Test Bank Pediatric Nursing: Critical Components of Nursing Care 3rd Edition Rudd

Test Bank Pediatric Nursing: Critical
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ComponentsofNursingCare3rdEdition
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Rudd
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Davis Advantage for PediatricNursing 3e
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Chapter 1 Issues andTrends inPediatric Nursing
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. The nurse has provided a presentation to middle schoolchildren about nursing as a career. One of the
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children stated that he wanted to be a pediatric nurse, because he wants to take care of babies and little
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“kids.” What would be an appropriate response to this middle school–aged child?
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1. “Nursing is a generalpractice; all nurses must know how to take care ofallages of j j j j j j j j j j j j j j j j




patients.” j




2. “Asa pediatric nurse, you would get to care forbabies and little kids as well as
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children through their teenage years.”
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3. “What you aredescribing is actuallya neonatalnurse. Neonatalnurses work with j j j j j j j j j j j j




newborn babies, toddlers, and preschool-age children.”
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4. “Being a pediatric nurse requires a master’s degree, so be sureto work hard in j j j j j j j j j j j j j j




school!” j




2. The medical-surgical float nurse is assigned to thepediatric unit for the first time and states that the
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skills are “the same as general nursing since children are little adults with smaller bodies.” What
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component of pediatric nursing contraindicates this statement?
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1. Pediatric nursing involves care based onthe developmental levelofthe patient. j j j j j j j j j j j




2. Pediatric nursing involves thepatient’s family in the planofcare. j j j j j j j j j j




3. Pediatric nursing in based onprevention ofinfectious diseases. j j j j j j j j




4. Pediatric nursing involves culturalsensitivity inpatient care. j j j j j j j




3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population. Whichof
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the following reflects the demographics ofthe U.S. pediatric population in2018, based on U.S. Census
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Bureau data?
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1. The American Indian and Alaska Native population represent one-fifth ofthe
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pediatric population.
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2. About half ofthe children fall in the categoryofsomething other than White non- j j j j j j j j j j j j j j




Hispanic. j




3. The population ofAsian children decreased from 2015 to 2018.
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4. There was no change in the population ofNon-Hispanic children who represent two j j j j j j j j j j j j




or more races between 2015 and 2018.
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4. The nurse at afamilyclinic is providing care to anadolescent patient diagnosed with diabetes. The patient
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has verbalized discomfort with the feelings of isolation when unable to drink alcohol with their friends.
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Which of the following would be the most appropriate response to this statement?
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1. “Drinking alcohol is not only illegal but dangerousfor your blood sugar control and j j j j j j j j j j j j j




overall well-being.”
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2. “You canstilldrink alcohol, in moderation, ifyou controlthe sugar spike with more j j j j j j j j j j j j j j




insulin.” j




3. “Prepare for alcohol intakewith morewater and less carbohydrates beforedrinking to j j j j j j j j j j j j




slow sugar spikes.”
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4. “It is understandable that you want to be included, but perhaps we can workout a plan
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on how to work through those situations.”
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5. Whichstatement best describes the common core conceptsofthe different models ofpediatric
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nursing?
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1. All models focus onthe open communication between the child and nurse.
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2. All models focus on importance offamily relationship to the child.
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3. All models focus onsafeguarding the child’s dignityduring care.
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4. All models focus oncoordination ofcare needs that arise during illness.
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6. Whichofthe following tasks is associated with the pediatric medical home care modelofpediatric
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nursing?
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1. The nurse refers the family to a childhood cancer support groupprior to discharge from
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the hospital.
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2. The nurse includes a simple explanation ofthe proceduretothe child based onthe
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child’s developmental level.
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3. Thenurse includes the family’sculturalcelebrations and observations while
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providing care to the child.
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4. The nurse develops the planofcare with the child and familyas the focalpoint of the
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interventions.
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7. The pediatric nurse begins a research project on 8-year-old patients with the medical diagnosis of
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pediatric acute-onset neuropsychiatric syndrome (PANS). The family has consented to the research,
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but as the nurse begins to administer the intervention, the patient refuses to cooperate. What is the
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appropriate response to this refusal?
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1. The nurse should discuss with the familythe options ofperforming the
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intervention without the child’s knowledge.
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2. The nurse should explainto the child that this is necessary and promise a reward at the end
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of the research project.
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3. The nurse should refuse to performthe intervention untilthe child consents to the
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intervention and project.
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4. The nurse should discuss the pros and cons ofthe research project with the child and
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focus on the outcomes.
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8. A nurse is providing relationship-based care to a pediatric patient. Which ofthe following is a
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challenge the nurse is likely to encounter while using this model of care?
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1. Maintaining a sterile field for aprocedurewith arestless toddler j j j j j j j j j j




2. Communicating with the blended familyonregular basis j j j j j j j




3. Treating children withantibiotic-resistant illnesses j j j j




4. Caring for alarger number ofchildren with autism spectrumdisorders and
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childhood depression
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9. The pediatric nurse desires to expand his or her career options to become the hospital’s nurse
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educator ofpediatrics. Whichofthe following is necessary for this nurse to achieve this career goal?
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1. The nurse is recommended to earna minimumofa master’s degree in nursing.
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2. The nurse must earn a minimumofa doctorate degree in nursing.
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3. Thenurse must implement and develop research in nursing practice.
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4. Thenurse must implement a plantoobtain certification inpediatrics.
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10. The school nurse is developing a teaching session for the population of children in a middle school. The
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nurse has determined that the greatest need for the overall health of the children is promotion of
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healthy foods. Which ofthe following interventions is most likely to be effective?
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1. Remove all unhealthy snacks fromthe vending machines. j j j j j j j




2. Have a poster contest on healthy eating options. j j j j j j j




3. Surveythe student population during lunch breaks. j j j j j j




4. Engagethe students in healthy choices with cooking lessons. j j j j j j j j




11. The nurse recognizes the needs ofprofessional development to provide safe and effective care to the
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pediatric population by attending which of the following courses?
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1. Procedure with rationale to administer humanpapilloma vaccine to the middle j j j j j j j j j j




school population
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2. Studyreview ofthe incidence ofbullying and intimidation inthe elementary
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school population
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3. Demographic studyofthe U.S. population with regard to culturaldiversity and j j j j j j j j j j j




practices
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4. Howto provide individual health care education forthe children without parental
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interference
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12. Whichofthe following continuing education courses would best enhance the pediatric nurse’s
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practice in relationship to current trends?
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1. Evidence-based practice on improving antibiotic adherence witheducationtothe j j j j j j j j j




family unit
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2. Evidence-based practice onproperadministration ofantibiotics for children with j j j j j j j j j




autoimmune diseases
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3. Howto enhance communication withchildren inregards to adherence to antibiotic use
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4. Howto decrease instances ofexacerbation of infections ofchildren with
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autoimmune diseases with antibiotics
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13. The pediatric nurse is developing interventions for a school-aged child based on the nursing diagnosis of
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imbalanced nutrition related to a body mass index (BMI) of 37and poor food choices as evidenced by
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patient’s mother’s food diary for the family and child’s statements of food preferences. Which of the
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following would be an appropriate nursing intervention?
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1. Provide the child and family with information fromhttps://www.MyPlate.gov for j j j j j j j j j




healthy food options.
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2. Increase the child’s activity byincorporating the child’s friends into a plan of j j j j j j j j j j j j




healthy exercise options.
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3. Explain the importance ofbalancing diet and exercise to prevent obesityto the child j j j j j j j j j j j j j




and family.
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4. Provide information onthe increased risk for potentialdisease processes such as j j j j j j j j j j j




diabetes and hypertension.
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14. The nurse is developing interventions for atransgender adolescent based on the nursing diagnosis
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decreased self-esteem related to transgender identity as evidenced by statements of feeling
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“worthless, different, andalone.” What would be the most appropriate intervention based onthe
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diagnosis?
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1. Givepositive feedback on personalchoices as appropriate.
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