,
,
,
,4) A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse
about expectations during the child's recovery. Which information tool would be most useful
in answering a parent's questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
Answer: 2
Explanation: 1. Clinical pathways are interdisciplinary documents provided by a hospital to
suggest ideal sequencing and timing of events and interventions for specific diseases to improve
efficiency of care and enhance recovery. This pathway serves as a model outlining the typical
hospital stay for individuals with specified conditions. Healthy People 2020 contains objectives
set by the U.S. government to improve the health and reduce the incidence of death in the
twenty-first century. Child mortality statistics can be compared with those from other decades for
the evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes from
specific interventions.
2. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay
for individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first
century. Child mortality statistics can be compared with those from other decades for the
evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes
from specific interventions.
3. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay
for individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first
century. Child mortality statistics can be compared with those from other decades for the
evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes
from specific interventions.
4. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay
for individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first
century. Child mortality statistics can be compared with those from other decades for the
evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes
from specific interventions.
,Test Bank Principles of Pediatric Nursing Caring for Children 8th Edition by Ball.
Page Ref: 1, 2
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
,Test Bank Principles of Pediatric Nursing Caring for Children 8th Edition by Ball.
NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process:
Planning/Health teaching and health promotion
Learning Outcome: LO 1.1 Describe the continuum of pediatric healthcare.
MNL LO: Family-centered care
,Test Bank Principles of Pediatric Nursing Caring for Children 8th Edition by Ball.
5) The nurse recognizes that the pediatric client is from a cultural background different from
that of the hospital staff. Which goal is most appropriate for this client when planning nursing
care?
1. Overlook or minimize the differences that exist.
2. Facilitate the family's ability to comply with the care needed.
3. Avoid inadvertently offending the family by imposing the nurse's perspective.
4. Encourage complementary beneficial cultural practices as primary
therapies. Answer: 2
Explanation: 1. The incorporation of the family's cultural perspective into the care plan is most
likely to result in the family's ability to accept medical care and comply with the regimen
prescribed. Since culture develops from social learning, attempts to ignore or minimize cultural
consideration will result in mistrust, suspicion, or offenses that can have negative effects upon
the health of children by reducing the resources available to promote health and prevent illness.
Complementary therapy may be used later if other primary therapies prove to be ineffective.
2. The incorporation of the family's cultural perspective into the care plan is most likely to
result in the family's ability to accept medical care and comply with the regimen prescribed.
Since culture develops from social learning, attempts to ignore or minimize cultural
consideration will result in mistrust, suspicion, or offenses that can have negative effects upon
the health of children by reducing the resources available to promote health and prevent
illness. Complementary therapy may be used later if other primary therapies prove to be
ineffective.
3. The incorporation of the family's cultural perspective into the care plan is most likely to
result in the family's ability to accept medical care and comply with the regimen prescribed.
Since culture develops from social learning, attempts to ignore or minimize cultural
consideration will result in mistrust, suspicion, or offenses that can have negative effects upon
the health of children by reducing the resources available to promote health and prevent
illness. Complementary therapy may be used later if other primary therapies prove to be
ineffective.
4. The incorporation of the family's cultural perspective into the care plan is most likely to
result in the family's ability to accept medical care and comply with the regimen prescribed.
Since culture develops from social learning, attempts to ignore or minimize cultural
consideration will result in mistrust, suspicion, or offenses that can have negative effects upon
the health of children by reducing the resources available to promote health and prevent
illness. Complementary therapy may be used later if other primary therapies prove to be
ineffective. Page Ref: 3
Cognitive Level: Applying
Client Need &Sub: Health Promotion and Maintenance
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:
Planning/Coordination of care
Learning Outcome: LO 1.3 Analyze the current societal influences on pediatric healthcare and
nursing practice.
,Test Bank Principles of Pediatric Nursing Caring for Children 8th Edition by Ball.
MNL LO: Family-centered care
, Test Bank Principles of Pediatric Nursing Caring for Children 8th Edition by Ball.
6) The telephone triage nurse at a pediatric clinic knows each call is important. Which call
would require attentiveness from the nurse because of an increased risk of mortality?
1. A 3-week-old infant born at 35 weeks' gestation with gastroenteritis
2. A term 2-week-old infant of American Indian descent with an upper respiratory infection
3. A postterm 4-week-old infant non-Hispanic black descent with moderate emesis after feeding
4. A 1-week-old infant born at 40 weeks' gestation with symptoms of
colic Answer: 1
Explanation: 1. The leading causes of death in the neonatal period (birth to 28 days of age) are
short gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require
extra attentiveness from the registered nurse.
2. The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require
extra attentiveness from the registered nurse.
3. The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require
extra attentiveness from the registered nurse.
4. The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require
extra attentiveness from the registered nurse.
Page Ref: 6, 7
Cognitive Level: Applying
Client Need &Sub: Health Promotion and Maintenance
Standards: QSEN Competencies: Informatics/Patient-centered care | AACN Essential
Competencies: Essential IV: Information management and application of patient care technology
| NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Planning/Coordination of care
Learning Outcome: LO 1.4 Report the most common causes of child mortality by age group and
reasons for hospitalization.
MNL LO: Developmentally appropriate care
,
,
,4) A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse
about expectations during the child's recovery. Which information tool would be most useful
in answering a parent's questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
Answer: 2
Explanation: 1. Clinical pathways are interdisciplinary documents provided by a hospital to
suggest ideal sequencing and timing of events and interventions for specific diseases to improve
efficiency of care and enhance recovery. This pathway serves as a model outlining the typical
hospital stay for individuals with specified conditions. Healthy People 2020 contains objectives
set by the U.S. government to improve the health and reduce the incidence of death in the
twenty-first century. Child mortality statistics can be compared with those from other decades for
the evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes from
specific interventions.
2. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay
for individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first
century. Child mortality statistics can be compared with those from other decades for the
evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes
from specific interventions.
3. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay
for individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first
century. Child mortality statistics can be compared with those from other decades for the
evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes
from specific interventions.
4. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay
for individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first
century. Child mortality statistics can be compared with those from other decades for the
evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes
from specific interventions.
,Test Bank Principles of Pediatric Nursing Caring for Children 8th Edition by Ball.
Page Ref: 1, 2
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
,Test Bank Principles of Pediatric Nursing Caring for Children 8th Edition by Ball.
NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process:
Planning/Health teaching and health promotion
Learning Outcome: LO 1.1 Describe the continuum of pediatric healthcare.
MNL LO: Family-centered care
,Test Bank Principles of Pediatric Nursing Caring for Children 8th Edition by Ball.
5) The nurse recognizes that the pediatric client is from a cultural background different from
that of the hospital staff. Which goal is most appropriate for this client when planning nursing
care?
1. Overlook or minimize the differences that exist.
2. Facilitate the family's ability to comply with the care needed.
3. Avoid inadvertently offending the family by imposing the nurse's perspective.
4. Encourage complementary beneficial cultural practices as primary
therapies. Answer: 2
Explanation: 1. The incorporation of the family's cultural perspective into the care plan is most
likely to result in the family's ability to accept medical care and comply with the regimen
prescribed. Since culture develops from social learning, attempts to ignore or minimize cultural
consideration will result in mistrust, suspicion, or offenses that can have negative effects upon
the health of children by reducing the resources available to promote health and prevent illness.
Complementary therapy may be used later if other primary therapies prove to be ineffective.
2. The incorporation of the family's cultural perspective into the care plan is most likely to
result in the family's ability to accept medical care and comply with the regimen prescribed.
Since culture develops from social learning, attempts to ignore or minimize cultural
consideration will result in mistrust, suspicion, or offenses that can have negative effects upon
the health of children by reducing the resources available to promote health and prevent
illness. Complementary therapy may be used later if other primary therapies prove to be
ineffective.
3. The incorporation of the family's cultural perspective into the care plan is most likely to
result in the family's ability to accept medical care and comply with the regimen prescribed.
Since culture develops from social learning, attempts to ignore or minimize cultural
consideration will result in mistrust, suspicion, or offenses that can have negative effects upon
the health of children by reducing the resources available to promote health and prevent
illness. Complementary therapy may be used later if other primary therapies prove to be
ineffective.
4. The incorporation of the family's cultural perspective into the care plan is most likely to
result in the family's ability to accept medical care and comply with the regimen prescribed.
Since culture develops from social learning, attempts to ignore or minimize cultural
consideration will result in mistrust, suspicion, or offenses that can have negative effects upon
the health of children by reducing the resources available to promote health and prevent
illness. Complementary therapy may be used later if other primary therapies prove to be
ineffective. Page Ref: 3
Cognitive Level: Applying
Client Need &Sub: Health Promotion and Maintenance
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:
Planning/Coordination of care
Learning Outcome: LO 1.3 Analyze the current societal influences on pediatric healthcare and
nursing practice.
,Test Bank Principles of Pediatric Nursing Caring for Children 8th Edition by Ball.
MNL LO: Family-centered care
, Test Bank Principles of Pediatric Nursing Caring for Children 8th Edition by Ball.
6) The telephone triage nurse at a pediatric clinic knows each call is important. Which call
would require attentiveness from the nurse because of an increased risk of mortality?
1. A 3-week-old infant born at 35 weeks' gestation with gastroenteritis
2. A term 2-week-old infant of American Indian descent with an upper respiratory infection
3. A postterm 4-week-old infant non-Hispanic black descent with moderate emesis after feeding
4. A 1-week-old infant born at 40 weeks' gestation with symptoms of
colic Answer: 1
Explanation: 1. The leading causes of death in the neonatal period (birth to 28 days of age) are
short gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require
extra attentiveness from the registered nurse.
2. The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require
extra attentiveness from the registered nurse.
3. The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require
extra attentiveness from the registered nurse.
4. The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require
extra attentiveness from the registered nurse.
Page Ref: 6, 7
Cognitive Level: Applying
Client Need &Sub: Health Promotion and Maintenance
Standards: QSEN Competencies: Informatics/Patient-centered care | AACN Essential
Competencies: Essential IV: Information management and application of patient care technology
| NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Planning/Coordination of care
Learning Outcome: LO 1.4 Report the most common causes of child mortality by age group and
reasons for hospitalization.
MNL LO: Developmentally appropriate care
