, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
18. A nurse is collecting subjective and objective information about target populations to
diagnose problems based on community needs. This describes which step in the community
nursing process?
a. Planning
b. Diagnosis
c. Assessment
d. Establishing objectives
ANS: C
The nursing process stages are similar, whether the client is one child or a population of
children. The assessment phase of the nursing process focuses on collecting subjective and
objective data. Planning is the development of community-centered goals and objectives.
Diagnosis is the identification of problems specific to the community.
DIF: Cognitive Level: Understand REF: p. 11
TOP: Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
19. A nurse is establishing several health programs, such as bicycle safety, to improve the health
status of a target population. This describes which step in the community nursing process?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: D The nurse working with the community
to put into practice a program to reach community
goals is the implementation phase of the community nursing process. Planning involves
designing the program to meet community-centered goals. The evaluation stage would
determine the effectiveness of the program. During the assessment phase, the nurse would
identify the resources necessary and the barriers that would interfere with implementation.
DIF: Cognitive Level: Understand REF: p. 11
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
20. A school nurse is conducting vision and hearing testing on fifth-grade children. Which level
of prevention is the nurse demonstrating?
a. Primary
b. Secondary
c. Tertiary
d. Health promotion
ANS: B
Secondary prevention focuses on screening and early diagnosis of disease. Vision and hearing
testing are screening tests to detect problems. Primary prevention focuses on health promotion
and prevention of disease or injury. Tertiary prevention focuses on optimizing function for
children with a disability or chronic disease. Health promotion is focused on preventing
disease or illness.
, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
DIF: Cognitive Level: Understand REF: p. 2
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Health Promotion and Maintenance
21. The home health nurse asks a child’s mother many questions as part of the assessment. The
mother answers many questions, then stops and says, “I don’t know why you ask me all this.
Who gets to know this information?” The nurse should take which action?
a. Determine why the mother is so suspicious.
b. Determine what the mother does not want to tell.
c. Explain who will have access to the information.
d. Explain that everything is confidential and that no one else will know what is said.
ANS: C
Communication with the family should not be invasive. The nurse needs to explain the
importance of collecting the information, its applicability to the child’s care, and who will
have access to the information. The mother is not being suspicious and is not necessarily
withholding important information. She has a right to understand how the information she
provides will be used. The nurse will need to share, through both oral and written
communication, clinically relevant information with other involved health professionals.
DIF: Cognitive Level: Apply REF: p. 9
TOP: Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
22. When communicating with other professionals, what is important for the nurse to do?
a. Ask others what they want to know.
b. Share everything known about the family.
c. Restrict communication to clinNiU
caRlSlyINrGelTeBv.aCnOt M
information.
d. Recognize that confidentiality is not possible.
ANS: C
The nurse will need to share, through both oral and written communication, clinically relevant
information with other involved health professionals. Asking others what they want to know
and sharing everything known about the family is inappropriate. Patients have a right to
confidentiality. The nurse is not permitted to share information about clients, except clinically
relevant information that pertains to the child’s care. Confidentiality permits the disclosure of
information to other health professionals on a need-to-know basis.
DIF: Cognitive Level: Apply REF: p. 9
TOP: Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
23. A nurse manager at a home-care agency is planning a continuing education program for the
home-care staff nurses. Which type of continuing education program should the nurse
manager plan?
a. On-line training modules
b. A structured written teaching module each nurse completes individually
c. A workshop training day, with a professional speaker, where nurses can interact
with each other
d. One-on-one continuing education training with each nurse
ANS: C
, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
Because of the unique practice environment of home care nurses, it is important for an agency
to facilitate sharing among peers to decrease work-related stress, increase job satisfaction, and
support high-quality patient care. On-line training, written teaching modules, and one-on-one
training would not allow for any sharing with peers.
DIF: Cognitive Level: Apply REF: p. 7
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
1. Which behaviors by the nurse indicate a therapeutic relationship with children and families?
(Select all that apply.)
a. Spending off-duty time with children and families
b. Asking questions if families are not participating in the care
c. Clarifying information for families
d. Buying toys for a hospitalized child
e. Learning about the family’s religious preferences
ANS: B, C, E
Asking questions if families are not participating in the care, clarifying information for
families, and learning about the family’s religious preferences are positive actions and foster
therapeutic relationships with children and families. Spending off-duty time with children and
families and buying toys for a hospitalized child are negative actions and indicate
overinvolvement with children and families, which is nontherapeutic.
DIF: Cognitive Level: Understand NURSINRGETFB:.CpO.M8
TOP: Integrated Process: Nursing Process: Evaluation
MSC: Area of Client Needs: Psychosocial Integrity
2. Which behaviors by the nurse indicate therapeutic nurse-family boundaries? (Select all that
apply.)
a. Nurse visits family on days off.
b. House rules are negotiated.
c. Nurse buys child expensive gifts.
d. Communication is open and two-way.
ANS: B, D
A home care nurse can establish therapeutic nurse-family boundaries by negotiating house
rules and ensuring that communication is open and two-way. Visiting the family of off-duty
days and buying expensive gifts for the child would be boundary crossing and nontherapeutic.
DIF: Cognitive Level: Analyze REF: p. 8
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Psychosocial Integrity
OTHER
18. A nurse is collecting subjective and objective information about target populations to
diagnose problems based on community needs. This describes which step in the community
nursing process?
a. Planning
b. Diagnosis
c. Assessment
d. Establishing objectives
ANS: C
The nursing process stages are similar, whether the client is one child or a population of
children. The assessment phase of the nursing process focuses on collecting subjective and
objective data. Planning is the development of community-centered goals and objectives.
Diagnosis is the identification of problems specific to the community.
DIF: Cognitive Level: Understand REF: p. 11
TOP: Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
19. A nurse is establishing several health programs, such as bicycle safety, to improve the health
status of a target population. This describes which step in the community nursing process?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: D The nurse working with the community
to put into practice a program to reach community
goals is the implementation phase of the community nursing process. Planning involves
designing the program to meet community-centered goals. The evaluation stage would
determine the effectiveness of the program. During the assessment phase, the nurse would
identify the resources necessary and the barriers that would interfere with implementation.
DIF: Cognitive Level: Understand REF: p. 11
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
20. A school nurse is conducting vision and hearing testing on fifth-grade children. Which level
of prevention is the nurse demonstrating?
a. Primary
b. Secondary
c. Tertiary
d. Health promotion
ANS: B
Secondary prevention focuses on screening and early diagnosis of disease. Vision and hearing
testing are screening tests to detect problems. Primary prevention focuses on health promotion
and prevention of disease or injury. Tertiary prevention focuses on optimizing function for
children with a disability or chronic disease. Health promotion is focused on preventing
disease or illness.
, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
DIF: Cognitive Level: Understand REF: p. 2
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Health Promotion and Maintenance
21. The home health nurse asks a child’s mother many questions as part of the assessment. The
mother answers many questions, then stops and says, “I don’t know why you ask me all this.
Who gets to know this information?” The nurse should take which action?
a. Determine why the mother is so suspicious.
b. Determine what the mother does not want to tell.
c. Explain who will have access to the information.
d. Explain that everything is confidential and that no one else will know what is said.
ANS: C
Communication with the family should not be invasive. The nurse needs to explain the
importance of collecting the information, its applicability to the child’s care, and who will
have access to the information. The mother is not being suspicious and is not necessarily
withholding important information. She has a right to understand how the information she
provides will be used. The nurse will need to share, through both oral and written
communication, clinically relevant information with other involved health professionals.
DIF: Cognitive Level: Apply REF: p. 9
TOP: Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
22. When communicating with other professionals, what is important for the nurse to do?
a. Ask others what they want to know.
b. Share everything known about the family.
c. Restrict communication to clinNiU
caRlSlyINrGelTeBv.aCnOt M
information.
d. Recognize that confidentiality is not possible.
ANS: C
The nurse will need to share, through both oral and written communication, clinically relevant
information with other involved health professionals. Asking others what they want to know
and sharing everything known about the family is inappropriate. Patients have a right to
confidentiality. The nurse is not permitted to share information about clients, except clinically
relevant information that pertains to the child’s care. Confidentiality permits the disclosure of
information to other health professionals on a need-to-know basis.
DIF: Cognitive Level: Apply REF: p. 9
TOP: Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
23. A nurse manager at a home-care agency is planning a continuing education program for the
home-care staff nurses. Which type of continuing education program should the nurse
manager plan?
a. On-line training modules
b. A structured written teaching module each nurse completes individually
c. A workshop training day, with a professional speaker, where nurses can interact
with each other
d. One-on-one continuing education training with each nurse
ANS: C
, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
Because of the unique practice environment of home care nurses, it is important for an agency
to facilitate sharing among peers to decrease work-related stress, increase job satisfaction, and
support high-quality patient care. On-line training, written teaching modules, and one-on-one
training would not allow for any sharing with peers.
DIF: Cognitive Level: Apply REF: p. 7
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
1. Which behaviors by the nurse indicate a therapeutic relationship with children and families?
(Select all that apply.)
a. Spending off-duty time with children and families
b. Asking questions if families are not participating in the care
c. Clarifying information for families
d. Buying toys for a hospitalized child
e. Learning about the family’s religious preferences
ANS: B, C, E
Asking questions if families are not participating in the care, clarifying information for
families, and learning about the family’s religious preferences are positive actions and foster
therapeutic relationships with children and families. Spending off-duty time with children and
families and buying toys for a hospitalized child are negative actions and indicate
overinvolvement with children and families, which is nontherapeutic.
DIF: Cognitive Level: Understand NURSINRGETFB:.CpO.M8
TOP: Integrated Process: Nursing Process: Evaluation
MSC: Area of Client Needs: Psychosocial Integrity
2. Which behaviors by the nurse indicate therapeutic nurse-family boundaries? (Select all that
apply.)
a. Nurse visits family on days off.
b. House rules are negotiated.
c. Nurse buys child expensive gifts.
d. Communication is open and two-way.
ANS: B, D
A home care nurse can establish therapeutic nurse-family boundaries by negotiating house
rules and ensuring that communication is open and two-way. Visiting the family of off-duty
days and buying expensive gifts for the child would be boundary crossing and nontherapeutic.
DIF: Cognitive Level: Analyze REF: p. 8
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Psychosocial Integrity
OTHER
