ADVANTAGE FOR PEDIATRIC
NURSING CRITICAL COMPONENTS
OF NURSING CARE 3RD EDITION
2026 CLINICAL SCRIPT SOLVED
QUESTIONS VERIFIED ANSWERS A+
◉ 2. Parents of a hospitalized toddler ask the nurse, "What is meant by
family-centered care?" The nurse should respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the
family.
b. Family-centered care encourages family dependence on the health
care system.
c. Family-centered care recognizes that the family is the constant in a
child's life.
d. Family-centered care avoids expecting families to be part of the
decision-making process..
Answer: ANS: C
The three key components of family-centered care are respect,
collaboration, and support. Family- centered care recognizes the family
as the constant in the child's life. The family should be enabled and
empowered to work with the health care system and is expected to be
part of the decision-making process. The nurse should also support the
family's cultural diversity, not reduce its effect.
DIF: Cognitive Level: Applying TOP: Nursing Process:
Implementation MSC: Client Needs: Health Promotion and Maintenance
,◉ 3. Evidence-based practice (EBP), a decision-making model, is best
described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child's health and family
situation.
Answer: ANS: B
EBP helps focus on measurable outcomes: the use of demonstrated,
effective interventions: and questioning the best approach. EBP involves
decision making based on the integration of the best research evidence
combined with clinical expertise and patient values.
DIF: Cognitive Level: Remembering TOP: Nursing Process:
Planning MSC: Client Needs: Safe and Effective Care Environment
◉ 4. The nurse is talking to a group of parents of school-age children at
an after-school program about childhood health problems. Which
statement should the nurse include in the teaching?
a. Childhood obesity is the most common nutritional problem among
children.
b. Immunization rates are the same among children of different races
and ethnicity.
,c. Dental caries is not a problem commonly seen in children since the
introduction of fluorinated water.
d. Mental health problems are typically not seen in school-age children
but may be diagnosed in adolescents..
Answer: ANS: A
When teaching parents of school-age children about childhood health
problems, the nurse should include information about childhood obesity
because it is the most common problem among children and is
associated with type 2 diabetes. Teaching parents about ways to prevent
obesity is important to include. Immunization rates differ depending on
the child's race and ethnicity: dental caries continues to be a common
chronic disease in childhood: and mental health problems are seen in
children as young as school age, not just in adolescents.
DIF: Cognitive Level: Applying TOP: Integrated Process:
Teaching/Learning MSC: Client Needs: Health Promotion and
Maintenance
◉ 5. The nurse is planning care for a hospitalized preschool-aged child.
Which should the nurse plan to ensure atraumatic care?
a. Limit explanation of procedures because the child is preschool aged.
b. Ask that all family members leave the room when performing
procedures.
c. Allow the child to choose the type of juice to drink with the
administration of oral medications.
d. Explain that EMLA cream cannot be used for the morning lab draw
because there is not time for it to be effective..
Answer: ANS: C
, The overriding goal in providing atraumatic care is first, do no harm.
Allowing the child, a choice of juice to drink when taking oral
medications provides the child with a sense of control. The preschool
child should be prepared before procedures, so limiting explanations of
procedures would increase anxiety. The family should be allowed to stay
with the child during procedures, minimizing stress.
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The
nurse should plan to use the prescribed cream in time for morning
laboratory draws to minimize pain.
DIF: Cognitive Level: Applying TOP: Nursing Process: Planning MSC:
Client Needs: Health Promotion and Maintenance
◉ 6. Which situation denotes a nontherapeutic nurse-patient-family
relationship?
a. The nurse is planning to read a favorite fairy tale to a patient.
b. During shift report, the nurse is criticizing parents for not visiting
their child.
c. The nurse is discussing with a fellow nurse the emotional draw to a
certain patient.
d. The nurse is working with a family to find ways to decrease the
family's dependence on health care providers..
Answer: ANS: B
Criticizing parents for not visiting in shift report is nontherapeutic and
shows an under involvement with the parents. Reading a fairy tale is a
therapeutic and age-appropriate action. Discussing feelings of an
emotional draw with a fellow nurse is therapeutic and shows a
willingness to understand feelings. Working with parents to decrease
dependence on health care providers is therapeutic and helps to
empower the family.