Chaptern1n n Nurse'snRoleninnCarenof nthenChild:nHospital,nCommunity,nandnHome
1) Whichn nursingn rolen isn notn directlyn involved n whenn providingn family-
centered n approachn ton then pediatricn population?
1. Advocacy
2. Casen management
3. Patient n education
4. Researcher
Answer:n 4
Explanation:n 1.n An researchern isn not n involved n inn then family-
centered n approachn ton patient n carenof nchildrenn andntheirn families.n Advocacy,n casen management,n andn
patient n educationn aren alln rolesn directlyn involved n inn then caren of n childrenn and n theirn families.
2. A n researchern isn not n involved n inn then family-
centered n approachn ton patient ncaren of nchildrenn andn theirn families.n Advocacy,n casen management,n an
d n patient n educationn aren alln rolesn directlyn involved n inn then caren of n childrenn and n theirn families.
3. A n researchern isn not n involved n inn then family-
centered n approachn ton patient ncaren of nchildrenn andn theirn families.n Advocacy,n casen management,n an
d n patient n educationn aren alln rolesn directlyn involved n inn then caren of n childrenn and n theirn families.
4. A n researchern isn not n involved n inn then family-
centered n approachn ton patient ncaren of nchildrenn andn theirn families.n Advocacy,n casen management,n an
d n patient n educationn aren alln rolesn directlyn involved n inn then caren of n childrenn and n theirn families.
Pagen Ref:n 4
Cognitiven Level:n Analyzing
Client n Need n &Sub:n Safenandn Effectiven Caren Environment:n Management n of nCaren Standards:
n QSEN n Competencies:n Patient-centered n caren |n AACN n Essentialn Competencies:
Essentialn II:n Basicn organizationaln and nsystemsn leadershipn forn qualityncaren andnpatient nsafetyn|nNLNn
Competencies:n Professionaln identityn |n Nursing/Integrated n Concepts:n Nursingn Process:n Assessmen
t/Coordinationn of n care
Learningn Outcome:n LOn 1.2n Comparen then rolesn of n nursesn inn child n healthcare.n M
NLn LO:n Family-centered n care
,2) A n nursen isn workingn withn pediatricn clientsn inn anresearchn facility.n Then nursen recognizesn that n fe
deraln guidelinesn aren inn placen that n delineaten whichn pediatricsn clientsn must n given assent n forn partici
pationn inn researchn trials.n Based n uponn thenclient'sn age,n thennursen wouldnseekn assent nfromn whichnc
hildren?
Select n alln that n apply.
1. Then precociousn 4-year-old n commencingn asn an cysticn fibrosisn research-studyn participant.
2. Then 7-year-
old n leukemian client n electingn ton receiven an newlyn developed n medication,n now n beingn researched.
3. Then 10-year-old n commencingn inn ann investigativen studyn forn clientsn withn precociousn puberty.
4. Then 13-year-
old n client n commencingn participationn inn an researchn programn forn Attentionn Deficit nHyperactivitynD
isordern (ADHD)n treatments.
Answer:n 2,n 3,n 4
Explanation:n 1.n Federaln guidelinesn mandatenthatn researchn participantsn 7n yearsn oldn andn oldern must n r
eceiven developmentallyn appropriaten informationn aboutn healthcaren proceduresn andntreatmentsn and n g
iven assent.
2. Federaln guidelinesn mandaten that nresearchn participantsn 7n yearsn old nandn oldern must n receiven dev
elopmentallyn appropriaten informationn about n healthcaren proceduresn and ntreatmentsnandngiven asse
nt.
3. Federaln guidelinesn mandaten that nresearchn participantsn 7n yearsn old nandn oldern must n receiven dev
elopmentallyn appropriaten informationn about n healthcaren proceduresn and ntreatmentsnandngiven asse
nt.
4. Federaln guidelinesn mandaten that nresearchn participantsn 7n yearsn old nandn oldern must n receiven dev
elopmentallyn appropriaten informationn about n healthcaren proceduresn and ntreatmentsnand ngivenasse
nt.
Pagen Ref:n 11,n 12
Cognitiven Level:n Applying
Client n Need n &Sub:n Psychosocialn Integrity
Standards:n QSEN n Competencies:n Patient-
centered n caren |n AACNn Essentialn Competencies:n Essentialn V:n Healthcaren policy,n finance,n andn regul
atoryn environmentsn |n NLN n Competencies:n Nursingn judgement n|nNursing/IntegratednConcepts:n Nur
singn Process:n Planning/Coordinationn of n care
Learningn Outcome:n LOn 1.6n Examinen threen uniquen pediatricn legaln and n ethicaln issuesn inn pediatricn nursin
gn practice.
MNLn LO:n Developmentallyn appropriaten care
, 3) Then nursen inn an pediatricn acuten caren unit n isn assigned n then followingn tasks.n Whichn taskn isn not
appropriaten forn then nursen ton complete?
1. Diagnosen ann 8-year-old n withn acuten otitisn median and n prescriben ann antibiotic.
2. Listenn ton thenconcernsn of nannadolescent n aboutn beingnout nofnschooln forn an lengthyn surgicaln r
ecovery.
3. Providen informationn ton an mothern of n an newlyn diagnosed n 4-year-old n diabeticn about n localn support-
n groupn options.
4. Diagnosen an 6-year-
old n withn Diversionaln Activityn Deficit n related n ton placement n inn isolation.n Answer:n 1
Explanation:n 1.n Then rolen of n then pediatricn nursen includesn providingn nursingn assessment,n directingn n
ursingn caren interventions,n and n educatingn client n and n familyn at n developmentallyn appropriaten levels;n
client n advocacy,n casen management,n minimizationn of n distress,n and nenhancement nofn coping.nAdvanc
ed n practicen nursen practitionersn performn assessment,n diagnosis,n and nmanagement nof nhealthn conditio
ns.
2. Then rolen of n then pediatricn nursen includesnprovidingn nursingn assessment,n directingn nursingn caren i
nterventions,n and n educatingnclient n andn familyn at n developmentallyn appropriaten levels;n client n advo
cacy,n casen management,n minimizationn of n distress,n and n enhancement n of ncoping.n Advanced n practi
cen nursen practitionersn performn assessment,n diagnosis,n and n management n of n healthn conditions.
3. Then rolen of n then pediatricn nursen includesnprovidingnnursingn assessment,n directingn nursingn caren i
nterventions,n and n educatingnclient n andn familyn at n developmentallyn appropriaten levels;n client n advo
cacy,n casen management,n minimizationn of n distress,n and n enhancement n of ncoping.n Advancedn practi
cen nursen practitionersn performn assessment,n diagnosis,n and n management n of n healthn conditions.
4. Then rolen of n then pediatricn nursen includesnprovidingn nursingn assessment,n directingn nursingn caren i
nterventions,n and n educatingnclient n andn familyn at n developmentallyn appropriaten levels;n client n advo
cacy,n casen management,n minimizationn of n distress,n and n enhancement n of ncoping.n Advanced n practi
cen nursen practitionersn performn assessment,n diagnosis,n and n management n of n healthn conditions.
Pagen Ref:n 2-4
Cognitiven Level:n Applying
Client n Need n &Sub:n Safenandn Effectiven Caren Environment:n Management n of nCaren Standards:
n QSEN n Competencies:n Patient-centered n caren |n AACN n Essentialn Competencies:
Essentialn II:n Basicn organizationaln and nsystemsn leadershipn forn qualityncaren andnpatient nsafetyn|nNLNn
Competencies:n Professionaln identityn |n Nursing/Integrated n Concepts:n Nursingn Process:n Implement
ation/Coordinationn of n care
Learningn Outcome:n LOn 1.2n Comparen then rolesn of n nursesn inn child n healthcare.n M
NLn LO:n Pediatricn nursingn care