Nelson Essentials of Pediatrics 8th Edition by Karen
Marcdante; Robert Kliegman, 9780323511452, Chapter 1-
29 Complete Guide
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Complete Test bank, All Chapters are included.
, Nelson Essentials of Pediatrics 8th Edition Marcdante Kliegman Test Bank
Chapter 1 Population and Culture
Question 1
Type: MCMA
The nurse is planning care for an adolescent client who will be hospitalized for several
weeks following a traumatic brain injury. Which interventions will enhance family-
centered care for this client and family?
Standard Text: Select all that apply.
1. Making all ADL decisions for the adolescent and family
2. Asking the adolescent what foods to include during meal time
3. Allowing the family time to pray each day with the adolescent
4. Encouraging the adolescents friends to visit during visiting hours
5. Leaving all questions for the healthcare provider
Correct Answer: 2,3,4
Rationale 1: Interventions that will enhance family-centered care for this client and
family include asking the adolescent to be an active member of care by making food
choices, allowing the family to pray each day with the adolescent, and encouraging the
adolescents friends to visit during visiting hours. These interventions each promote the
concepts of family-centered care. Making all decisions for the adolescent and family and
leaving all questions for the healthcare provider do not promote the concepts of family-
centered care.
Rationale 2: Interventions that will enhance family-centered care for this client and
family include asking the adolescent to be an active member of care by making food
choices, allowing the family to pray each day with the adolescent, and encouraging the
adolescents friends to visit during visiting hours. These interventions each promote the
concepts of family-centered care. Making all decisions for the adolescent and family and
leaving all questions for the healthcare provider do not promote the concepts of family-
centered care.
Rationale 3: Interventions that will enhance family-centered care for this client and
family include asking the adolescent to be an active member of care by making food
choices, allowing the family to pray each day with the adolescent, and encouraging the
adolescents friends to visit during visiting hours. These interventions each promote the
concepts of family-centered care. Making all decisions for the adolescent and family and
leaving all questions for the healthcare provider do not promote the concepts of family-
centered care.
Rationale 4: Interventions that will enhance family-centered care for this client and
family include asking the adolescent to be an active member of care by making food
choices, allowing the family to pray each day with the adolescent, and encouraging the
adolescents friends to visit during visiting hours. These interventions each promote the
concepts of family-centered care. Making all decisions for the adolescent and family and
leaving all questions for the healthcare provider do not promote the concepts of family-
centered care.
,Global Rationale: Interventions that will enhance family-centered care for this client and
family include asking the adolescent to be an active member of care by making food
choices, allowing the family to pray each day with the adolescent, and encouraging the
adolescents friends to visit during visiting hours. These interventions each promote the
concepts of family-centered care. Making all decisions for the adolescent and family and
leaving all questions for the healthcare provider do not promote the concepts of family-
centered care.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO 2.7 Develop a family-centered nursing care plan for the child
and family.
Question 2
Type: MCSA
A new pediatric hospital will open soon. While planning nursing care, the hospital
administration is considering two models of providing health care: family-focused care
and family-centered care. Which action best implements family-centered care?
1. Telling the family what must be done for the familys health
2. Assuming the role of an expert professional to direct the health care
3. Intervening for the child and family as a unit
4. Conferring with the family in deciding which healthcare option will be chosen
Correct Answer: 4
Rationale 1: The benefit of employing the family-centered-care philosophy is that the
priorities and needs as seen by the family are addressed as a partnership between a family
and a nurse develops. In family-focused care, the healthcare worker assumes the role of
professional expert while missing the multiple contributions the family brings to the
healthcare meeting.
Rationale 2: The benefit of employing the family-centered-care philosophy is that the
priorities and needs as seen by the family are addressed as a partnership between a family
and a nurse develops. In family-focused care, the healthcare worker assumes the role of
professional expert while missing the multiple contributions the family brings to the
healthcare meeting.
Rationale 3: The benefit of employing the family-centered-care philosophy is that the
priorities and needs as seen by the family are addressed as a partnership between a family
and a nurse develops. In family-focused care, the healthcare worker assumes the role of
professional expert while missing the multiple contributions the family brings to the
healthcare meeting.
Rationale 4: The benefit of employing the family-centered-care philosophy is that the
priorities and needs as seen by the family are addressed as a partnership between a family
and a nurse develops. In family-focused care, the healthcare worker assumes the role of
professional expert while missing the multiple contributions the family brings to the
healthcare meeting.
, Global Rationale: The benefit of employing the family-centered-care philosophy is that
the priorities and needs as seen by the family are addressed as a partnership between a
family and a nurse develops. In family-focused care, the healthcare worker assumes the
role of professional expert while missing the multiple contributions the family brings to
the healthcare meeting.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 2.1 Describe key concepts of family-centered care.
Question 3
Type: MCSA
A school-age client tells you that Grandpa, Mommy, Daddy, and my brother live at my
house. Which type of family will the nurse identify in the medical record based on this
description?
1. Binuclear family
2. Extended family
3. Gay or lesbian family
4. Traditional nuclear family
Correct Answer: 2
Rationale 1: An extended family contains a parent or a couple who share the house with
their children and another adult relative. A binuclear family includes the divorced parents
who have joint custody of their biologic children, while the children alternate spending
varying amounts of time in the home of each parent. A gay or lesbian family is comprised
of two same-sex domestic partners; they may or may not have children. The traditional
nuclear family consists of an employed provider parent, a homemaking parent, and the
biologic children of this union.
Rationale 2: An extended family contains a parent or a couple who share the house with
their children and another adult relative. A binuclear family includes the divorced parents
who have joint custody of their biologic children, while the children alternate spending
varying amounts of time in the home of each parent. A gay or lesbian family is comprised
of two same-sex domestic partners; they may or may not have children. The traditional
nuclear family consists of an employed provider parent, a homemaking parent, and the
biologic children of this union.
Rationale 3: An extended family contains a parent or a couple who share the house with
their children and another adult relative. A binuclear family includes the divorced parents
who have joint custody of their biologic children, while the children alternate spending
varying amounts of time in the home of each parent. A gay or lesbian family is comprised
of two same-sex domestic partners; they may or may not have children. The traditional
nuclear family consists of an employed provider parent, a homemaking parent, and the
biologic children of this union.
Rationale 4: An extended family contains a parent or a couple who share the house with
their children and another adult relative. A binuclear family includes the divorced parents