TEST BANK for Wong’s Nursing Care of Infants and Children, 12th Edition | Marilyn J. Hockenberry | Complete Chapters | Verified Questions & Answers | Nursing Exam Success Guide

TEST BANK for Wong’s Nursing Care of Infants and Children, 12th Edition | Marilyn
J. Hockenberry | Complete Chapters | Verified Questions & Answers | Nursing Exam
Success Guide

,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
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Edition
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MULTIPLE CHOICE ff




1. What is the major cause of death for children in the United States?
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a. Heart disease C



b. Childhood cancer C



c. Injuries
d. Congenital anomalies C




ANS: C C



Unintentional injuries (accidents) are the leading cause of death after age 1 year through
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adolescence. The leading cause of death for those younger than 1 year is congenital anomalies, and
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childhood cancers and heart disease cause a significantly lower percentage of deaths in children older
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than 1 year of age.
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DIF: Cognitive Level: Understanding TOP: Nursing Process: Planning C C C C C



MSC: Client Needs: Health Promotion and Maintenance
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2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The
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C nurse should respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family. C C C C C C C C C C



b. Family-centered care encourages family dependence on the health care system. C C C C C C C C C



c. Family-centered care recognizes that the family is the constant in a child’s life. C C C C C C C C C C C C



d. Family-centered care avoids expecting families to be part of the decision-making C C C C C C C C C C



process.
C




ANS: C C



The three key components of family-centered care are respect, collaboration, and support. Family-
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centered care recognizes the family as the constant in the child’s life. The family should be enabled
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and empowered to work with the health care system and is expected to be part of the decision-
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making process. The nurse should also support the family’s cultural diversity, not reduce its effect.
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DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation C C C C C



MSC: Client Needs: Health Promotion and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which? C C C C C C C C C C



a. Using information in textbooks to guide care C C C C C C



b. Combining knowledge with clinical experience and intuition C C C C C C



c. Using a professional code of ethics as a means for decision making
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d. Gathering all evidence that applies to the child’s health and family situation
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ANS: B C



EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and
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questioning the best approach. EBP involves decision making based on the integration of the best
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research evidence combined with clinical expertise and patient values.
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,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test
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DIF: Cognitive Level: Remembering TOP: Nursing Process: Planning C C C f C



MSC: Client Needs: Safe and Effective Care Environment
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4. The nurse is talking to a group of parents of school-age children at an after-school program
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Cabout childhood health problems. Which statement should the nurse include in the teaching?
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a. Childhood obesity is the most common nutritional problem among children. C C C C C C C C C



b. Immunization rates are the same among children of different races and ethnicity. C C C C C C C C C C C



c. Dental caries is not a problem commonly seen in children since the introduction of
C C C C C C C C C C C C C



fluorinated water.
C C



d. Mental health problems are typically not seen in school-age children but may be
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diagnosed in adolescents.
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ANS: A C



When teaching parents of school-age children about childhood health problems, the nurse should
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include information about childhood obesity because it is the most common problem among
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children and is associated with type 2 diabetes. Teaching parents about ways to prevent obesity is
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important to include. Immunization rates differ depending on the child’s race and ethnicity; dental
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caries continues to be a common chronic disease in childhood; and mental health problems are seen
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in children as young as school age, not just in adolescents.
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DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning C C C C C



MSC: Client Needs: Health Promotion and Maintenance
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5. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan
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Cto ensure atraumatic care?
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a. Limit explanation of procedures because the child is preschool aged.
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b. Ask that all family members leave the room when performing procedures.
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c. Allow the child to choose the type of juice to drink with the administration of oral
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medications.
C



d. Explain that EMLA cream cannot be used for the morning lab draw because there
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is not time for it to be effective.
C C C C C C C C




ANS: C C



The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of
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juice to drink when taking oral medications provides the child with a sense of control. The preschool
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child should be prepared before procedures, so limiting explanations of procedures would increase
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anxiety. The family should be allowed to stay with the child during procedures, minimizing stress.
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Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the
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prescribed cream in time for morning laboratory draws to minimize pain.
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DIF: Cognitive Level: Applying TOP: Nursing Process: Planning C C C f C



MSC: Client Needs: Health Promotion and Maintenance
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6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
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a. The nurse is planning to read a favorite fairytale to a patient.
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b. During shift report, the nurse is criticizing parents for not visiting their child.
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c. The nurse is discussing with a fellow nurse the emotional draw to a certain
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patient.C



d. The nurse is working with a familyto find ways to decrease the family’s
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dependence on health care providers.
C C C C C

, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test
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ANS: B C



Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement
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Cwith the parents. Reading a fairy tale is a therapeutic and age-appropriate action. Discussing feelings
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Cof an emotional draw with a fellow nurse is therapeutic and shows a willingness to understand
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Cfeelings. Working with parents to decrease dependence on health care providers is therapeutic and
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Chelps to empower the family.
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DIF: Cognitive Level: Analyzing TOP: Integrated Process: Caring C C C C C



CMSC: Client Needs: Psychosocial Integrity
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7. The nurse is aware that which age-group is at risk for childhood injury because of the
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C cognitive characteristic of magical and egocentric thinking?
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a. Preschool
b. Young school age C C



c. Middle school age C C



d. Adolescent
ANS: A C



Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning
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Cthey are unable to comprehend danger to self or others. Young and middle school-aged
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Cchildren have transitional cognitive processes, and they may attempt dangerous acts without
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Cdetailed planning but recognize danger to themselves or others. Adolescents have formal operational
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cognitive processes and are preoccupied with abstract thinking.
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DIF: Cognitive Level: Understanding TOP: Nursing Process: Assessment C C C f C



CMSC: Client Needs: Safe and Effective Care Environment
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8. The school nurse is assessing children for risk factors related to childhood injuries. Which child
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Chas the most risk factors related to childhood injury?
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a. Female, multiple siblings, stable home life C C C C C



b. Male, high activity level, stressful home life
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c. Male, even tempered, historyof previous injuries
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d. Female, reacts negatively to new situations, no serious previous injuries
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ANS: B C



Boys have a preponderance for injuries over girls because of a difference in behavioral
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Ccharacteristics, a high activity temperament is associated with risk-taking behaviors, and stress
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Cpredisposes children to increased risk taking and self-destructive behaviors. Therefore, a male child
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Cwith a high activity level and living in a stressful environment has the highest number of risk factors.
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CA girl with several siblings and a stable home life is low risk. A boy with previous injuries has two
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Crisk factors, but an even temper is not a risk factor for injuries. A girl who reacts negatively to new
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Csituations but has no previous serious illnesses has only one risk factor.
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DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment C C C C C



CMSC: Client Needs: Safe and Effective Care Environment
C C C C C C C




9. An adolescent patient wants to make decisions about treatment options, along with his parents.
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CWhich moral value is the nurse displaying when supporting the adolescent to make decisions?
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a. Justice