,Principles of Pediatric Nursing: Caring for Children, 7e (Ball et al.)
Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
1) Which nursing role is not directly involved when providing family-centered approach to the
pediatric population? 1. Advocacy
2. Case management
3. Patient education
4. Researcher
Answer: 4
Explanation: 1. A researcher is not involved in the family-centered approach to patient care of
children and their families. Advocacy, case management, and patient education are all roles
directly involved in the care of children and their families.
2. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
3. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
4. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
Page Ref: 4
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Assessment/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Family-centered care
2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
federal guidelines are in place that delineate which pediatrics clients must give assent for
participation in research trials. Based upon the client's age, the nurse would seek assent from
which children?
Select all that apply.
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
4. The 13-year-old client commencing participation in a research program for Attention Deficit
Hyperactivity Disorder (ADHD) treatments.
Answer: 2, 3, 4
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
receive developmentally appropriate information about healthcare procedures and treatments and
give assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
,3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
Page Ref: 11, 12
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential V: Healthcare policy, finance, and regulatory environments | NLN Competencies:
Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of
care
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
nursing practice.
MNL LO: Developmentally appropriate care
3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
appropriate for the nurse to complete?
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
recovery.
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local
supportgroup options.
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation.
Answer: 1
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing
nursing care interventions, and educating client and family at developmentally appropriate
levels; client advocacy, case management, minimization of distress, and enhancement of coping.
Advanced practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions. Page Ref: 2-4
Cognitive Level: Applying
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
, Implementation/Coordination mof mcare
Learning mOutcome: m LO m1.2 mCompare mthe mroles mof mnurses min mchild
mhealthcare. mMNL m LO: m Pediatric mnursing mcare
4) A m7-year-old mchild mis madmitted mfor macute mappendicitis. mThe mparents mare mquestioning mthe
mnurse mabout mexpectations mduring mthe mchild's mrecovery. mWhich minformation mtool mwould mbe
mmost museful min manswering ma mparent's mquestions mabout mthe mtiming mof mkey mevents?
1. Healthy mPeople m2020
2. Clinical mpathways
3. Child mmortality mstatistics
4. National mclinical mpractice
mguidelines mAnswer: m 2
Explanation: m 1. mClinical mpathways mare minterdisciplinary mdocuments mprovided mby ma mhospital
mto msuggest mideal msequencing mand mtiming mof mevents mand minterventions mfor mspecific mdiseases mto
mimprove mefficiency mof mcare mand menhance mrecovery. mThis mpathway mserves mas ma mmodel
moutlining mthe mtypical mhospital mstay mfor mindividuals mwith mspecified mconditions. mHealthy mPeople
m2020 mcontains mobjectives mset mby mthe mU.S. mgovernment mto mimprove mthe mhealth mand mreduce mthe
mincidence mof mdeath min mthe
twenty-first mcentury. mChild mmortality mstatistics mcan mbe mcompared mwith mthose mfrom mother
mdecades mfor mthe mevaluation mof machievement mtoward mhealth-care mgoals. mNational mclinical
mpractice mguidelines mpromote muniformity min mcare mfor mspecific mdisease mconditions mby
msuggesting mexpected moutcomes m from mspecific minterventions.
2. Clinical mpathways mare minterdisciplinary mdocuments mprovided mby ma mhospital mto msuggest
mideal msequencing mand mtiming mof mevents mand minterventions mfor mspecific mdiseases mto mimprove
mefficiency mof mcare mand menhance mrecovery. mThis mpathway mserves mas ma mmodel moutlining mthe
mtypical mhospital mstay mfor mindividuals mwith mspecified mconditions. mHealthy mPeople m2020
mcontains mobjectives mset mby mthe mU.S. mgovernment mto mimprove mthe mhealth mand mreduce mthe
mincidence mof mdeath min mthe mtwenty-first mcentury. mChild mmortality mstatistics mcan mbe mcompared
mwith mthose mfrom mother mdecades mfor mthe mevaluation mof machievement mtoward mhealth-care mgoals.
mNational mclinical mpractice mguidelines mpromote muniformity min mcare mfor mspecific mdisease
mconditions mby msuggesting mexpected moutcomes mfrom mspecific minterventions.
3. Clinical mpathways mare minterdisciplinary mdocuments mprovided mby ma mhospital mto msuggest
mideal msequencing mand mtiming mof mevents mand minterventions mfor mspecific mdiseases mto mimprove
mefficiency mof mcare mand menhance mrecovery. mThis mpathway mserves mas ma mmodel moutlining mthe
mtypical mhospital mstay mfor mindividuals mwith mspecified mconditions. mHealthy mPeople m2020
mcontains mobjectives mset mby mthe mU.S. mgovernment mto mimprove mthe mhealth mand mreduce mthe
mincidence mof mdeath min mthe mtwenty-first mcentury. mChild mmortality mstatistics mcan mbe mcompared
mwith mthose mfrom mother mdecades mfor mthe mevaluation mof machievement mtoward mhealth-care mgoals.
mNational mclinical mpractice mguidelines mpromote muniformity min mcare mfor mspecific mdisease
mconditions mby msuggesting mexpected moutcomes mfrom mspecific minterventions.
4. Clinical mpathways mare minterdisciplinary mdocuments mprovided mby ma mhospital mto msuggest
mideal msequencing mand mtiming mof mevents mand minterventions mfor mspecific mdiseases mto mimprove
mefficiency mof mcare mand menhance mrecovery. mThis mpathway mserves mas ma mmodel moutlining mthe
mtypical mhospital mstay mfor mindividuals mwith mspecified mconditions. mHealthy mPeople m2020
mcontains mobjectives mset mby mthe mU.S. mgovernment mto mimprove mthe mhealth mand mreduce mthe
mincidence mof mdeath min mthe mtwenty-first mcentury. mChild mmortality mstatistics mcan mbe mcompared
mwith mthose mfrom mother mdecades mfor mthe mevaluation mof machievement mtoward mhealth-care mgoals.
mNational mclinical mpractice mguidelines mpromote muniformity min mcare mfor mspecific mdisease
mconditions mby msuggesting mexpected moutcomes mfrom mspecific minterventions. mPage mRef: m1, m2
Cognitive mLevel: m Applying
Client mNeed m&Sub: m Psychosocial mIntegrity
Standards: m QSEN mCompetencies: mPatient-centered mcare m| mAACN mEssential mCompetencies:
Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
1) Which nursing role is not directly involved when providing family-centered approach to the
pediatric population? 1. Advocacy
2. Case management
3. Patient education
4. Researcher
Answer: 4
Explanation: 1. A researcher is not involved in the family-centered approach to patient care of
children and their families. Advocacy, case management, and patient education are all roles
directly involved in the care of children and their families.
2. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
3. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
4. A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
Page Ref: 4
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Assessment/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Family-centered care
2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
federal guidelines are in place that delineate which pediatrics clients must give assent for
participation in research trials. Based upon the client's age, the nurse would seek assent from
which children?
Select all that apply.
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
4. The 13-year-old client commencing participation in a research program for Attention Deficit
Hyperactivity Disorder (ADHD) treatments.
Answer: 2, 3, 4
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
receive developmentally appropriate information about healthcare procedures and treatments and
give assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
,3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
Page Ref: 11, 12
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential V: Healthcare policy, finance, and regulatory environments | NLN Competencies:
Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of
care
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
nursing practice.
MNL LO: Developmentally appropriate care
3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
appropriate for the nurse to complete?
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
recovery.
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local
supportgroup options.
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation.
Answer: 1
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing
nursing care interventions, and educating client and family at developmentally appropriate
levels; client advocacy, case management, minimization of distress, and enhancement of coping.
Advanced practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions. Page Ref: 2-4
Cognitive Level: Applying
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
, Implementation/Coordination mof mcare
Learning mOutcome: m LO m1.2 mCompare mthe mroles mof mnurses min mchild
mhealthcare. mMNL m LO: m Pediatric mnursing mcare
4) A m7-year-old mchild mis madmitted mfor macute mappendicitis. mThe mparents mare mquestioning mthe
mnurse mabout mexpectations mduring mthe mchild's mrecovery. mWhich minformation mtool mwould mbe
mmost museful min manswering ma mparent's mquestions mabout mthe mtiming mof mkey mevents?
1. Healthy mPeople m2020
2. Clinical mpathways
3. Child mmortality mstatistics
4. National mclinical mpractice
mguidelines mAnswer: m 2
Explanation: m 1. mClinical mpathways mare minterdisciplinary mdocuments mprovided mby ma mhospital
mto msuggest mideal msequencing mand mtiming mof mevents mand minterventions mfor mspecific mdiseases mto
mimprove mefficiency mof mcare mand menhance mrecovery. mThis mpathway mserves mas ma mmodel
moutlining mthe mtypical mhospital mstay mfor mindividuals mwith mspecified mconditions. mHealthy mPeople
m2020 mcontains mobjectives mset mby mthe mU.S. mgovernment mto mimprove mthe mhealth mand mreduce mthe
mincidence mof mdeath min mthe
twenty-first mcentury. mChild mmortality mstatistics mcan mbe mcompared mwith mthose mfrom mother
mdecades mfor mthe mevaluation mof machievement mtoward mhealth-care mgoals. mNational mclinical
mpractice mguidelines mpromote muniformity min mcare mfor mspecific mdisease mconditions mby
msuggesting mexpected moutcomes m from mspecific minterventions.
2. Clinical mpathways mare minterdisciplinary mdocuments mprovided mby ma mhospital mto msuggest
mideal msequencing mand mtiming mof mevents mand minterventions mfor mspecific mdiseases mto mimprove
mefficiency mof mcare mand menhance mrecovery. mThis mpathway mserves mas ma mmodel moutlining mthe
mtypical mhospital mstay mfor mindividuals mwith mspecified mconditions. mHealthy mPeople m2020
mcontains mobjectives mset mby mthe mU.S. mgovernment mto mimprove mthe mhealth mand mreduce mthe
mincidence mof mdeath min mthe mtwenty-first mcentury. mChild mmortality mstatistics mcan mbe mcompared
mwith mthose mfrom mother mdecades mfor mthe mevaluation mof machievement mtoward mhealth-care mgoals.
mNational mclinical mpractice mguidelines mpromote muniformity min mcare mfor mspecific mdisease
mconditions mby msuggesting mexpected moutcomes mfrom mspecific minterventions.
3. Clinical mpathways mare minterdisciplinary mdocuments mprovided mby ma mhospital mto msuggest
mideal msequencing mand mtiming mof mevents mand minterventions mfor mspecific mdiseases mto mimprove
mefficiency mof mcare mand menhance mrecovery. mThis mpathway mserves mas ma mmodel moutlining mthe
mtypical mhospital mstay mfor mindividuals mwith mspecified mconditions. mHealthy mPeople m2020
mcontains mobjectives mset mby mthe mU.S. mgovernment mto mimprove mthe mhealth mand mreduce mthe
mincidence mof mdeath min mthe mtwenty-first mcentury. mChild mmortality mstatistics mcan mbe mcompared
mwith mthose mfrom mother mdecades mfor mthe mevaluation mof machievement mtoward mhealth-care mgoals.
mNational mclinical mpractice mguidelines mpromote muniformity min mcare mfor mspecific mdisease
mconditions mby msuggesting mexpected moutcomes mfrom mspecific minterventions.
4. Clinical mpathways mare minterdisciplinary mdocuments mprovided mby ma mhospital mto msuggest
mideal msequencing mand mtiming mof mevents mand minterventions mfor mspecific mdiseases mto mimprove
mefficiency mof mcare mand menhance mrecovery. mThis mpathway mserves mas ma mmodel moutlining mthe
mtypical mhospital mstay mfor mindividuals mwith mspecified mconditions. mHealthy mPeople m2020
mcontains mobjectives mset mby mthe mU.S. mgovernment mto mimprove mthe mhealth mand mreduce mthe
mincidence mof mdeath min mthe mtwenty-first mcentury. mChild mmortality mstatistics mcan mbe mcompared
mwith mthose mfrom mother mdecades mfor mthe mevaluation mof machievement mtoward mhealth-care mgoals.
mNational mclinical mpractice mguidelines mpromote muniformity min mcare mfor mspecific mdisease
mconditions mby msuggesting mexpected moutcomes mfrom mspecific minterventions. mPage mRef: m1, m2
Cognitive mLevel: m Applying
Client mNeed m&Sub: m Psychosocial mIntegrity
Standards: m QSEN mCompetencies: mPatient-centered mcare m| mAACN mEssential mCompetencies:
