Essentials of Pediatric Nursing CH 1
1. Origin: Chapter 1, 1
The nurse providing family-centered care in a hospital setting reflects on
the focus of the health care provided in today's society. Which statement
best describes the current definition of health?
A) Health is described as 'an absence of disease.'
B) Health is measured by monitoring mortality and morbidity of a group.
C) Health is a state of complete physical, mental, and social well-being.
D) Technological gains made in health care are shared equally among
all children.: Ans: C
Feedback:
In the past, health was defined simply as the absence of disease; health
was measured by monitoring the mortality and morbidity of a group.
Over the past century, however, the focus of health has shifted to
disease prevention, health promotion, and wellness. The World Health
Organization (2013) defines health as "a state of complete physical,
mental, and social well-being, and not merely the absence of disease or
infirmity." The gains in child health have been huge, but, unfortunately,
these gains are not shared equally among all children.
2. Origin: Chapter 1, 2
The student nurse is learning about the past history of child health and
health care in the United States. Which statement accurately reflects the
condition of health care in the past and current centuries?
A) In past centuries in the United States, the health of the country was
better than it is today due to the simpler style of living.
B) In the current century, mortality rates are high, but life expectancy
, Essentials of Pediatric Nursing CH 1
has increased due to technological advances.
C) In the late eighteenth and early nineteenth centuries urban public
health improvements made cities healthier places for growing children.
D) By the late twentieth century unintentional injuries rather than infectious
diseases had become the leading cause of death for children older than 1
year old.: Ans: D
Feedback:
In past centuries in the United States, the health of the country was
poorer than it is today; mortality rates were high and life expectancy
was short. Over the years the health of children received more and
more attention, leading to a better under- standing of sources of illness
and improvements in sanitation, water, and nutrition. As a result, by the
late twentieth century unintentional injuries rather than infectious
diseases had become the leading cause of death for children older than
1 year old.
3. Origin: Chapter 1, 3
The nurse is administering a number of therapeutic interventions for
, Essentials of Pediatric Nursing CH 1
neonates, infants, and children on the pediatric unit. Which intervention
con- tributes to an increase in chronic illness seen in early childhood?
A) Administering antibiotics to prevent lethal infections
B) Vaccinating children to prevent childhood diseases
C) Using mechanical ventilation for premature infants
D) Using corticosteroids as a treatment for asthma: Ans:
C Feedback:
Using mechanical ventilation and medications to foster lung
development in prema- ture infants increases their survival rate. Yet the
infants who survive are often faced with myriad chronic illnesses.
Administering antibiotics to prevent lethal infections, vaccinating
children to prevent childhood diseases, and using corticosteroids as a
treatment for asthma may cause side effects, but do not contribute to
chronic illness in children.
4. Origin: Chapter 1, 4
The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy
People. Which nursing action best reflects the nurse fostering this health
care agenda?
A) The nurse signs up for classes to obtain an advanced degree in nursing
B) The nurse volunteers at a local health care clinic providing free
vaccinations for low-income populations
C) The nurse performs an in-service on basic hospital equipment for
student nurses
D) The nurse compiles nursing articles on evidence-based practices in
nursing to present at a hospital training seminar: Ans: B
1. Origin: Chapter 1, 1
The nurse providing family-centered care in a hospital setting reflects on
the focus of the health care provided in today's society. Which statement
best describes the current definition of health?
A) Health is described as 'an absence of disease.'
B) Health is measured by monitoring mortality and morbidity of a group.
C) Health is a state of complete physical, mental, and social well-being.
D) Technological gains made in health care are shared equally among
all children.: Ans: C
Feedback:
In the past, health was defined simply as the absence of disease; health
was measured by monitoring the mortality and morbidity of a group.
Over the past century, however, the focus of health has shifted to
disease prevention, health promotion, and wellness. The World Health
Organization (2013) defines health as "a state of complete physical,
mental, and social well-being, and not merely the absence of disease or
infirmity." The gains in child health have been huge, but, unfortunately,
these gains are not shared equally among all children.
2. Origin: Chapter 1, 2
The student nurse is learning about the past history of child health and
health care in the United States. Which statement accurately reflects the
condition of health care in the past and current centuries?
A) In past centuries in the United States, the health of the country was
better than it is today due to the simpler style of living.
B) In the current century, mortality rates are high, but life expectancy
, Essentials of Pediatric Nursing CH 1
has increased due to technological advances.
C) In the late eighteenth and early nineteenth centuries urban public
health improvements made cities healthier places for growing children.
D) By the late twentieth century unintentional injuries rather than infectious
diseases had become the leading cause of death for children older than 1
year old.: Ans: D
Feedback:
In past centuries in the United States, the health of the country was
poorer than it is today; mortality rates were high and life expectancy
was short. Over the years the health of children received more and
more attention, leading to a better under- standing of sources of illness
and improvements in sanitation, water, and nutrition. As a result, by the
late twentieth century unintentional injuries rather than infectious
diseases had become the leading cause of death for children older than
1 year old.
3. Origin: Chapter 1, 3
The nurse is administering a number of therapeutic interventions for
, Essentials of Pediatric Nursing CH 1
neonates, infants, and children on the pediatric unit. Which intervention
con- tributes to an increase in chronic illness seen in early childhood?
A) Administering antibiotics to prevent lethal infections
B) Vaccinating children to prevent childhood diseases
C) Using mechanical ventilation for premature infants
D) Using corticosteroids as a treatment for asthma: Ans:
C Feedback:
Using mechanical ventilation and medications to foster lung
development in prema- ture infants increases their survival rate. Yet the
infants who survive are often faced with myriad chronic illnesses.
Administering antibiotics to prevent lethal infections, vaccinating
children to prevent childhood diseases, and using corticosteroids as a
treatment for asthma may cause side effects, but do not contribute to
chronic illness in children.
4. Origin: Chapter 1, 4
The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy
People. Which nursing action best reflects the nurse fostering this health
care agenda?
A) The nurse signs up for classes to obtain an advanced degree in nursing
B) The nurse volunteers at a local health care clinic providing free
vaccinations for low-income populations
C) The nurse performs an in-service on basic hospital equipment for
student nurses
D) The nurse compiles nursing articles on evidence-based practices in
nursing to present at a hospital training seminar: Ans: B
