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Wong's Nursing Care of Infants and Chldren 12th Edition by Hockenberry Test Bank
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Wong's Nursing Care of Infants and Chldren 12th Edition by Hockenberry Test Bank,Chapter 01: Perspectives of Pediatric Nursing
Hockenberry: Wong’s Nursing Care of Infants and Chldren, 12th
Edition
MULTIPLE CHOICE
1. What is the major cause of death for Chldren in the United States?
a. Heart disease
b. Childhood cancer
c. Injuries
d. Congenital anomalies
CORRECT ANSWER:C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
The leading cause of death for those younger than 1 year is congenital anomalies, and childhood
cancers and heart disease cause a significantly lower percentage of deaths in Chldren older than 1 year
of age.
DIF: Cognitive Level: Understanding TOPIC:Nursing Process:
Planning MSC: Client Needs: Health Promotion and Maintenance
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?”
TheNURSEshould respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child’s life.
d. Family-centered care avoids expecting families to be part of the decision-making
process.
CORRECT ANSWER: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. The family should be enabled
and empowered to work with the health care system and is expected to be part of the decision-making
process. TheNURSEshould also support the family’s cultural diversity, not reduce its effect.
DIF: Cognitive Level: Applying TOPIC:Nursing Process:
Implementation MSC: Client Needs: Health Promotion and Maintenance
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child’s health and family situation
CORRECT ANSWER:B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and
questioning the best approach. EBP involves decision making based on the integration of the best
research evidence combined with clinical expertise and patient values.
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
DIF: Cognitive Level: Remembering TOPIC:Nursing Process:
Planning MSC: Client Needs: Safe and Effective Care Environment
4. TheNURSEis talking to a group of Parents of school-age Chldren at an after-school program
about childhood health problems. Which statement should theNURSEinclude in the teaching?
a. Childhood obesity is the most common nutritional problem among Chldren.
b. Immunization rates are the same among Chldren of different races and ethnicity.
c. Dental caries is not a problem commonly seen in Chldren since the introduction of
fluorinated water.
d. Mental health problems are typically not seen in school-age Chldren but may be
diagnosed in adolescents.
CORRECT ANSWER:A
When teaching Parents of school-age Chldren about childhood health problems, theNURSEshould
include information about childhood obesity because it is the most common problem among Chldren
and is associated with type 2 diabetes. Teaching Parents about ways to prevent obesity is important to
include. Immunization rates differ depending on the child’s race and ethnicity; dental caries continues
to be a common chronic disease in childhood; and mental health problems are seen in Chldren as
young as school age, not just in adolescents.
DIF: Cognitive Level: Applying TOPIC:Integrated Process:
Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance
5. TheNURSEis planning care for a hospitalized preschool-aged child. Which should theNURSEplan
to ensure atraumatic care?
a. Limit explanation of procedures because the child is preschool aged.
b. Ask that all family members leave the room when performing procedures.
c. Allow the child to choose the type of juice to drink with the administration of oral
medications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there
is not time for it to be effective.
CORRECT ANSWER:C
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of
juice to drink when taking oral medications provides the child with a sense of control. The preschool
child should be prepared before procedures, so limiting explanations of procedures would increase
anxiety. The family should be allowed to stay with the child during procedures, minimizing stress.
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. TheNURSEshould plan to use the
prescribed cream in time for morning laboratory draws to minimize pain.
DIF: Cognitive Level: Applying TOPIC:Nursing Process:
Planning MSC: Client Needs: Health Promotion and Maintenance
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
a. TheNURSEis planning to read a favorite fairy tale to a patient.
b. During shift report, theNURSEis criticizing Parents for not visiting their child.
c. TheNURSEis discussing with a fellowNURSEthe emotional draw to a certain
patient.
d. TheNURSEis working with a family to find ways to decrease the family’s
dependence on health care providers.
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
CORRECT ANSWER:B
Criticizing Parents for not visiting in shift report is nontherapeutic and shows an under involvement
with the Parents. Reading a fairy tale is a therapeutic and age-appropriate action. Discussing feelings
of an emotional draw with a fellowNURSEis therapeutic and shows a willingness to understand
feelings. Working with Parents to decrease dependence on health care providers is therapeutic and
helps to empower the family.
DIF: Cognitive Level: Analyzing TOPIC:Integrated Process:
Caring MSC: Client Needs: Psychosocial Integrity
7. TheNURSEis aware that which age-group is at risk for childhood injury because of the
cognitive characteristic of magical and egocentric thinking?
a. Preschool
b. Young school age
c. Middle school age
d. Adolescent
CORRECT ANSWER:A
Preschool Chldren have the cognitive characteristic of magical and egocentric thinking, meaning they
are unable to comprehend danger to self or others. Young and middle school-aged Chldren have
transitional cognitive processes, and they may attempt dangerous acts without detailed planning but
recognize danger to themselves or others. Adolescents have formal operational cognitive processes and
are preoccupied with abstract thinking.
DIF: Cognitive Level: Understanding TOPIC:Nursing Process:
Assessment MSC: Client Needs: Safe and Effective Care Environment
8. The schoolNURSEis assessing Chldren for risk factors related to childhood injuries. Which child
has the most risk factors related to childhood injury?
a. Female, multiple siblings, stable home life
b. Male, high activity level, stressful home life
c. Male, even tempered, history of previous injuries
d. Female, reacts negatively to new situations, no serious previous injuries
CORRECT ANSWER:B
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics,
a high activity temperament is associated with risk-taking behaviors, and stress predisposes Chldren to
increased risk taking and self-destructive behaviors. Therefore, a male child with a high activity level
and living in a stressful environment has the highest number of risk factors. A girl with several siblings
and a stable home life is low risk. A boy with previous injuries has two risk factors, but an even temper
is not a risk factor for injuries. A girl who reacts negatively to new situations but has no previous
serious illnesses has only one risk factor.
DIF: Cognitive Level: Analyzing TOPIC:Nursing Process:
Assessment MSC: Client Needs: Safe and Effective Care Environment
9. An adolescent patient wants to make decisions about treatment options, along with his Parents. Which
moral value is theNURSEdisplaying when supporting the adolescent to make decisions?
a. Justice
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