwanted mtombemampediatric mnurse, mbecausemhemwantsmtomta
kemcaremofmbabiesmandmlittlem“kids.”mWhatmwouldmbemanmappropriatemresponsemtomthismmiddlem
school–agedmchild?
1. “Nursingmismamgeneralmpractice;mallmnursesmmustmknowmhowmtomtakemcaremofmallm
agesmofmpatients.”
2. “Asmampediatricmnurse,myoumwouldmgetmtomcaremformbabiesmandmlittlemkidsmas
mwellmas mchildren mthroughmtheirmteenage myears.”
3. “Whatmyoumaremdescribingmismactuallymamneonatalmnurse.mNeonatalmnursesmwor
kmwithmnewbornmbabies,mtoddlers,mandmpreschool-agemchildren.”
4. “Beingmampediatricmnursemrequiresmammaster’smdegree,msombemsuremtomworkm
hardminmschool!”
2. Themmedical-
surgicalmfloatmnursemismassignedmtomthempediatricmunitmformthemfirstmtimemandmstatesmthatmthem
skillsmarem“themsamemasmgeneralmnursingmsincemchildrenmaremlittlemadultsmwithmsmallermbodies
.”mWhatmcomponentmofmpediatricmnursingmcontraindicatesmthismstatement?
1. Pediatricmnursingminvolvesmcarembasedmonmthemdevelopmentalmlevelmofmthempatient.
2. Pediatricmnursingminvolvesmthempatient’smfamilyminmthemplanmofmcare.
3. Pediatricmnursingminmbasedmonmpreventionmofminfectiousmdiseases.
4. Pediatricmnursingminvolvesmculturalmsensitivityminmpatientmcare.
3. ThemculturallymsensitivempediatricmnursemismawaremofmthemracialmmakeupmofmthemU.S.mpopulati
on.mWhichmofmthemfollowingmreflectsmthemdemographicsmofmthemU.S.mpediatricmpopulationminm2
018,mbasedmonmU.S.mCensusmBureaumdata?
1. ThemAmericanmIndianmandmAlaskamNativempopulationmrepresentmone-
fifthmofmthempediatricmpopulation.
2. AboutmhalfmofmthemchildrenmfallminmthemcategorymofmsomethingmothermthanmWhit
emnon-mHispanic.
3. ThempopulationmofmAsianmchildrenmdecreasedmfromm2015mtom2018.
4. TheremwasmnomchangeminmthempopulationmofmNon-
Hispanicmchildrenmwhomrepresentmtwomormmoremracesmbetweenm2015mandm20
18.
4. Themnursematmamfamilymclinicmismprovidingmcaremtomanmadolescentmpatientmdiagnosedmwithmdiabet
es.mThempatientmhasmverbalizedmdiscomfortmwithmthemfeelingsmofmisolationmwhenmunablemtomdrin
kmalcoholmwithmtheirmfriends.mWhichmofmthemfollowingmwouldmbemthemmostmappropriatemrespons
emtomthismstatement?
1. “Drinkingmalcoholmismnotmonlymillegalmbutmdangerousmformyourmbloodmsugarmc
ontrolmandmoverallmwell-being.”
2. “Youmcanmstillmdrinkmalcohol,minmmoderation,mifmyoumcontrolmthemsugarmspik
emwithmmoreminsulin.”
3. “Preparemformalcoholmintakemwithmmoremwatermandmlessmcarbohydratesmbeforemdri
nkingmtomslowmsugarmspikes.”
4. “Itmismunderstandablemthatmyoumwantmtombemincluded,mbutmperhapsmwemcanmwor
kmoutmamplanmonmhowmtomworkmthroughmthosemsituations.”
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5. Whichmstatementmbestmdescribesmthemcommonmcoremconceptsmofmthemdifferentmmodelsmofmpe
diatricmnursing?
1. Allmmodelsmfocusmonmthemopenmcommunicationmbetweenmthemchildmandmnurse.
2. Allmmodelsmfocusmonmimportancemofmfamilymrelationshipmtomthemchild.
3. Allmmodelsmfocusmonmsafeguardingmthemchild’smdignitymduringmcare.
4. Allmmodelsmfocusmonmcoordinationmofmcaremneedsmthatmarisemduringmillness.
6. Whichmofmthemfollowingmtasksmismassociatedmwithmthempediatricmmedicalmhomemcaremmodelmofmp
ediatricmnursing?
1. Themnursemrefersmthemfamilymtomamchildhoodmcancermsupportmgroupmpriormtomdis
chargemfrommthemhospital.
2. Themnursemincludesmamsimplemexplanationmofmthemproceduremtomthemchildmbased
mon mthemchild’smdevelopmentalmlevel.
3. Themnursemincludesmthemfamily’smculturalmcelebrationsmandmobservationsm
whilemprovidingmcaremtomthemchild.
4. Themnursemdevelopsmthemplanmofmcaremwithmthemchildmandmfamilymasmthemfocalm
pointmofmtheminterventions.
7. Thempediatricmnursembeginsmamresearchmprojectmonm8-year-
oldmpatientsmwithmthemmedicalmdiagnosismofmpediatricmacute-
onsetmneuropsychiatricmsyndromem(PANS).mThemfamilymhasmconsentedmtomthemresearch,mbutmas
mthemnursembeginsmto madministermthe mintervention,mthempatientmrefusesmtomcooperate.mWhatmismt
hemappropriatemresponsemtomthismrefusal?
1. Themnursemshouldmdiscussmwithmthemfamilymthemoptionsmofmperformin
gmtheminterventionmwithoutmthemchild’smknowledge.
2. Themnursemshouldmexplainmtomthemchildmthatmthismismnecessarymandmpromisemamre
wardmatmthemendmofmthemresearchmproject.
3. Themnursemshouldmrefusemtomperformmtheminterventionmuntilmthemchildmconsents
mto mthe minterventionmandmproject.
4. Themnursemshouldmdiscussmthemprosmandmconsmofmthemresearchmprojectmwithmth
emchildmandmfocusmonmthemoutcomes.
8. Amnursemismprovidingmrelationship-
basedmcaremtomampediatricmpatient.mWhichmofmthemfollowingmismamchallengemthemnursemismlik
elymtomencountermwhilemusingmthismmodelmofmcare?
1. Maintainingmamsterilemfieldmformamproceduremwithmamrestlessmtoddler
2. Communicatingmwithmthemblendedmfamilymonmregularmbasis
3. Treatingmchildrenmwithmantibiotic-resistantmillnesses
4. Caringmformamlargermnumbermofmchildrenmwithmautismmspectrummdisorder
smandmchildhoodmdepression
9. Thempediatricmnursemdesiresmtomexpandmhismormhermcareermoptionsmtombecomemthemhospital’s
mnursemeducatormofmpediatrics.mWhichmofmthemfollowingmis mnecessarymformthismnursemto machi
evemthismcareermgoal?
1. Themnursemismrecommendedmtomearnmamminimummofmammaster’smdegreeminmnursing.
2. Themnursemmustmearnmamminimummofmamdoctoratemdegreeminmnursing.
3. Themnursemmustmimplementmandmdevelopmresearchminmnursingmpractice.
4. Themnursemmustmimplementmamplanmtomobtainmcertificationminmpediatrics.
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10.mThemschoolmnursemismdevelopingmamteachingmsessionmformthempopulationmofmchildr
enminmammiddlemschool.mThemnursemhasmdeterminedmthatmthemgreatestmneedmformthemoverallmh
ealthmofmthemchildrenmismpromotionmofmhealthymfoods.mWhichmofmthemfollowingminterventions
mismmostmlikelymto mbemeffective?
1. Removemallmunhealthymsnacksmfrommthemvendingmmachines.
2. Havemampostermcontestmonmhealthymeatingmoptions.
3. Surveymthemstudentmpopulationmduringmlunchmbreaks.
4. Engagemthemstudentsminmhealthymchoicesmwithmcookingmlessons.
11.mThemnursemrecognizesmthemneedsmofmprofessionalmdevelopmentmtomprovidemsafeman
dmeffectivemcaremtomthempediatricmpopulationmbymattendingmwhichmofmthemfollowingmcourses?
1. Proceduremwithmrationalemtomadministermhumanmpapillomamvaccinemtomthemm
iddlemschoolmpopulation
2. Studymreviewmofmthemincidencemofmbullyingmandmintimidationminmthemeleme
ntarymschoolmpopulation
3. DemographicmstudymofmthemU.S.mpopulationmwithmregardmtomculturalmdiversit
ymandmpractices
4. Howmtomprovidemindividualmhealthmcaremeducationmformthemchildrenmwithoutmpa
rentalminterference
12.mWhichmofmthemfollowingmcontinuingmeducationmcoursesmwouldmbestmenhancemthe
mpediatricmnurse’smpracticeminmrelationshipmtomcurrentmtrends?
1. Evidence-
basedmpracticemonmimprovingmantibioticmadherencemwithmeducationmtomthemfami
lymunit
2. Evidence-
basedmpracticemonmpropermadministrationmofmantibioticsmformchildrenmwithmauto
immunemdiseases
3. Howmtomenhancemcommunicationmwithmchildrenminmregardsmtomadherencemtomanti
bioticmuse
4. Howmtomdecreaseminstancesmofmexacerbationmofminfectionsmofmchildren
mwith mautoimmunemdiseasesmwithmantibiotics
13.mThempediatricmnursemismdevelopingminterventionsmformamschool-
agedmchildmbasedmonmthemnursingmdiagnosismofmimbalancedmnutritionmrelatedmtomambodymmassmi
ndexm(BMI)mofm37mandmpoormfoodmchoicesmasmevidencedmbympatient’smmother’smfoodmdiarymformt
hemfamilymandmchild’smstatementsmofmfoodmpreferences.mWhichmofmthemfollowingmwouldmbemanma
ppropriatemnursingmintervention?
1. Providemthemchildmandmfamilymwithminformationmfrommhttps://www.MyPlate.go
vmformhealthymfoodmoptions.
2. Increasemthemchild’smactivitymbymincorporatingmthemchild’smfriendsmintomamp
lanmofmhealthymexercisemoptions.
3. Explainmthemimportancemofmbalancingmdietmandmexercisemtompreventmobesitym
tomthemchildmandmfamily.
4. Provideminformationmonmthemincreasedmriskmformpotentialmdiseasemprocessesmsu
chmasmdiabetesmandmhypertension.
14.mThemnursemismdevelopingminterventionsmformamtransgendermadolescentmbasedmonmthe