MSC: Client Needs: Health Promotion and Maintenance
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2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-centered care?‖ The
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qq nurse should respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family. qq qq qq qq qq qq qq qq qq qq
b. Family-centered care encourages family dependence on the health care system. qq qq qq qq qq qq qq qq qq
c. Family-centered care recognizes that the family is the constant in a child‘s life. qq qq qq qq qq qq qq qq qq qq qq qq
d. Family-centered care avoids expecting families to be part of the decision-making qq qq qq qq qq qq qq qq qq qq
process.
qq
ANS: C qq
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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making process. The nurse should also support the family‘s cultural diversity, not reduce its effect.
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MSC: Client Needs: Health Promotion and Maintenance
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5. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan
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to ensure 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
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oral medications.
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d. Explain that EMLA cream cannot be used for the morning lab draw because there
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is not time for it to be effective.
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ANS: C qq
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 preschool
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child 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 the qq qq qq qq qq qq qq qq qq qq qq qq qq qq
prescribed cream in time for morning laboratory draws to minimize pain.
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Assessment MSC: Client Needs: Safe and Effective Care Environment
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8. The school nurse is assessing children for risk factors related to childhood injuries. Which child
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has the most risk factors related to childhood injury?
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a. Female, multiple siblings, stable home life qq qq qq qq qq
b. Male, high activity level, stressful home life qq qq qq qq qq qq
c. Male, even tempered, history of previous injuries
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d. Female, reacts negatively to new situations, no serious previousqq qq qq qq qq qq qq qq
injuries qq
ANS: B qq
Boys have a preponderance for injuries over girls because of a difference in behavioral
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characteristics, a high activity temperament is associated with risk-taking behaviors, and stress
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predisposes children to increased risk taking and self-destructive behaviors. Therefore, a male child
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with a high activity level and living in a stressful environment has the highest number of risk factors.
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A girl with several siblings and a stable home life is low risk. A boy with previous injuries has two
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risk factors, but an even temper is not a risk factor for injuries. A girl who reacts negatively to new
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situations but has no previous serious illnesses has only one risk factor.
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Assessment MSC: Client Needs: Safe and Effective Care Environment
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9. An adolescent patient wants to make decisions about treatment options, along with his parents.
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Which moral value is the nurse displaying when supporting the adolescent to make decisions?
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a. Justice
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