TEST BANK for Wong-s Nursing Care of Infants and Children 18th Edition by Marilyn J. Hockenberry.pdf

Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
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Edition

MULTIPLEpCHOICE

1. WhatpispthepmajorpcausepofpdeathpforpchildrenpinpthepUnitedpStates?
a. Heartpdisease
b. Childhoodpcancer
c. Injuries
d. Congenitalpanomalies

ANS:p C
Unintentionalpinjuriesp(accidents)parepthepleadingpcausepofpdeathpafterpagep1pyearpthroughpadolescence.pT
hepleadingpcausepofpdeathpforpthosepyoungerpthanp1pyearpispcongenitalpanomalies,pandpchildhoodpcancersp
andpheartpdiseasepcausepapsignificantlyplowerppercentagepofpdeathspinpchildrenpolderpthanp1pyearpofpage.

DIF: CognitivepLevel:pUnderstanding
TOP:pNursingpProcess:pPlanningpMSC:p ClientpNeeds:pHealthpPromoti
onpandpMaintenance

2. Parentspofpaphospitalizedptoddlerpaskpthepnurse,p“Whatpispmeantpbypfamily-
centeredpcare?”pThepnursepshouldprespondpwithpwhichpstatement?
a. Family-centeredpcarepreducespthepeffectpofpculturalpdiversityponpthepfamily.
b. Family-centeredpcarepencouragespfamilypdependenceponpthephealthpcarepsystem.
c. Family-centeredpcareprecognizespthatpthepfamilypispthepconstantpinpapchild’splife.
d. Family-centeredpcarepavoidspexpectingpfamiliesptopbeppartpofpthepdecision-
makingpprocess.
ANS:p C
Thepthreepkeypcomponentspofpfamily-centeredpcarepareprespect,pcollaboration,pandpsupport.pFamily-
pcenteredpcareprecognizespthepfamilypaspthepconstant pinpthepchild’splife.pThepfamilypshouldpbepenabledpand

pempoweredptopworkpwithpthephealthpcarepsystempandpispexpectedptopbeppartpofpthepdecision-

makingpprocess.pThepnursepshouldpalsopsupportpthepfamily’spculturalpdiversity,pnotpreducepitspeffect.

DIF: CognitivepLevel:pApplying
TOP:pNursingpProcess:pImplementationpMSC:p ClientpNeeds:pHealthpPromoti
onpandpMaintenance

3. Evidence-basedppracticep(EBP),papdecision-makingpmodel,pispbestpdescribedpaspwhich?
a. Usingpinformationpinptextbooksptopguidepcare
b. Combiningpknowledgepwithpclinicalpexperiencepandpintuition
c. Usingpapprofessionalpcodepofpethicspaspapmeanspforpdecisionpmaking
d. Gatheringpallpevidencepthatpappliesptopthepchild’sphealthpandpfamilypsituation

ANS:p B
EBPphelpspfocusponpmeasurablepoutcomes;pthepusepofpdemonstrated,peffectivepinterventions;pandpquestio
ningpthepbestpapproach.pEBPpinvolvespdecisionpmakingpbasedponpthepintegrationpofpthepbestpresearchpevid
encepcombinedpwithpclinicalpexpertisepandppatientpvalues.

,Wong'spNursingpCarepofpInfantspandpChildrenp12thpEditionpbypHockenberrypTestpBank




DIF: CognitivepLevel:pRemembering
TOP:pNursingpProcess:pPlanningpMSC:p ClientpNeeds:pSafepandpEffecti
vepCarepEnvironment

4. Thepnursepisptalkingptopapgrouppofpparentspofpschool-agepchildrenpatpanpafter-
schoolpprogrampaboutpchildhoodphealthpproblems.pWhichpstatementpshouldpthepnursepincludepinpthe
pteaching?

a. Childhoodpobesitypispthep mostpcommonpnutritionalpproblempamongpchildren.
b. Immunizationpratesparepthepsamepamongpchildrenpofpdifferentpracespandpethnicity.
c. Dentalpcariespispnotpapproblempcommonlypseenpinpchildrenpsincepthepintroductionpofpfl
uorinatedpwater.
d. Mentalphealthpproblemspareptypicallypnotpseenpinpschool-
agepchildrenpbutpmaypbepdiagnosedpinpadolescents.
ANS:p A
Whenpteachingpparentspofpschool-
agepchildrenpaboutpchildhoodphealthpproblems,pthepnursepshouldpincludepinformationpaboutpchildhoodpob
esitypbecausepitpispthepmostpcommonpproblempamongpchildrenpandpispassociatedpwithptypep2pdiabetes.pTea
chingpparentspaboutpwaysptoppreventpobesitypispimportantptopinclude.pImmunizationpratespdifferpdependin
gponpthepchild’spracepandpethnicity;pdentalpcariespcontinuesptopbepapcommonpchronicpdiseasepinpchildhood;
pandpmentalphealthpproblemsparepseenpinpchildrenpaspyoungpaspschoolpage,pnotpjustpinpadolescents.




DIF: CognitivepLevel:pApplying
TOP:pIntegratedpProcess:pTeaching/LearningpMSC:p ClientpNeeds:pHealthpPromoti
onpandpMaintenance

5. Thepnursepispplanningpcarepforpaphospitalizedppreschool-
agedpchild.pWhichpshouldpthepnursepplanptopensurepatraumaticpcare?
a. Limitpexplanationpofpprocedurespbecausepthepchildpisppreschoolpaged.
b. Askpthatpallpfamilypmemberspleaveptheproompwhenpperformingpprocedures.
c. Allowpthepchildptopchooseptheptypepofpjuiceptopdrinkpwithpthepadministrationpofporalpm
edications.
d. ExplainpthatpEMLApcreampcannotpbepusedpforpthepmorningplabpdrawpbecauseptherepis
pnotptimepforpitptopbepeffective.



ANS:p C
Thepoverridingpgoalpinpprovidingpatraumaticpcarepispfirst,pdopnopharm.pAllowingpthepchild,papchoicepofpjui
ceptopdrinkpwhenptakingporalpmedicationspprovidespthepchildpwithpapsensepofpcontrol.pTheppreschoolpchildp
shouldpbeppreparedpbeforepprocedures,psoplimitingpexplanationspofpprocedurespwouldpincreasepanxiety.pT
hepfamilypshouldpbepallowedptopstaypwithpthepchildpduringpprocedures,pminimizingpstress.
Lidocaine/prilocainep(EMLA)pcreampispaptopicalplocalpanesthetic.pThepnursepshouldpplanptopusepthepprescribe
dpcreampinptimepforpmorningplaboratorypdrawsptopminimizeppain.

DIF: CognitivepLevel:pApplying
TOP:pNursingpProcess:pPlanningpMSC:p ClientpNeeds:pHealthpPromoti
onpandpMaintenance

6. Whichpsituationpdenotespapnontherapeuticpnurse–patient–familyprelationship?
a. Thepnursepispplanningptopreadpapfavoritepfairyptaleptopappatient.
b. Duringpshiftpreport,pthepnursepispcriticizingpparentspforpnotpvisitingptheirpchild.
c. Thepnursepispdiscussingpwithpapfellowpnursepthepemotionalpdrawptopapcertainppatient.
d. Thepnursepispworkingpwithpapfamilyptopfindpwaysptopdecreasepthepfamily’spdependence
p onphealthpcarepproviders.

, Wong'spNursingpCarepofpInfantspandpChildrenp12thpEditionpbypHockenberrypTestpBank




ANS:p B
Criticizingpparentspforpnotpvisitingpinpshiftpreportpispnontherapeuticpandpshowspanpunderpinvolvementpwit
hpthepparents.pReadingpapfairyptalepispaptherapeuticpandpage-
appropriatepaction.pDiscussingpfeelingspofpanpemotionalpdrawpwithpapfellowpnursepisptherapeuticpandpsho
wspapwillingnessptopunderstandpfeelings.pWorkingpwithpparentsptopdecreasepdependenceponphealthpcarepp
roviderspisptherapeuticpandphelpsptopempowerpthepfamily.

DIF: CognitivepLevel:pAnalyzing
TOP:pIntegratedpProcess:pCaringpMSC:p ClientpNeeds:pPsychosocialpIn
tegrity

7. Thepnursepispawarepthatpwhichpage-
grouppispatpriskpforpchildhoodpinjurypbecausepofpthepcognitivepcharacteristicpofpmagicalpandpegoce
ntricpthinking?
a. Preschool
b. Youngpschoolpage
c. Middlepschoolpage
d. Adolescent

ANS:p A
Preschoolpchildrenphavepthepcognitivepcharacteristicpofpmagicalpandpegocentricpthinking,pmeaningptheypar
epunableptopcomprehendpdangerptopselfporpothers.pYoungpandpmiddlepschool-
agedpchildrenphaveptransitionalpcognitivepprocesses,pandptheypmaypattemptpdangerouspactspwithoutpdetail
edpplanningpbutprecognizepdangerptopthemselvesporpothers.pAdolescentsphavepformalpoperationalpcognitive
pprocessespandpareppreoccupiedpwithpabstractpthinking.




DIF: CognitivepLevel:pUnderstanding
TOP:p NursingpProcess:pAssessmentpMSC:p ClientpNeeds:pSafepandpEffecti
vepCarepEnvironment

8. Thepschoolpnursepispassessingpchildrenpforpriskpfactorsprelatedptopchildhoodpinjuries.pWhichpchildphaspt
hepmostpriskpfactorsprelatedptopchildhoodpinjury?
a. Female,pmultiplepsiblings,pstablephomeplife
b. Male,phighpactivityplevel,pstressfulphomeplife
c. Male,pevenptempered,phistorypofppreviouspinjuries
d. Female,preactspnegativelyptopnewpsituations,pnopseriousppreviouspinjuries

ANS:p B
Boysphavepappreponderancepforpinjuriespoverpgirlspbecausepofpapdifferencepinpbehavioralpcharacteristics,pap
highpactivityptemperamentpispassociatedpwithprisk-
takingpbehaviors,pandpstressppredisposespchildrenptopincreasedpriskptakingpandpself-
destructivepbehaviors.pTherefore,papmalepchildpwithpaphighpactivityplevelpandplivingpinpapstressfulpenviron
mentphaspthephighestpnumberpofpriskpfactors.pApgirlpwithpseveralpsiblingspandpapstablephomeplifepisplowprisk.
pApboypwithppreviouspinjuriesphasptwopriskpfactors,pbutpanpevenptemperpispnotpapriskpfactorpforpinjuries.pApgi

rlpwhopreactspnegativelyptopnewpsituationspbutphaspnoppreviouspseriouspillnessesphasponlyponepriskpfactor.

DIF: CognitivepLevel:pAnalyzing
TOP:p NursingpProcess:pAssessmentpMSC:p ClientpNeeds:pSafepandpEffecti
vepCarepEnvironment

9. Anpadolescentppatientpwantsptopmakepdecisionspaboutptreatmentpoptions,palongpwithphispparents.pWhichp
moralpvaluepispthepnursepdisplayingpwhenpsupportingpthepadolescentptopmakepdecisions?
a. Justice