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Edition
MULTIPLE CHOICE vb
1. What is the major cause of death for children in the United States?
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a. Heart disease dv
b. Childhood cancer dv
c. Injuries
d. Congenital anomalies dv
ANS: C d v
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescenc
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e. The leading cause of death for those younger than 1 year is congenital anomalies, and childhood c
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anc ers and heart disease cause a significantly lower percentage of deaths in children older than 1 ye a
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r of ag e.
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DIF: d v Cognitive Level: Understanding dv d v
TOP: Nursing Process: Planning MSC:
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Client Needs: Health Promot dv dv dv dv
ion and Maintenance
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2. Parents ofa hospitalized toddler ask the nurse, “What is meant by family
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- centered care?” The nurse should respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family. dv dv dv dv d v dv dv dv dv dv
b. Family-centered care encourages family dependence on the health care system. dv dv dv dv dv dv dv dv dv
c. Family-centered care recognizes that the family is the constant in a child’s life. vb dv dv dv dv dv dv dv dv dv dv dv
d. Family-
centered care avoids expecting families to be part ofthe decision-dv dv dv dv dv dv dv x% dv dv
making process. dv
ANS: C d v
The three key components of family-
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centered care are respect, collaboration, and support. Family-
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centered care recognizes the family as the constant in the child’s life. The family should be en
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able d a nd empowered to work with the health care system and is expected to be part of the
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decision-
making process. The nurse should also support the family’s cultural diversity, not reduce its effec
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t.
DIF: Cognitive Level: Applying dv d v
TOP: Nursing Process: Implementation MSC:
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Client Needs: Health Promot dv dv dv d
v i on and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which? dv dv dv dv dv dv dv dv dv dv
a. Using information in textbooks to guide care dv dv dv dv d v dv
b. Combining knowledge with clinical experience and intuition dv dv dv dv dv dv
c. Using a professional code of ethics as a means for decision making
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d. Gathering all evidence that applies to the child’s health and family situation
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ANS: d v B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and que s
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,ti oning the best approach. EBP involves decision making based on the integration of the best researc h
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ev idence combined with clinical expertise and patient values.
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, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test B
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a
DIF: d v Cognitive Level: Remembering dv d v
TOP: Nursing Process: Planning MSC:
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Client Needs: Safe and Effec dv dv dv dv d
v tive Care Environmentdv dv
4. The nurse is talking to a group of parents of school-age children at an after-
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school program about childhood health problems. Which statement should the nurse include in t
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h e teaching?
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a. Childhoodobesity is the most common nutritional problem among children. dv dv dv d v d v x% dv dv dv
b. Immunization rates are the same among children of different races and ethnicity. dv dv dv dv dv dv dv dv d v dv dv
c. Dental caries is not a problem commonly seen in children since the introduction of f
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luorinated water. dv dv
d. Mental health problems are typically not seen in school- dv dv dv dv dv dv dv dv
age children but may be diagnosed in adolescents.dv dv dv dv dv dv dv
ANS: d v A
When teaching parents of school- dv dv dv dv
age children about childhood health problems, the nurse should include information about childhood
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vo besity because it is the most common problem among children and is associated with type 2 diab et
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es. Teaching parents about ways to prevent obesity is important to include. Immunization rates diff er
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depe nding on the child’s race and ethnicity; dental caries continues to be a common chronic disea se
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in child hood; and mental health problems are seen in children as young as school age, not just i n adol
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escents.
DIF: d v Cognitive Level: Applying dv d v
TOP: Integrated Process: Teaching/Learning MSC:
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Client Needs: Health Promot dv dv dv
ion and Maintenance
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5. The nurse is planning care for a hospitalized preschool-
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aged child. Which should the nurse plan to ensure atraumatic care?
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a. Limit explanation ofprocedures because the child is preschool aged.
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b. Ask that all family members leave the room when performing procedures.
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c. Allow the child to choose the type of juice to drink with the administration of or
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al medications. dv
d. Explain that EMLA cream cannot be used for the morning lab draw because there i
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s not time for it to be effective.
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ANS: C d v
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of j
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u ice to drink when taking oral medications provides the child with a sense of control. The prescho
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o l chil d should be prepared before procedures, so limiting explanations of procedures would in
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creas e anxiet dv dv
y. The family should be allowed to stay with the child during procedures, minimizing stress. Lidocaine/p ril
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ocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribe d cream in tim
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e for morning laboratory draws to minimize pain.
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DIF: Cognitive Level: Applying dv d v
TOP: Nursing Process: Planning MSC:
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Client Needs: Health Promot dv dv dv dv
ion and Maintenance dv dv
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
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a. The nurse is planning to read a favorite fairytale to a patient.
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