Test Bank for Essentials of Pediatric Nursing, 4th Edition by Theresa Kyle; Susan Carman All Chapters 1-29 LATEST

, Essentials of Pediatric Nursing 4th Edition Kyle Carman Test Bank
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CHAPTER 1 Introduction to Child Health and Pediatric
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mNursing MULTIPLE CHOICE m m


1. A nurse is planning a teaching session for parents of preschool children.
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mWhich statement explains why the nurse should include information about
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mmorbidity and mortality? m m


a. Life-span statistics are included in the data.
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b. It explains effectiveness of treatment.
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c. Cost-effective treatment is detailed for the general population. m m m m m m m


d. High-risk age groups for certain disorders or hazards are
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midentified. ANS: D m m


Analysis of morbidity and mortality data provides the parents with information about
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mwhich groups of individuals are at risk for which health problems. Life-span statistics
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mis a part of the mortality data. Treatment modalities and cost are not included in
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mmorbidity and mortality data. m m m


PTS: 1 DIF: Cognitive Level: Apply REF: 6-8
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m TOP: Integrated Process: Nursing Process:
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mPlanning
MSC: Area of Client Needs: Health Promotion and Maintenance
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2. A clinic nurse is planning a teaching session about childhood obesity prevention for
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mparents of school-age children. The nurse should include which associated risk of
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mobesity in the teaching plan?
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a. Type I diabetes m m


b. Respiratory disease m


c. Celiac disease m


d. Type II diabetes m m


mANS: D m


Childhood obesity has been associated with the rise of type II diabetes in children.
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mType I diabetes is not associated with obesity and has a genetic component.
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mRespiratory disease is not associated with obesity, and celiac disease is the inability
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mto metabolize gluten in foods and is not associated with obesity.
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PTS: 1 DIF: Cognitive Level: Apply REF: 3
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TOP: Integrated Process: Nursing Process: Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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3. Which is the leading cause of death in infants younger than 1 year?
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a. Congenital anomalies m


b. Sudden infant death syndrome m m m


c. Respiratory distress syndrome m m


d. Bacterial sepsis of the m m m


mnewborn ANS: A m m


Congenital anomalies account for 20.1% of deaths in infants younger than 1 year.
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mSudden infant death syndrome accounts for 8.2% of deaths in this age group.
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mRespiratory distress syndrome accounts for 3.4% of deaths in this age group.
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mInfections specific to the perinatal period account for 2.7% of deaths in this age
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mgroup.

,PTS: 1 DIF: Cognitive Level: Remember REF: 7
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m TOP: Integrated Process: Nursing Process:
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mAssessment
MSC: Area of Client Needs: Health Promotion and Maintenance
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4. Which leading cause of death topic should the nurse emphasize to a group of
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mAfrican- American boys ranging in ages 15 to 19 years?
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a. Suicide
b. Cancer
c. Firearm homicide m


d. Occupational injuries m


mANS: C m


Firearm homicide is the second overall cause of death in this age group and the
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mleading cause of death in African-American males. Suicide is the third-leading cause
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mof death in this population. Cancer, although a major health problem, is the fourth-
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leading cause of death in this age group. Occupational injuries do not contribute to a
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msignificant death rate for this age group.
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PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8
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mTOP: Integrated Process: Nursing Process: Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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5. Which is the major cause of death for children older than 1 year?
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a. Cancer
b. Heart disease m


c. Unintentional injuries m


d. Congenital anomalies m


mANS: C m


Unintentional injuries (accidents) are the leading cause of death after age 1 year
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mthrough adolescence. Congenital anomalies are the leading cause of death in those
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myounger than 1 year. Cancer ranks either second or fourth, depending on the age group,
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mand heart disease ranks fifth in the majority of the age groups.
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PTS: 1 DIF: Cognitive Level: Remember REF: 8
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mTOP: Integrated Process: Nursing Process:
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mPlanning
MSC: Area of Client Needs: Health Promotion and Maintenance
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6. Which is the leading cause of death from unintentional injuries for females ranging
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min age from 1 to 14?
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a. Mechanical suffocation m


b. Drowning
c. Motorvehicle-related fatalities m


d. Fire- and burn-related fatalities
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mANS: C m


Motorvehicle-related fatalities are the leading cause of death for females ranging in age
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mfrom 1 to 14, either as passengers or as pedestrians. Mechanical suffocation is fourth or
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mfifth, depending on the age. Drowning is the second- or third-leading cause of death,
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mdepending on the age. Fire- and burn-related fatalities are the second-leading cause of
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mdeath.
PTS: 1 DIF: Cognitive Level: Remember REF: 4
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m TOP: Integrated Process: Nursing Process:
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mAssessment
MSC: Area of Client Needs: Health Promotion and Maintenance
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, 7. Which factor most impacts the type of injury a child is susceptible to, according to
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mthe childs age?m m


a. Physical health of the child m m m m


b. Developmental level of the child m m m m


c. Educational level of the child m m m m


d. Number of responsible adults in the m m m m m


mhome ANS: B m m


The childs developmental stage determines the type of injury that is likely to occur.
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mThe childs physical health may facilitate the childs recovery from an injury but does
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mnot impact the type of injury. Educational level is related to developmental level, but
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mit is not as important as the childs developmental level in determining the type of
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minjury. The number of responsible adults in the home may affect the number of
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munintentional injuries, but the type of injury is related to the childs developmental
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mstage.
PTS: 1 DIF: Cognitive Level: Understand REF: 3-
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4 TOP: Integrated Process: Nursing Process:
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mPlanning
MSC: Area of Client Needs: Health Promotion and Maintenance
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8. Which is now referred to as the new morbidity?
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a. Limitations in the major activities of daily living m m m m m m m


b. Unintentional injuries that cause chronic health problems m m m m m m


c. Discoveries of new therapies to treat health problems m m m m m m m


d. Behavioral, social, and educational problems that alter m m m m m m


mhealth ANS: D m m


The new morbidity reflects the behavioral, social, and educational problems that
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minterfere with the childs social and academic development. It is currently estimated
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mthat the incidence of these issues is from 5% to 30%. Limitations in major activities
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mof daily living and unintentional injuries that result in chronic health problems are
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mincluded in morbidity data. Discovery of new therapies would be reflected in changes
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min morbidity data over time.
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PTS: 1 DIF: Cognitive Level: Remember REF: 3
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m TOP: Integrated Process: Nursing Process:
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Assessment
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MSC: Area of Client Needs: Health Promotion and Maintenance
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9. A nurse on a pediatric unit is practicing family-centered care. Which is
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mmost descriptive of the care the nurse is delivering?
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a. Taking over total care of the child to reduce stress on the family
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b. Encouraging family dependence on health care systems m m m m m m


c. Recognizing that the family is the constant in a childs life m m m m m m m m m m


d. Excluding families from the decision-making m m m m


mprocess ANS: C m m


The three key components of family-centered care are respect, collaboration, and
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msupport. Family-centered care recognizes the family as the constant in the childs life.
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mTaking over total care does not include the family in the process and may increase
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mstress instead of reducing stress. The family should be enabled and empowered to
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mwork with the health care system. The family is expected to be part of the decision-
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making process. m


PTS: 1 DIF: Cognitive Level: Remember REF: 8
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TOP: Integrated Process: Nursing Process: Implementation
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mMSC: Area of Client Needs: Health Promotion and
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