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,CHAPTER 01: PERSPECTIVES OF PEDIATRIC NURSING
HOCKENBERRY: WONG’S ESSENTIALS OF PEDIATRIC NURSING, 10TH
EDITION
Multiple Choice
1. A Nurse Is Planning A Teaching Session For Parents Of Preschool Children. Which
Statement Explains Why The Nurse Should Include Information About Morbidity And
Mortality?
a. Life Span Statistics Are Included In The Data.
b. It Explains Effectiveness Of Treatment.
c. Cost-Effective Treatment Is Detailed For The General Population.
d. High-Risk Age Groups For Certain Disorders Or Hazards Are Identified.
Ans: D
Analysis Of Morbidity And Mortality Data Provides The Parents With Information About
Which Groups Of Individuals Are At Risk For Which Health Problems. Life Span Statistics Is
A Part Of The Mortality Data. Treatment Modalities And Cost Are Not Included In Morbidity
And Mortality Data.
Dif: Cognitive Level: Apply Ref: P. 11
Top: Integrated Process: Nursing Process: Planning
Msc: Area Of Client Needs: Health Promotion And Maintenance
2. A Clinic Nurse Is Planning A Teaching Session About Childhood Obesity Prevention For
Parents Of School-Age Children. The Nurse Should Include Which Associated Risk Of
Obesity In The Teaching Plan?
a. Type I Diabetes
b. Respiratory
Disease
c. Celiac Disease
d. Type Ii Diabetes
Ans: D
Childhood Obesity Has Been Associated With The Rise Of Type Ii Diabetes In Children.
Type I Diabetes Is Not Associated With Obesity And Has A Genetic Component. Respiratory
Disease Is Not Associated With Obesity, And Celiac Disease Is The Inability To Metabolize
Gluten In Foods And Is Not Associated With Obesity.
Dif: Cognitive Level: Apply Ref: P. 2
Top: Integrated Process: Nursing Process: Planning
Msc: Area Of Client Needs: Health Promotion And Maintenance
3. Which Is The Leading Cause Of Death In Infants Younger Than 1 Year?
a. Congenital Anomalies
b. Sudden Infant Death Syndrome
c. Respiratory Distress Syndrome
d. Bacterial Sepsis Of The Newborn
Ans: A
Congenital Anomalies Account For 20.1% Of Deaths In Infants Younger Than 1 Year.
Sudden Infant Death Syndrome Accounts For 8.2% Of Deaths In This Age Group.
Respiratory Distress Syndrome Accounts For 3.4% Of Deaths In This Age Group. Infections
Specific To The Perinatal Period Account For 2.7% Of Deaths In This Age Group.
, Dif: Cognitive Level: Remember Ref: P. 6
Top: Integrated Process: Nursing Process: Assessment
Msc: Area Of Client Needs: Health Promotion And Maintenance
4. Which Leading Cause Of Death Topic Should The Nurse Emphasize To A
Group Of African-American Boys Ranging In Age From 15 To 19 Years?
a. Suicide
b. Cancer
c. Firearm Homicide
d. Occupational Injuries
Ans: C
Firearm Homicide Is The Second Overall Cause Of Death In This Age Group And The
Leading Cause Of Death In African-American Males. Suicide Is The Third-Leading Cause Of
Death In This Population. Cancer, Although A Major Health Problem, Is The Fourth-Leading
Cause Of Death In This Age Group. Occupational Injuries Do Not Contribute To A
Significant Death Rate For This Age Group.
Dif: Cognitive Level: Understand Ref: P. 7
Top: Integrated Process: Nursing Process: Planning
Msc: Area Of Client Needs: Health Promotion And Maintenance
5. Which Is The Major Cause Of Death For Children Older Than 1 Year?
a. Cancer
b. Heart Disease
c. Unintentional Injuries
d. Congenital Anomalies
Ans: C
Unintentional Injuries (Accidents) Are The Leading Cause Of Death After Age 1 Year
Through Adolescence. Congenital Anomalies Are The Leading Cause Of Death In Those
Younger Than 1 Year. Cancer Ranks Either Second Or Fourth, Depending On The Age
Group, And Heart Disease Ranks Fifth In The Majority Of The Age Groups.
Dif: Cognitive Level: Remember Ref: P. 7
Top: Integrated Process: Nursing Process: Planning
Msc: Area Of Client Needs: Health Promotion And Maintenance
6. Which Is The Leading Cause Of Death From Unintentional Injuries For Females Ranging
In Age From 1 To 14?
a. Mechanical Suffocation
b. Drowning
c. Motor Vehicle–Related Fatalities
d. Fire- And Burn-Related Fatalities
Ans: C
Motor Vehicle–Related Fatalities Are The Leading Cause Of Death For Females Ranging In
Age From 1 To 14, Either As Passengers Or As Pedestrians. Mechanical Suffocation Is
Fourth Or Fifth, Depending On The Age. Drowning Is The Second- Or Third-Leading Cause
Of Death, Depending On The Age. Fire- And Burn-Related Fatalities Are The Second-
Leading Cause Of Death.
Dif: Cognitive Level: Remember Ref: P. 3
, Top: Integrated Process: Nursing Process: Assessment
Msc: Area Of Client Needs: Health Promotion And Maintenance
7. Which Factor Most Impacts The Type Of Injury A Child Is Susceptible To, According To
The Child’s Age?
a. Physical Health Of The Child
b. Developmental Level Of The Child
c. Educational Level Of The Child
d. Number Of Responsible Adults In The Home
Ans: B
The Child’s Developmental Stage Determines The Type Of Injury That Is Likely To Occur.
The Child’s Physical Health May Facilitate The Child’s Recovery From An Injury But Does
Not Impact The Type Of Injury. Educational Level Is Related To Developmental Level, But
It Is Not As Important As The Child’s Developmental Level In Determining The Type Of
Injury. The Number Of Responsible Adults In The Home May Affect The Number Of
Unintentional Injuries, But The Type Of Injury Is Related To The Child’s Developmental
Stage.
Dif: Cognitive Level: Understand Ref: P. 3
Top: Integrated Process: Nursing Process: Planning
Msc: Area Of Client Needs: Health Promotion And Maintenance
8. Which Is Now Referred To As The “New Morbidity”?
a. Limitations In The Major Activities Of Daily Living
b. Unintentional Injuries That Cause Chronic Health Problems
c. Discoveries Of New Therapies To Treat Health Problems
d. Behavioral, Social, And Educational Problems That Alter Health
Nursingdoc.Com
Ans: D
The New Morbidity Reflects The Behavioral, Social, And Educational Problems That Interfere
With The Child’s Social And Academic Development. It Is Currently Estimated That The
Incidence Of These Issues Is From 5% To 30%. Limitations In Major Activities Of Daily
Living And Unintentional Injuries That Result In Chronic Health Problems Are Included In
Morbidity Data.
Discovery Of New Therapies Would Be Reflected In Changes In Morbidity Data Over Time.
Dif: Cognitive Level: Remember Ref: P. 2
Top: Integrated Process: Nursing Process: Assessment
Msc: Area Of Client Needs: Health Promotion And Maintenance
9. A Nurse On A Pediatric Unit Is Practicing Family-Centered Care. Which Is Most Descriptive
Of The Care The Nurse Is Delivering?
a. Taking Over Total Care Of The Child To Reduce Stress On The Family
b. Encouraging Family Dependence On Health Care Systems
c. Recognizing That The Family Is The Constant In A Child’s Life
d. Excluding Families From The Decision-Making Process
Ans: 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. Taking Over Total Care Does Not Include The Family In The Process And May
Increase Stress Instead Of Reducing Stress. The Family Should Be Enabled And
Empowered To Work With The Health Care System. The Family Is Expected To Be Part
Of The Decision-Making Process.
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