EssentialsofPediatric j j j
Nursing 4th Edition Kyl j j j
e Carman j
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ons
,Essentialsj ofj Pediatricj Nursingj4thj Editionj Kylej CarmanjTestj Bank
Chapterj1jIntroductionjtojChildjHealthjandjPediatricjNursing
MULTIPLEjCHOICE
1.jAjnursejisjplanningjajteachingjsessionjforjparentsjofjpreschooljchildren.jWhichjsta
tementjexplainsjwhyjthejnursejshouldjincludejinformationjaboutjmorbidityjandjmort
ality?
a. Life-spanjstatisticsjarejincludedjinjthejdata.
b. Itjexplainsjeffectivenessjofjtreatment.
c. Cost-effectivejtreatmentjisjdetailedjforjthejgeneraljpopulation.
d. High-
riskjagejgroupsjforjcertainjdisordersjorjhazardsjarejidentified.jANS:jD
Analysisjofjmorbidityjandjmortalityjdatajprovidesjthejparentsjwithjinformationjaboutjwhich
jgroupsjofjindividualsjarejatjriskjforjwhichjhealthjproblems.jLife-
spanjstatisticsjisjajpartjofjthejmortalityjdata.jTreatmentjmodalitiesjandjcostjarejnotjincludedji
njmorbidityjandjmortalityjdata.
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2.jAjclinicjnursejisjplanningjajteachingjsessionjaboutjchildhoodjobesityjpreventionjforjparen
tsjofjschool-
agejchildren.jThejnursejshouldjincludejwhichjassociatedjriskjofjobesityjinjthejteachingjplan?
a. TypejIjdiabetes
b. Respiratoryjdisease
c. Celiacjdisease
d. TypejIIjdiabetesj
ANS:jD
ChildhoodjobesityjhasjbeenjassociatedjwithjthejrisejofjtypejIIjdiabetesjinjchildren.jTypejIjdia
betesjisjnotjassociatedjwithjobesityjandjhasjajgeneticjcomponent.jRespiratoryjdiseasejisjnotj
associatedjwithjobesity,jandjceliacjdiseasejisjthejinabilityjtojmetabolizejglutenjinjfoodsjandji
sjnotjassociatedjwithjobesity.
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3. Whichjisjthejleadingjcausejofjdeathjinjinfantsjyoungerjthanj1jyear?
a. Congenitaljanomalies
b. Suddenjinfantjdeathjsyndrome
c. Respiratoryjdistressjsyndrome
d. Bacterialjsepsisjofjthejnewbornj
ANS:jA
Congenitaljanomaliesjaccountjforj20.1%jofjdeathsjinjinfantsjyoungerjthanj1jyear.jSuddenjinf
antjdeathjsyndromejaccountsjforj8.2%jofjdeathsjinjthisjagejgroup.jRespiratoryjdistressjsyndr
omejaccountsjforj3.4%jofjdeathsjinjthisjagejgroup.jInfectionsjspecificjtojthejperinataljperiodj
accountjforj2.7%jofjdeathsjinjthisjagejgroup.
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4. WhichjleadingjcausejofjdeathjtopicjshouldjthejnursejemphasizejtojajgroupjofjAfrican-
jAmericanjboysjrangingjinjagesj15jtoj19jyears?
a. Suicide
b. Cancer
c. Firearmjhomicide
d. Occupationaljinjuriesj
ANS:jC
Firearmjhomicidejisjthejsecondjoveralljcausejofjdeathjinjthisjagejgroupjandjthejleadingjcaus
ejofjdeathjinjAfrican-Americanjmales.jSuicidejisjthejthird-
leadingjcausejofjdeathjinjthisjpopulation.jCancer,jalthoughjajmajorjhealthjproblem,jisjthejfo
urth-
leadingjcausejofjdeathjinjthisjagejgroup.jOccupationaljinjuriesjdojnotjcontributejtojajsignific
antjdeathjratejforjthisjagejgroup.
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5. Whichjisjthejmajorjcausejofjdeathjforjchildrenjolderjthanj1jyear?
a. Cancer
b. Heartjdisease
c. Unintentionaljinjuries
d. Congenitaljanomalies
jANS:jC
Unintentionaljinjuriesj(accidents)jarejthejleadingjcausejofjdeathjafterjagej1jyearjthroughjadol
escence.jCongenitaljanomaliesjarejthejleadingjcausejofjdeathjinjthosejyoungerjthanj1jyear.jCa
ncerjranksjeitherjsecondjorjfourth,jdependingjonjthejagejgroup,jandjheartjdiseasejranksjfifthjin
jthejmajorityjofjthejagejgroups.
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6. Whichjisjthejleadingjcausejofjdeathjfromjunintentionaljinjuriesjforjfemalesjrangingjinjag
ejfromj1jtoj14?
a. Mechanicaljsuffocation
b. Drowning
c. Motorvehicle-relatedjfatalities
d. Fire-jandjburn-
relatedjfatalitiesjANS:jC
Motorvehicle-
relatedjfatalitiesjarejthejleadingjcausejofjdeathjforjfemalesjrangingjinjagejfromj1jtoj14,jeitherja
sjpassengersjorjasjpedestrians.jMechanicaljsuffocationjisjfourthjorjfifth,jdependingjonjthejage
.jDrowningjisjthejsecond-jorjthird-leadingjcausejofjdeath,jdependingjonjthejage.jFire-
jandjburn-relatedjfatalitiesjarejthejsecond-leadingjcausejofjdeath.
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ntegratedjProcess:jNursingjProcess:jAssessment
MSC:jAreajofjClientjNeeds:jHealthjPromotionjandjMaintenance
MedjCjFile
, 7. Whichjfactorjmostjimpactsjthejtypejofjinjuryjajchildjisjsusceptiblejto,jaccordingjtojthejchi
ldsjage?
a. Physicaljhealthjofjthejchild
b. Developmentaljleveljofjthejchild
c. Educationaljleveljofjthejchild
d. Numberjofjresponsiblejadultsjinjthejhomej
ANS:jB
Thejchildsjdevelopmentaljstagejdeterminesjthejtypejofjinjuryjthatjisjlikelyjtojoccur.jThejchil
dsjphysicaljhealthjmayjfacilitatejthejchildsjrecoveryjfromjanjinjuryjbutjdoesjnotjimpactjthejt
ypejofjinjury.jEducationaljleveljisjrelatedjtojdevelopmentaljlevel,jbutjitjisjnotjasjimportantjas
jthejchildsjdevelopmentaljleveljinjdeterminingjthejtypejofjinjury.jThejnumberjofjresponsiblej
adultsjinjthejhomejmayjaffectjthejnumberjofjunintentionaljinjuries,jbutjthejtypejofjinjuryjisjre
latedjtojthejchildsjdevelopmentaljstage.
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MSC:jAreajofjClientjNeeds:jHealthjPromotionjandjMaintenance
8. Whichjisjnowjreferredjtojasjthejnewjmorbidity?
a. Limitationsjinjthejmajorjactivitiesjofjdailyjliving
b. Unintentionaljinjuriesjthatjcausejchronicjhealthjproblems
c. Discoveriesjofjnewjtherapiesjtojtreatjhealthjproblems
d. Behavioral,jsocial,jandjeducationaljproblemsjthatjalterjhealthj
ANS:jD
Thejnewjmorbidityjreflectsjthejbehavioral,jsocial,jandjeducationaljproblemsjthatjinterferejwi
thjthejchildsjsocialjandjacademicjdevelopment.jItjisjcurrentlyjestimatedjthatjthejincidencejof
jthesejissuesjisjfromj5%jtoj30%.jLimitationsjinjmajorjactivitiesjofjdailyjlivingjandjunintenti
onaljinjuriesjthatjresultjinjchronicjhealthjproblemsjarejincludedjinjmorbidityjdata.jDiscover
yjofjnewjtherapiesjwouldjbejreflectedjinjchangesjinjmorbidityjdatajoverjtime.
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ntegratedjProcess:jNursingjProcess:jAssessment
MSC:jAreajofjClientjNeeds:jHealthjPromotionjandjMaintenance
9. Ajnursejonjajpediatricjunitjisjpracticingjfamily-
centeredjcare.jWhichjisjmostjdescriptivejofjthejcarejthejnursejisjdelivering?
a. Takingjoverjtotaljcarejofjthejchildjtojreducejstressjonjthejfamily
b. Encouragingjfamilyjdependencejonjhealthjcarejsystems
c. Recognizingjthatjthejfamilyjisjthejconstantjinjajchildsjlife
d. Excludingjfamiliesjfromjthejdecision-
makingjprocessjANS:jC
Thejthreejkeyjcomponentsjofjfamily-
centeredjcarejarejrespect,jcollaboration,jandjsupport.jFamily-
centeredjcarejrecognizesjthejfamilyjasjthejconstantjinjthejchildsjlife.jTakingjoverjtotaljcarejd
oesjnotjincludejthejfamilyjinjthejprocessjandjmayjincreasejstressjinsteadjofjreducingjstress.jT
hejfamilyjshouldjbejenabledjandjempoweredjtojworkjwithjthejhealthjcarejsystem.jThejfamil
yjisjexpectedjtojbejpartjofjthejdecision-makingjprocess.
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TOP:jIntegratedjProcess:jNursingjProcess:jImplementationjMSC
:jAreajofjClientjNeeds:jHealthjPromotionjandjMaintenance
MedjCjFile