,Principles6of6Pediatric6Nursing:6Caring6for6Children,67e6(Ball6et6al.)
Chapter616 Nurse's6Role6in6Care6of6the6Child:6Hospital,6Community,6and6Home
1) Which6nursing6role6is6not6directly6involved6when6providing6family-
centered6approach6to6the6pediatric6population?
1. Advocacy
2. Case6management
3. Patient6education
4. Researcher6
Answer:6 4
Explanation:6 1.6A6researcher6is6not6involved6in6the6family-
centered6approach6to6patient6care6of6children6and6their6families.6Advocacy,6case6management,6a
nd6patient6education6are6all6roles6directly6involved6in6the6care6of6children6and6their6families.
2. A6researcher6is6not6involved6in6the6family-
centered6approach6to6patient6care6of6children6and6their6families.6Advocacy,6case6management,6a
nd6patient6education6are6all6roles6directly6involved6in6the6care6of6children6and6their6families.
3. A6researcher6is6not6involved6in6the6family-
centered6approach6to6patient6care6of6children6and6their6families.6Advocacy,6case6management,6a
nd6patient6education6are6all6roles6directly6involved6in6the6care6of6children6and6their6families.
4. A6researcher6is6not6involved6in6the6family-
centered6approach6to6patient6care6of6children6and6their6families.6Advocacy,6case6management,6a
nd6patient6education6are6all6roles6directly6involved6in6the6care6of6children6and6their6families.
Page6Ref:64
Cognitive6Level:6 Analyzing
Client6Need6&Sub:6Safe6and6Effective6Care6Environment:6Management6of6Care6Standard
s:6 QSEN6Competencies:6Patient-centered6care6|6AACN6Essential6Competencies:
Essential6II:6Basic6organizational6and6systems6leadership6for6quality6care6and6patient6safety6|6
NLN6Competencies:6Professional6identity6|6Nursing/Integrated6Concepts:6Nursing6Process:6
Assessment/Coordination6of6care
Learning6Outcome:6 LO61.26Compare6the6roles6of6nurses6in6child6healthcare.6
MNL6LO:66Family-centered6care
,2) A6nurse6is6working6with6pediatric6clients6in6a6research6facility.6The6nurse6recognizes6that6
federal6guidelines6are6in6place6that6delineate6which6pediatrics6clients6must6give6assent6for6pa
rticipation6in6research6trials.6Based6upon6the6client's6age,6the6nurse6would6seek6assent6from6w
hich6children?
Select6all6that6apply.
1. The6precocious64-year-old6commencing6as6a6cystic6fibrosis6research-study6participant.
2. The67-year-
old6leukemia6client6electing6to6receive6a6newly6developed6medication,6now6being6researched.
3. The610-year-old6commencing6in6an6investigative6study6for6clients6with6precocious6puberty.
4. The613-year-
old6client6commencing6participation6in6a6research6program6for6Attention6Deficit6Hyperactivity6
Disorder6(ADHD)6treatments.
Answer:6 2,63,64
Explanation:61.6Federal6guidelines6mandate6that6research6participants676years6old6and6older6must6r
eceive6developmentally6appropriate6information6about6healthcare6procedures6and6treatments6and6
give6assent.
2. Federal6guidelines6mandate6that6research6participants676years6old6and6older6must6receive6de
velopmentally6appropriate6information6about6healthcare6procedures6and6treatments6and6give6as
sent.
3. Federal6guidelines6mandate6that6research6participants676years6old6and6older6must6receive6de
velopmentally6appropriate6information6about6healthcare6procedures6and6treatments6and6give6as
sent.
4. Federal6guidelines6mandate6that6research6participants676years6old6and6older6must6receive6de
velopmentally6appropriate6information6about6healthcare6procedures6and6treatments6and6give6as
sent.
Page6Ref:611,612
Cognitive6Level:6 Applying
Client6Need6&Sub:6 Psychosocial6Integrity
Standards:6QSEN6Competencies:6Patient-
centered6care6|6AACN6Essential6Competencies:6Essential6V:6Healthcare6policy,6finance,6and6re
gulatory6environments6|6NLN6Competencies:6Nursing6judgement6|6Nursing/Integrated6Concept
s:6Nursing6Process:6Planning/Coordination6of6care
Learning6Outcome:6 LO61.66Examine6three6unique6pediatric6legal6and6ethical6issues6in6pediatric6
nursing6practice.
MNL6LO:6 Developmentally6appropriate6care
, 3) The6nurse6in6a6pediatric6acute6care6unit6is6assigned6the6following6tasks.6Which6task6is6not
appropriate6for6the6nurse6to6complete?
1. Diagnose6an68-year-old6with6acute6otitis6media6and6prescribe6an6antibiotic.
2. Listen6to6the6concerns6of6an6adolescent6about6being6out6of6school6for6a6lengthy6surgical6
recovery.
3. Provide6information6to6a6mother6of6a6newly6diagnosed64-year-old6diabetic6about6local6support-
6group6options.
4. Diagnose6a66-year-
old6with6Diversional6Activity6Deficit6related6to6placement6in6isolation.6Answer:6 1
Explanation:61.6The6role6of6the6pediatric6nurse6includes6providing6nursing6assessment,6directing6n
ursing6care6interventions,6and6educating6client6and6family6at6developmentally6appropriate6levels;
6client6advocacy,6case6management,6minimization6of6distress,6and6enhancement6of6coping.6Advan
ced6practice6nurse6practitioners6perform6assessment,6diagnosis,6and6management6of6health6conditi
ons.
2. The6role6of6the6pediatric6nurse6includes6providing6nursing6assessment,6directing6nursing6care
6interventions,6and6educating6client6and6family6at6developmentally6appropriate6levels;6client6ad
vocacy,6case6management,6minimization6of6distress,6and6enhancement6of6coping.6Advanced6pr
actice6nurse6practitioners6perform6assessment,6diagnosis,6and6management6of6health6conditions
.
3. The6role6of6the6pediatric6nurse6includes6providing6nursing6assessment,6directing6nursing6care6
interventions,6and6educating6client6and6family6at6developmentally6appropriate6levels;6client6ad
vocacy,6case6management,6minimization6of6distress,6and6enhancement6of6coping.6Advanced6pr
actice6nurse6practitioners6perform6assessment,6diagnosis,6and6management6of6health6conditions
.
4. The6role6of6the6pediatric6nurse6includes6providing6nursing6assessment,6directing6nursing6care
6interventions,6and6educating6client6and6family6at6developmentally6appropriate6levels;6client6ad
vocacy,6case6management,6minimization6of6distress,6and6enhancement6of6coping.6Advanced6pr
actice6nurse6practitioners6perform6assessment,6diagnosis,6and6management6of6health6conditions
.
Page6Ref:62-4
Cognitive6Level:6 Applying
Client6Need6&Sub:6Safe6and6Effective6Care6Environment:6Management6of6Care6Standard
s:6 QSEN6Competencies:6Patient-centered6care6|6AACN6Essential6Competencies:
Essential6II:6Basic6organizational6and6systems6leadership6for6quality6care6and6patient6safety6|6
NLN6Competencies:6Professional6identity6|6Nursing/Integrated6Concepts:6Nursing6Process:6
Implementation/Coordination6of6care
Learning6Outcome:6 LO61.26Compare6the6roles6of6nurses6in6child6healthcare.6
MNL6LO:66Pediatric6nursing6care