snWilsonnTestnBank
Chaptern 1.n Perspectivesn ofn Pediatricn Nursing
MULTIPLEnCHOICE
1. Then clinicnnursen isn reviewingn statisticsn onn infantn mortalityn forn thenUnitedn Statesn versusn oth
erncountries.n Comparedn withn othern countriesn thatn haven an populationn ofn atn leastn 25n million,n th
en nursenmakesnwhichndetermination?
a. Then Unitedn Statesn isn rankedn lastn amongn 27n countries.
b. Then Unitedn Statesn isn rankedn similarn ton 20n othern developedn countries.
c. Then Unitedn Statesn isn rankedn inn then middlen ofn 20n othern developedn countries.
d. Then Unitedn Statesn isn rankedn highestn amongn 27n othern industrializedn countri
es.nANS:nA
Althoughn then deathn raten hasn decreased,n then Unitedn Statesn stilln ranksn lastn inn infantn mortalityn among
nationsn withn an populationn ofn atn leastn 25n million.n Then Unitedn Statesn hasn then highestn infantn d
eathnratenofndevelopednnations.
DIF:n Cognitiven Level:n Rememberingn REF:n dl.n 6
TOP:n Nursingn Process:n Assessmentn MSC:n Clientn Needs:n Healthn Promotionn andn Maintenance
2. Whichn isn then leadingn causen ofn deathn inn infantsn youngern thann 1n yearn inn then Unitedn States?
a. Congenitaln anomalies
b. Suddenn infantn deathn syndrome
c. Disordersn relatedn ton shortn gestationn andn lown birthn weight
d. Maternaln complicationsn specificn ton then perinataln perio
dnANS:nA
Congenitaln anomaliesn accountn forn 20.1%n ofn deathsn inn infantsn youngern thann 1n yearn comparedn with
suddenn infantn deathn syndrome,n whichn accountsn forn 8.2%;n disordersn relatedn ton shortn gestationn
andnunspecifiedn lown birthn weight,n whichn accountn forn 16.5%;n andn maternaln complicationsn suchn
asninfectionsn specificn ton then perinatalnperiod,n whichn accountn forn 6.1%n ofn deathsn inn infantsn yo
ungernthann1nyearnofn age.
DIF:n Cognitiven Level:n Rememberingn REF:n dl.n 7n TOP:n Nursingn Process:n Planningn
MSC:nClientnNeeds:n HealthnPromotionnandnMaintenance
3. Whatn isn then majorn causen ofn deathn forn childrenn oldern thann 1n yearn inn then Unitedn States?
a. Heartn disease
b. Childhoodn cancer
c. Unintentionaln injuries
d. Congenitalnanomalies
nANS:nC
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,Unintentionaln injuriesn (accidents)n aren then leadingn causen ofn deathn aftern agen 1n yearn throughnad
olescence.n Then leadingn causen ofn deathn forn thosen youngern thann 1n yearn isn congenitaln anomalie
s,nandn childhoodn cancersn andn heartn diseasen causen an significantlyn lowern percentagen ofn deathsn i
nnchildrennoldernthann1nyearnofnage.
DIF:n Cognitiven Level:n Understandingn REF:n dl.n 7n TOP:n Nursingn Process:n Planning
nMSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
4. Inn additionn ton injuries,n whatn aren then leadingn causesn ofn deathn inn adolescentsn agesn 15n ton 19n years?
a. Suiciden andn cancer
b. Suiciden andn homicide
c. Drowningn andn cancer
d. Homicidenandn heartn diseas
enANS:nB
Suiciden andn homiciden accountn forn 16.7%n ofn deathsn inn thisn agen group.n Suiciden andn cancern account
forn 10.9%n ofn deaths,n heartn diseasen andn cancern accountn forn approximatelyn 5.5%,n andn homiciden
andnheartndiseasenaccountn forn10.9%nofnthendeathsninn thisn agengroup.
DIF:n Cognitiven Level:n Rememberingn REF:n dl.n 7n TOP:n Nursingn Process:n Planningn
MSC:nClientnNeeds:n HealthnPromotionnandnMaintenance
5. Then nursen isn planningn an teachingn sessionn ton adolescentsn aboutn deathsn byn unintentionaln injur
ies.nWhichn shouldn then nursen includen inn then sessionn withn regardn ton deathsn causedn byninjuries?
a. Moren deathsn occurn inn males.
b. Moren deathsn occurn inn females.
c. Then patternn ofn deathsn doesn notn varyn accordingn ton agen andn sex.
d. Then patternn ofn deathsn doesn notn varyn widelyn amongn differentn ethnicn grou
ps.nANS:nA
Then majorityn ofn deathsn fromn unintentionaln injuriesn occurn inn males.n Then patternn ofn deathn doesn vary
greatlyn amongn differentn ethnicn groups,n andn then causesn ofn unintentionaln deathsn varyn withn agen
andngender.
DIF:n Cognitiven Level:n Applyingn REF:npp.n 7-
8nTOP:n Integratedn Process:n Teaching/Learning
MSC:n Clientn Needs:n Healthn Promotionn andn Maintenance
6. Whatn don mortalityn statisticsn describe?
a. Diseasen occurringn regularlyn withinn an geographicn location
b. Then numbern ofn individualsn whon haven diedn overn an specificnperiod
c. Then prevalencen ofn specificn illnessn inn then populationn atn an particularn time
d. Diseasen occurringn inn moren thann then numbern ofn expectedn casesn inn an commu
nitynANS:nB
Mortalityn statisticsn refern ton then numbern ofn individualsn whon haven diedn overn an specificn period.
Morbidityn statisticsn shown then prevalencen ofn specificn illnessn inn then populationn atn an particularn ti
me.nDatan regardingn diseasen withinn an geographicn region,n orn inn greatern thann expectedn numbersn i
nn ancommunity,n maynbenextrapolatedn fromnanalyzingnthen morbiditynstatistics.
DIF:n Cognitiven Level:n Rememberingn REF:n dl.n 3n TOP:n Nursingn Process:n Planningn
MSC:nClientnNeeds:n HealthnPromotionnandnMaintenance
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,7. Then nursen shouldn assessn whichn agen groupn forn suiciden ideationn sincen suiciden inn whichn agen g
roupnisnthenthirdnleadingncausenofndeath?
a. Preschoolers
b. Youngn schooln age
c. Middlen schooln age
d. Latenschooln agen andn adolescent
snANS:nD
Suiciden isn then thirdn leadingn causen ofn deathn inn childrenn agesn 10n ton 19n years;n therefore,n then age
groupn shouldn ben laten schooln agen andn adolescents.n Suiciden isn notnonen ofn then leadingn causesn ofn
deathnfornpreschoolnandnyoungnorn middlenschool-agednchildren.
DIF:n Cognitiven Level:n Understandingn REF:n dl.n 6
TOP:n Nursingn Process:n Assessmentn MSC:n Clientn Needs:n Healthn Promotionn andn Maintenance
8. Parentsn ofn an hospitalizedn toddlern askn then nurse,n Whatn isn meantn byn family-
centeredn care?n Thennursenshouldnrespondn withnwhichnstatement?
a. Family-centeredn caren reducesn then effectn ofn culturaln diversityn onn then family.
b. Family-centeredn caren encouragesn familyn dependencen onn then healthn caren system.
c. Family-centeredn caren recognizesn thatn then familyn isn then constantn inn an childsn life.
d. Family-centeredn caren avoidsn expectingn familiesn ton ben partn ofn then decision-
makingn process.nANS:nC
Then threen keyn componentsn ofn family-centeredn caren aren respect,n collaboration,n andn support.
Family-
centeredn caren recognizesn then familyn asn then constantn inn then childsn life.n Then familyn shouldnben e
nabledn andn empoweredn ton workn withn then healthn caren systemn andn isn expectedn ton benpartn ofn then
decision-
makingn process.n Then nursen shouldn alson supportn then familysn culturaln diversity,n notn reducenitsneff
ect.
DIF:n Cognitiven Level:n Applyingn REF:n dl.n 8
TOP:n Nursingn Process:n Implementationn MSC:n Clientn Needs:n Healthn Promotionn andn Maintenance
9. Then nursen isn describingn clinicaln reasoningn ton an groupn ofn nursingn students.n Whichn isn
mostndescriptivenofnclinicalnreasoning?
a. Purposefuln andn goaln directed
b. An simplen developmentaln process
c. Basedn onn deliberaten andn irrationaln thought
d. Assistsn individualsn inn guessingn whatn isn mostn appropria
tenANS:nA
Clinicaln reasoningn isn an complexn developmentaln processn basedn onn rationaln andn deliberaten thought.
Whenn thinkingn isn clear,n precise,n accurate,n relevant,n consistent,n andn fair,n an logicaln connect
ionndevelopsnbetweennthenelementsnofn thoughtn andnthenproblemnatnhand.
DIF:n Cognitiven Level:n Applyingn REF:n dl.n 12nT
OP:n Integratedn Process:n Teaching/Learning
MSC:n Clientn Needs:n Healthn Promotionn andn Maintenance
10. Evidence-basedn practicen (EBP),n an decision-makingn model,n isn bestn describedn asn which?
a. Usingn informationn inn textbooksn ton guiden care
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