TEST BANK FOR Wong's Nursing Care of Infants and Children, 12th Edition by Marilyn J. Hockenberry ISBN: 9780323776707 COMPLETE GUIDE 100% VERIFIED A+ GRADE ASSURED !!! GUARANTEED SUCCESS IN YOUR EXAMS !!!!

,
,chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children, 12th Edrl rl rl rl rl rl rl rl rlrl



ition
MULTIPLE CHOICE rl




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



b. Childhood cancer rl



c. Injuries
d. Congenital anomalies rl




ANS: C rl



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



TOP: NursingProcess: Planning MSC: Client Needs: Health Promotio rl rl rl rl r l rl rl rl



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



b. Family-centered care encourages familydependence on the health care system. rl rl rl rl rl rl rl rl rl



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



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



making process. rl




ANS: C rl



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 and e
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mpowered 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 rl rl



TOP: NursingProcess: Implementation MSC: Client Needs: Health Promotio
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n and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which? rl rl rl rl rl rl rl rl rl rl



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



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



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 rl rl rl rl rl rl rl rl rl rl rl




ANS: B rl



EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioni
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ng the best approach. EBP involves decision making based on the integration of the best research evidence
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combined with clinical expertise and patient values. rl rl rl rl rl rl

, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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DIF: Cognitive Level: Remembering rl rl



TOP: NursingProcess: Planning MSC: Client Needs: Safe and Effectiv rl rl rl rl r l rl rl rl rl



e Care Environment
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4. The nurse is talking to a group of parents of school-age children at an after-
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school program about childhood health problems. Which statement should the nurse include in the te
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aching?
a. Childhood obesity is the most common nutritional problem among children. rl rl rl rl rl rl rl rl rl



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



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



rinated water. rl



d. Mental health problems are typically not seen in school- rl rl rl rl rl rl rl rl



age children but may be diagnosed in adolescents. rl rl rl rl rl rl rl




ANS: A rl



When teaching parents of school- rl rl rl rl



age children about childhood health problems, the nurse should include information about childhood obes
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ity because it is the most common problem among children and is associated with type 2 diabetes. Teachin
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g parents about ways to prevent obesity is important to include. Immunization rates differ depending on th
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e child’s race and ethnicity; dental caries continues to be a common chronic disease in childhood; and ment
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al health problems are seen in children as young as school age, not just in adolescents.
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DIF: Cognitive Level: Applying rl rl



TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotio rl rl rl rl r l rl rl rl



n and Maintenance
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5. The nurse is planning care for a hospitalized preschool-
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aged child. Which should the nurse plan to ensure atraumatic care?
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a. Limit explanation of procedures because the child is preschool aged. rl rl rl rl rl rl rl rl rl



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 med
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ications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is no rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl



t time for it to be effective.
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ANS: C rl



The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of juice t
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o drink when taking oral medications provides the child with a sense of control. The preschool child should
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be prepared before procedures, so limiting explanations of procedures would increase anxiety. The famil
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y 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 prescribed cr rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl



eam in time for morning laboratory draws to minimize pain.
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DIF: Cognitive Level: Applying rl rl



TOP: NursingProcess: Planning MSC: Client Needs: Health Promotio rl rl rl rl r l rl rl rl



n 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. rl rl rl rl rl rl rl rl rl rl rl rl



b. During shift report, the nurse is criticizing parents for not visiting their child. rl rl rl rl rl rl rl rl rl rl rl rl



c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
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d. The nurse is working with a familyto find ways to decrease the family’s dependence on
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health care providers.
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