Pediatric Nursing Ch. 2 Standards of
Practice and Ethical Considerations
Questions with Answers
A. 2007 Best Pharmaceutical for Children Act - Correct Answer -These laws
require medications, medical devices, and interventions to be tested on
children if they are intended for use in children
B. -These laws represent a new direction for research, since children were
rarely used as research subjects prior to the laws being enacted
C. -Because testing now occurs more frequently in children, the interventions
will be safer for children since researchers will be able to predict how
children will respond to the treatments
D. Patient/Family Teaching Responsibilities
E. for the Pediatric Nurse - Correct Answer Assess learning style
preferences
F. Assess readiness to learn (interest and motivation; freedom from pain
anxiety, tiredness, and other distractions)
G. Provide accurate, useful, developmentally appropriate, and culturally
sensitive education
H. Assess understanding, retention, need for reinforcement
I. Document all of the above
J. The standard of health-care decision making as it relates to infants and
young children is
a. the gold standard
b. the silver standard
c. the bronze standard
d. the copper standard - Correct Answer C. the bronze standard
K. The nurse sits with the 9 year old patient and parents, listening while the
physician describes the surgery to be performed. When the physician is
, finished the patient says he understands and agrees to have the surgery.
The nurse recognizes the patient's approval as what?
L. Consent
M. Permission
N. Assent
O. Approval - Correct Answer 3. Assent
P. Consent can only be obtained from an adult with decision-making
capacity. The 9 year old patient does not have the capacity to give
consent.
Q. Permission for treatment does not apply to surgical procedures and only
an adult can give permission.
R. The child or other individual who does not have the capacity to give
consent may share his thoughts on the procedure by giving assent to the
procedure.
S. Approval is not an option in this situation.
T. A 16 year old female arrives at the Planned Parenthood clinic requesting
contraceptives. Which statement made by the nurse is appropriate for this
patient?
U. "Are you considered an emancipated minor?"
V. "Give me your parent's phone number so I can obtain consent for
treatment."
W. "Come back to the examination room so we can talk privately."
X. "Children under age 18 must have a parent with them to provide consent."
- Correct Answer 3. "Come back to the examination room so we can talk
privately."
Y. In most states children over age 14 may obtain contraceptives and do not
need to be emancipated minor so this question is unnecessary.
Z. In most states children over age 14 may obtain contraceptives without
parental permission so this question is unnecessary.
AA. This is an accurate statement. The nurse should talk with the
patient privately to discuss past medical history and discuss safe sexual
practices.
BB. In most states children over age 14 may obtain contraceptives
without parental permission so this question is unnecessary.
CC. The parents of a 2 year old patient in the end-stage of metastatic
cancer are trying to make a decision between allowing the child to die
Practice and Ethical Considerations
Questions with Answers
A. 2007 Best Pharmaceutical for Children Act - Correct Answer -These laws
require medications, medical devices, and interventions to be tested on
children if they are intended for use in children
B. -These laws represent a new direction for research, since children were
rarely used as research subjects prior to the laws being enacted
C. -Because testing now occurs more frequently in children, the interventions
will be safer for children since researchers will be able to predict how
children will respond to the treatments
D. Patient/Family Teaching Responsibilities
E. for the Pediatric Nurse - Correct Answer Assess learning style
preferences
F. Assess readiness to learn (interest and motivation; freedom from pain
anxiety, tiredness, and other distractions)
G. Provide accurate, useful, developmentally appropriate, and culturally
sensitive education
H. Assess understanding, retention, need for reinforcement
I. Document all of the above
J. The standard of health-care decision making as it relates to infants and
young children is
a. the gold standard
b. the silver standard
c. the bronze standard
d. the copper standard - Correct Answer C. the bronze standard
K. The nurse sits with the 9 year old patient and parents, listening while the
physician describes the surgery to be performed. When the physician is
, finished the patient says he understands and agrees to have the surgery.
The nurse recognizes the patient's approval as what?
L. Consent
M. Permission
N. Assent
O. Approval - Correct Answer 3. Assent
P. Consent can only be obtained from an adult with decision-making
capacity. The 9 year old patient does not have the capacity to give
consent.
Q. Permission for treatment does not apply to surgical procedures and only
an adult can give permission.
R. The child or other individual who does not have the capacity to give
consent may share his thoughts on the procedure by giving assent to the
procedure.
S. Approval is not an option in this situation.
T. A 16 year old female arrives at the Planned Parenthood clinic requesting
contraceptives. Which statement made by the nurse is appropriate for this
patient?
U. "Are you considered an emancipated minor?"
V. "Give me your parent's phone number so I can obtain consent for
treatment."
W. "Come back to the examination room so we can talk privately."
X. "Children under age 18 must have a parent with them to provide consent."
- Correct Answer 3. "Come back to the examination room so we can talk
privately."
Y. In most states children over age 14 may obtain contraceptives and do not
need to be emancipated minor so this question is unnecessary.
Z. In most states children over age 14 may obtain contraceptives without
parental permission so this question is unnecessary.
AA. This is an accurate statement. The nurse should talk with the
patient privately to discuss past medical history and discuss safe sexual
practices.
BB. In most states children over age 14 may obtain contraceptives
without parental permission so this question is unnecessary.
CC. The parents of a 2 year old patient in the end-stage of metastatic
cancer are trying to make a decision between allowing the child to die
