,CHAPTER 1 NURSE'S ROLE IN CARE OF THE CHILD:
HOSPITAL, COMMUNITY, AND HOME wq wq wq
1) Which nursing role is not directly involved when providing family-
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centered approach to the pediatric population?
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1. Advocacy
2. Case management wq
3. Patient education wq
4. Researche
r Answer: 4
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Explanation: 1. A researcher is not involved in the family-
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centered approach to patient care of children and their families. Advocacy, case managemen
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t, and patient education are all roles directly involved in the care of children and their fami
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lies.
2. A researcher is not involved in the family-
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centered approach to patient care of children and their families. Advocacy, case manage
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ment, and patient education are all roles directly involved in the care of children and t
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heir families.
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3. A researcher is not involved in the family-
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centered approach to patient care of children and their families. Advocacy, case manage
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ment, and patient education are all roles directly involved in the care of children and t
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heir families.
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4. A researcher is not involved in the family-
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centered approach to patient care of children and their families. Advocacy, case manage
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ment, and patient education are all roles directly involved in the care of children and t
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heir families.
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Page Ref: 4wq wq
Cognitive Level: Analyzing wq w q
Client Need &Sub: Safe and Effective Care
w q w q w q w q w q w q w q Environment: w q Management w q of w q
Care Standards: QSEN Competencies: Patient-
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centered care | AACN Essential Competencies:
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Essential II: Basic organizational and systems leadership for quality care and patient safety |
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NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
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Assessment/Coordination of care wq wq
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcar
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e. MNL LO: Family-centered care
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,2) A nurse is working with pediatric clients in a research facility. The nurse recognize
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s that federal guidelines are in place that delineate which pediatrics clients must giv
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e assent for participation in research trials. Based upon the client's age, the nurse
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would seek assent from which children?
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Select all that apply.
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1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
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2. The 7-year- wq
old leukemia client electing to receive a newly developed medication, now being re
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searched.
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
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4. The 13-year- wq
old client commencing participation in a research program for Attention Deficit Hy
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peractivity Disorder (ADHD) treatments.
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Answer: 2, 3, 4 w q wq wq
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older
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must receive developmentally appropriate information about healthcare procedures and treatm
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ents and give assent.
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2. Federal guidelines mandate that research participants 7 years
wq wq wq wq wq wq wq wq old and older must re
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ceive developmentally appropriate information about healthcare
wq wq wq wq wq wq procedures and treat wq wq
ments and give assent.
wq wq wq
3. Federal guidelines mandate that research participants 7 years
wq wq wq wq wq wq wq wq old and older must re
wq wq wq wq
ceive developmentally appropriate information about healthcare
wq wq wq wq wq wq procedures and treat wq wq
ments and give assent.
wq wq wq
4. Federal guidelines mandate that research participants 7 years
wq wq wq wq wq wq wq wq old and older must re
wq wq wq wq
ceive developmentally appropriate information about healthcare
wq wq wq wq wq wq procedures and treat wq wq
ments and give assent.
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Page Ref: 11, 12
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Cognitive Level: Applying wq w q
Client Need &Sub: Psychosocial Integrity
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Standards: QSEN Competencies: Patient-
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centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance
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, and regulatory environments | NLN Competencies: Nursing judgement | Nursing/Integr
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ated Concepts: Nursing Process: Planning/Coordination of care
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Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatri
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c nursing practice.
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MNL LO: Developmentally appropriate care
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, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
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appropriate for the nurse to complete? wq wq wq wq wq
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
wq wq wq wq wq wq wq wq wq wq
2. Listen to the concerns of an adolescent about being out of school for a le
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
ngthy surgical recovery.
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3. Provide information to a mother of a newly diagnosed 4-year-
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old diabetic about local support- group options.
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4. Diagnose a 6-year- wq wq
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
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Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directi
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ng nursing care interventions, and educating client and family at developmentally ap
wq w q w q w q w q w q w q w q w q w q w q
propriate levels; client advocacy, case management, minimization of distress, and enhancemen
wq wq wq wq wq wq wq wq wq wq
t of coping. Advanced practice nurse practitioners perform assessment, diagnosis, and manage
wq wq wq wq wq wq wq wq wq wq wq
ment of health conditions.
wq wq wq
2. The role of the pediatric nurse includes providing nursing assessment, directing nur
wq wq wq wq wq wq wq wq wq wq wq
sing care interventions, and educating client and family at developmentally appropria
wq wq wq wq wq wq wq wq wq wq
te levels; client advocacy, case management, minimization of distress, and enhancem
wq wq wq wq wq wq wq wq wq wq
ent of coping. Advanced practice nurse practitioners perform assessment, diagnosis, a
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nd management of health conditions.
wq wq wq wq
3. The role of the pediatric nurse includes providing nursing assessment, directing nur
wq wq wq wq wq wq wq wq wq wq wq
sing care interventions, and educating client and family at developmentally appropria
wq wq wq wq wq wq wq wq wq wq
te levels; client advocacy, case management, minimization of distress, and enhancem
wq wq wq wq wq wq wq wq wq wq
ent of coping. Advanced practice nurse practitioners perform assessment, diagnosis, a
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nd management of health conditions.
wq wq wq wq
4. The role of the pediatric nurse includes providing nursing assessment, directing nur
wq wq wq wq wq wq wq wq wq wq wq
sing care interventions, and educating client and family at developmentally appropria
wq wq wq wq wq wq wq wq wq wq
te levels; client advocacy, case management, minimization of distress, and enhancem
wq wq wq wq wq wq wq wq wq wq
ent of coping. Advanced practice nurse practitioners perform assessment, diagnosis, a
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nd management of health conditions.
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Page Ref: 2-4 wq wq
Cognitive Level: Applying wq w q
Client Need &Sub: Safe and Effective Care
w q w q w q w q w q w q w q Environment: w q Management w q of w q
Care Standards: QSEN Competencies: Patient-
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centered care | AACN Essential Competencies:
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Essential II: Basic organizational and systems leadership for quality care and patient safety |
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NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
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Implementation/Coordination of care wq wq
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcar
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e. MNL LO: Pediatric nursing care
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HOSPITAL, COMMUNITY, AND HOME wq wq wq
1) Which nursing role is not directly involved when providing family-
wq wq wq wq wq wq wq wq wq
centered approach to the pediatric population?
wq wq wq wq wq
1. Advocacy
2. Case management wq
3. Patient education wq
4. Researche
r Answer: 4
wq w q
Explanation: 1. A researcher is not involved in the family-
w q wq wq wq wq wq wq wq wq
centered approach to patient care of children and their families. Advocacy, case managemen
wq wq wq wq wq wq wq wq wq wq wq wq
t, and patient education are all roles directly involved in the care of children and their fami
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
lies.
2. A researcher is not involved in the family-
wq wq wq wq wq wq wq
centered approach to patient care of children and their families. Advocacy, case manage
wq wq wq wq wq wq wq wq wq wq wq wq
ment, and patient education are all roles directly involved in the care of children and t
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
heir families.
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3. A researcher is not involved in the family-
wq wq wq wq wq wq wq
centered approach to patient care of children and their families. Advocacy, case manage
wq wq wq wq wq wq wq wq wq wq wq wq
ment, and patient education are all roles directly involved in the care of children and t
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
heir families.
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4. A researcher is not involved in the family-
wq wq wq wq wq wq wq
centered approach to patient care of children and their families. Advocacy, case manage
wq wq wq wq wq wq wq wq wq wq wq wq
ment, and patient education are all roles directly involved in the care of children and t
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
heir families.
wq
Page Ref: 4wq wq
Cognitive Level: Analyzing wq w q
Client Need &Sub: Safe and Effective Care
w q w q w q w q w q w q w q Environment: w q Management w q of w q
Care Standards: QSEN Competencies: Patient-
wq w q wq wq
centered care | AACN Essential Competencies:
wq wq wq wq wq
Essential II: Basic organizational and systems leadership for quality care and patient safety |
wq wq wq wq wq wq wq wq wq wq wq wq wq
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
wq wq wq wq wq wq wq wq wq wq
Assessment/Coordination of care wq wq
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcar
wq w q wq wq wq wq wq wq wq wq wq
e. MNL LO: Family-centered care
wq wq w q wq
,2) A nurse is working with pediatric clients in a research facility. The nurse recognize
wq wq wq wq wq wq wq wq wq wq wq wq wq
s that federal guidelines are in place that delineate which pediatrics clients must giv
wq wq wq wq wq wq wq wq wq wq wq wq wq
e assent for participation in research trials. Based upon the client's age, the nurse
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
would seek assent from which children?
wq wq wq wq wq
Select all that apply.
wq wq wq
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
wq wq wq wq wq wq wq wq wq
2. The 7-year- wq
old leukemia client electing to receive a newly developed medication, now being re
wq wq wq wq wq wq wq wq wq wq wq wq
searched.
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
wq wq wq wq wq wq wq wq wq wq wq
4. The 13-year- wq
old client commencing participation in a research program for Attention Deficit Hy
wq wq wq wq wq wq wq wq wq wq wq
peractivity Disorder (ADHD) treatments.
wq wq wq
Answer: 2, 3, 4 w q wq wq
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older
wq wq wq wq wq wq wq wq wq wq wq wq wq
must receive developmentally appropriate information about healthcare procedures and treatm
wq wq wq wq wq wq wq wq wq
ents and give assent.
wq wq wq
2. Federal guidelines mandate that research participants 7 years
wq wq wq wq wq wq wq wq old and older must re
wq wq wq wq
ceive developmentally appropriate information about healthcare
wq wq wq wq wq wq procedures and treat wq wq
ments and give assent.
wq wq wq
3. Federal guidelines mandate that research participants 7 years
wq wq wq wq wq wq wq wq old and older must re
wq wq wq wq
ceive developmentally appropriate information about healthcare
wq wq wq wq wq wq procedures and treat wq wq
ments and give assent.
wq wq wq
4. Federal guidelines mandate that research participants 7 years
wq wq wq wq wq wq wq wq old and older must re
wq wq wq wq
ceive developmentally appropriate information about healthcare
wq wq wq wq wq wq procedures and treat wq wq
ments and give assent.
wq wq wq
Page Ref: 11, 12
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Cognitive Level: Applying wq w q
Client Need &Sub: Psychosocial Integrity
wq wq w q wq
Standards: QSEN Competencies: Patient-
w q w q w q
centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance
w q w q w q w q w q wq wq wq w q wq
, and regulatory environments | NLN Competencies: Nursing judgement | Nursing/Integr
w q wq w q w q w q wq wq wq wq wq
ated Concepts: Nursing Process: Planning/Coordination of care
wq wq wq wq wq wq
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatri
wq w q wq wq wq wq wq wq wq wq wq wq wq
c nursing practice.
wq wq
MNL LO: Developmentally appropriate care
wq w q wq wq
, 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
appropriate for the nurse to complete? wq wq wq wq wq
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
wq wq wq wq wq wq wq wq wq wq
2. Listen to the concerns of an adolescent about being out of school for a le
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
ngthy surgical recovery.
wq wq
3. Provide information to a mother of a newly diagnosed 4-year-
wq wq wq wq wq wq wq wq wq
old diabetic about local support- group options.
wq wq wq wq wq wq
4. Diagnose a 6-year- wq wq
old with Diversional Activity Deficit related to placement in isolation. Answer: 1
wq wq wq wq wq wq wq wq wq wq w q
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directi
wq wq wq wq wq wq wq wq wq wq wq wq
ng nursing care interventions, and educating client and family at developmentally ap
wq w q w q w q w q w q w q w q w q w q w q
propriate levels; client advocacy, case management, minimization of distress, and enhancemen
wq wq wq wq wq wq wq wq wq wq
t of coping. Advanced practice nurse practitioners perform assessment, diagnosis, and manage
wq wq wq wq wq wq wq wq wq wq wq
ment of health conditions.
wq wq wq
2. The role of the pediatric nurse includes providing nursing assessment, directing nur
wq wq wq wq wq wq wq wq wq wq wq
sing care interventions, and educating client and family at developmentally appropria
wq wq wq wq wq wq wq wq wq wq
te levels; client advocacy, case management, minimization of distress, and enhancem
wq wq wq wq wq wq wq wq wq wq
ent of coping. Advanced practice nurse practitioners perform assessment, diagnosis, a
wq wq wq wq wq wq wq wq wq wq
nd management of health conditions.
wq wq wq wq
3. The role of the pediatric nurse includes providing nursing assessment, directing nur
wq wq wq wq wq wq wq wq wq wq wq
sing care interventions, and educating client and family at developmentally appropria
wq wq wq wq wq wq wq wq wq wq
te levels; client advocacy, case management, minimization of distress, and enhancem
wq wq wq wq wq wq wq wq wq wq
ent of coping. Advanced practice nurse practitioners perform assessment, diagnosis, a
wq wq wq wq wq wq wq wq wq wq
nd management of health conditions.
wq wq wq wq
4. The role of the pediatric nurse includes providing nursing assessment, directing nur
wq wq wq wq wq wq wq wq wq wq wq
sing care interventions, and educating client and family at developmentally appropria
wq wq wq wq wq wq wq wq wq wq
te levels; client advocacy, case management, minimization of distress, and enhancem
wq wq wq wq wq wq wq wq wq wq
ent of coping. Advanced practice nurse practitioners perform assessment, diagnosis, a
wq wq wq wq wq wq wq wq wq wq
nd management of health conditions.
wq wq wq wq
Page Ref: 2-4 wq wq
Cognitive Level: Applying wq w q
Client Need &Sub: Safe and Effective Care
w q w q w q w q w q w q w q Environment: w q Management w q of w q
Care Standards: QSEN Competencies: Patient-
wq w q wq wq
centered care | AACN Essential Competencies:
wq wq wq wq wq
Essential II: Basic organizational and systems leadership for quality care and patient safety |
wq wq wq wq wq wq wq wq wq wq wq wq wq
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
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Implementation/Coordination of care wq wq
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcar
wq w q wq wq wq wq wq wq wq wq wq
e. MNL LO: Pediatric nursing care
wq wq w q wq wq
