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|

,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 |tothe |pediatric |population?
1. Advocacy
2. Case |management
3. Patient |education
4. Rese
|archer


|Answer


:
4
Explanation: |1. |A |researcher |is |not |involved |in |the |family-centered |approach |to |patient
|care |ofchildren |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 |andtheir |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 |andtheir |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 |andtheir |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 |support- |group |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 |of |care



Learning |Outcome: | LO |1.2 |Compare |the |roles |of |nurses |in |child |healthcare. |MNL
|LO: |Pediatric |nursing |care
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