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CHAPTER 1 NURSE'S ROLE IN CARE OF THE CHILD: HOSPITAL,
COMMUNITY, AND HOME
1) Which nursing role is not directly involved when providing family-centered approach to
the pediatric population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher
Answer: 4
Explanation: 1. A researcher is not involved in the family-centered approach to patient care of
children and their families. Advocacy, case management, and patient education are all roles
directly involved in the care of children and their families.
2. A researcher is not involved in the family-centered approach to patient care of children and
their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
3. A researcher is not involved in the family-centered approach to patient care of children and
their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
4. A researcher is not involved in the family-centered approach to patient care of children and
their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
Page Ref: 4
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Assessment/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Family-centered care
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2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
federal guidelines are in place that delineate which pediatrics clients must give assent for
participation in research trials. Based upon the client's age, the nurse would seek assent
from which children?
Select all that apply.
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now
being researched.
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
4. The 13-year-old client commencing participation in a research program for Attention
Deficit Hyperactivity Disorder (ADHD) treatments.
Answer: 2, 3, 4
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
receive developmentally appropriate information about healthcare procedures and treatments and
give assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and
give assent.
3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and
give assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and
give assent.
Page Ref: 11, 12
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential V: Healthcare policy, finance, and regulatory environments | NLN Competencies:
Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of
care
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
nursing practice.
MNL LO: Developmentally appropriate care
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3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
appropriate for the nurse to complete?
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
2. Listen to the concerns of an adolescent about being out of school for a lengthy
surgical recovery.
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local
support- group options.
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation.
Answer: 1
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing
nursing care interventions, and educating client and family at developmentally appropriate
levels; client advocacy, case management, minimization of distress, and enhancement of coping.
Advanced practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels;
client advocacy, case management, minimization of distress, and enhancement of coping.
Advanced practice nurse practitioners perform assessment, diagnosis, and management of
health conditions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels;
client advocacy, case management, minimization of distress, and enhancement of coping.
Advanced practice nurse practitioners perform assessment, diagnosis, and management of
health conditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels;
client advocacy, case management, minimization of distress, and enhancement of coping.
Advanced practice nurse practitioners perform assessment, diagnosis, and management of
health conditions.
Page Ref: 2-4
Cognitive Level: Applying
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Implementation/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Pediatric nursing care
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