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Wong'S Nursing Care Of Infants And Children 12th Edition By Hockenberry Test Bank

, Chapter 01: Perspectives Of Pediatric Nursing
Hockenberry: Wong’s Nursing Care Of Infants
And Children, 12th Edition

Multiple Choice

1. What Is The Major Cause Of Death For Children 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
Children Older Than 1 YearOf Age.

Dif: Cognitive Level: Understanding Top: 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?”
The NurseShould 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-
MakingProcess.
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-MakingProcess. The Nurse Should Also Support The Family’s Cultural
Diversity, Not Reduce Its Effect.

Dif: Cognitive Level: Applying Top: 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 MeCORRECT ANSWER: 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 Top: Nursing Process: Planning
Msc: Client Needs: Safe And Effective Care Environment

4. The Nurse Is Talking To A Group Of Parents Of School-Age Children At An After-School
Program About Childhood Health Problems. Which Statement Should The Nurse Include In The
Teaching?
A. Childhood Obesity Is The Most Common Nutritional Problem Among Children.
B. Immunization Rates Are The Same Among Children Of Different Races And
Ethnicity.
C. Dental Caries Is Not A Problem Commonly Seen In Children Since The
Introduction OfFluorinated Water.
D. Mental Health Problems Are Typically Not Seen In School-Age Children But May
BeDiagnosed In Adolescents.
CORRECT ANSWER:: A
When Teaching Parents Of School-Age Children About Childhood Health Problems, The Nurse
Should Include Information About Childhood Obesity Because It Is The Most Common Problem
Among Children 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 ContinuesTo Be A Common Chronic Disease In Childhood; And Mental
Health Problems Are Seen In Children As Young As School Age, Not Just In Adolescents.

Dif: Cognitive Level: Applying Top: Integrated Process: Teaching/Learning
Msc: Client Needs: Health Promotion And Maintenance

5. The Nurse Is Planning Care For A Hospitalized Preschool-Aged Child. Which Should The Nurse
Plan ToEnsure 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 OralMedications.
D. Explain That Emla Cream Cannot Be Used For The Morning Lab Draw Because
ThereIs 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 OfJuice To Drink When Taking Oral Medications Provides The Child With A Sense Of
Control. The PreschoolChild 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. The Nurse Should Plan To Use The
Prescribed Cream In Time For Morning Laboratory Draws To Minimize Pain.

Dif: Cognitive Level: Applying Top: Nursing Process: Planning
Msc: Client Needs: Health Promotion And Maintenance

6. Which Situation Denotes A Nontherapeutic Nurse–Patient–Family Relationship?
A. The Nurse Is Planning To Read A Favorite Fairy Tale To A Patient.
B. During Shift Report, The Nurse Is Criticizing Parents For Not Visiting Their Child.
C. The Nurse Is Discussing With A Fellow Nurse The Emotional Draw To A Certain
Patient.
D. The Nurse Is 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 FeelingsOf An Emotional Draw With A Fellow Nurse Is 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 Top: Integrated Process: Caring
Msc: Client Needs: Psychosocial Integrity

7. The Nurse Is Aware That Which Age-Group Is At Risk For Childhood Injury Because Of The
CognitiveCharacteristic Of Magical And Egocentric Thinking?
A. Preschool
B. Young School Age
C. Middle School Age
D. Adolescent
CORRECT ANSWER:: A
Preschool Children 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
Children Have TrCORRECT ANSWER:itional 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 Top: Nursing Process: Assessment
Msc: Client Needs: Safe And Effective Care Environment

8. The School Nurse Is Assessing Children For Risk Factors Related To Childhood Injuries. Which
Child HasThe 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 Children 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 TemperIs 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 Top: 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.
WhichMoral Value Is The Nurse Displaying When Supporting The Adolescent To Make Decisions?
A. Justice

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