sonhTesthBank
Chapterh 1.h Perspectivesh ofh Pediatrich Nursing
MULTIPLEh CHOICE
1. Thehclinichnursehishreviewinghstatisticshonhinfanth mortalityh forhthehUnitedhStateshversushothe
rh countries.hComparedhwithhotherhcountrieshthathhavehahpopulationhofhathleasth25hmillion,htheh
nurseh makeshwhichhdetermination?
a. Theh Unitedh Statesh ishrankedh lasth amongh 27h countries.
b. Theh Unitedh Statesh ish rankedh similarh toh 20h otherh developedh countries.
c. Theh Unitedh Statesh ishrankedh inhtheh middleh ofh 20h otherh developedh countries.
d. ThehUnitedhStateshishrankedhhighesthamongh27hotherhindustrializedhcountrie
s.h ANS:hA
Althoughh theh deathh rateh hash decreased,h theh Unitedh Statesh stillh ranksh lasth inh infanth mortalityh among
nationshwithhahpopulationhofhathleasth25h million.hThehUnitedhStateshhashthehhighesthinfanthdeat
hh ratehofhdevelopedhnations.
DIF:h Cognitiveh Level:h Rememberingh REF:h dl.h 6
TOP:h Nursingh Process:h Assessmenth MSC:h ClienthNeeds:h Healthh Promotionh andh Maintenance
2. Whichh ish theh leadingh causeh ofh deathh inh infantsh youngerh thanh 1h yearh inh theh Unitedh States?
a. Congenitalh anomalies
b. Suddenh infanth deathh syndrome
c. Disordersh relatedh toh shorth gestationh andh lowh birthh weight
d. Maternalhcomplicationshspecifichtohthehperinatalhperio
dh ANS:hA
Congenitalh anomaliesh accounth forh 20.1%hofh deathsh inh infantsh youngerh thanh 1h yearhcomparedh with
suddenhinfanthdeathhsyndrome,hwhichhaccountshforh8.2%;hdisordershrelatedhtohshorthgestationh
andh unspecifiedhlowhbirthhweight,hwhichhaccounth forh16.5%;handh maternalhcomplicationshsuc
hhash infectionshspecifichtohthehperinatalhperiod,hwhichhaccounthforh6.1%hofhdeathshinhinfantsh
youngerh thanh1hyearhofhage.
DIF:hCognitiveh Level:hRememberinghREF:hdl.h7hTOP:hNursinghProcess:hPlanning
h MSC:hClienthNeeds:hHealthhPromotionhandhMaintenance
3. Whath ish theh majorh causeh ofh deathh forh childrenh olderh thanh 1h yearh inh theh Unitedh States?
a. Hearth disease
b. Childhoodh cancer
c. Unintentionalh injuries
d. Congenitalhanomalies
h ANS:hC
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,Unintentionalhinjuriesh(accidents)harehthehleadinghcausehofhdeathhafterhageh1hyearhthroughh ado
lescence.hThehleadinghcausehofhdeathhforhthosehyoungerhthanh1hyearhishcongenitalhanomalies,h
andhchildhoodhcancershandhhearthdiseasehcausehahsignificantlyh lowerhpercentagehofhdeathshinh
childrenholderhthanh1hyearhofhage.
DIF:hCognitiveh Level:hUnderstandinghREF:hdl.h7hTOP:hNursinghProcess:hPlanning
h MSC:hClienthNeeds:hHealthhPromotionhandhMaintenance
4. Inhadditionh toh injuries,h whath areh theh leadingh causesh ofh deathh inh adolescentsh agesh 15h toh 19h years?
a. Suicidehandh cancer
b. Suicidehandh homicide
c. Drowningh andh cancer
d. Homicidehandhhearthdiseas
eh ANS:hB
Suicideh andh homicideh accounth forh 16.7%h ofh deathsh inh thish ageh group.h Suicideh andh cancerh account
forh10.9%hofhdeaths,hhearthdiseasehandhcancerhaccounthforhapproximatelyh5.5%,handhhomicideha
ndh hearthdiseasehaccounthforh10.9%hofhthehdeathshinhthishagehgroup.
DIF:hCognitiveh Level:hRememberinghREF:hdl.h7hTOP:hNursinghProcess:hPlanning
h MSC:hClienthNeeds:hHealthhPromotionhandhMaintenance
5. Thehnursehishplanninghahteachinghsessionhtohadolescentshabouthdeathshbyhunintentionalhinjuri
es.h Whichhshouldhthehnursehincludehinhthehsessionhwithhregardhtohdeathshcausedhbyhinjuries?
a. Morehdeathshoccurh inh males.
b. Morehdeathshoccurh inh females.
c. Theh patternh ofh deathsh doesh noth varyh accordingh toh ageh andh sex.
d. Thehpatternhofhdeathshdoeshnothvaryhwidelyhamonghdifferenthethnichgrou
ps.h ANS:hA
Theh majorityh ofh deathsh fromh unintentionalh injuriesh occurh inh males.h Theh patternh ofh deathh doesh vary
greatlyhamonghdifferenthethnichgroups,handhthehcauseshofhunintentionalhdeathshvaryhwithhageha
ndh gender.
DIF:hCognitiveh Level:hApplyinghREF:hpp.h7-
8h TOP:hIntegratedhProcess:hTeaching/Learning
MSC:h Clienth Needs:h Healthh Promotionh andh Maintenance
6. Whath doh mortalityh statisticsh describe?
a. Diseaseh occurringh regularlyh withinh ah geographich location
b. Theh numberh ofh individualsh whoh haveh diedh overh ah specifichperiod
c. Theh prevalenceh ofh specifich illnessh inh theh populationh ath ahparticularh time
d. Diseasehoccurringh inh morehthanhthehnumberhofhexpectedhcaseshinhahcommuni
tyh ANS:hB
Mortalityh statisticsh referh toh theh numberh ofh individualsh whoh haveh diedh overh ah specifich period.
Morbidityhstatisticshshowhthehprevalencehofhspecifichillnesshinhthehpopulationhathahparticularhti
me.h Datahregardinghdiseasehwithinhahgeographichregion,horhinhgreaterhthanhexpectedhnumbersh
inhah community,h mayhbehextrapolatedhfromhanalyzinghtheh morbidityhstatistics.
DIF:hCognitiveh Level:hRememberinghREF:hdl.h3hTOP:hNursinghProcess:hPlanning
h MSC:hClienthNeeds:hHealthhPromotionhandhMaintenance
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,7. Thehnursehshouldhassesshwhichhagehgrouphforhsuicidehideationhsincehsuicidehinhwhichhagehgro
uph ishthehthirdhleadinghcausehofhdeath?
a. Preschoolers
b. Youngh schoolh age
c. Middleh schoolh age
d. Latehschoolhagehandhadolescent
sh ANS:hD
Suicidehish theh thirdh leadingh causeh ofh deathh inh childrenh agesh 10h toh 19h years;h therefore,h theh age
grouphshouldhbehlatehschoolhagehandhadolescents.hSuicidehishnothonehofhthehleadinghcauseshofhde
athh forhpreschoolhandh younghorh middlehschool-agedhchildren.
DIF:h Cognitiveh Level:h Understandingh REF:h dl.h 6
TOP:h Nursingh Process:h Assessmenth MSC:h ClienthNeeds:h Healthh Promotionh andh Maintenance
8. Parentshofhahhospitalizedhtoddlerhaskhthehnurse,hWhathishmeanthbyhfamily-
centeredhcare?hTheh nursehshouldhrespondhwithhwhichhstatement?
a. Family-centeredh careh reducesh theh effecth ofh culturalh diversityh onh theh family.
b. Family-centeredh careh encouragesh familyh dependenceh onh theh healthh careh system.
c. Family-centeredh careh recognizesh thath theh familyh ish theh constanth inh ah childsh life.
d. Family-centeredhcarehavoidshexpectinghfamilieshtohbehparthofhthehdecision-
makinghprocess.h ANS:hC
Theh threeh keyh componentsh ofh family-centeredh careh areh respect,h collaboration,h andh support.
Family-
centeredh careh recognizesh theh familyh ash theh constanth inh theh childsh life.h Theh familyh shouldh beh
enabledhandhempoweredhtohworkhwithhthehhealthhcarehsystemhandhishexpectedhtohbehparthofhthe
h decision-
makinghprocess.hThehnursehshouldhalsohsupporththeh familyshculturalhdiversity,hnothreduceh itsheff
ect.
DIF:h Cognitiveh Level:h Applyingh REF:h dl.h 8
TOP:h Nursingh Process:h Implementationh MSC:h Clienth Needs:h Healthh Promotionh andh Maintenance
9. Thehnursehishdescribinghclinicalhreasoninghtohahgrouphofhnursinghstudents.hWhichhishm
osth descriptivehofhclinicalhreasoning?
a. Purposefulh andh goalh directed
b. Ah simpleh developmentalh process
c. Basedh onh deliberateh andh irrationalh thought
d. Assistshindividualshinhguessinghwhathish mosthappropriat
eh ANS:hA
Clinicalh reasoningh ish ah complexh developmentalh processh basedh onh rationalh andh deliberateh thought.
Whenhthinkingh ishclear,hprecise,haccurate,hrelevant,hconsistent,handhfair,hahlogicalhconnectionh
developshbetweenhthehelementshofhthoughthandhthehproblemhathhand.
DIF:hCognitiveh Level:hApplyinghREF:hdl.h12h T
OP:h Integratedh Process:h Teaching/Learning
MSC:h ClienthNeeds:h Healthh Promotionh andh Maintenance
10. Evidence-basedh practiceh (EBP),h ah decision-makingh model,h ish besth describedh ash which?
a. Usingh informationh inh textbooksh tohguideh care
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