Essentials of Pediatric kz kz
Nursing 4th Edition
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Kyle Carman
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Test Bank Questions
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withComplete
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Solutions kz
, Essentialsof Pediatric Nursing 4thEditionKyle CarmanTest Bank kz kz kz kz kz kz kz kz kz
CHAPTER 1 Introduction to Child Health and Pediatric Nursing kz kz kz kz kz kz kz kz
MULTIPLE CHOICE
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1. A nurse is planning a teaching session for parents of preschool children. Which
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statement explains why the nurse should include information about morbidity and
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mortality?
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a. Life-span statistics are included in the data. kz kz kz kz kz kz
b. Itexplainseffectivenessof treatment.
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c. Cost-effective treatment is detailed for the general population. kz kz kz kz kz kz kz
d. High-riskagegroupsfor certaindisordersor hazardsareidentified. kz kz kz kz kz kz kz kz kz
ANS: D
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Analysis of morbidity and mortality data provides the parents with information about which
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groups of individuals are at risk for which health problems. Life-span statistics is a part of the
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mortality data. Treatment modalities and cost are not included in morbidity and mortality
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data.
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PTS: 1 DIF: Cognitive Level: Apply REF: 6-8 TOP:
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IntegratedProcess:NursingProcess:Planning
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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 parents
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of school-age children.The nurse should include which associated risk of obesity in the
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teaching plan?
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a. TypeIdiabetes kz kz
b. Respiratory disease kz
c. Celiac disease kz
d. TypeIIdiabetes kz kz
ANS: D
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Childhood obesity has been associated with the rise of type II diabetes in children.Type I kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
diabetes is not associated with obesity and has a genetic component. Respiratory disease is not
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associated with obesity, and celiac disease is the inability to metabolize gluten in foods and is
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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? kz kz kz kz kz kz kz kz kz kz kz kz
a. Congenital anomalies kz
b. Sudden infant death syndrome kz kz kz
c. Respiratory distress syndrome kz kz
d. Bacterialsepsisofthenewborn kz kz kz kz
ANS:A
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Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden infant kz kz kz kz kz kz kz kz kz kz kz kz kz kz
death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress syndrome
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accounts for 3.4% of deaths in this age group. Infections specific to the perinatal period
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account for 2.7% of deaths in this age group.
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,PTS: 1 DIF: Cognitive Level: Remember REF: 7 TOP:
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IntegratedProcess:NursingProcess:Assessment
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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 ofAfrican-
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American boys ranging in ages 15 to 19 years?
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a. Suicide
b. Cancer
c. Firearm homicide kz
d. Occupationalinjuries kz
ANS: C
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Firearm homicide is the second overall cause of death in this age group and the leading cause of
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death inAfrican-American males. Suicide is the third-leading cause of death in this
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population. Cancer, although a major health problem, is the fourth-leading cause of death in
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this age group. Occupational injuries do not contribute to a significant death rate for this age
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group.
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PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8 TOP:
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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? kz kz kz kz kz kz kz kz kz kz kz kz
a. Cancer
b. Heart disease kz
c. Unintentional injuries kz
d. Congenitalanomalies kz
ANS: C
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Unintentional injuries (accidents) are the leading cause of death after age 1 year through kz kz kz kz kz kz kz kz kz kz kz kz kz
adolescence. Congenital anomalies are the leading cause of death in those younger than 1 year.
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Cancer ranks either second or fourth, depending on the age group, and heart disease ranks fifth in
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the majority of the age groups.
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PTS: 1 DIF: Cognitive Level: Remember REF: 8 TOP:
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IntegratedProcess:NursingProcess:Planning
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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 in age
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from 1 to 14?
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a. Mechanical suffocation kz
b. Drowning
c. Motorvehicle-related fatalities kz
d. Fire-andburn-relatedfatalities kz kz kz
ANS: C
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Motorvehicle-related fatalities are the leading cause of death for females ranging in age from 1 to kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
14, either as passengers or as pedestrians. Mechanical suffocation is fourth or fifth, depending
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on the age. Drowning is the second- or third-leading cause of death, depending on the age. Fire-
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and burn-related fatalities are the second-leading cause of death.
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PTS: 1 DIF: Cognitive Level: Remember REF: 4 TOP:
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IntegratedProcess:NursingProcess:Assessment
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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 the childs
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age?
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a. Physical health of the child kz kz kz kz
b. Developmental level of the child kz kz kz kz
c. Educational level of the child kz kz kz kz
d. Numberofresponsibleadultsinthehome kz kz kz kz kz kz
ANS: B
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The childs developmental stage determines the type of injury that is likely to occur. The childs
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physical health may facilitate the childs recovery from an injury but does not impact the type
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of injury. Educational level is related to developmental level, but it is not as important as the
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childs developmental level in determining the type of injury. The number of responsible adults
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in the home may affect the number of unintentional injuries, but the type of injury is related to
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the childs developmental stage.
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PTS: 1 DIF: Cognitive Level: Understand REF: 3-4
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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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8. Which is now referred to as the new morbidity? kz kz kz kz kz kz kz kz
a. Limitations in the major activities of daily living kz kz kz kz kz kz kz
b. Unintentional injuries that cause chronic health problems kz kz kz kz kz kz
c. Discoveries of new therapies to treat health problems kz kz kz kz kz kz kz
d. Behavioral,social,andeducationalproblemsthatalterhealth kz kz kz kz kz kz kz
ANS: D
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The newmorbidity reflectsthe behavioral, social,and educational problemsthat interfere with
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the childs social and academic development. It is currently estimated that the incidence of
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these issues is from 5% to 30%. Limitations in major activities of daily living and
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unintentional injuries that result in chronic health problems are included in morbidity data.
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Discovery of new therapies would be reflected in changes in morbidity data over time.
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PTS: 1 DIF: Cognitive Level: Remember REF: 3 TOP:
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IntegratedProcess:NursingProcess:Assessment
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MSC:Area of Client Needs: Health Promotion and Maintenance
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9. Anurse on a pediatric unit is practicing family-centered care.Which is most
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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 kz kz kz kz kz kz kz kz kz kz kz kz
b. Encouraging family dependence on health care systems kz kz kz kz kz kz
c. Recognizing that the family is the constant in a childs life kz kz kz kz kz kz kz kz kz kz
d. Excludingfamiliesfromthedecision-makingprocess kz kz kz kz kz
ANS: C
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The three key components of family-centered care are respect, collaboration, and support.
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Family-centered care recognizes the family as the constant in the childs life. Taking over total
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care does not include the family in the process and may increase stress instead of reducing
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stress. The family should be enabled and empowered to work with the health care system. The
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family is expected to be part of the decision-making process.
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PTS: 1 DIF: Cognitive Level: Remember REF: 8
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TOP: Integrated Process: Nursing Process: Implementation MSC:
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Areaof Client Needs: Health Promotion andMaintenance
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