Origin:g Chapterg1,g1
1. Thegnursegprovidinggfamily-
centeredgcaregingaghospitalgsettinggreflectsgongthegfocusgofgtheghealthgcaregprovidedgin
gtoday'sgsociety.gWhichgstatementgbestgdescribesgthegcurrentgdefinitiongofghealth?
A) Healthgisgdescribedgasg'angabsencegofgdisease.'
B) Healthgisgmeasuredgbygmonitoringgmortalitygandgmorbiditygofgaggroup.
C) Healthgisgagstategofgcompletegphysical,gmental,gandgsocialgwell-being.
D) Technologicalggainsgmadeginghealthgcaregaregsharedgequallygamonggallgchildre
n.gAns:g C
Feedback:
Ingthegpast,ghealthgwasgdefinedgsimplygasgthegabsencegofgdisease;ghealthgwasgmeasuredgb
ygmonitoringgthegmortalitygandgmorbiditygofgaggroup.gOvergthegpastgcentury,ghowever,gt
hegfocusgofghealthghasgshiftedgtogdiseasegprevention,ghealthgpromotion,gandgwellness.gT
hegWorldgHealthgOrganizationg(2013)gdefinesghealthgasg"agstategofgcompletegphysical,g
mental,gandgsocialgwell-
being,gandgnotgmerelygthegabsencegofgdiseasegorginfirmity."gTheggainsgingchildghealthgha
vegbeenghuge,gbut,gunfortunately,gtheseggainsgaregnotgsharedgequallygamonggallgchildren
.
Origin:g Chapterg1,g2
2. Thegstudentgnursegisglearninggaboutgthegpastghistorygofgchildghealthgandghealthgcaregingt
hegUnitedgStates.gWhichgstatementgaccuratelygreflectsgthegconditiongofghealthgcaregingth
egpastgandgcurrentgcenturies?
A) IngpastgcenturiesgingthegUnitedgStates,gtheghealthgofgthegcountrygwasgbettergthangitg
isgtodaygduegtogthegsimplergstylegofgliving.
B) Ingthegcurrentgcentury,gmortalitygratesgareghigh,gbutglifegexpectancyghasgincrease
dgduegtogtechnologicalgadvances.
C) Ingtheglategeighteenthgandgearlygnineteenthgcenturiesgurbangpublicghealt
hgimprovementsgmadegcitiesghealthiergplacesgforggrowinggchildren.
D) Bygtheglategtwentiethgcenturygunintentionalginjuriesgrathergthanginfectiousgdisease
sghadgbecomegthegleadinggcausegofgdeathgforgchildrengoldergthang1gyeargold.
Ans:g D
Feedback:
IngpastgcenturiesgingthegUnitedgStates,gtheghealthgofgthegcountrygwasgpoorergthangitgisgto
day;gmortalitygratesgwereghighgandglifegexpectancygwasgshort.gOvergthegyearsgtheghealthg
ofgchildrengreceivedgmoregandgmoregattention,gleadinggtogagbettergunderstandinggofgsour
cesgofgillnessgandgimprovementsgingsanitation,gwater,gandgnutrition.gAsgagresult,gbygthegl
ategtwentiethgcenturygunintentionalginjuriesgrathergthanginfectiousgdiseasesghadgbecomeg
thegleadinggcausegofgdeathgforgchildrengoldergthang1gyeargold.
Pageg1
, Origin:g Chapterg1,g3
3. Thegnursegisgadministeringgagnumbergofgtherapeuticginterventionsgforgneonates,ginfant
s,gandgchildrengongthegpediatricgunit.gWhichginterventiongcontributesgtogangincreasegin
gchronicgillnessgseengingearlygchildhood?
A) Administeringgantibioticsgtogpreventglethalginfections
B) Vaccinatinggchildrengtogpreventgchildhoodgdiseases
C) Usinggmechanicalgventilationgforgprematureginfants
D) Usinggcorticosteroidsgasgagtreatmentgforgasthm
agAns:g C
Feedback:
Usinggmechanicalgventilationgandgmedicationsgtogfosterglunggdevelopmentgingprematuregi
nfantsgincreasesgtheirgsurvivalgrate.gYetgtheginfantsgwhogsurvivegaregoftengfacedgwithgmy
riadgchronicgillnesses.gAdministeringgantibioticsgtogpreventglethalginfections,gvaccinating
gchildrengtogpreventgchildhoodgdiseases,gandgusinggcorticosteroidsgasgagtreatmentgforgasth
magmaygcausegsidegeffects,gbutgdognotgcontributegtogchronicgillnessgingchildren.
Origin:g Chapterg1,g4
4. ThegnursegisgreviewinggagcopygofgthegU.S.gSurgeongGeneral'sgReport,gHealthygPeople.
Whichgnursinggactiongbestgreflectsgthegnursegfosteringgthisghealthgcaregagenda?
A) Thegnursegsignsgupgforgclassesgtogobtaingangadvancedgdegreegingnursing
B) Thegnursegvolunteersgatgaglocalghealthgcaregclinicgprovidinggfreegvaccinationsgfo
rglow-incomegpopulations
C) Thegnursegperformsgangin-servicegongbasicghospitalgequipmentgforgstudentgnurses
D) Thegnursegcompilesgnursinggarticlesgongevidence-
basedgpracticesgingnursinggtogpresentgatgaghospitalgtraininggseminar
Ans:g B
Feedback:
HealthygPeoplegisgagcomprehensiveghealthgpromotiongandgdiseasegpreventiongagendagth
atgisgworkinggtowardgimprovinggthegquantitygandgqualitygofglifegforgallgAmericansg(U.S.
gDepartmentgofgHealthgandgHumangServices,g2010).gOverarchingggoalsgaregtogeliminate
gpreventablegdisease,gdisability,ginjury,gandgprematuregdeath;gachieveghealthgequity,geli
minategdisparities,gandgimprovegtheghealthgofgallggroups;gcreategphysicalgandgsocialgenvi
ronmentsgthatgpromoteggoodghealth;gandgpromoteghealthygdevelopmentgandgbehaviorsga
crossgeverygstagegofglife.gVolunteeringgatgaglocalghealthgcaregclinicgdirectlygreflectsgtheg
goalgofgimprovinggtheghealthgofgallggroupsgofgpeople.gSigninggupgforgclasses,gperformin
ggin-servicesgongequipment,gandgcompilinggnursinggarticlesgongevidence-
basedgpracticesgingnursinggaregallgworthwhilegactivitiesgthatgfosterghealthgcaregdelivery,g
butgaregnotgasgdirectlyglinkedgtogthegagendagofgpromotingghealthgingthegcommunity.
Pageg2
, Origin:g Chapterg1,g5
5. ThegneonatalgnursegresearchesgthegneonatalgandgmortalitygratesgingthegUnitedgState
s.gWhichgstatementsgaccuratelygdescribegthesegmeasurementsgofgchildghealth?gSele
ctgallgthatgapply.
A) Neonatalgmortalitygisgthegnumbergofginfantgdeathsgoccurringgingthegfirstg2
8gdaysgofglifegperg1,000glivegbirths.
B) Theginfantgmortalitygrategrefersgtogthegnumbergofgdeathsgoccurringgingthegfir
stg6gmonthsgofglife.
C) Neonatalgmortalitygisgdocumentedgasgthegnumbergofgdeathsgingrelationgtog1,00
0glivegbirths.
D) Theginfantgmortalitygrategisgusedgasgangindexgofgtheggeneralghealthgofg
agcountry.
E) Ing2007,gtheginfantgmortalitygrategingthegUnitedgStatesgwasg6.8gperg1,000gliv
egbirths.
F) Theginfantgmortalitygrategisgconsistentgfromgstategtogstategasgwellgasgbetwee
ngethnicggroups.
Ans:g A,gC,gD,gE
Feedback:
Neonatalgmortalitygisgthegnumbergofginfantgdeathsgoccurringgingthegfirstg28gdaysgofg
lifegperg1,000glivegbirths.gTheginfantgmortalitygrategrefersgtogthegnumbergofgdeathsg
occurringgingthegfirstg12gmonthsgofglifegandgisgdocumentedgasgthegnumbergofgdeaths
gingrelationgtog1,000glivegbirths.gTheginfantgmortalitygrategisgusedgasgangindexgofgthe
ggeneralghealthgofgagcountry;ggenerally,gthisgstatisticgisgonegofgthegmostgsignificantg
measuresgofgchildren'sghealth.gIng2007,gtheginfantgmortalitygrategingthegUnitedgState
sgwasg6.8gperg1,000glivegbirths.gTheginfantgmortalitygrategvariesggreatlygfromgstategt
ogstategasgwellgasgbetweengethnicggroups.
Origin:g Chapterg1,g6
6. ThegnursegresearcherginvestigatesgthegmorbiditygrategingthegUnitedgStates.gWhic
hgstatementgaccuratelygreflectsgthisgconcept?
A) Morbiditygmeasuresgthegprevalencegofgagspecificgillnessgingagpopulationgatg
agparticulargtime.
B) Morbiditygisgpresentedgingratesgperg100,000gpopulation.
C) Morbiditygstatisticsgaregrevisedgmoregfrequentlygbecausegofgthegeasegingdefininggo
rgobtaininggtheginformation.
D) Inggeneral,g76%gofgchildrengingthegUnitedgStatesgenjoyedgexcellentghealthgandg27
%ghadgveryggoodghealthgingag2007greport.
Ans:g A
Pageg3
, Feedback:
Morbiditygisgthegmeasuregofgprevalencegofgagspecificgillnessgingagpopulationgatgagparticu
largtime.gItgisgpresentedgingratesgperg1,000gpopulation.gMorbiditygisgoftengdifficultgtogde
finegandgrecordgbecausegthegdefinitionsgusedgvarygwidely.gForgexample,gmorbiditygmay
gbegdefinedgasgvisitsgtogthegphysiciangorgdiagnosisgforghospitalgadmission.gAlso,gdatagm
aygbegdifficultgtogobtain.gMorbiditygstatisticsgaregrevisedglessgfrequentlygbecausegofgtheg
difficultygingdefininggorgobtaininggtheginformation.gInggeneral,g56%gofgchildrengingtheg
UnitedgStatesgenjoyedgexcellentghealthgandg27%ghadgveryggoodghealthgasgreportedgingag
summarygofghealthgstatisticsgforgchildrenging2007.
Origin:g Chapterg1,g7
7. Whengassessinggagfamilygforgbarriersgtoghealthgcare,gthegnursegdocumentsgchecksgf
orgpsychosocialgbarriers.gWhatgisgangexamplegofgthisgtypegofghealthgcaregdeficit?
A) Academicgdifficulties
B) Respiratorygillness
C) Poorgsanitation
D) Inheritedgdiseases
Ans:g A
g
Feedback:
Environmentalgandgpsychosocialgfactorsgaregnowgangidentifiedgareagofgconcerngingchildr
en.gTheygincludegacademicgdifferences,gcomplexgpsychiatricgdisorders,gself-
harmgandgharmgtogothers,gusegofgfirearms,ghostilitygatgschool,gsubstancegabuse,gHIV/AI
DS,gandgadversegeffectsgofgthegmedia.gRespiratorygillnessgandginheritedgdiseasesgareghea
lthgproblems,gandgpoorgsanitationgisgangenvironmentalgfactor.
Origin:g Chapterg1,g8
8. Whengintegratinggthegprinciplesgofgfamily-
centeredgcare,gthegnursegwouldgincludegwhichgconcept?
A) Parentsgwantgnursesgtogmakegdecisionsgaboutgtheirgchild'sgtreatment.
B) Familiesgaregunablegtogmakeginformedgchoices.
C) Peopleghavegtakengincreasedgresponsibilitygforgtheirgownghealth.
D) Familiesgrequireglittleginformationgtogmakegappropriategdecisions
.gAns:g C
Feedback:
Duegtogtheginfluencegofgmanagedgcare,gthegfocusgongprevention,gbettergeducation,gandgte
chnologicalgadvances,gpeopleghavegtakengincreasedgresponsibilitygforgtheirgownghealth.gP
arentsgnowgwantginformationgaboutgtheirgchild'sgillness,gtogparticipategingmakinggdecisio
nsgaboutgtreatment,gandgtogaccompanygtheirgchildrengtogallghealthgcaregsituations.
Pageg4
1. Thegnursegprovidinggfamily-
centeredgcaregingaghospitalgsettinggreflectsgongthegfocusgofgtheghealthgcaregprovidedgin
gtoday'sgsociety.gWhichgstatementgbestgdescribesgthegcurrentgdefinitiongofghealth?
A) Healthgisgdescribedgasg'angabsencegofgdisease.'
B) Healthgisgmeasuredgbygmonitoringgmortalitygandgmorbiditygofgaggroup.
C) Healthgisgagstategofgcompletegphysical,gmental,gandgsocialgwell-being.
D) Technologicalggainsgmadeginghealthgcaregaregsharedgequallygamonggallgchildre
n.gAns:g C
Feedback:
Ingthegpast,ghealthgwasgdefinedgsimplygasgthegabsencegofgdisease;ghealthgwasgmeasuredgb
ygmonitoringgthegmortalitygandgmorbiditygofgaggroup.gOvergthegpastgcentury,ghowever,gt
hegfocusgofghealthghasgshiftedgtogdiseasegprevention,ghealthgpromotion,gandgwellness.gT
hegWorldgHealthgOrganizationg(2013)gdefinesghealthgasg"agstategofgcompletegphysical,g
mental,gandgsocialgwell-
being,gandgnotgmerelygthegabsencegofgdiseasegorginfirmity."gTheggainsgingchildghealthgha
vegbeenghuge,gbut,gunfortunately,gtheseggainsgaregnotgsharedgequallygamonggallgchildren
.
Origin:g Chapterg1,g2
2. Thegstudentgnursegisglearninggaboutgthegpastghistorygofgchildghealthgandghealthgcaregingt
hegUnitedgStates.gWhichgstatementgaccuratelygreflectsgthegconditiongofghealthgcaregingth
egpastgandgcurrentgcenturies?
A) IngpastgcenturiesgingthegUnitedgStates,gtheghealthgofgthegcountrygwasgbettergthangitg
isgtodaygduegtogthegsimplergstylegofgliving.
B) Ingthegcurrentgcentury,gmortalitygratesgareghigh,gbutglifegexpectancyghasgincrease
dgduegtogtechnologicalgadvances.
C) Ingtheglategeighteenthgandgearlygnineteenthgcenturiesgurbangpublicghealt
hgimprovementsgmadegcitiesghealthiergplacesgforggrowinggchildren.
D) Bygtheglategtwentiethgcenturygunintentionalginjuriesgrathergthanginfectiousgdisease
sghadgbecomegthegleadinggcausegofgdeathgforgchildrengoldergthang1gyeargold.
Ans:g D
Feedback:
IngpastgcenturiesgingthegUnitedgStates,gtheghealthgofgthegcountrygwasgpoorergthangitgisgto
day;gmortalitygratesgwereghighgandglifegexpectancygwasgshort.gOvergthegyearsgtheghealthg
ofgchildrengreceivedgmoregandgmoregattention,gleadinggtogagbettergunderstandinggofgsour
cesgofgillnessgandgimprovementsgingsanitation,gwater,gandgnutrition.gAsgagresult,gbygthegl
ategtwentiethgcenturygunintentionalginjuriesgrathergthanginfectiousgdiseasesghadgbecomeg
thegleadinggcausegofgdeathgforgchildrengoldergthang1gyeargold.
Pageg1
, Origin:g Chapterg1,g3
3. Thegnursegisgadministeringgagnumbergofgtherapeuticginterventionsgforgneonates,ginfant
s,gandgchildrengongthegpediatricgunit.gWhichginterventiongcontributesgtogangincreasegin
gchronicgillnessgseengingearlygchildhood?
A) Administeringgantibioticsgtogpreventglethalginfections
B) Vaccinatinggchildrengtogpreventgchildhoodgdiseases
C) Usinggmechanicalgventilationgforgprematureginfants
D) Usinggcorticosteroidsgasgagtreatmentgforgasthm
agAns:g C
Feedback:
Usinggmechanicalgventilationgandgmedicationsgtogfosterglunggdevelopmentgingprematuregi
nfantsgincreasesgtheirgsurvivalgrate.gYetgtheginfantsgwhogsurvivegaregoftengfacedgwithgmy
riadgchronicgillnesses.gAdministeringgantibioticsgtogpreventglethalginfections,gvaccinating
gchildrengtogpreventgchildhoodgdiseases,gandgusinggcorticosteroidsgasgagtreatmentgforgasth
magmaygcausegsidegeffects,gbutgdognotgcontributegtogchronicgillnessgingchildren.
Origin:g Chapterg1,g4
4. ThegnursegisgreviewinggagcopygofgthegU.S.gSurgeongGeneral'sgReport,gHealthygPeople.
Whichgnursinggactiongbestgreflectsgthegnursegfosteringgthisghealthgcaregagenda?
A) Thegnursegsignsgupgforgclassesgtogobtaingangadvancedgdegreegingnursing
B) Thegnursegvolunteersgatgaglocalghealthgcaregclinicgprovidinggfreegvaccinationsgfo
rglow-incomegpopulations
C) Thegnursegperformsgangin-servicegongbasicghospitalgequipmentgforgstudentgnurses
D) Thegnursegcompilesgnursinggarticlesgongevidence-
basedgpracticesgingnursinggtogpresentgatgaghospitalgtraininggseminar
Ans:g B
Feedback:
HealthygPeoplegisgagcomprehensiveghealthgpromotiongandgdiseasegpreventiongagendagth
atgisgworkinggtowardgimprovinggthegquantitygandgqualitygofglifegforgallgAmericansg(U.S.
gDepartmentgofgHealthgandgHumangServices,g2010).gOverarchingggoalsgaregtogeliminate
gpreventablegdisease,gdisability,ginjury,gandgprematuregdeath;gachieveghealthgequity,geli
minategdisparities,gandgimprovegtheghealthgofgallggroups;gcreategphysicalgandgsocialgenvi
ronmentsgthatgpromoteggoodghealth;gandgpromoteghealthygdevelopmentgandgbehaviorsga
crossgeverygstagegofglife.gVolunteeringgatgaglocalghealthgcaregclinicgdirectlygreflectsgtheg
goalgofgimprovinggtheghealthgofgallggroupsgofgpeople.gSigninggupgforgclasses,gperformin
ggin-servicesgongequipment,gandgcompilinggnursinggarticlesgongevidence-
basedgpracticesgingnursinggaregallgworthwhilegactivitiesgthatgfosterghealthgcaregdelivery,g
butgaregnotgasgdirectlyglinkedgtogthegagendagofgpromotingghealthgingthegcommunity.
Pageg2
, Origin:g Chapterg1,g5
5. ThegneonatalgnursegresearchesgthegneonatalgandgmortalitygratesgingthegUnitedgState
s.gWhichgstatementsgaccuratelygdescribegthesegmeasurementsgofgchildghealth?gSele
ctgallgthatgapply.
A) Neonatalgmortalitygisgthegnumbergofginfantgdeathsgoccurringgingthegfirstg2
8gdaysgofglifegperg1,000glivegbirths.
B) Theginfantgmortalitygrategrefersgtogthegnumbergofgdeathsgoccurringgingthegfir
stg6gmonthsgofglife.
C) Neonatalgmortalitygisgdocumentedgasgthegnumbergofgdeathsgingrelationgtog1,00
0glivegbirths.
D) Theginfantgmortalitygrategisgusedgasgangindexgofgtheggeneralghealthgofg
agcountry.
E) Ing2007,gtheginfantgmortalitygrategingthegUnitedgStatesgwasg6.8gperg1,000gliv
egbirths.
F) Theginfantgmortalitygrategisgconsistentgfromgstategtogstategasgwellgasgbetwee
ngethnicggroups.
Ans:g A,gC,gD,gE
Feedback:
Neonatalgmortalitygisgthegnumbergofginfantgdeathsgoccurringgingthegfirstg28gdaysgofg
lifegperg1,000glivegbirths.gTheginfantgmortalitygrategrefersgtogthegnumbergofgdeathsg
occurringgingthegfirstg12gmonthsgofglifegandgisgdocumentedgasgthegnumbergofgdeaths
gingrelationgtog1,000glivegbirths.gTheginfantgmortalitygrategisgusedgasgangindexgofgthe
ggeneralghealthgofgagcountry;ggenerally,gthisgstatisticgisgonegofgthegmostgsignificantg
measuresgofgchildren'sghealth.gIng2007,gtheginfantgmortalitygrategingthegUnitedgState
sgwasg6.8gperg1,000glivegbirths.gTheginfantgmortalitygrategvariesggreatlygfromgstategt
ogstategasgwellgasgbetweengethnicggroups.
Origin:g Chapterg1,g6
6. ThegnursegresearcherginvestigatesgthegmorbiditygrategingthegUnitedgStates.gWhic
hgstatementgaccuratelygreflectsgthisgconcept?
A) Morbiditygmeasuresgthegprevalencegofgagspecificgillnessgingagpopulationgatg
agparticulargtime.
B) Morbiditygisgpresentedgingratesgperg100,000gpopulation.
C) Morbiditygstatisticsgaregrevisedgmoregfrequentlygbecausegofgthegeasegingdefininggo
rgobtaininggtheginformation.
D) Inggeneral,g76%gofgchildrengingthegUnitedgStatesgenjoyedgexcellentghealthgandg27
%ghadgveryggoodghealthgingag2007greport.
Ans:g A
Pageg3
, Feedback:
Morbiditygisgthegmeasuregofgprevalencegofgagspecificgillnessgingagpopulationgatgagparticu
largtime.gItgisgpresentedgingratesgperg1,000gpopulation.gMorbiditygisgoftengdifficultgtogde
finegandgrecordgbecausegthegdefinitionsgusedgvarygwidely.gForgexample,gmorbiditygmay
gbegdefinedgasgvisitsgtogthegphysiciangorgdiagnosisgforghospitalgadmission.gAlso,gdatagm
aygbegdifficultgtogobtain.gMorbiditygstatisticsgaregrevisedglessgfrequentlygbecausegofgtheg
difficultygingdefininggorgobtaininggtheginformation.gInggeneral,g56%gofgchildrengingtheg
UnitedgStatesgenjoyedgexcellentghealthgandg27%ghadgveryggoodghealthgasgreportedgingag
summarygofghealthgstatisticsgforgchildrenging2007.
Origin:g Chapterg1,g7
7. Whengassessinggagfamilygforgbarriersgtoghealthgcare,gthegnursegdocumentsgchecksgf
orgpsychosocialgbarriers.gWhatgisgangexamplegofgthisgtypegofghealthgcaregdeficit?
A) Academicgdifficulties
B) Respiratorygillness
C) Poorgsanitation
D) Inheritedgdiseases
Ans:g A
g
Feedback:
Environmentalgandgpsychosocialgfactorsgaregnowgangidentifiedgareagofgconcerngingchildr
en.gTheygincludegacademicgdifferences,gcomplexgpsychiatricgdisorders,gself-
harmgandgharmgtogothers,gusegofgfirearms,ghostilitygatgschool,gsubstancegabuse,gHIV/AI
DS,gandgadversegeffectsgofgthegmedia.gRespiratorygillnessgandginheritedgdiseasesgareghea
lthgproblems,gandgpoorgsanitationgisgangenvironmentalgfactor.
Origin:g Chapterg1,g8
8. Whengintegratinggthegprinciplesgofgfamily-
centeredgcare,gthegnursegwouldgincludegwhichgconcept?
A) Parentsgwantgnursesgtogmakegdecisionsgaboutgtheirgchild'sgtreatment.
B) Familiesgaregunablegtogmakeginformedgchoices.
C) Peopleghavegtakengincreasedgresponsibilitygforgtheirgownghealth.
D) Familiesgrequireglittleginformationgtogmakegappropriategdecisions
.gAns:g C
Feedback:
Duegtogtheginfluencegofgmanagedgcare,gthegfocusgongprevention,gbettergeducation,gandgte
chnologicalgadvances,gpeopleghavegtakengincreasedgresponsibilitygforgtheirgownghealth.gP
arentsgnowgwantginformationgaboutgtheirgchild'sgillness,gtogparticipategingmakinggdecisio
nsgaboutgtreatment,gandgtogaccompanygtheirgchildrengtogallghealthgcaregsituations.
Pageg4
