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Wong's Essentials of Pediatric Nursing 11th Edition by Marilyn J. Hockenberry PhD RN PPCNP-BC FAAN (Author)latest Update
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,Chapter 1: Children, Their Families, and the Nurse
MULTIPLE CHOICE
1. The nurse would include which associated risk when planning a teaching session about
childhood obesity?
a. Type I diabetes
b. Respiratory disease
c. Celiac disease
d. Type II diabetes
ANS:D
Childhood obesity has been associated with the rise of type II diabetes in children. Type I diabetes is not
associated with obesity and has a genetic component. Respiratory disease is not associated with obesity, and
celiac disease is the inability to metabolize gluten in foods and is notassociated with obesity.
DIF: Cognitive Level: Remember TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. Which second-leading cause of death topic would the nurse emphasize to a group of boys
ranging in age from 15 to 19 years?
a. Suicide
b. Cancer
c. Homicide
d. Occupational injuries
3. *ANS:D
4. Childhood obesity
ANS C
Firearm homicide is the second overall cause of death in this age group and the leading cause of
death in African-American males. Suicide is the third-leading cause of death in this population.
Cancer, although a major health problem, is the fourth-leading cause of death in this age group.
Occupational injuries do not contribute to a significant death rate for this age group.
DIF: Cognitive Level: Understand TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. Which is the major cause of death for children older than 1 year?
a. Cancer
b. Heart disease
c. Unintentional injuries
d. Congenital anomalies
ANS C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
adolescence. Congenital anomalies are the leading cause of death in those younger than 1 year.
Cancer ranks either second or fourth, depending on the age group, and heart disease ranks fifth in
, the majority of the age groups.
DIF: Cognitive Level: Remember TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
6. Which factor most impacts the type of injury a child is susceptible to, according to the child’s
age?
a. Physical health of the child
b. Developmental level of the child
c. Educational level of the child
d. Number of responsible adults in the home
ANS: B
The child’s developmental stage determines the type of injury that is likely to occur. The child’s
physical health may facilitate the child’s recovery from an injury but does not impact the type of
injury. Educational level is related to developmental level, but it is not as important as the child’s
developmental level in determining the type of injury. The number of responsible adults in the
home may affect the number of unintentional injuries, but the type of injury is related to the
child’s developmental stage.
DIF: Cognitive Level: Understand TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
7. A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the
care the nurse is delivering?
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
c. Recognizing that the family is the constant in a child’s life
d. Excluding families from the decision-making process
ANS: C
The three key components of family-centered care are respect, collaboration, and support.
Family-centered care recognizes the family as the constant in the child’s life. Taking over total
care does not include the family in the process and may increase stress instead of reducing stress.
The family should be enabled and empowered to work with the health care system. The family is
expected to be part of the decision-making process.
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Health Promotion and Maintenance
8. Which intervention would the nurse include when providing atraumatic care?
a. Prepare the child for separation from parents during hospitalization by reviewing a
video.
b. Prepare the child before any unfamiliar treatment or procedure.
c. Help the child accept the loss of control associated with hospitalization.
d. Help the child accept pain that is connected with a treatment or procedure.
ANS: B
Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy, providing
play activities for expression of fear and aggression, providing choices, and respecting cultural
differences are components of atraumatic care. In the provision of atraumatic care, the separation
of child from parents during hospitalization is minimized. The nurse should promote a sense of
control for the child. Preventing and minimizing bodily injury and pain are major components of
atraumatic care.
, DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Psychosocial Integrity
9. Which is suggestive that a nurse has a nontherapeutic relationship with a patient and family?
a. Staff is concerned about the nurse’s closeness with the patient and family.
b. Staff assignments allow the nurse to care for same patient and family over an
extended time.
c. Nurse is able to withdraw emotionally when emotional overload occurs but still
remains committed.
d. Nurse uses teaching skills to instruct patient and family rather than doing
everything for them.
ANS: A
A clue to a nontherapeutic staff-patient relationship is concern by other staff members. Allowing
the nurse to care for the same patient over time would be therapeutic for the patient and family.
Nurses who are able to somewhat withdraw emotionally can protect themselves while providing
therapeutic care. Nurses using teaching skills to instruct patient and family will assist in
transitioning the child and family to self-care.
DIF: Cognitive Level: Analyze TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
10. Which is descriptive of clinical reasoning?
a. A simple developmental process
b. A cognitive process used to analyze data
c. Based on deliberate and irrational thought
d. Assists individuals in guessing which is most appropriate
ANS: B
Clinical reasoning is a complex, developmental process based on rational and deliberate thought.
Clinical reasoning is not a developmental process. Clinical reasoning is based on rational and
deliberate thought. Clinical reasoning is not a guessing process.
DIF: Cognitive Level: Understand TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
11. A nurse makes the decision to apply a topical anesthetic to a child’s skin before drawing blood.
Which ethical principle is the nurse demonstrating?
a. Autonomy
b. Beneficence
c. Justice
d. Truthfulness
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