Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
+i +i +i +i +i +i +i +i +i +i +i +i
,Chapter 01: Perspectives of Pediatric Nursing
+i +i +i +i +i
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
+i +i +i +i +i +i +i +i +i+i
Edition
MULTIPLE CHOICE +i
1. What is the major cause of death for children in the United States?
+i +i +i +i +i +i +i +i +i +i +i +i
a. Heart disease +i
b. Childhood cancer +i
c. Injuries
d. Congenital anomalies +i
ANS: C +i
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
The leading cause of death for those younger than 1 year is congenital anomalies, and childhood can
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
cers and heart disease cause a significantly lower percentage of deaths in children older than 1 year of
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
age.
DIF: Cognitive Level: Understanding +i +i
TOP: Nursing Process: Planning MSC: Client Needs: Health Promot
+i +i +i +i + i +i +i +i
ion and Maintenance
+i +i
2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
+i +i +i +i +i +i +i +i +i +i +i +i
centered care?‖ The nurse should respond with which statement?
+i +i +i +i +i +i +i +i
a. Family-centered care reduces the effect of cultural diversity on the family. +i +i +i +i +i +i +i +i +i +i
b. Family-centered care encourages family dependence on the health care system. +i +i +i +i +i +i +i +i +i
c. Family-centered care recognizes that the family is the constant in a child‘s life. +i +i +i +i +i +i +i +i +i +i +i +i
d. Family-centered care avoids expecting families to be part of the decision- +i +i +i +i +i +i +i +i +i +i
making process. +i
ANS: C +i
The three key components of family-centered care are respect, collaboration, and support. Family-
+i +i +i +i +i +i +i +i +i +i +i +i
centered care recognizes the family as the constant in the child‘s life. The family should be enabled
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
and empowered to work with the health care system and is expected to be part of the decision-
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
making process. The nurse should also support the family‘s cultural diversity, not reduce its effect.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
DIF: Cognitive Level: Applying +i +i
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promot
+i +i +i +i + i +i +i +i
ion and Maintenance
+i +i
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
+i +i +i +i +i +i +i +i +i +i
a. Using information in textbooks to guide care
+i +i +i +i +i +i
b. Combining knowledge with clinical experience and intuition +i +i +i +i +i +i
c. Using a professional code of ethics as a means for decision making
+i +i +i +i +i +i +i +i +i +i +i
d. Gathering all evidence that applies to the child‘s health and family situation
+i +i +i +i +i +i +i +i +i +i +i
ANS: B +i
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and quest
+i +i +i +i +i +i +i +i +i +i +i +i +i
ioning the best approach. EBP involves decision making based on the integration of the best research
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
evidence combined with clinical expertise and patient values.
+i +i +i +i +i +i +i
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ban
+i +i +i +i +i +i +i +i +i +i +i +i
k
DIF: Cognitive Level: Remembering +i +i
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Effe
+i +i +i +i + i +i +i +i +i
ctive Care Environment
+i +i
4. The nurse is talking to a group of parents of school-age children at an after-
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
school program about childhood health problems. Which statement should the nurse include in t
+i +i +i +i +i +i +i +i +i +i +i +i +i
he teaching?
+i
a. Childhood obesity is the most common nutritional problem among children.
+i +i +i +i +i +i +i +i +i
b. Immunization rates are the same among children of different races and ethnicity. +i +i +i +i +i +i +i +i +i +i +i
c. Dental caries is not a problem commonly seen in children since the introduction of
+i +i +i +i +i +i +i +i +i +i +i +i +i +
fluorinated water.
i +i
d. Mental health problems are typically not seen in school-
+i +i +i +i +i +i +i +i
age children but may be diagnosed in adolescents.
+i +i +i +i +i +i +i
ANS: A +i
When teaching parents of school-
+i +i +i +i
age children about childhood health problems, the nurse should include information about childhood
+i +i +i +i +i +i +i +i +i +i +i +i +i
obesity because it is the most common problem among children and is associated with type 2 diabete
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
s. Teaching parents about ways to prevent obesity is important to include. Immunization rates differ d
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
epending on the child‘s race and ethnicity; dental caries continues to be a common chronic disease in
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
childhood; and mental health problems are seen in children as young as school age, not just in adoles
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
cents.
DIF: Cognitive Level: Applying +i +i
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promot
+i +i +i +i + i +i +i +i
ion and Maintenance
+i +i
5. The nurse is planning care for a hospitalized preschool-
+i +i +i +i +i +i +i +i
aged child. Which should the nurse plan to ensure atraumatic care?
+i +i +i +i +i +i +i +i +i +i
a. Limit explanation of procedures because the child is preschool aged.
+i +i +i +i +i +i +i +i +i
b. Ask that all family members leave the room when performing procedures.
+i +i +i +i +i +i +i +i +i +i
c. Allow the child to choose the type of juice to drink with the administration of oral
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +
medications.
i
d. Explain that EMLA cream cannot be used for the morning lab draw because there
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
is not time for it to be effective.
+i +i +i +i +i +i +i
ANS: C +i
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
juice to drink when taking oral medications provides the child with a sense of control. The preschool c
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
hild should be prepared before procedures, so limiting explanations of procedures would increase anx
+i +i +i +i +i +i +i +i +i +i +i +i +i
iety. The family should be allowed to stay with the child during procedures, minimizing stress.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescrib +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
ed cream in time for morning laboratory draws to minimize pain.
+i +i +i +i +i +i +i +i +i +i
DIF: Cognitive Level: Applying +i +i
TOP: Nursing Process: Planning MSC: Client Needs: Health Promot
+i +i +i +i + i +i +i +i
ion and Maintenance
+i +i
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
+i +i +i +i +i +i
a. The nurse is planning to read a favorite fairy tale to a patient.
+i +i +i +i +i +i +i +i +i +i +i +i
b. During shift report, the nurse is criticizing parents for not visiting their child.
+i +i +i +i +i +i +i +i +i +i +i +i
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
d. The nurse is working with a family to find ways to decrease the family‘s dependen
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
ce on health care providers.
+i +i +i +i
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ban
+i +i +i +i +i +i +i +i +i +i +i +i
k
ANS: B +i
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
with the parents. Reading a fairy tale is a therapeutic and age-
+i +i +i +i +i +i +i +i +i +i +i
appropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and s
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
hows a willingness to understand feelings. Working with parents to decrease dependence on health c
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
are providers is therapeutic and helps to empower the family.
+i +i +i +i +i +i +i +i +i
DIF: Cognitive Level: Analyzing +i +i
TOP: Integrated Process: Caring MSC: Client Needs: Psychosocial I
+i +i +i +i + i +i +i +i
ntegrity
7. The nurse is aware that which age-
+i +i +i +i +i +i
group is at risk for childhood injury because of the cognitive characteristic of magical and ego
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
centric thinking? +i
a. Preschool
b. Young school age +i +i
c. Middle school age +i +i
d. Adolescent
ANS: A +i
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they
+i +i +i +i +i +i +i +i +i +i +i +i +
are unable to comprehend danger to self or others. Young and middle school-
i +i +i +i +i +i +i +i +i +i +i +i +i
aged children have transitional cognitive processes, and they may attempt dangerous acts without deta
+i +i +i +i +i +i +i +i +i +i +i +i +i
iled planning but recognize danger to themselves or others. Adolescents have formal operational cogni
+i +i +i +i +i +i +i +i +i +i +i +i +i
tive processes and are preoccupied with abstract thinking.
+i +i +i +i +i +i +i
DIF: Cognitive Level: Understanding +i +i
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effe
+i +i +i +i + i +i +i +i +i
ctive Care Environment +i +i
8. The school nurse is assessing children for risk factors related to childhood injuries. Which child has
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
the most risk factors related to childhood injury?
+i +i +i +i +i +i +i +i
a. Female, multiple siblings, stable home life +i +i +i +i +i
b. Male, high activity level, stressful home life+i +i +i +i +i +i
c. Male, even tempered, history of previous injuries
+i +i +i +i +i +i
d. Female, reacts negatively to new situations, no serious previous injuries
+i +i +i +i +i +i +i +i +i
ANS: B +i
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
, a high activity temperament is associated with risk-
+i +i +i +i +i +i +i +i
taking behaviors, and stress predisposes children to increased risk taking and self-
+i +i +i +i +i +i +i +i +i +i +i
destructive behaviors. Therefore, a male child with a high activity level and living in a stressful enviro
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
nment has the highest number of risk factors. A girl with several siblings and a stable home life is low
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
risk. A boy with previous injuries has two risk factors, but an even temper is not a risk factor for injuri
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
es. A girl who reacts negatively to new situations but has no previous serious illnesses has only one ri
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
sk factor.
+i
DIF: Cognitive Level: Analyzing +i +i
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effe
+i +i +i +i + i +i +i +i +i
ctive Care Environment +i +i
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Which
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
moral value is the nurse displaying when supporting the adolescent to make decisions?
+i +i +i +i +i +i +i +i +i +i +i +i +i
a. Justice
+i +i +i +i +i +i +i +i +i +i +i +i
,Chapter 01: Perspectives of Pediatric Nursing
+i +i +i +i +i
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
+i +i +i +i +i +i +i +i +i+i
Edition
MULTIPLE CHOICE +i
1. What is the major cause of death for children in the United States?
+i +i +i +i +i +i +i +i +i +i +i +i
a. Heart disease +i
b. Childhood cancer +i
c. Injuries
d. Congenital anomalies +i
ANS: C +i
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
The leading cause of death for those younger than 1 year is congenital anomalies, and childhood can
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
cers and heart disease cause a significantly lower percentage of deaths in children older than 1 year of
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
age.
DIF: Cognitive Level: Understanding +i +i
TOP: Nursing Process: Planning MSC: Client Needs: Health Promot
+i +i +i +i + i +i +i +i
ion and Maintenance
+i +i
2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
+i +i +i +i +i +i +i +i +i +i +i +i
centered care?‖ The nurse should respond with which statement?
+i +i +i +i +i +i +i +i
a. Family-centered care reduces the effect of cultural diversity on the family. +i +i +i +i +i +i +i +i +i +i
b. Family-centered care encourages family dependence on the health care system. +i +i +i +i +i +i +i +i +i
c. Family-centered care recognizes that the family is the constant in a child‘s life. +i +i +i +i +i +i +i +i +i +i +i +i
d. Family-centered care avoids expecting families to be part of the decision- +i +i +i +i +i +i +i +i +i +i
making process. +i
ANS: C +i
The three key components of family-centered care are respect, collaboration, and support. Family-
+i +i +i +i +i +i +i +i +i +i +i +i
centered care recognizes the family as the constant in the child‘s life. The family should be enabled
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
and empowered to work with the health care system and is expected to be part of the decision-
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
making process. The nurse should also support the family‘s cultural diversity, not reduce its effect.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
DIF: Cognitive Level: Applying +i +i
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promot
+i +i +i +i + i +i +i +i
ion and Maintenance
+i +i
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
+i +i +i +i +i +i +i +i +i +i
a. Using information in textbooks to guide care
+i +i +i +i +i +i
b. Combining knowledge with clinical experience and intuition +i +i +i +i +i +i
c. Using a professional code of ethics as a means for decision making
+i +i +i +i +i +i +i +i +i +i +i
d. Gathering all evidence that applies to the child‘s health and family situation
+i +i +i +i +i +i +i +i +i +i +i
ANS: B +i
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and quest
+i +i +i +i +i +i +i +i +i +i +i +i +i
ioning the best approach. EBP involves decision making based on the integration of the best research
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
evidence combined with clinical expertise and patient values.
+i +i +i +i +i +i +i
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ban
+i +i +i +i +i +i +i +i +i +i +i +i
k
DIF: Cognitive Level: Remembering +i +i
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Effe
+i +i +i +i + i +i +i +i +i
ctive Care Environment
+i +i
4. The nurse is talking to a group of parents of school-age children at an after-
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
school program about childhood health problems. Which statement should the nurse include in t
+i +i +i +i +i +i +i +i +i +i +i +i +i
he teaching?
+i
a. Childhood obesity is the most common nutritional problem among children.
+i +i +i +i +i +i +i +i +i
b. Immunization rates are the same among children of different races and ethnicity. +i +i +i +i +i +i +i +i +i +i +i
c. Dental caries is not a problem commonly seen in children since the introduction of
+i +i +i +i +i +i +i +i +i +i +i +i +i +
fluorinated water.
i +i
d. Mental health problems are typically not seen in school-
+i +i +i +i +i +i +i +i
age children but may be diagnosed in adolescents.
+i +i +i +i +i +i +i
ANS: A +i
When teaching parents of school-
+i +i +i +i
age children about childhood health problems, the nurse should include information about childhood
+i +i +i +i +i +i +i +i +i +i +i +i +i
obesity because it is the most common problem among children and is associated with type 2 diabete
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
s. Teaching parents about ways to prevent obesity is important to include. Immunization rates differ d
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
epending on the child‘s race and ethnicity; dental caries continues to be a common chronic disease in
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
childhood; and mental health problems are seen in children as young as school age, not just in adoles
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
cents.
DIF: Cognitive Level: Applying +i +i
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promot
+i +i +i +i + i +i +i +i
ion and Maintenance
+i +i
5. The nurse is planning care for a hospitalized preschool-
+i +i +i +i +i +i +i +i
aged child. Which should the nurse plan to ensure atraumatic care?
+i +i +i +i +i +i +i +i +i +i
a. Limit explanation of procedures because the child is preschool aged.
+i +i +i +i +i +i +i +i +i
b. Ask that all family members leave the room when performing procedures.
+i +i +i +i +i +i +i +i +i +i
c. Allow the child to choose the type of juice to drink with the administration of oral
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +
medications.
i
d. Explain that EMLA cream cannot be used for the morning lab draw because there
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
is not time for it to be effective.
+i +i +i +i +i +i +i
ANS: C +i
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
juice to drink when taking oral medications provides the child with a sense of control. The preschool c
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
hild should be prepared before procedures, so limiting explanations of procedures would increase anx
+i +i +i +i +i +i +i +i +i +i +i +i +i
iety. The family should be allowed to stay with the child during procedures, minimizing stress.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescrib +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
ed cream in time for morning laboratory draws to minimize pain.
+i +i +i +i +i +i +i +i +i +i
DIF: Cognitive Level: Applying +i +i
TOP: Nursing Process: Planning MSC: Client Needs: Health Promot
+i +i +i +i + i +i +i +i
ion and Maintenance
+i +i
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
+i +i +i +i +i +i
a. The nurse is planning to read a favorite fairy tale to a patient.
+i +i +i +i +i +i +i +i +i +i +i +i
b. During shift report, the nurse is criticizing parents for not visiting their child.
+i +i +i +i +i +i +i +i +i +i +i +i
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
d. The nurse is working with a family to find ways to decrease the family‘s dependen
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
ce on health care providers.
+i +i +i +i
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ban
+i +i +i +i +i +i +i +i +i +i +i +i
k
ANS: B +i
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
with the parents. Reading a fairy tale is a therapeutic and age-
+i +i +i +i +i +i +i +i +i +i +i
appropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and s
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
hows a willingness to understand feelings. Working with parents to decrease dependence on health c
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
are providers is therapeutic and helps to empower the family.
+i +i +i +i +i +i +i +i +i
DIF: Cognitive Level: Analyzing +i +i
TOP: Integrated Process: Caring MSC: Client Needs: Psychosocial I
+i +i +i +i + i +i +i +i
ntegrity
7. The nurse is aware that which age-
+i +i +i +i +i +i
group is at risk for childhood injury because of the cognitive characteristic of magical and ego
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
centric thinking? +i
a. Preschool
b. Young school age +i +i
c. Middle school age +i +i
d. Adolescent
ANS: A +i
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they
+i +i +i +i +i +i +i +i +i +i +i +i +
are unable to comprehend danger to self or others. Young and middle school-
i +i +i +i +i +i +i +i +i +i +i +i +i
aged children have transitional cognitive processes, and they may attempt dangerous acts without deta
+i +i +i +i +i +i +i +i +i +i +i +i +i
iled planning but recognize danger to themselves or others. Adolescents have formal operational cogni
+i +i +i +i +i +i +i +i +i +i +i +i +i
tive processes and are preoccupied with abstract thinking.
+i +i +i +i +i +i +i
DIF: Cognitive Level: Understanding +i +i
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effe
+i +i +i +i + i +i +i +i +i
ctive Care Environment +i +i
8. The school nurse is assessing children for risk factors related to childhood injuries. Which child has
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
the most risk factors related to childhood injury?
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a. Female, multiple siblings, stable home life +i +i +i +i +i
b. Male, high activity level, stressful home life+i +i +i +i +i +i
c. Male, even tempered, history of previous injuries
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d. Female, reacts negatively to new situations, no serious previous injuries
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ANS: B +i
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics
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, a high activity temperament is associated with risk-
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taking behaviors, and stress predisposes children to increased risk taking and self-
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destructive behaviors. Therefore, a male child with a high activity level and living in a stressful enviro
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nment has the highest number of risk factors. A girl with several siblings and a stable home life is low
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risk. A boy with previous injuries has two risk factors, but an even temper is not a risk factor for injuri
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es. A girl who reacts negatively to new situations but has no previous serious illnesses has only one ri
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sk factor.
+i
DIF: Cognitive Level: Analyzing +i +i
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effe
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ctive Care Environment +i +i
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Which
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moral value is the nurse displaying when supporting the adolescent to make decisions?
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a. Justice