Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
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Edition
MULTIPLE CHOICE gi
1. What is the major cause of death for children in the United States?
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a. Heart disease gi
b. Childhood cancer gi
c. Injuries
d. Congenital anomalies gi
ANS: C gi
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
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The leading cause of death for those younger than 1 year is congenital anomalies, and childhood canc
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ers and heart disease cause a significantly lower percentage of deaths in children older than 1 yearof ag
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e.
DIF: Cognitive Level: Understanding gi gi
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promot
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ion and Maintenance
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2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
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centered care?‖ The nurseshould respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family. gi gi gi gi gi gi gi gi gi gi
b. Family-centered care encourages family dependence on the health care system. gi gi gi gi gi gi gi gi gi
c. Family-centered care recognizes that the family is the constant in a child‘s life. gi gi gi gi gi gi gi gi gi gi gi gi
d. Family-centered care avoids expecting families to be part of the decision- gi gi gi gi gi gi gi gi gi gi
makingprocess. gi
ANS: C gi
The three key components of family-centered care are respect, collaboration, and support. Family-
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centered care recognizes the family as the constant in the child‘s life. The family should be enabled
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and empowered to work with the health care system and is expected to be part of the decision-
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makingprocess. The nurse should also support the family‘s cultural diversity, not reduce its effect.
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DIF: Cognitive Level: Applying gi gi
TOP: Nursing Process: ImplementationMSC: Client Needs: Health Promot
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ion and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which? gi gi gi gi gi gi gi gi gi gi
a. Using information in textbooks to guide care
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b. Combining knowledge with clinical experience and intuition gi gi gi gi gi gi
c. Using a professional code of ethics as a means for decision making
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d. Gathering all evidence that applies to the child‘s health and family situation
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ANS: B gi
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questi
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oning the best approach. EBP involves decision making based on the integration of the bestresearch evi
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dence combined with clinical expertise and patient values.
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,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ban
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k
DIF: Cognitive Level: Remembering gi gi
TOP: Nursing Process: PlanningMSC: Client Needs: Safe and Effec
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tive Care Environment
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4. The nurse is talking to a group of parents of school-age children at an after-
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school program aboutchildhood health problems. Which statement should the nurse include in th
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e teaching?
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a. Childhood obesity is the most common nutritional problem among children. gi gi gi gi gi gi gi gi gi
b. Immunization rates are the same among children of different races and ethnicity. gi gi gi gi gi gi gi gi gi gi gi
c. Dental caries is not a problem commonly seen in children since the introduction offl
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uorinated water. gi
d. Mental health problems are typically not seen in school-gi gi gi gi gi gi gi gi
age children but may bediagnosed in adolescents.
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ANS: A gi
When teaching parents of school-
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age children about childhood health problems, the nurse should include information about childhood o
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besity because it is the most common problem among children and is associated with type 2 diabetes.
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Teaching parents about ways to prevent obesity is important toinclude. Immunization rates differ depe
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nding on the child‘s race and ethnicity; dental caries continuesto be a common chronic disease in child
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hood; and mental health problems are seen in children as young as school age, not just in adolescents.
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DIF: Cognitive Level: Applying gi gi
TOP: Integrated Process: Teaching/LearningMSC: Client Needs: Health Promot
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ion and Maintenance
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5. The nurse is planning care for a hospitalized preschool-
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aged child. Which should the nurse plan toensure atraumatic care?
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a. Limit explanation of procedures because the child is preschool aged.
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b. Ask that all family members leave the room when performing procedures.
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c. Allow the child to choose the type of juice to drink with the administration of oralm
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edications.
d. Explain that EMLA cream cannot be used for the morning lab draw because therei
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s not time for it to be effective.
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ANS: C gi
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of
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juice to drink when taking oral medications provides the child with a sense of control. The preschoo
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lchild should be prepared before procedures, so limiting explanations of procedures would increase
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anxiety. The family should be allowed to stay with the child during procedures, minimizing stress.
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Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use theprescribe gi gi gi gi gi gi gi gi gi gi gi gi gi gi i
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d cream in time for morning laboratory draws to minimize pain.
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DIF: Cognitive Level: Applying gi gi
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promot
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ion and Maintenance
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6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
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a. The nurse is planning to read a favorite fairy tale to a patient.
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b. During shift report, the nurse is criticizing parents for not visiting their child.
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c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
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d. The nurse is working with a family to find ways to decrease the family‘sdependence
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on health care providers.
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, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ban
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k
ANS: B gi
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement
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with the parents. Reading a fairy tale is a therapeutic and age-
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appropriate action. Discussing feelingsof an emotional draw with a fellow nurse is therapeutic and sh
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ows a willingness to understand feelings. Working with parents to decrease dependence on health car
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e providers is therapeutic and helps to empower the family.
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DIF: Cognitive Level: Analyzing gi gi
TOP: Integrated Process: CaringMSC: Client Needs: Psychosocial I
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ntegrity
7. The nurse is aware that which age-
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group is at risk for childhood injury because of the cognitivecharacteristic of magical and egoc
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entric thinking? gi
a. Preschool
b. Young school age gi gi
c. Middle school age gi gi
d. Adolescent
ANS: A gi
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they
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are unable to comprehend danger to self or others. Young and middle school-
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aged children have transitional cognitive processes, and they may attempt dangerous acts without detai
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led planning but recognize danger to themselves or others. Adolescents have formal operational cogniti
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ve processes andare preoccupied with abstract thinking.
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DIF: Cognitive Level: Understanding gi gi
TOP: Nursing Process: AssessmentMSC: Client Needs: Safe and Effec
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tive Care Environment
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8. The school nurse is assessing children for risk factors related to childhood injuries. Which child has
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the most risk factors related to childhood injury?
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a. Female, multiple siblings, stable home life gi gi gi gi gi
b. Male, high activity level, stressful home life
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c. Male, even tempered, history of previous injuries
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d. Female, reacts negatively to new situations, no serious previous injuries
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ANS: B gi
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics,
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a high activity temperament is associated with risk-
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taking behaviors, and stress predisposes children toincreased risk taking and self-
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destructive behaviors. Therefore, a male child with a high activity level and living in a stressful enviro
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nment has the highest number of risk factors. A girl with several siblingsand a stable home life is low r
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isk. A boy with previous injuries has two risk factors, but an even temperis not a risk factor for injuries.
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A girl who reacts negatively to new situations but has no previous serious illnesses has only one risk f
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actor.
DIF: Cognitive Level: Analyzing gi gi
TOP: Nursing Process: AssessmentMSC: Client Needs: Safe and Effec
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tive Care Environment
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9. An adolescent patient wants to make decisions about treatment options, along with his parents. Whic
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hmoral value is the nurse displaying when supporting the adolescent to make decisions?
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a. Justice
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