AND CHILDREN 12TH EDITION MARILYN J.
HOCKENBERRY ALL CHAPTERS (1-34) |A+ ULTIMATE
GUIDE 2023
A nurse is delivering a lecture to a group of parents on child health and diseases.
What is the most common cause of death in children older than 1 year?
Obesity
Type 2 diabetes
Motor vehicle accidents
Heart disease - ANSWER: Motor Vehicle Accidents
Rationale: Motor vehicle accidents are the most common cause of death in children
over 1 year of age. Obesity is the most common nutritional problem in children and
can lead to type 2 diabetes. Incidents related to death due to heart diseases, such as
coronary heart disease, in children are not that common.
A school nurse finds that many adolescents in the school are overweight. Being
overweight predisposes these adolescents to which conditions?
Diabetes
Hypertension
Heart diseases
Fractures
Headaches - ANSWER: Diabetes, Hypertension, Heart Disease
Rationale: Overweight individuals are at high risk of developing diabetes due to
increased insulin resistance. The risk of hypertension and heart disease is also high
due to atherosclerosis. The risk of fractures and headaches is not dependent on body
weight.
What should be the primary goal of a nurse while providing atraumatic care to a
child?
First, do no harm to the child.
Restrain the child.
Repress the parents.
Anesthetize the child - ANSWER: First, do no harm to the child.
Rationale: The most important goal for providing a traumatic care is first, do no harm
to the child. Restraining the child, repressing the parents and anesthesia are not
primary goals of a traumatic care.
What is the most common cause of death and disability in children in the United
States?
Injuries
Violence
,Drowning
Mental health problems - ANSWER: Injuries.
Rationale: Injuries account for the most common cause of death and disability to
children in the United States. Violence, drowning, and mental health problems are
not the most common causes of death and disability in children in the United States.
A nurse understands that moral values are important in any decision making. What
does the moral value autonomy refer to?
The obligation to prevent or minimize harm
The patient's right to be self-governing
The concept of fairness
The obligation to promote the patient's well-being - ANSWER: The patient's right to
be self-governing.
Rationale: Autonomy refers to the patient's right to be self-governing and make
decisions about his or her own healthcare. The obligation to prevent or minimize
harm is called nonmaleficence. The concept of fairness is called justice. The
obligation to promote the patient's well-being is called beneficence.
What should be the nurse's instruction to the parent of a child who is overweight?
Inform the parent that the baby is well nourished.
Advise the parent to put the child on a temporary fast.
Tell the parent to reduce the quantity of food supplied to child.
Emphasize the importance of physical activity for the child. - ANSWER: Emphasize
the importance of physical activity for the child.
Rationale: Childhood obesity is the major risk factor for the development of type 2
diabetes. Weight-loss measures such as increased physical activity and avoiding a
sedentary lifestyle play an important role in prevention of diabetes. Overweight is
also a sort of malnourishment. A fast is merely a temporary measure of weight
reduction and is not appropriate for children. Modification of food habits is more
important than reducing food intake.
A nurse explains to a young patient's parent that, in children, the frequency of
certain diseases decreases with age. Which condition should the nurse state as an
example to prove her point?
Headaches
Acne
Type 1 diabetes mellitus
Tonsillitis - ANSWER: Tonsillitis
Rationale: The types of illnesses that children contract are dependent on age. The
incidence of upper respiratory tract infections like tonsillitis decreases with age.
Headaches and acne increase in frequency with age. Type 1 or juvenile diabetes is
not associated with a specific age.
,After recording the weight of a newborn child, the nurse concludes that it is a low-
birth-weight (LBW) baby. What is the weight of the baby?
More than 4.5 kg
More than 3.5 kg
Less than 2.5 kg
Less than 5.0 kg - ANSWER: Less than 2.5 kg
Rationale: LBW is a major cause of neonatal death. LBW is defined as a birth weight
of a live born infant less than 2.5 kg (5.5 pounds). Birth weights of more than 4.5 kg,
more than 3.5 kg, and less than 5.0 kg are normal.
When teaching safety and injury prevention, the nurse explains that children are at
risk for different injuries based on their developmental stage. Which group of
children is at the greatest risk of street accidents?
Small infants
Crawling infants
Mobile toddler
Preschooler - ANSWER: Preschooler
Rationale: The type of injury mostly depends on the developmental stage of the child
and the activities related to that developmental age. Preschoolers may become too
absorbed in their play activities to be aware of environmental hazards such as street
traffic and water. Small infants do not move much, but when they try to move or roll,
they can fall from unprotected surfaces. Crawling infants tend to put objects in their
mouth and are thus at high risk of aspiration and poisoning. Mobile toddlers are at
high risk of falls, burns, and collision with objects due to their newfound capability to
run and climb.
How does the nursing diagnosis phase of the nursing process help the nurse make
decisions about the patient's care?
The nursing diagnosis phase of the nursing process is completed once the outcome
has been met.
The nursing diagnosis phase of the nursing process occurs when the nurse puts the
selected intervention into action.
The nursing diagnosis phase of the nursing process operates at all phases of
problem-solving and is the foundation for decision-making.
The nursing diagnosis phase of the nursing process helps the nurse make a clinical
judgment about the patient's response to an actual or potential health problem. -
ANSWER: The nursing diagnosis phase of the nursing process helps the nurse make a
clinical judgment about the patient's response to an actual or potential health
problem.
Rationale: Nursing diagnoses help the nurse make a clinical judgment about the
patient's response to an actual or potential health problem. Evaluation, rather than
nursing diagnosis, is the phase of the nursing process that is complete once the
outcome has been met. Implementation, rather than nursing diagnosis, is the phase
of the nursing process in which the nurse puts the selected intervention into action.
, Assessment, rather than nursing diagnosis, is the phase of the nursing process that
operates at all phases of problem-solving and is the foundation for decision-making.
A registered nurse is explaining to a nursing intern about atraumatic care in a
pediatric care facility. Which example should the nurse cite to explain this process?
Administering pain medications
Recording blood pressure
Administering intravenous fluids
Providing diet as listed in the diet chart - ANSWER: Administering pain medications
Rationale: A traumatic care refers to the provision of therapeutic care that
eliminates or minimizes the psychologic and physical distress experienced by
children and their families in the health care system. Controlling pain by
administering pain medications is an example of a traumatic care. Nursing
procedures such as recording blood pressure, administering fluids, and providing diet
according to the diet chart are not examples of a traumatic care.
1. A nurse is selecting a family theory to assess a patient's family dynamics. Which
family theory best describes a series of tasks for the family throughout its life span?
a. Interactional theory
b. Developmental systems theory
c. Structural-functional theory
d. Duvall's developmental theory - ANSWER: Duvall's developmental theory
Duvall's developmental theory describes eight developmental tasks of the family
throughout its life span. Interactional theory and structural-functional theory are not
family theories. Developmental systems theory is an outgrowth of Duvall's theory.
The family is described as a small group, a semiclosed system of personalities that
interact with the larger cultural system. Changes do not occur in one part of the
family without changes in others.
2. Which family theory explains how families react to stressful events and suggests
factors that promote adaptation to these events?
a. Interactional theory
b. Developmental systems theory
c. Family stress theory
d. Duvall's developmental theory - ANSWER: Family stress theory
ANS: C
Family stress theory explains the reaction of families to stressful events. In addition,
the theory helps suggest factors that promote adaptation to the stress. Stressors,
both positive and negative, are cumulative and affect the family. Adaptation requires
a change in family structure or interaction. Interactional theory is not a family
theory. Interactions are the basis of general systems theory. Developmental systems
theory is an outgrowth of Duvall's theory. The family is described as a small group, a
semiclosed system of personalities that interact with the larger cultural system.