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11th Edition, Marilyn Hockenberry, Cheryl Rodgers
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v Chapters 1 - 31
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,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Essentials of Pediatric Nursing, 11th Edition
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MULTIPLE CHOICE v
1. A nurse is planning a teaching session for parents of preschool children. Which statement ex-
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plains why the nurse should include information about morbidity and mortality?
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a. Life span statistics are included in the data. v v v v v v v
b. It explains effectiveness of treatment. v v v v
c. Cost-effective treatment is detailed for the v v v v v
general population. v
d. High-risk age groups for certain disorders or v v v v v v
hazards are identified. v v
ANSWER: D v
Analysis of morbidity and mortality data provides the parents with information about which groups
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of individuals are at risk for which health problems. Life span statistics is a part of the mortality data.
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Treatment modalities and cost are not included in morbidity and mortality data.
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DIF: Cognitive Level: Apply REF: p. 11 v v v v
TOP: Integrated Process: Nursing Process: 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 of
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school-age children. The nurse should include which associated risk of obesity in the teaching
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plan?
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a. Type I diabetes v v
b. Respiratory disease v
c. Celiac disease v
d. Type II diabetes v v
ANSWER: D v
Childhood obesity has been associated with the rise of type II diabetes in children. Type I dia- betes is
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not associated with obesity and has a genetic component. Respiratory disease is not asso-ciated with
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obesity, and celiac disease is the inability to metabolize gluten in foods and is not as-sociated with
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obesity.
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DIF: Cognitive Level: Apply REF: p. 2 v v v v
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 v
b. Sudden infant death syndrome v v v
c. Respiratory distress syndrome v v
d. Bacterial sepsis of the newborn v v v v
ANSWER: A v
, Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden infant
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death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress syndrome ac-
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counts for 3.4% of deaths in this age group. Infections specific to the perinatal period account for2.7%
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of deaths in this age group.
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DIF: Cognitive Level: Remember REF: p. 6 v v v v
TOP: Integrated Process: Nursing Process: 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-Americanboys
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v ranging in age from 15 to 19 years?
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a. Suicide
b. Cancer
c. Firearm homicide v
d. Occupational injuries v
ANSWER: C v
Firearm homicide is the second overall cause of death in this age group and the leading cause ofdeath
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in African-American males. Suicide is the third-leading cause of death in this population. Cancer,
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although a major health problem, is the fourth-leading cause of death in this age group.
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Occupational injuries do not contribute to a significant death rate for this age group.
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DIF: Cognitive Level: Understand REF: p. 7 v v v v
TOP: 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 v
c. Unintentional injuries v
d. Congenital anomalies v
ANSWER: C v
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adoles-
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cence. Congenital anomalies are the leading cause of death in those younger than 1 year. Cancerranks
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either second or fourth, depending on the age group, and heart disease ranks fifth in the majority of
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the age groups.
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DIF: Cognitive Level: Remember REF: p. 7 v v v v
TOP: Integrated Process: Nursing Process: 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 from 1to
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v 14?
a. Mechanical suffocation v
b. Drowning
c. Motor vehicle–related fatalities v v
d. Fire- and burn-related fatalities
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