Chapter 2: Standards of Practice and Ethical Considerations
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Course
Davis Advantage for Pediatric Nursing
Institution
Davis Advantage For Pediatric Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse understands that the nursing profession has standards of care that promote the covenant between patient and nurse. Which of the following is an example of this covenant?
a. The nurse adh...
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse understands that the nursing profession has standards of care that promote the
covenant between patient and nurse. Which of the following is an example of this
covenant?
a. The nurse adheres to strict guidelines regarding medication administration and
procedures.
b. The nurse develops a care plan with mutually developed goals and interventions
with the patient.
c. The nurse attends continuing education courses to maintain competency in skills.
d. The nurse considers each patient’s cultural practices without bias or judgment.
ANS: B
Chapter: Chapter 2 Standards of Practice and Ethical Considerations
Chapter Learning Objective: 2. Identify and elaborate on the key themes related to
pediatric nursing standards of practice.
Pages: 14–15
Heading: Pediatric Nursing Scope and Standards of Practice > Role of Therapeutic
Relationships
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment
Cognitive Level: Application [Applying]
Concept: Professionalism
Difficulty: Moderate
Feedback
A. This is incorrect. This is safe nursing practice and may promote trust between the
nurse and patient, but it does not directly promote the covenant.
B. This is correct. This develops a level of trust and empathy between the patient
and nurse (keyword: mutual goal and interventions).
C. This is incorrect. Although this may increase the nurse’s competence, it does not
directly affect the trust between the patient and nurse.
D. This is incorrect. Although this may facilitate respect from the nurse, it may not
promote trust between the nurse and patient.
PTS: 1 CON: Ethics
2. The home-care nurse is assessing the home environment for the pediatric patient. The
, nurse notes that the family is unable to perform some of the physical therapy exercises
safely. What is the most appropriate initial nursing action?
a. Consult with the physical therapist to arrange more educational sessions.
b. Consult with the health-care provider for admission to a rehabilitation center.
c. Assess the exercises per the worksheet provided by the physical therapist.
d. Assess the family’s understanding of how to safely complete the physical therapy
exercises.
ANS: D
Chapter: Chapter 2 Standards of Practice and Ethical Considerations
Chapter Learning Objective: 6. Identify ethics controversies commonly encountered
in the practice of pediatric nursing and discuss relevant principles, duties, rights, and
virtues.
Page: 14
Heading: Box 2-2: Pediatric Nursing Standards of Practice and Professional
Performance
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive Level: Analysis [Analyzing]
Concept: Collaboration; Self
Difficulty: Moderate
Feedback
A. This is incorrect. This intervention may be appropriate if the patient’s family
needed more education and therapy sessions, but it is not appropriate in this
situation.
B. This is incorrect. Although this may be an appropriate intervention if the
patient’s family is unable to perform the home exercise program as set by the
therapist, it is not an appropriate initial nursing intervention in this situation.
C. This is incorrect. Although it would be an appropriate intervention for further
assessment, this is not appropriate in this situation.
D. This is correct. The appropriate initial nursing intervention is to assess the
family’s understanding of the problem.
PTS: 1 CON: Collaboration; Self
3. The nurse is providing care to an adolescent patient with cystic fibrosis in the acute-care
setting. The patient tells the nurse, “You are my favorite because you always listen to me,
not like the other nurse who hates me.” Which response by the nurse is most appropriate?
a. “I will report the other nurse immediately, and you won’t have to see her again.”
b. “If you have any concerns, I can ask the charge nurse to talk to you, but we all
work as a team.”
c. “That’s nice of you to say. I will try hard to keep you happy while here as my
patient.”
, d. “I understand. She has been reported by the other staff members for playing
favorites.”
ANS: B
Chapter: Chapter 2 Standards of Practice and Ethical Considerations
Chapter Learning Objective: 2. Identify and elaborate on the key themes related to
pediatric nursing standards of practice.
Page: 15
Heading: Clinical Judgment: Therapeutic Relations, Family-Centered Care, and
Relationship- Based Nursing: A Cautionary Note
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Caring
Difficulty: Moderate
Feedback
A. This is incorrect. This is unprofessional and facilitates splitting of the staff. The
patient is chronically ill and may have repeated hospital admissions.
B. This is correct. Acknowledgment of the patient’s statement and referring the
matter to a neutral party may prevent splitting of the staff members. This can
avert adversarial responses from the patient.
C. This is incorrect. This is not therapeutic and strengthens the patient’s splitting
behavior.
D. This is incorrect. This is not therapeutic, strengthens the patient’s splitting
behavior, and is not proper to discuss other staff members to patients.
PTS: 1 CON: Caring
4. The nurse is providing care to a child in the home-care setting. The nurse often provides
the mother with advice that varies from how to perform the child’s medical care to
marital advice. The nurse has stated that this is their favorite patient and has made this
child’s home the last stop of their shift to use her free time for visits. What is the
relationship status between the nurse and family?
a. This is a therapeutic relationship based on family-centered care, with a focus on
empathy.
b. This is not a therapeutic relationship, as the nurse has become enmeshed within
the family.
c. This is a therapeutic relationship, with the nurse focusing on the well-being of the
whole family.
d. This is not a therapeutic relationship, as the nurse has not included the whole
family in the care.
ANS: B
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