Test bank - Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care 3rd Edition by Kathryn Rudd, All 22 Chapters Covered, Verified Latest Edition

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DAVIS ADVANTAGE for Pediatric Nursing:Critical Components of
Nursing Care, 3rd Edition by Kathryn Rudd

,Chapter 1: Issues and Trends in Pediatric Nursing
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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MI 1. The RN has provided a presentation to middle school children about nursing as a career. One o
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fthe children stated that he wanted to be a pediatric RN, because he wants to take care of babie
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s and little “kids.” What would be an appropriate response to this middle school–aged child?
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1. “Nursing is a general practice; all RNs must know how to take care of all ages of
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clients.”
2. “As a pediatric RN, you would get to care for babies and little kids as well as
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children through their teenage years.” MI MI MI MI



3. “What you are describing is actually a neonatal RN. Neonatal RNs work withne
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wborn babies, toddlers, and preschool-age children.” MI MI MI MI MI



4. “Being a pediatric RN requires a master’s degree, so be sure to work hard in
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school!”
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surgical float RN is assigned to the pediatric unit for the first time and states thatthe skills are “t
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he same as general nursing since children are little adults with smaller bodies.” What componen
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t of pediatric nursing contraindicates this statement?
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1. Pediatric nursing involves care based on the developmental level of the client.
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2. Pediatric nursing involves the client’s family in the plan of care.
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3. Pediatric nursing in based on prevention of infectious diseases.
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4. Pediatric nursing involves cultural sensitivity in client care.MI MI MI MI MI MI MI

MI 3.
The culturally sensitive pediatric RN is aware of the racial makeup of the U.S. population. Whi
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ch of the following reflects the demographics of the U.S. pediatric population in 2018, basedon
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U.S. Census Bureau data? MI MI MI



1. The American Indian and Alaska Native population represent one-
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fifth of thepediatric population. MI MI M
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2. About half of the children fall in the category of something other than White no
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n-Hispanic. M
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3. The population of Asian children decreased from 2015 to 2018.
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4. There was no change in the population of Non- MI MI MI MI MI MI MI MI



Hispanic children who representtwo or more races between 2015 and 2018.
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MI 4.
The RN at a family clinic is providing care to an adolescent client diagnosed with diabetes. Thecl
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ient has verbalized discomfort with the feelings of isolation when unable to drink alcohol with t
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heir friends. Which of the following would be the most appropriate response to this statement?
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1. “Drinking alcohol is not only illegal but dangerous for your blood sugar contr
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oland overall well-being.” M
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2. “You can still drink alcohol, in moderation, if you control the sugar spike wit
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hmore insulin.” M
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3. “Prepare for alcohol intake with more water and less carbohydrates before drinkin
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gto slow sugar spikes.” M
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4. “It is understandable that you want to be included, but perhaps we can work out
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aplan on how to work through those situations.”
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,MI 5. Which statement best describes the common core concepts of the different models of pediatricnu
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rsing?
1. All models focus on the open communication between the child and RN.
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2. All models focus on importance of family relationship to the child.
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3. All models focus on safeguarding the child’s dignity during care.
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4. All models focus on coordination of care needs that arise during illness.
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MI 6. Which of the following tasks is associated with the pediatric medical home care model of pediatri
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cnursing?
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1. The RN refers the family to a childhood cancer support group prior to discharge
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from the hospital. MI MI



2. The RN includes a simple explanation of the procedure to the child based on the
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child’s developmental level. MI MI



3. The RN includes the family’s cultural celebrations and observations whilep
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roviding care to the child. MI MI MI MI



4. The RN develops the plan of care with the child and family as the focal point of
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the interventions. MI




MI 7. The pediatric RN begins a research project on 8-year-
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old clients with the medical diagnosis ofpediatric acute-
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onset neuropsychiatric syndrome (PANS). The family has consented to the research, but as the
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RN begins to administer the intervention, the client refuses to cooperate. What is the appropriat
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e response to this refusal?
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1. The RN should discuss with the family the options of performing thei
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ntervention without the child’s knowledge. MI MI MI MI



2. The RN should explain to the child that this is necessary and promise a reward at
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the end of the research project.
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3. The RN should refuse to perform the intervention until the child consents to thei
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ntervention and project. MI MI



4. The RN should discuss the pros and cons of the research project with the child
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and focus on the outcomes. MI MI MI MI

MI 8.
A RN is providing relationship-
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based care to a pediatric client. Which of the following is achallenge the RN is likely to encount
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er while using this model of care?
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1. Maintaining a sterile field for a procedure with a restless toddler MI MI MI MI MI MI MI MI MI MI



2. Communicating with the blended family on regular basis MI MI MI MI MI MI MI



3. Treating children with antibiotic-resistant illnesses
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4. Caring for a larger number of children with autism spectrum disorders an
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MI 9. dchildhood depression
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The pediatric RN desires to expand his or her career options to become the hospital’s RN educa
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tor of pediatrics. Which of the following is necessary for this RN to achieve this careergoal?
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1. The RN is recommended to earn a minimum of a master’s degree in nursing.
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2. The RN must earn a minimum of a doctorate degree in nursing.
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3. The RN must implement and develop research in nursing practice.
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4. The RN must implement a plan to obtain certification in pediatrics.
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, MI


10. The school RN is developing a teaching session for the population of children in a m
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iddle school. The RN has determined that the greatest need for the overall health of the child
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ren is promotion of healthy foods. Which of the following interventions is most likely to be ef
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fective?
1. Remove all unhealthy snacks from the vending machines.MI MI MI MI MI MI MI



2. Have a poster contest on healthy eating options.
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3. Survey the learner population during lunch breaks.
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4. Engage the learners in healthy choices with cooking lessons.
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11. The RN recognizes the needs of professional development to provide safe and effectiv
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e care tothe pediatric population by attending which of the following courses?
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1. Procedure with rationale to administer human papilloma vaccine to the middl
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eschool population
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2. Study review of the incidence of bullying and intimidation in the elementar
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yschool population
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3. Demographic study of the U.S. population with regard to cultural diversity an MI MI MI MI MI MI MI MI MI MI MI



dpractices M
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4. How to provide individual health care education for the children without parent
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alinterference M
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MIMIM I 12. Which of the following continuing education courses would best enhance the pediat
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ric MI RN’spractice in relationship to current trends?
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1. Evidence-
based practice on improving antibiotic adherence with education to thefamily u
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nit
2. Evidence-
based practice on proper administration of antibiotics for children withautoimm
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une diseases MI



3. How to enhance communication with children in regards to adherence to antibioti
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cuse
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4. How to decrease instances of exacerbation of infections of children wit
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hautoimmune diseases with antibiotics
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MI MIMIM I 13. The pediatric RN is developing interventions for a school-
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aged child based on the nursing diagnosis of imbalanced nutrition related to a body mass index (
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BMI) of 37 and poor food choicesas evidenced by client’s mother’s food diary for the family and
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child’s statements of food preferences. Which of the following would be an appropriate nursing
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intervention?
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1. Provide the child and family with information from https://www.MyPlate.gov f
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orhealthy food options.
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2. Increase the child’s activity by incorporating the child’s friends into a plan
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ofhealthy exercise options.
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3. Explain the importance of balancing diet and exercise to prevent obesity to th
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echild and family.
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4. Provide information on the increased risk for potential disease processes such a
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sdiabetes and hypertension.
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14. The RN is developing interventions for a transgender adolescent based on the nursing
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diagnosisdecreased self- M
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esteem related to transgender identity as evidenced by statements of feeling “worthless, differe
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nt, and alone.” What would be the most appropriate intervention based on thediagnosis?
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1. Give positive feedback on personal choices as appropriate.
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