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,(MULTIPLE CHOICES)
The nurse is caring for a 2-week-old girl with a metabolic disorder. Which of the following
activities would deviate from the characteristics of family-centered care?
A) Softening unpleasant information or prognoses
B) Evaluating and changing the nursing plan of care
C) Collaborating with the child and family as equals
D) Showing respect for the family's beliefs and wishes
A) Softening unpleasant information or prognoses
Family-centered care is predicated on the principles of honesty, respect, collaboration,
and empowerment of families in the care process. Providing accurate and complete
information, even when unpleasant, ensures that families can participate fully and make
informed decisions regarding the child's care. Withholding or "softening" information
usually undercuts trust, prevents informed consent, and diminishes the family's role as
partners in care, which is contrary to the philosophy of family-centered care.
The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which of the following activities would be considered the tertiary level of prevention?
A) Arranging for a physical therapy session
B) Teaching the parents to administer albuterol
C) Reminding the parents to give the full course of antibiotics
D) Giving the DTaP vaccination at proper intervals
A) Arranging for a physical therapy session
Tertiary prevention aims to minimize disability + help individuals manage long-term
complex health issues. Arranging for physical therapy in a child with existing conditions
targets optimizing function, rehabilitation, and preventing further complications, which are
central objectives of tertiary prevention. Primary prevention seeks to prevent disease onset
(ex. vaccination). Secondary prevention emphasizes early detection + intervention
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,The nurse is caring for a 4-year-old boy with Ewing's sarcoma who is scheduled for a CT
scan tomorrow. Which of the following best reflects therapeutic communication?
A) Telling him he will get a shot when he wakes up tomorrow morning
B) Telling him how cool he looks in his baseball cap and pajamas
C) Using family-familiar words and soft words when possible
D) Describing what it is like to get a CT scan using words he understands
D) Describing what it is like to get a CT scan using words he understands
The nurse is educating the parents of a 7-year-old girl who has just been diagnosed with
epilepsy. Which of the following teaching techniques would be most appropriate?
A) Assessing the parents' knowledge of anticonvulsant medications
B) Demonstrating proper seizure safety procedures
C) Discussing the surgical procedures for epilepsy
D) Giving the parents information in small amounts at a time
D) Giving the parents information in small amounts at a time
The nurse is making a home visit to a client who had a cesarean birth 3 days ago.
Assessment reveals that she is complaining of intermittent pain, rating it as 8 on a scale
of 1 to 10. She states, "I'm pretty tired. And with this pain, I haven't been drinking and eating
like I should. The medication helps a bit but not much. My mom has been helping with the
baby." Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse
identify as the priority for this client?
A) Impaired skin integrity related to cesarean birth incision
B) Fatigue related to effects of surgery and caretaking activities
C) Imbalanced nutrition, less than body requirements, related to poor fluid and food intake
D) Acute pain related to incision and cesarean birth
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, D) Acute pain related to incision and cesarean birth
Among the identified problems, acute pain is the priority because it directly affects the
client's functional status and ability to rest, eat, and recover. Pain also exacerbates fatigue
and may lead to nutritional imbalance if not managed promptly. Addressing acute pain is
foundational to improving other aspects of healing + recovery
When caring for childbearing families from cultures different from one's own, which of the
following must the nurse accomplish first?
A) Adapting to the practices of the family's culture
B) Determining similarities between both cultures
C) Assessing personal feelings about that culture
D) Learning as much as possible about that culture
C) Assessing personal feelings about that culture
Self-assessment or developing cultural awareness is the first step in providing culturally
competent care. Before one can effectively learn about another culture or adapt practices,
it is crucial to recognize + confront personal biases/beliefs that could affect clinical
interactions. Self-awareness sets the stage for genuine learning + effective adaptation
After teaching a group of students about the changes in health care delivery and funding,
which of the following, if identified by the group as a current trend seen in the maternal and
child health care settings, would indicate that the teaching was successful?
A) Increase in ambulatory and community settings for care
B) Decrease in family poverty level
C) Increase in hospitalization of children
D) Decrease in managed care
A) Increase in ambulatory and community settings for care
A current trend in maternal + child health is the shift from exclusive hospital-based care to
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,(MULTIPLE CHOICES)
The nurse is caring for a 2-week-old girl with a metabolic disorder. Which of the following
activities would deviate from the characteristics of family-centered care?
A) Softening unpleasant information or prognoses
B) Evaluating and changing the nursing plan of care
C) Collaborating with the child and family as equals
D) Showing respect for the family's beliefs and wishes
A) Softening unpleasant information or prognoses
Family-centered care is predicated on the principles of honesty, respect, collaboration,
and empowerment of families in the care process. Providing accurate and complete
information, even when unpleasant, ensures that families can participate fully and make
informed decisions regarding the child's care. Withholding or "softening" information
usually undercuts trust, prevents informed consent, and diminishes the family's role as
partners in care, which is contrary to the philosophy of family-centered care.
The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which of the following activities would be considered the tertiary level of prevention?
A) Arranging for a physical therapy session
B) Teaching the parents to administer albuterol
C) Reminding the parents to give the full course of antibiotics
D) Giving the DTaP vaccination at proper intervals
A) Arranging for a physical therapy session
Tertiary prevention aims to minimize disability + help individuals manage long-term
complex health issues. Arranging for physical therapy in a child with existing conditions
targets optimizing function, rehabilitation, and preventing further complications, which are
central objectives of tertiary prevention. Primary prevention seeks to prevent disease onset
(ex. vaccination). Secondary prevention emphasizes early detection + intervention
2|Page
,The nurse is caring for a 4-year-old boy with Ewing's sarcoma who is scheduled for a CT
scan tomorrow. Which of the following best reflects therapeutic communication?
A) Telling him he will get a shot when he wakes up tomorrow morning
B) Telling him how cool he looks in his baseball cap and pajamas
C) Using family-familiar words and soft words when possible
D) Describing what it is like to get a CT scan using words he understands
D) Describing what it is like to get a CT scan using words he understands
The nurse is educating the parents of a 7-year-old girl who has just been diagnosed with
epilepsy. Which of the following teaching techniques would be most appropriate?
A) Assessing the parents' knowledge of anticonvulsant medications
B) Demonstrating proper seizure safety procedures
C) Discussing the surgical procedures for epilepsy
D) Giving the parents information in small amounts at a time
D) Giving the parents information in small amounts at a time
The nurse is making a home visit to a client who had a cesarean birth 3 days ago.
Assessment reveals that she is complaining of intermittent pain, rating it as 8 on a scale
of 1 to 10. She states, "I'm pretty tired. And with this pain, I haven't been drinking and eating
like I should. The medication helps a bit but not much. My mom has been helping with the
baby." Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse
identify as the priority for this client?
A) Impaired skin integrity related to cesarean birth incision
B) Fatigue related to effects of surgery and caretaking activities
C) Imbalanced nutrition, less than body requirements, related to poor fluid and food intake
D) Acute pain related to incision and cesarean birth
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, D) Acute pain related to incision and cesarean birth
Among the identified problems, acute pain is the priority because it directly affects the
client's functional status and ability to rest, eat, and recover. Pain also exacerbates fatigue
and may lead to nutritional imbalance if not managed promptly. Addressing acute pain is
foundational to improving other aspects of healing + recovery
When caring for childbearing families from cultures different from one's own, which of the
following must the nurse accomplish first?
A) Adapting to the practices of the family's culture
B) Determining similarities between both cultures
C) Assessing personal feelings about that culture
D) Learning as much as possible about that culture
C) Assessing personal feelings about that culture
Self-assessment or developing cultural awareness is the first step in providing culturally
competent care. Before one can effectively learn about another culture or adapt practices,
it is crucial to recognize + confront personal biases/beliefs that could affect clinical
interactions. Self-awareness sets the stage for genuine learning + effective adaptation
After teaching a group of students about the changes in health care delivery and funding,
which of the following, if identified by the group as a current trend seen in the maternal and
child health care settings, would indicate that the teaching was successful?
A) Increase in ambulatory and community settings for care
B) Decrease in family poverty level
C) Increase in hospitalization of children
D) Decrease in managed care
A) Increase in ambulatory and community settings for care
A current trend in maternal + child health is the shift from exclusive hospital-based care to
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