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Wong's Nursing Care of Infants and Children, 12th Edition, Hockenberry (Test Bank).pdf

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Wong's Nursing Care of Infants and Children, 12th Edition, Hockenberry (Test Bank).pdf

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Wong'sn Nursingn Carenofn Infantsn and nChildrenn12thnEditionnbynHockenberry n Testn Bank




Chapter n01:nPerspectives nofnPediatric nNursing
Hockenberry: nWong’snNursing nCare nofnInfants nandnChildren,n12thnn
Edition

MULTIPLEnCHOICE

1. What n isn then majorn causen of ndeathn forn childrenn inn then United n States?
a. Heart n disease
b. Childhood n cancer
c. Injuries
d. Congenitalnanomalies

ANS:n C
Unintentionaln injuriesn (accidents)n aren then leadingn causen of n deathn afternagen 1nyearn throughnadolescence.n T
hen leadingn causen of n deathnfornthosen youngernthann1n yearnisn congenitaln anomalies,n and n childhood n cancersn
and n heart n diseasen causen an significantlyn lowern percentagenof ndeathsn inn childrenn oldern thann 1n yearn of n age.

DIF: Cognitive n Level:n Understanding
TOP:nNursingnProcess:nPlanningn MSC:n ClientnNeeds:nHealth n Promoti
on n and n Maintenance

2. Parentsn of nan hospitalized n toddlern askn then nurse,n “What n isn meant n bynfamily-
centered n care?”n Then nursen should n respond n withn whichn statement?
a. Family-centered n caren reducesn then effect n of n culturalndiversitynonn then family.
b. Family-centered n caren encouragesn familyndependencen onnthen healthn caren system.
c. Family-centered n carenrecognizesn that n then familyn isn then constant n inn an child’sn life.
d. Family-centered n caren avoidsn expectingn familiesn tonben part nof nthen decision-
makingn process.
ANS:n C
Then threen keyn componentsn of n family-centered n caren aren respect,n collaboration,n and n support.n Family-
n centered n caren recognizesn then familyn asn thenconstantn innthenchild’sn life.n Then familyn should n ben enabled nand

n empowered n ton workn withn then healthn caren systemn and n isn expected n ton ben part n of nthen decision-

makingn process.n Then nursen should n alson support n then family’sn culturaln diversity,n not n reducen itsn effect.

DIF: Cognitive n Level:n Applying
TOP:nNursingnProcess:nImplementationn MSC:n Clientn Needs:n Health n Promoti
on n and n Maintenance

3. Evidence-based n practicen (EBP),n andecision-makingn model,n isn best n described n asn which?
a. Usingn informationn inn textbooksnton guiden care
b. Combiningn knowledgen withn clinicalnexperiencen and n intuition
c. Usingnan professionaln coden of nethicsn asn an meansn forn decisionn making
d. Gatheringn allnevidencen that n appliesn ton then child’sn healthn and n familynsituation
ANS:n B
EBPn helpsn focusn onn measurablen outcomes;n then usen ofn demonstrated,neffectiven interventions;n andn question
ingn then best n approach.n EBPninvolvesn decisionnmakingn based n onnthen integrationnof nthen best n researchn eviden
cen combined n withn clinicaln expertisen and n patient n values.

,Wong'sn Nursingn Carenofn Infantsn and nChildrenn12thnEditionnbynHockenberry n Testn Bank




DIF: Cognitive n Level:n Remembering
TOP:nNursingnProcess:nPlanningn MSC:n ClientnNeeds:nSafen andnEffecti
ven Caren Environment

4. Then nursen isn talkingn ton an groupnof n parentsn of n school-agen childrenn at n ann after-
schoolnprogramnabout n childhood n healthn problems.n Whichn statement n should n then nursen includeninn the
n teaching?

a. Childhood nobesitynisn then most n commonn nutritionalnproblemnamongn children.
b. Immunizationn ratesn arenthen samen amongn childrenn of ndifferent n racesn and n ethnicity.
c. Dentalncariesn isn not n an problemncommonlynseenn inn childrenn sincen then introductionnof nfl
uorinated n water.
d. Mentalnhealthnproblemsn aren typicallyn not n seenn innschool-
agen childrennbut n mayn ben diagnosed n inn adolescents.
ANS:n A
Whenn teachingn parentsn of n school-
agen childrenn about n childhood n healthnproblems,n then nursen should nincludeninformationn about nchildhoodnob
esityn becausen it n isn then most n commonn problemn amongn childrenn andn isn associatedn withntypen2ndiabetes.n Tea
chingn parentsn about n waysn tonprevent nobesitynisn important n ton include.nImmunizationn ratesn differn dependin
gn onn then child’sn racenand nethnicity;n dentalncariesn continuesn tonbenan commonn chronicn diseasen inn childhood;
n and n mentaln healthn problemsn aren seenn inn childrenn asn youngn asn schooln age,n not n just n inn adolescents.



DIF: Cognitive n Level:n Applying
TOP:nIntegrated nProcess:nTeaching/Learningn MSC:n ClientnNeeds:nHealthn Promoti
on n and n Maintenance

5. Then nursen isn planningn caren forn anhospitalized n preschool-
aged n child.n Whichn should n then nursen plann ton ensuren atraumaticn care?
a. Limit n explanationn of nproceduresn becausen then child n isn preschoolnaged.
b. Askn that n alln familyn membersn leaven then roomnwhenn performingn procedures.
c. Allow n then child n tonchoosenthentypen ofnjuicen ton drinkn withnthen administrationn ofnoraln m
edications.
d. Explainn that n EMLA ncreamncannot n benusedn fornthenmorningn labn draw nbecausen theren is
n not n timen forn it n ton ben effective.



ANS:n C
Then overridingn goaln inn providingn atraumaticn caren isn first,n don non harm.n Allowingn then child,n an choicen of n juic
en ton drinkn whenntakingn oraln medicationsn providesnthenchild nwithn an sensen of ncontrol.n Then preschooln child n sh
ould n ben prepared n beforen procedures,n son limitingn explanationsn of n proceduresn wouldn increasen anxiety.n Thenf
amilyn should n ben allowed n ton stayn withn then child n duringn procedures,n minimizingn stress.
Lidocaine/prilocainen (EMLA)n creamn isn an topicaln localnanesthetic.n Then nursen should n plann ton usenthen prescri
bed n creamn inn timen forn morningn laboratoryn drawsn ton minimizen pain.

DIF: Cognitive n Level:n Applying
TOP:nNursingnProcess:nPlanningn MSC:n ClientnNeeds:nHealth n Promoti
on n and n Maintenance

6. Whichnsituationn denotesn an nontherapeuticn nurse–patient–familynrelationship?
a. Then nursen isn planningn ton read n an favoriten fairyntalen ton an patient.
b. Duringn shift n report,nthen nursen isn criticizingn parentsn forn not n visitingn theirn child.
c. Then nursen isn discussingn withn an fellow n nursen then emotionalndraw n ton an certainn patient.
d. Then nursen isn workingnwithnan familynton findnwaysntondecreasen then family’sn dependence
n onn healthn caren providers.

,Wong'sn Nursingn Carenofn Infantsn and nChildrenn12thnEditionnbynHockenberry n Testn Bank




ANS:n B
Criticizingn parentsn forn not n visitingn inn shift n report n isn nontherapeuticn andn showsn annundern involvement n wit
hnthen parents.n Readingn an fairyntalen isn an therapeuticn and n age-
appropriaten action.n Discussingn feelingsn of n ann emotionaln draw n withnan fellow n nursen isn therapeuticn andnsho
wsn an willingnessn ton understand nfeelings.n Workingn withnparentsn ton decreasen dependencen onnhealthn caren p
rovidersn isn therapeuticn and n helpsn ton empowern then family.

DIF: Cognitive n Level:n Analyzing
TOP:nIntegrated nProcess:nCaringn MSC:n ClientnNeeds:nPsychosocialnIn
tegrity

7. Then nursen isn awaren that n whichn age-
groupn isn at n riskn forn childhoodninjuryn becausen ofnthen cognitiven characteristicn of n magicaln and n egoce
ntricn thinking?
a. Preschool
b. Youngn schooln age
c. Middlen schoolnage
d. Adolescent

ANS:n A
Preschooln childrenn haven then cognitiven characteristicn of n magicaln and n egocentricn thinking,n meaningn theyn ar
en unablen ton comprehend n dangern ton self n orn others.n Youngn and n middlen school-
aged n childrenn haven transitionaln cognitiven processes,n and n theynmayn attempt ndangerousn actsn without ndetaile
d n planningn but n recognizen dangern tonthemselvesn ornothers.n Adolescentsn havenformalnoperationalncognitiven p
rocessesn and n aren preoccupied n withn abstract n thinking.

DIF: Cognitive n Level:n Understanding
TOP:n NursingnProcess:nAssessmentnMSC:n ClientnNeeds:nSafenandnEffecti
ven Caren Environment

8. Then schoolnnursen isn assessingn childrenn forn riskn factorsnrelated n tonchildhood n injuries.n Whichn child n hasn t
hen most n riskn factorsn related n ton childhood n injury?
a. Female,n multiplen siblings,n stablen homen life
b. Male,n highn activitynlevel,n stressfuln homen life
c. Male,n evenn tempered,n historynof npreviousn injuries
d. Female,n reactsn negativelynton new n situations,n non seriousn previousn injuries

ANS:n B
Boysn haven an preponderancen forn injuriesn overn girlsn becausen of n andifferencen innbehavioraln characteristics,n an
highn activityn temperament n isn associated n withn risk-
takingn behaviors,n and n stressn predisposesn childrenn ton increased n riskn takingn and n self-
destructiven behaviors.n Therefore,n an malen child n withn an highn activityn leveln and n livingn inn an stressfulnenviron
ment n hasn then highest n numbern of nriskn factors.n Angirlnwithnseveraln siblingsn and n anstablen homenlifen isn low nrisk.
n A nboynwithn previousn injuriesn hasn twon riskn factors,n butnannevenn tempern isn not nan riskn factorn forn injuries.n A n gi

rln whon reactsn negativelyn ton new n situationsn but n hasn non previousn seriousn illnessesn hasn onlyn onen riskn factor.

DIF: Cognitive n Level:n Analyzing
TOP:n NursingnProcess:nAssessmentnMSC:n ClientnNeeds:nSafenandnEffecti
ven Caren Environment

9. Annadolescent n patient n wantsnton maken decisionsn about ntreatment n options,n alongn withn hisn parents.n Whichn
moraln valuen isn then nursen displayingn whenn supportingn then adolescent n ton maken decisions?
a. Justice

, Wong'sn Nursingn Carenofn Infantsn and nChildrenn12thnEditionnbynHockenberry n Testn Bank




b. Autonomy
c. Beneficence
d. Nonmaleficence

ANS:n B
Autonomynisn then patient’sn right n ton ben self-
governing.n Then adolescent n isn tryingn ton benautonomous,n sonthen nursen isn supportingn thisn value.n Justicen isn then
concept n of n fairness.n Beneficencen isn then obligationn ton promoten then patient’sn well-
being.n Nonmaleficencen isn then obligationn ton minimizen orn prevent n harm.

DIF: Cognitive n Level:n Analyzing
TOP:nNursingnProcess:nEvaluationnMSC:n Clientn Needs:n Health n Promoti
on n and n Maintenance


MULTIPLEnRESPONSE

1. Whichn responsibilitiesn aren includedn innthen pediatricn nurse’sn promotionn of nthen healthn andn well-
beingn of n children?n (Selectn alln thatn apply.)
a. Promotingndiseasen prevention
b. Providingn financialnassistance
c. Providingn support n and n counseling
d. Establishingnlifelongnfriendships
e. Establishingnan therapeuticn relationship
f. Participatingn inn ethicalndecisionn making

ANS:n A,n C,n E,n F
Then pediatricn nurse’sn rolen includesn promotingn diseasen prevention,n providingn support n and n counseling,n esta
blishingn an therapeuticn relationship,n and n participatingn innethicalndecisionn making;nan pediatricn nursen doesn not
n need n ton establishn lifelongn friendshipsn orn providen financialn assistancen ton childrenn and n theirn families.n Boun

dariesn should n ben set n and n clear.

DIF: Cognitive n Level:n Applying
TOP:nNursingnProcess:nPlanningn MSC:n ClientnNeeds:nHealth n Promoti
on n and n Maintenance

2. Then nursen isn conductingn anteachingn sessionn forn parentsn onn nutrition.n Whichn characteristicsn ofnfamiliesn s
hould nthen nursen consider,nthatn cann causenfamiliesn ton strugglen inn providingn adequaten nutrition?n(Selectn al
ln thatn apply.)
a. Homelessness
b. Lowern income
c. Migrant nstatus
d. Workingnparents
e. Singlen parent n status
ANS:n A,n B,n C
Familiesn that n strugglen withn lowern incomes,n homelessness,n and n migrant n statusn generallyn lackn then resources
nton providen theirn childrennwithnadequaten foodnintake,nnutritiousn foodsnsuchnasn freshn fruitsn and n vegetables,n a

nd n appropriaten proteinn intake.n Workingn parentsn and nsinglen parent n statusn donnotn meann then familiesn willn stru
gglen ton providen adequaten nutrition.

DIF: Cognitive n Level:n Applying
TOP:n Integrated nProcess:nTeaching/Learningn MSC:n ClientnNeeds:nHealthn Promoti
on n and n Maintenance

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