Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which statement best describes the common core concepts of the different models of pediatric
nursing?
a. All models focus on the open communication between the child and nurse.
b. All models focus on importance of family relationship to the child.
c. All models focus on safeguarding the child’s dignity during care.
d. All models focus on coordination of care needs that arise during illness.
ANS: B
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 5. Identify models of care applied to pediatric nursing.
Page: 5
Heading: Models of Care in Pediatric Nursing
Integrated Processes: Teaching and Learning
Client Need: Physiological
Integrity: Physiological Adaptation
Cognitive Level: Analysis [Analyzing]
Concept: Family
Difficulty: Moderate
Feedback
A. This is incorrect. This omits the necessity of family relationships in the care and
development of the child.
B. This is correct. This is a common core concept in family-centered care, relationship-
based care, and pediatric medical home care.
C. This is incorrect. This is a concept based on patient relationship-based care.
D. This is incorrect. This is a component of pediatric medical home care.
PTS: 1 CON: Patient-Centered Care
2. Which of the following tasks is associated with the pediatric medical home care model of
pediatric nursing?
a. The nurse refers the family to a childhood cancer support group prior to discharge from
the hospital.
b. The nurse includes a simple explanation of the procedure to the child based on the child’s
developmental level.
c. The nurse includes the family’s cultural celebrations and observations while providing
care to the child.
, d. The nurse develops the plan of care with the child and family as the focal point of the
interventions.
ANS: A
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 5. Identify models of care applied to pediatric nursing.
Page: 6
Heading: Models of Care in Pediatric Nursing > Pediatric Medical Home
Integrated Processes: Teaching and Learning
Client Need: Physiological
Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Family
Difficulty: Moderate
Feedback
A. This is correct. The pediatric medical home care model coordinates care and includes
referrals for community services for nonmedical needs.
B. This is incorrect. This is a core concept of relationship-based care.
C. This is incorrect. This is a core concept of cultural sensitivity and family-centered care.
D. This is incorrect. This is a core concept of relationship-based care.
PTS: 1 CON: Family
3. The pediatric nurse begins a research project on 8-year-old patients with the medical diagnosis of
pediatric acute-onset neuropsychiatric syndrome (PANS). The family has consented to the
research, but as the nurse begins to administer the intervention, the patient refuses to cooperate.
What is the appropriate response to this refusal?
a. The nurse should discuss with the family the options of performing the intervention
without the child’s knowledge.
b. The nurse should explain to the child that this is necessary and promise a reward at the
end of the research project.
c. The nurse should refuse to perform the intervention until the child consents to the
intervention and project.
d. The nurse should discuss the pros and cons of the research project with the child and
focus on the outcomes.
ANS: C
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 7. Describe the roles of the pediatric nurse; 9. Identify current
issues and trends in pediatric nursing practice, education, and research.
Page: 7
Heading: Issues in Pediatric Nursing
Integrated Processes: Nursing Process
, Client Need: Physiological
Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Analysis [Analyzing]
Concept: Communication; Professionalism
Difficulty: Moderate
Feedback
A. This is incorrect. This could be considered assault and battery against the child.
Children aged 7 years and older can assent or dissent to be in a clinical trial.
B. This is incorrect. This would be considered bribery, and per the Institutional Review
Board (IRB) guidelines, a clinical trial should not promise any direct rewards.
C. This is correct. Children aged 7 years and older can assent or dissent to be in a clinical
trial.
D. This is incorrect. The 8-year-old child may not have the faculties or cognitive
development to comprehend “pros and cons” of a research project.
PTS: 1 CON: Communication; Professionalism
4. A nurse is providing relationship-based care to a pediatric patient. Which of the following is a
challenge the nurse is likely to encounter while using this model of care?
a. Maintaining a sterile field for a procedure with a restless toddler
b. Communicating with the blended family on regular basis
c. Treating children with antibiotic-resistant illnesses
d. Caring for a larger number of children with autism spectrum disorders and childhood
depression
ANS: 2
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 9. Identify current issues and trends in pediatric nursing
practice, education, and research.
Page: 7
Heading: Issues in Pediatric Nursing
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment
Cognitive Level: Analysis [Analyzing]
Concept: Family
Difficulty: Moderate
Feedback
A. This is incorrect. This is a fundamental issue in nursing care, not a relationship issue.
B. This is correct. Maintaining communication with families and caregivers has become
more challenging due to the dynamics of current families.
C. This is incorrect. There has been an increase in the number of antibiotic-resistant
illnesses. This is a trend that has influenced nursing roles and responsibilities, not
Identify the choice that best completes the statement or answers the question.
1. Which statement best describes the common core concepts of the different models of pediatric
nursing?
a. All models focus on the open communication between the child and nurse.
b. All models focus on importance of family relationship to the child.
c. All models focus on safeguarding the child’s dignity during care.
d. All models focus on coordination of care needs that arise during illness.
ANS: B
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 5. Identify models of care applied to pediatric nursing.
Page: 5
Heading: Models of Care in Pediatric Nursing
Integrated Processes: Teaching and Learning
Client Need: Physiological
Integrity: Physiological Adaptation
Cognitive Level: Analysis [Analyzing]
Concept: Family
Difficulty: Moderate
Feedback
A. This is incorrect. This omits the necessity of family relationships in the care and
development of the child.
B. This is correct. This is a common core concept in family-centered care, relationship-
based care, and pediatric medical home care.
C. This is incorrect. This is a concept based on patient relationship-based care.
D. This is incorrect. This is a component of pediatric medical home care.
PTS: 1 CON: Patient-Centered Care
2. Which of the following tasks is associated with the pediatric medical home care model of
pediatric nursing?
a. The nurse refers the family to a childhood cancer support group prior to discharge from
the hospital.
b. The nurse includes a simple explanation of the procedure to the child based on the child’s
developmental level.
c. The nurse includes the family’s cultural celebrations and observations while providing
care to the child.
, d. The nurse develops the plan of care with the child and family as the focal point of the
interventions.
ANS: A
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 5. Identify models of care applied to pediatric nursing.
Page: 6
Heading: Models of Care in Pediatric Nursing > Pediatric Medical Home
Integrated Processes: Teaching and Learning
Client Need: Physiological
Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Family
Difficulty: Moderate
Feedback
A. This is correct. The pediatric medical home care model coordinates care and includes
referrals for community services for nonmedical needs.
B. This is incorrect. This is a core concept of relationship-based care.
C. This is incorrect. This is a core concept of cultural sensitivity and family-centered care.
D. This is incorrect. This is a core concept of relationship-based care.
PTS: 1 CON: Family
3. The pediatric nurse begins a research project on 8-year-old patients with the medical diagnosis of
pediatric acute-onset neuropsychiatric syndrome (PANS). The family has consented to the
research, but as the nurse begins to administer the intervention, the patient refuses to cooperate.
What is the appropriate response to this refusal?
a. The nurse should discuss with the family the options of performing the intervention
without the child’s knowledge.
b. The nurse should explain to the child that this is necessary and promise a reward at the
end of the research project.
c. The nurse should refuse to perform the intervention until the child consents to the
intervention and project.
d. The nurse should discuss the pros and cons of the research project with the child and
focus on the outcomes.
ANS: C
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 7. Describe the roles of the pediatric nurse; 9. Identify current
issues and trends in pediatric nursing practice, education, and research.
Page: 7
Heading: Issues in Pediatric Nursing
Integrated Processes: Nursing Process
, Client Need: Physiological
Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Analysis [Analyzing]
Concept: Communication; Professionalism
Difficulty: Moderate
Feedback
A. This is incorrect. This could be considered assault and battery against the child.
Children aged 7 years and older can assent or dissent to be in a clinical trial.
B. This is incorrect. This would be considered bribery, and per the Institutional Review
Board (IRB) guidelines, a clinical trial should not promise any direct rewards.
C. This is correct. Children aged 7 years and older can assent or dissent to be in a clinical
trial.
D. This is incorrect. The 8-year-old child may not have the faculties or cognitive
development to comprehend “pros and cons” of a research project.
PTS: 1 CON: Communication; Professionalism
4. A nurse is providing relationship-based care to a pediatric patient. Which of the following is a
challenge the nurse is likely to encounter while using this model of care?
a. Maintaining a sterile field for a procedure with a restless toddler
b. Communicating with the blended family on regular basis
c. Treating children with antibiotic-resistant illnesses
d. Caring for a larger number of children with autism spectrum disorders and childhood
depression
ANS: 2
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 9. Identify current issues and trends in pediatric nursing
practice, education, and research.
Page: 7
Heading: Issues in Pediatric Nursing
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment
Cognitive Level: Analysis [Analyzing]
Concept: Family
Difficulty: Moderate
Feedback
A. This is incorrect. This is a fundamental issue in nursing care, not a relationship issue.
B. This is correct. Maintaining communication with families and caregivers has become
more challenging due to the dynamics of current families.
C. This is incorrect. There has been an increase in the number of antibiotic-resistant
illnesses. This is a trend that has influenced nursing roles and responsibilities, not
