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Components of Nursing Care 3rd Edition
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Rudd
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Davis |Advantage |for |Pediatric |Nursing |3e Test |Bank |Ch01
Chapter 1 Issues and Trends in Pediatric Nursing
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Multiple |Choice
Identify |the |choice |that |best |completes |the |statement |or |answers |the |question.
1. The |nurse |has |provided |a |presentation |to |middle |school |children |about |nursing |as |a |career. |One |of |the
|children |stated |that |he |wanted |to |be |a |pediatric |nurse, |because |he |wants |to |take |care |of |babies |and
|little |“kids.” |What |would |be |an |appropriate |response |to |this |middle |school–aged |child?
1. “Nursing |is |a |general |practice; |all |nurses |must |know |how |to |take |care |of |all |ages |of
|patients.”
2. “As |a |pediatric |nurse, |you |would |get |to |care |for |babies |and |little |kids |as |well |as
|children |through |their |teenage | years.”
3. “What |you |are |describing |is |actually |a |neonatal |nurse. |Neonatal |nurses |work |with
|newborn |babies, |toddlers, |and |preschool-age |children.”
4. “Being |a |pediatric |nurse |requires |a |master’s |degree, |so |be |sure |to |work |hard |in
|school!”
2. The |medical-surgical |float |nurse |is |assigned |to |the |pediatric |unit |for |the |first |time |and |states |that |the
|skills |are |“the |same |as |general |nursing |since |children |are |little |adults |with |smaller |bodies.” |What
|component |of |pediatric |nursing |contraindicates |this |statement?
1. Pediatric |nursing |involves |care |based |on |the |developmental |level |of |the |patient.
2. Pediatric |nursing |involves |the |patient’s |family |in |the |plan |of |care.
3. Pediatric |nursing |in |based |on |prevention |of |infectious |diseases.
4. Pediatric |nursing |involves |cultural |sensitivity |in |patient |care.
3. The |culturally |sensitive |pediatric |nurse |is |aware |of |the |racial |makeup |of |the |U.S. |population.
|Which |of |the |following |reflects |the |demographics |of |the |U.S. |pediatric |population |in |2018, |based |on
|U.S. |Census |Bureau |data?
1. The |American |Indian |and |Alaska |Native |population |represent |one-fifth |of |the
|pediatric |population.
2. About |half |of |the |children |fall |in |the |category |of |something |other |than |White |non-
|Hispanic.
3. The |population |of |Asian |children |decreased |from |2015 |to |2018.
4. There |was |no |change |in |the |population |of |Non-Hispanic |children |who |represent
|two |or |more |races |between |2015 |and |2018.
4. The |nurse |at |a |family |clinic |is |providing |care |to |an |adolescent |patient |diagnosed |with |diabetes. |The
|patient |has |verbalized |discomfort |with |the |feelings |of |isolation |when |unable |to |drink |alcohol |with
|their |friends. |Which |of |the |following |would |be |the |most |appropriate |response |to |this |statement?
1. “Drinking |alcohol |is |not |only |illegal |but |dangerous |for |your |blood |sugar |control
|and |overall |well-being.”
2. “You |can |still |drink |alcohol, |in |moderation, |if |you |control |the |sugar |spike |with
|more |insulin.”
3. “Prepare |for |alcohol |intake |with |more |water |and |less |carbohydrates |before |drinking |to
|slow |sugar |spikes.”
4. “It |is |understandable |that |you |want |to |be |included, |but |perhaps |we |can |work |out |a
|plan |on |how |to |work |through |those |situations.”
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Davis |Advantage |for |Pediatric |Nursing |3e Test |Bank |Ch01
5. Which |statement |best |describes |the |common |core |concepts |of |the |different |models |of |pediatric
|nursing?
1. All |models |focus |on |the |open |communication |between |the |child |and |nurse.
2. All |models |focus |on |importance |of |family |relationship |to |the |child.
3. All |models |focus |on |safeguarding |the |child’s |dignity |during |care.
4. All |models |focus |on |coordination |of |care |needs |that |arise |during |illness.
6. Which |of |the |following |tasks |is |associated |with |the |pediatric |medical |home |care |model |of |pediatric
|nursing?
1. The |nurse |refers |the |family |to |a |childhood |cancer |support |group |prior |to |discharge
|from |the |hospital.
2. The |nurse |includes |a |simple |explanation |of |the |procedure |to |the |child |based |on |the
|child’s |developmental |level.
3. The |nurse |includes |the |family’s |cultural |celebrations |and |observations |while
|providing |care |to |the |child.
4. The |nurse |develops |the |plan |of |care |with |the |child |and |family |as |the |focal |point |of |the
|interventions.
7. The |pediatric |nurse |begins |a |research |project |on |8-year-old |patients |with |the |medical |diagnosis |of
|pediatric |acute-onset |neuropsychiatric |syndrome |(PANS). |The |family |has |consented |to |the
|research, |but |as |the |nurse |begins |to |administer |the |intervention, |the |patient |refuses |to |cooperate.
|What |is |the |appropriate |response |to |this |refusal?
1. The |nurse |should |discuss |with |the |family |the |options |of |performing |the
|intervention |without |the |child’s |knowledge.
2. The |nurse |should |explain |to |the |child |that |this |is |necessary |and |promise |a |reward |at
|the |end |of |the |research |project.
3. The |nurse |should |refuse |to |perform |the |intervention |until |the |child |consents |to |the
|intervention |and |project.
4. The |nurse |should |discuss |the |pros |and |cons |of |the |research |project |with |the |child
|and |focus |on |the |outcomes.
8. A |nurse |is |providing |relationship-based |care |to |a |pediatric |patient. |Which |of |the |following |is |a
|challenge |the |nurse |is |likely |to |encounter |while |using |this |model |of |care?
1. Maintaining |a |sterile |field |for |a |procedure |with |a |restless |toddler
2. Communicating |with |the |blended |family |on |regular |basis
3. Treating |children |with |antibiotic-resistant |illnesses
4. Caring |for |a |larger |number |of |children |with |autism |spectrum |disorders |and
|childhood |depression
9. The |pediatric |nurse |desires |to |expand |his |or |her |career |options |to |become |the |hospital’s |nurse
|educator |of |pediatrics. |Which |of |the |following |is |necessary |for |this |nurse |to |achieve |this |career
|goal?
1. The |nurse |is |recommended |to |earn |a |minimum |of |a |master’s |degree |in |nursing.
2. The |nurse |must |earn |a |minimum |of |a |doctorate |degree |in |nursing.
3. The |nurse |must |implement |and |develop |research |in |nursing |practice.
4. The |nurse |must |implement |a |plan |to |obtain |certification |in |pediatrics.
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Davis |Advantage |for |Pediatric |Nursing |3e Test |Bank |Ch01
10. |The |school |nurse |is |developing |a |teaching |session |for |the |population |of |children |in |a |middle |school.
|The |nurse |has |determined |that |the |greatest |need |for |the |overall |health |of |the |children |is |promotion
|of |healthy |foods. |Which |of |the |following |interventions |is |most |likely |to |be |effective?
1. Remove |all |unhealthy |snacks |from |the |vending |machines.
2. Have |a |poster |contest |on |healthy |eating |options.
3. Survey |the |student |population |during |lunch |breaks.
4. Engage |the |students |in |healthy |choices |with |cooking |lessons.
11. |The |nurse |recognizes |the |needs |of |professional |development |to |provide |safe |and |effective |care |to
|the |pediatric |population |by |attending |which |of |the |following |courses?
1. Procedure |with |rationale |to |administer |human |papilloma |vaccine |to |the |middle
|school |population
2. Study |review |of |the |incidence |of |bullying |and |intimidation |in |the |elementary
|school |population
3. Demographic |study |of |the |U.S. |population |with |regard |to |cultural |diversity |and
|practices
4. How |to |provide |individual |health |care |education |for |the |children |without |parental
|interference
12. |Which |of |the |following |continuing |education |courses |would |best |enhance |the |pediatric |nurse’s
|practice |in |relationship |to |current |trends?
1. Evidence-based |practice |on |improving |antibiotic |adherence |with |education |to |the
|family |unit
2. Evidence-based |practice |on |proper |administration |of |antibiotics |for |children |with
|autoimmune |diseases
3. How |to |enhance |communication |with |children |in |regards |to |adherence |to |antibiotic
|use
4. How |to |decrease |instances |of |exacerbation |of |infections |of |children |with
|autoimmune |diseases |with |antibiotics
13. |The |pediatric |nurse |is |developing |interventions |for |a |school-aged |child |based |on |the |nursing |diagnosis
|of |imbalanced |nutrition |related |to |a |body |mass |index |(BMI) |of |37 |and |poor |food |choices |as
|evidenced |by |patient’s |mother’s |food |diary |for |the |family |and |child’s |statements |of |food
|preferences. |Which |of |the |following |would |be |an |appropriate |nursing |intervention?
1. Provide |the |child |and |family |with |information |from |https://www.MyPlate.gov |for
|healthy |food |options.
2. Increase |the |child’s |activity |by |incorporating |the |child’s |friends |into |a |plan |of
|healthy |exercise |options.
3. Explain |the |importance |of |balancing |diet |and |exercise |to |prevent |obesity |to |the
|child |and |family.
4. Provide |information |on |the |increased |risk |for |potential |disease |processes |such |as
|diabetes |and |hypertension.
14. |The |nurse |is |developing |interventions |for |a |transgender |adolescent |based |on |the |nursing |diagnosis
|decreased |self-esteem |related |to |transgender |identity |as |evidenced |by |statements |of |feeling
|“worthless, |different, |and |alone.” |What |would |be |the |most |appropriate |intervention |based |on |the
|diagnosis?
1. Give |positive |feedback |on |personal |choices |as |appropriate.