Child Health Nursing, 3e Update (Ball et al.)
Chapter 1 Child Health Nursing: Concepts, Roles, and Issues
1) A nurse in the pediatric acute care unit is assigned the following tasks. Based on recognizing
that the action defined requires training beyond the preparation of a registered nurse, the nurse
would refuse to:
1. diagnose a six-year-old with diversional activity deficit related to placement in isolation.
2. listen to the concerns of an adolescent about being out of school for a lengthy surgical
recovery.
3. diagnose an eight-year-old with acute otitis media, and prescribe an antibiotic.
4. provide information to a mother of a newly diagnosed four-year-old diabetic about local
support group options.
Answer: 3
Explanation: 1. Nursing diagnoses are a responsibility of the nurse in an acute care unit.
2. Listening to concerns is within the expectations of a nurse in an acute care unit.
3. Advanced practice nurse practitioners perform assessment, diagnosis, and management of
health conditions. The role of the pediatric nurse includes providing nursing assessment, direct
nursing care interventions, client and family education at developmentally appropriate levels,
client advocacy, case management, minimization of distress, and coping enhancement.
4. Providing information about support groups is within the expectations of the nurse in an acute
care unit.
Page Ref: 4, 5
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
Nurs/Int Con: Nursing Process: Implementation
Learning Outcome: 1-1
1
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, 2) Despite the availability of Children's Health Insurance Programs (CHIP), many eligible
children are not enrolled. The nursing intervention that best helps eligible children to become
enrolled is:
1. educating the family about the need for keeping regular well-child visit appointments.
2. assessing details of the family's income and expenditures.
3. limiting costly, unnecessary duplication of services through case management.
4. advocating for the child by encouraging the family to investigate CHIP eligibility.
Answer: 4
Explanation: 1. While it is the nurse's responsibility to educate the family, this intervention is
not what will best help eligible children to become enrolled.
2. Financial assessment is more commonly the function of a social worker.
3. The case management activity mentioned will not provide a source of funding.
4. In the role of an advocate, a nurse advances the interests of the child by suggesting that the
family investigate CHIP eligibility.
Page Ref: 6, 7
Cognitive Level: Analyzing
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
Nurs/Int Con: Nursing Process: Implementation
Learning Outcome: 1-1
3) A nurse is examining different nursing roles. Which best illustrates an advanced practice
nursing role?
1. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-
risk children
2. A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit
3. A registered nurse who is the circulating nurse in surgery
4. A registered nurse who is the manager of a large pediatric unit
Answer: 1
Explanation: 1. A clinical nurse specialist, with whom other nurses consult for expertise in
caring for high-risk children, would define an advanced practice nursing role. Advanced practice
nurses have specialized knowledge and competence in a specific clinical area and have earned a
master's degree.
2. A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit might
have the qualifications for an advanced practice nursing staff, but they are not working in that
capacity.
3. A registered nurse who is a circulating nurse in surgery is defined as a professional nurse and
has graduated from an accredited program in nursing and completed the licensure examination.
4. A registered nurse who is the manager of a large pediatric unit is defined as a professional
nurse and has graduated from an accredited program in nursing and completed the licensure
examination.
Page Ref: 4, 5
Cognitive Level: Analyzing
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
Nurs/Int Con: Nursing Process: Assessment
Learning Outcome: 1-1
2
Copyright © 2019 Pearson Education, Inc.
Chapter 1 Child Health Nursing: Concepts, Roles, and Issues
1) A nurse in the pediatric acute care unit is assigned the following tasks. Based on recognizing
that the action defined requires training beyond the preparation of a registered nurse, the nurse
would refuse to:
1. diagnose a six-year-old with diversional activity deficit related to placement in isolation.
2. listen to the concerns of an adolescent about being out of school for a lengthy surgical
recovery.
3. diagnose an eight-year-old with acute otitis media, and prescribe an antibiotic.
4. provide information to a mother of a newly diagnosed four-year-old diabetic about local
support group options.
Answer: 3
Explanation: 1. Nursing diagnoses are a responsibility of the nurse in an acute care unit.
2. Listening to concerns is within the expectations of a nurse in an acute care unit.
3. Advanced practice nurse practitioners perform assessment, diagnosis, and management of
health conditions. The role of the pediatric nurse includes providing nursing assessment, direct
nursing care interventions, client and family education at developmentally appropriate levels,
client advocacy, case management, minimization of distress, and coping enhancement.
4. Providing information about support groups is within the expectations of the nurse in an acute
care unit.
Page Ref: 4, 5
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
Nurs/Int Con: Nursing Process: Implementation
Learning Outcome: 1-1
1
Copyright © 2019 Pearson Education, Inc.
, 2) Despite the availability of Children's Health Insurance Programs (CHIP), many eligible
children are not enrolled. The nursing intervention that best helps eligible children to become
enrolled is:
1. educating the family about the need for keeping regular well-child visit appointments.
2. assessing details of the family's income and expenditures.
3. limiting costly, unnecessary duplication of services through case management.
4. advocating for the child by encouraging the family to investigate CHIP eligibility.
Answer: 4
Explanation: 1. While it is the nurse's responsibility to educate the family, this intervention is
not what will best help eligible children to become enrolled.
2. Financial assessment is more commonly the function of a social worker.
3. The case management activity mentioned will not provide a source of funding.
4. In the role of an advocate, a nurse advances the interests of the child by suggesting that the
family investigate CHIP eligibility.
Page Ref: 6, 7
Cognitive Level: Analyzing
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
Nurs/Int Con: Nursing Process: Implementation
Learning Outcome: 1-1
3) A nurse is examining different nursing roles. Which best illustrates an advanced practice
nursing role?
1. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-
risk children
2. A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit
3. A registered nurse who is the circulating nurse in surgery
4. A registered nurse who is the manager of a large pediatric unit
Answer: 1
Explanation: 1. A clinical nurse specialist, with whom other nurses consult for expertise in
caring for high-risk children, would define an advanced practice nursing role. Advanced practice
nurses have specialized knowledge and competence in a specific clinical area and have earned a
master's degree.
2. A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit might
have the qualifications for an advanced practice nursing staff, but they are not working in that
capacity.
3. A registered nurse who is a circulating nurse in surgery is defined as a professional nurse and
has graduated from an accredited program in nursing and completed the licensure examination.
4. A registered nurse who is the manager of a large pediatric unit is defined as a professional
nurse and has graduated from an accredited program in nursing and completed the licensure
examination.
Page Ref: 4, 5
Cognitive Level: Analyzing
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
Nurs/Int Con: Nursing Process: Assessment
Learning Outcome: 1-1
2
Copyright © 2019 Pearson Education, Inc.
