TEST BANK
ESSENTIALS OF PEDIATRIC NURSING
4TH EDITION KYLE CARMAN
1-29 CHAPTERS
Test Bank Questions withComplete Solutions
1
, TEST BANK
ESSENTIALS OF PEDIATRIC NURSING
4TH EDITION KYLE CARMAN
1-29 CHAPTERS
CHAPTER 1
INTRODUCTION TO CHILD HEALTH AND PEDIATRIC
NURSING
1. A nurse on a pediatric unit is practicing family-centered care. Which is most
descriptive of the care the nurse is delivering?
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
c. Recognizing that the family is the constant in a Childs life
d. Excluding families from the decision-making process
ANS: C
The three key components of family-centered care are respect, collaboration, and support.
Family-centered care recognizes the family as the constant in the Childs life. Taking over
total care does not include the family in the process and may increase stress instead of
reducing stress. The family should be enabled and empowered to work with the health
care system. The family is expected to be part of the decision-making process.
PTS: 1 DIF: Cognitive Level: Remember REF: 8
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Health Promotion and Maintenance
2. The nurse is preparing an in-service education to staff about traumatic care for
pediatric patients. Which intervention should the nurse include?
a. Prepare the child for separation from parents during hospitalization by reviewing a
video.
b. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a
2
,stuffed animal.
c. Help the child accept the loss of control associated with hospitalization.
d. Help the child accept pain that is connected with a treatment or procedure.
ANS: B
Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy,
providing play activities for expression of fear and aggression, providing choices, and
respecting cultural differences are components of a traumatic care. In the provision of a
traumatic care, the separation of child from parents during hospitalization is minimized.
The nurse should promote a sense of control for the child. Preventing and minimizing
bodily injury and pain are major components of a traumatic care.
PTS: 1 DIF: Cognitive Level: Understand REF: 9
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Psychosocial Integrity
3. Which is most suggestive that a nurse has a non therapeutic relationship with a
patient and family?
a. Staff is concerned about the nurse’s actions with the patient and family.
b. Staff assignments allow the nurse to care for same patient and family over an extended
time.
c. Nurse is able to withdraw emotionally when emotional overload occurs but still
remains committed.
d. Nurse uses teaching skills to instruct patient and family rather than doing everything
for them.
ANS: A
An important clue to a non therapeutic staff-patient relationship is concern of other staff
members. Allowing the nurse to care for the same patient over time would be therapeutic
for the patient and family. Nurses who are able to somewhat withdraw emotionally can
protect themselves while providing therapeutic care. Nurses using teaching skills to
instruct patient and family will assist in transitioning the child and family to self-care.
PTS: 1 DIF: Cognitive Level: Analyze REF: 9
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
4. Which is most descriptive of clinical reasoning?
3
, a. A simple developmental process
b. Purposeful and goal-directed
c. Based on deliberate and irrational thought
d. Assists individuals in guessing what is most appropriate
ANS: B
Clinical reasoning is a complex, developmental process based on rational and deliberate
thought. Clinical reasoning is not a developmental process. Clinical reasoning is based on
rational and deliberate thought. Clinical reasoning is not a guessing process.
PTS: 1 DIF: Cognitive Level: Understand REF: 12
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
5. A nurse makes the decision to apply a topical anesthetic to a Childs skin
before drawing blood. Which ethical principle is the nurse demonstrating?
a. Autonomy
b. Beneficence
c. Justice
d. Truthfulness
ANS: B
Beneficence is the obligation to promote the patients well-being. Applying a topical
anesthetic before drawing blood promotes reducing the discomfort of the venipuncture.
Autonomy is the patients right to be self-governing. Justice is the concept of fairness.
Truthfulness is the concept of honesty.
PTS: 1 DIF: Cognitive Level: Understand REF: 11
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Physiological Integrity
6. Which action by the nurse demonstrates use of evidence-based practice (EBP)?
a. Gathering equipment for a procedure
b. Documenting changes in a patients status
c. Questioning the use of daily central line dressing changes
d. Clarifying a physicians prescription for morphine
ANS: C
4
ESSENTIALS OF PEDIATRIC NURSING
4TH EDITION KYLE CARMAN
1-29 CHAPTERS
Test Bank Questions withComplete Solutions
1
, TEST BANK
ESSENTIALS OF PEDIATRIC NURSING
4TH EDITION KYLE CARMAN
1-29 CHAPTERS
CHAPTER 1
INTRODUCTION TO CHILD HEALTH AND PEDIATRIC
NURSING
1. A nurse on a pediatric unit is practicing family-centered care. Which is most
descriptive of the care the nurse is delivering?
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
c. Recognizing that the family is the constant in a Childs life
d. Excluding families from the decision-making process
ANS: C
The three key components of family-centered care are respect, collaboration, and support.
Family-centered care recognizes the family as the constant in the Childs life. Taking over
total care does not include the family in the process and may increase stress instead of
reducing stress. The family should be enabled and empowered to work with the health
care system. The family is expected to be part of the decision-making process.
PTS: 1 DIF: Cognitive Level: Remember REF: 8
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Health Promotion and Maintenance
2. The nurse is preparing an in-service education to staff about traumatic care for
pediatric patients. Which intervention should the nurse include?
a. Prepare the child for separation from parents during hospitalization by reviewing a
video.
b. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a
2
,stuffed animal.
c. Help the child accept the loss of control associated with hospitalization.
d. Help the child accept pain that is connected with a treatment or procedure.
ANS: B
Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy,
providing play activities for expression of fear and aggression, providing choices, and
respecting cultural differences are components of a traumatic care. In the provision of a
traumatic care, the separation of child from parents during hospitalization is minimized.
The nurse should promote a sense of control for the child. Preventing and minimizing
bodily injury and pain are major components of a traumatic care.
PTS: 1 DIF: Cognitive Level: Understand REF: 9
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Psychosocial Integrity
3. Which is most suggestive that a nurse has a non therapeutic relationship with a
patient and family?
a. Staff is concerned about the nurse’s actions with the patient and family.
b. Staff assignments allow the nurse to care for same patient and family over an extended
time.
c. Nurse is able to withdraw emotionally when emotional overload occurs but still
remains committed.
d. Nurse uses teaching skills to instruct patient and family rather than doing everything
for them.
ANS: A
An important clue to a non therapeutic staff-patient relationship is concern of other staff
members. Allowing the nurse to care for the same patient over time would be therapeutic
for the patient and family. Nurses who are able to somewhat withdraw emotionally can
protect themselves while providing therapeutic care. Nurses using teaching skills to
instruct patient and family will assist in transitioning the child and family to self-care.
PTS: 1 DIF: Cognitive Level: Analyze REF: 9
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
4. Which is most descriptive of clinical reasoning?
3
, a. A simple developmental process
b. Purposeful and goal-directed
c. Based on deliberate and irrational thought
d. Assists individuals in guessing what is most appropriate
ANS: B
Clinical reasoning is a complex, developmental process based on rational and deliberate
thought. Clinical reasoning is not a developmental process. Clinical reasoning is based on
rational and deliberate thought. Clinical reasoning is not a guessing process.
PTS: 1 DIF: Cognitive Level: Understand REF: 12
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
5. A nurse makes the decision to apply a topical anesthetic to a Childs skin
before drawing blood. Which ethical principle is the nurse demonstrating?
a. Autonomy
b. Beneficence
c. Justice
d. Truthfulness
ANS: B
Beneficence is the obligation to promote the patients well-being. Applying a topical
anesthetic before drawing blood promotes reducing the discomfort of the venipuncture.
Autonomy is the patients right to be self-governing. Justice is the concept of fairness.
Truthfulness is the concept of honesty.
PTS: 1 DIF: Cognitive Level: Understand REF: 11
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Physiological Integrity
6. Which action by the nurse demonstrates use of evidence-based practice (EBP)?
a. Gathering equipment for a procedure
b. Documenting changes in a patients status
c. Questioning the use of daily central line dressing changes
d. Clarifying a physicians prescription for morphine
ANS: C
4
