NURS 461 Final Exam Questions And
Already Passed Answers.
Changes in health care for children - Answer Vaccination programs
-smallpox vaccine before starting school
Discovery of penicillin and corticosteroids
Leading causes of death - Answer unintentional injury
Under 1: suffocation
1-4 yrs: drowning
5-9 yrs: motor vehicle
10-14 yrs: motor vehicle
15-19 yrs: motor vehicle
heart rate - Answer infant: 80-150
toddler: 70-120
preschooler: 65-110
school-age: 60-100
adolescent: 55-95
Assent - Answer The child's participation in the decision-making process about healthcare
•Helps the child to understand his or her health condition as developmentally appropriate for the child
•Informs the child of the treatment planned and discuss what he or she should expect
•Make sure he or she is not being unduly influenced to make a decision one way or another
•Ascertains the child's willingness to participate in the treatment or research
,Child does not make the final decision
Emancipated minor - Answer Person who is not 18 but has the same legal rights as an adult
can make his or her own health care decisions
mature minor - Answer An individual younger than 18 with the maturity to provide informed consent
for certain medical procedures
usually older than 14
A physician must determine if the patient is mature and intelligent enough to make the decisions for tx
pregnancy counseling, prenatal care, contraception, testing and tx for STIs, substance abuse, and mental
health - Answer Care that doesn't require parental permission
religion and involve ethics
-this should help everyone come to an agreement, if not the courts can decide and provide care w/o the
parents consent - Answer If parents refuse for their child to receive certain tx and care, the nurse needs
to assess...
The nurse's responsibility for informed consent: - Answer •Determine whether parent/legal guardian
understands what they are signing
•Ask specific questions to assess parent/legal guardian's knowledge related to the consent
•Clarify and resolve knowledge deficits
•Ensure the consent form is completed with signatures for parents or legal guardians
•Serve as a witness to the consent process
•Children over the age of 8 years of age may be asked to sign an assent form
Physician's role in informed consent - Answer Educating family and the pediatric pt. about the
procedure as well as the risks and benefits
, Obtain the consent
authoritarian parenting - Answer Parent expects obedience from the child and discourages the child
from questioning the family's rules.
High control-low support (warmth)
Associated w/ negative self-esteem
authoritative parenting - Answer parent show some respect for the child's opinions
Parents still have the ultimate authority ad expect the child to adhere to the rules, they allow children to
be different and believe that each child is an individual
High direction/rules = high warmth
Promotes independence and self-confidence
Permissive (laissez-faire) parenting - Answer Parents have little control over the behavior of their
children
Inconsistent discipline and unclear expectations
Parents let their children determine their own standards
-"best friends" with their kids
Promotes negative effects in school, impulsive, and problems w/ authority
rejecting-neglecting parenting - Answer Parents are indifferent
Already Passed Answers.
Changes in health care for children - Answer Vaccination programs
-smallpox vaccine before starting school
Discovery of penicillin and corticosteroids
Leading causes of death - Answer unintentional injury
Under 1: suffocation
1-4 yrs: drowning
5-9 yrs: motor vehicle
10-14 yrs: motor vehicle
15-19 yrs: motor vehicle
heart rate - Answer infant: 80-150
toddler: 70-120
preschooler: 65-110
school-age: 60-100
adolescent: 55-95
Assent - Answer The child's participation in the decision-making process about healthcare
•Helps the child to understand his or her health condition as developmentally appropriate for the child
•Informs the child of the treatment planned and discuss what he or she should expect
•Make sure he or she is not being unduly influenced to make a decision one way or another
•Ascertains the child's willingness to participate in the treatment or research
,Child does not make the final decision
Emancipated minor - Answer Person who is not 18 but has the same legal rights as an adult
can make his or her own health care decisions
mature minor - Answer An individual younger than 18 with the maturity to provide informed consent
for certain medical procedures
usually older than 14
A physician must determine if the patient is mature and intelligent enough to make the decisions for tx
pregnancy counseling, prenatal care, contraception, testing and tx for STIs, substance abuse, and mental
health - Answer Care that doesn't require parental permission
religion and involve ethics
-this should help everyone come to an agreement, if not the courts can decide and provide care w/o the
parents consent - Answer If parents refuse for their child to receive certain tx and care, the nurse needs
to assess...
The nurse's responsibility for informed consent: - Answer •Determine whether parent/legal guardian
understands what they are signing
•Ask specific questions to assess parent/legal guardian's knowledge related to the consent
•Clarify and resolve knowledge deficits
•Ensure the consent form is completed with signatures for parents or legal guardians
•Serve as a witness to the consent process
•Children over the age of 8 years of age may be asked to sign an assent form
Physician's role in informed consent - Answer Educating family and the pediatric pt. about the
procedure as well as the risks and benefits
, Obtain the consent
authoritarian parenting - Answer Parent expects obedience from the child and discourages the child
from questioning the family's rules.
High control-low support (warmth)
Associated w/ negative self-esteem
authoritative parenting - Answer parent show some respect for the child's opinions
Parents still have the ultimate authority ad expect the child to adhere to the rules, they allow children to
be different and believe that each child is an individual
High direction/rules = high warmth
Promotes independence and self-confidence
Permissive (laissez-faire) parenting - Answer Parents have little control over the behavior of their
children
Inconsistent discipline and unclear expectations
Parents let their children determine their own standards
-"best friends" with their kids
Promotes negative effects in school, impulsive, and problems w/ authority
rejecting-neglecting parenting - Answer Parents are indifferent
