TEST BANK Wong's Essentials of Pediatric Nursing 11th
Edition by Marilyn J. Hockenberry - All Chapter (1-
31)|Complete Guide A+
,Chapter 01: Children, their Families and the Nurse
Evolve Resources for Wong’s Essentials of Pediatric Nursing, 11th Edition
MULTIPLE CHOICE
1. The nurse would include which associated risk when planning a teaching
session about childhood obesity?
a. Type 1 diabetes
b. Respiratory disease
c. Celiac disease
d. Type 2 diabetes
ANS : D
Childhood obesity has been associated with the rise of type 2 diabetes in
children. Type 1 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 not
associated with obesity:
2. Which second-leading cause od death topic would the nurse emphasize to a
group of boys ranging in age from 15-19?
a. Suicide
b. Cancer
c. Homicide
d. Occupational injuries
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
3. 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 group.
4. 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. Development level of the child
c. Educational level of the child
d. Number of responsible adults in the house
ANS: B
The child’s developmental stage determines the type of injuries that is
likely to occur. The child’s physical health may facilitate that child’s
recovery from an injury but does not impact the type of injury.
Educational level is related to developmental level, but 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
5. A nurse in 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 family is the constant in a child’s life
d. Excluding families from the decision-making process
ANS: C
The three 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 enables and empowered to work with the health care system.
The family is expected to be part of the decision-making process.
DIF: Congnitive Level: Understand
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of client Needs: Health Promotion and Maintenance
6. Which intervention would the nurse include when providing atraumatic
care?
a. Prepare the child for separation from the 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 of
procedure.
ANS: B
Prepare 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 parent during hospitalization is
minimalized. The nurse should promote a sense of control for the
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