ADVANCED PHARMACOLOGY TEST BANK, QUESTIONS AND ANSWERS n n n n n n n
WITH RATIONALES n
The nurse strives to provide culturally competent care for children in a health
n n n n n n n n n n n n
clinic that follows the principles of health supervision. Which of the following
n n n n n n n n n n n n n
nursing actions reflects this type of care?A) The nurse treats all children the s
n n n n n n n n n n n n n
ame regardless of their culture.
n n n n
B) The nurse negotiates a care plan with the child and family.
n n n n n n n n n n
C) The nurse researches the child's culture and provides care based on th
n n n n n n n n n n n
e findings.
n
D) The nurse provides future-based care for culturally diverse children. -
n n n n n n n n n
ANS-B) The nurse negotiates a care plan with the child and family.
n n n n n n n n n n n n
The nurse is aware that the community affects the health of its members. Whic
n n n n n n n n n n n n n
h of the following statements accurately reflect a community influence of h
n n n n n n n n n n n
ealth care? Select all answers that apply.
n n n n n n
A) A community can be a contributor to a child's health or be the cause of his
n n n n n n n n n n n n n n n n
or her n
illnesses.
B) The child's health should be separated from the health of the sur
n n n n n n n n n n n
rounding
community.
C) Community support and resources are necessary for children with si
n n n n n n n n n
gnificant
problems.
D) Poverty has not been linked to an increase in health problems in co
n n n n n n n n n n n n
mmunities.
E) The breakdown of community and family support systems can lead to de
n n n n n n n n n n n
pression
and violence.
n
,F) Ideally, the child's medical home is located outside the community -
n n n n n n n n n n
nANS-
A) A community can be a contributor to a child's health or be the cause of
n n n n n n n n n n n n n n n n
his or her
n n
illnesses.
C) Community support and resources are necessary for children with signifi
n n n n n n n n n n
cant
problems.
E) The breakdown of community and family support systems can lead to dep
n n n n n n n n n n n n
ression
and violence.
n
,The nurse is providing atraumatic care to children in a hospital setting. Whic
n n n n n n n n n n n n
h of the following are principles of this philosophy of care? Select all answers
n n n n n n n n n n n n n n
that apply. n
A) Avoid or reduce painful procedures
n n n n
B) Avoid or reduce physical distress
n n n n
C) Minimize parent-child interactions n n
D) Provide child-centered care n n
E) Minimize child control n n
F) Use core primary nursing
n n n n
(chapter 30) - ANS-A, B, F n n n n n
Avoid or reduce painful procedures, Avoid or reduce physical distress, Use c
n n n n n n n n n n n
ore primary nursing
n n
The nurse is consulting with a child life specialist (CLS) to help minimize the st
n n n n n n n n n n n n n n
ress of hospitalization for a child. Which of the following services would the
n n n n n n n n n n n n n
CLS provide? Select all answers that apply.
n n n n n n
A) Medical preparation for tests, surgeries, and other medical procedures
n n n n n n n n
B) Support before and after, but not during, medical procedures
n n n n n n n n
C) Activities to support normal growth and development
n n n n n n
D) Grief and bereavement support
n n n
E) Emergency room interventions for children and familiesn n n n n n
F) Only inpatient consultations with families - ANS-C, D, E
n n n n n n n n
, Activities to support normal growth and development., Grief and bereaveme
n n n n n n n n n
nt support, Emergency room interventions for children and families
n n n n n n n n
The nurse is implementing interventions to prevent physical stressors for a 9
n n n n n n n n n n n
-year-
old child receiving chemotherapy in the hospital. Which of the following is
n n n n n n n n n n n n
an example of using atraumatic care for this child?
n n n n n n n n
A) Use restraint or "holding down" of the child during the procedure to pre
n n n n n n n n n n n n
vent injury. n
B) Have the parent stand near and/or rub the child's feet during the pr
n n n n n n n n n n n n
ocedure.
C) Insert a saline lock if the child will require multiple doses of parenteral me
n n n n n n n n n n n n n
dications.
D) Avoid using numbing techniques for multiple blood draws or IV inser
n n n n n n n n n n
tion. - ANS- n n
C) Insert a saline lock if the child will require multiple doses of parentera
n n n n n n n n n n n n n
l medications.
n
The nurse contacts a child life specialist (CLS) to work with children on a pedia
n n n n n n n n n n n n n n
tric ward. What is the primary goal of the CLS?
n n n n n n n n n
A) Decrease anxiety and fear during hospitalization and painful pr
n n n n n n n n
ocedures
B) Keep children who are hospitalized distracted from pain
n n n n n n n
C) Perform medical procedures using atraumatic principles
n n n n n
D) Act as a liaison between the nurse and the child - ANS-
n n n n n n n n n n n
A) Decrease anxiety and fear during hospitalization and painful proced
n n n n n n n n n
ures
The nurse is preparing a child and his family for a lumbar puncture. Which of th
n n n n n n n n n n n n n n n
e following would be a primary intervention instituted by the CLS to keep the
n n n n n n n n n n n n n n
child safe? n
A) Distraction methods n
B) Stimulation methods n
C) Therapeutic hugging n
D) Therapeutic touch - ANS-C) Therapeutic hugging n n n n n
WITH RATIONALES n
The nurse strives to provide culturally competent care for children in a health
n n n n n n n n n n n n
clinic that follows the principles of health supervision. Which of the following
n n n n n n n n n n n n n
nursing actions reflects this type of care?A) The nurse treats all children the s
n n n n n n n n n n n n n
ame regardless of their culture.
n n n n
B) The nurse negotiates a care plan with the child and family.
n n n n n n n n n n
C) The nurse researches the child's culture and provides care based on th
n n n n n n n n n n n
e findings.
n
D) The nurse provides future-based care for culturally diverse children. -
n n n n n n n n n
ANS-B) The nurse negotiates a care plan with the child and family.
n n n n n n n n n n n n
The nurse is aware that the community affects the health of its members. Whic
n n n n n n n n n n n n n
h of the following statements accurately reflect a community influence of h
n n n n n n n n n n n
ealth care? Select all answers that apply.
n n n n n n
A) A community can be a contributor to a child's health or be the cause of his
n n n n n n n n n n n n n n n n
or her n
illnesses.
B) The child's health should be separated from the health of the sur
n n n n n n n n n n n
rounding
community.
C) Community support and resources are necessary for children with si
n n n n n n n n n
gnificant
problems.
D) Poverty has not been linked to an increase in health problems in co
n n n n n n n n n n n n
mmunities.
E) The breakdown of community and family support systems can lead to de
n n n n n n n n n n n
pression
and violence.
n
,F) Ideally, the child's medical home is located outside the community -
n n n n n n n n n n
nANS-
A) A community can be a contributor to a child's health or be the cause of
n n n n n n n n n n n n n n n n
his or her
n n
illnesses.
C) Community support and resources are necessary for children with signifi
n n n n n n n n n n
cant
problems.
E) The breakdown of community and family support systems can lead to dep
n n n n n n n n n n n n
ression
and violence.
n
,The nurse is providing atraumatic care to children in a hospital setting. Whic
n n n n n n n n n n n n
h of the following are principles of this philosophy of care? Select all answers
n n n n n n n n n n n n n n
that apply. n
A) Avoid or reduce painful procedures
n n n n
B) Avoid or reduce physical distress
n n n n
C) Minimize parent-child interactions n n
D) Provide child-centered care n n
E) Minimize child control n n
F) Use core primary nursing
n n n n
(chapter 30) - ANS-A, B, F n n n n n
Avoid or reduce painful procedures, Avoid or reduce physical distress, Use c
n n n n n n n n n n n
ore primary nursing
n n
The nurse is consulting with a child life specialist (CLS) to help minimize the st
n n n n n n n n n n n n n n
ress of hospitalization for a child. Which of the following services would the
n n n n n n n n n n n n n
CLS provide? Select all answers that apply.
n n n n n n
A) Medical preparation for tests, surgeries, and other medical procedures
n n n n n n n n
B) Support before and after, but not during, medical procedures
n n n n n n n n
C) Activities to support normal growth and development
n n n n n n
D) Grief and bereavement support
n n n
E) Emergency room interventions for children and familiesn n n n n n
F) Only inpatient consultations with families - ANS-C, D, E
n n n n n n n n
, Activities to support normal growth and development., Grief and bereaveme
n n n n n n n n n
nt support, Emergency room interventions for children and families
n n n n n n n n
The nurse is implementing interventions to prevent physical stressors for a 9
n n n n n n n n n n n
-year-
old child receiving chemotherapy in the hospital. Which of the following is
n n n n n n n n n n n n
an example of using atraumatic care for this child?
n n n n n n n n
A) Use restraint or "holding down" of the child during the procedure to pre
n n n n n n n n n n n n
vent injury. n
B) Have the parent stand near and/or rub the child's feet during the pr
n n n n n n n n n n n n
ocedure.
C) Insert a saline lock if the child will require multiple doses of parenteral me
n n n n n n n n n n n n n
dications.
D) Avoid using numbing techniques for multiple blood draws or IV inser
n n n n n n n n n n
tion. - ANS- n n
C) Insert a saline lock if the child will require multiple doses of parentera
n n n n n n n n n n n n n
l medications.
n
The nurse contacts a child life specialist (CLS) to work with children on a pedia
n n n n n n n n n n n n n n
tric ward. What is the primary goal of the CLS?
n n n n n n n n n
A) Decrease anxiety and fear during hospitalization and painful pr
n n n n n n n n
ocedures
B) Keep children who are hospitalized distracted from pain
n n n n n n n
C) Perform medical procedures using atraumatic principles
n n n n n
D) Act as a liaison between the nurse and the child - ANS-
n n n n n n n n n n n
A) Decrease anxiety and fear during hospitalization and painful proced
n n n n n n n n n
ures
The nurse is preparing a child and his family for a lumbar puncture. Which of th
n n n n n n n n n n n n n n n
e following would be a primary intervention instituted by the CLS to keep the
n n n n n n n n n n n n n n
child safe? n
A) Distraction methods n
B) Stimulation methods n
C) Therapeutic hugging n
D) Therapeutic touch - ANS-C) Therapeutic hugging n n n n n
