Test Bank - Pediatric Nursing: A Case -Based Approach,2nd Edition (Tagher, 2024), Chapter 1 -34 | All Chapters QUESTIONS AND ANSWERS The nurse is assigned to a child in a spica cast for a fractured femur suffered in an automobile accident. The childs teenage brother was d riving the car, which was totaled. The nurse learns that the father lost his job three weeks ago and the mother has just accepted a temporary waitress job. Which nursing diagnosis will the nurse use when planning care for this child and family? 1. Compromi sed Family Coping Related to the Effects of Multiple Simultaneous Stressors 2. Impaired Social Interaction (Parent and Child) Related to the Lack of Family or Respite Support 3. Interrupted Family Processes Related to Child with Significant Disability Requ iring Alteration in Family Functioning 4. Risk for Caregiver Role Strain Related to Child with a Newly Acquired Disability and the Associated Financial Burden - 1. Compromised Family Coping Related to the Effects of Multiple Simultaneous Stressors A nurse is working with the family of a pediatric client. When planning to obtain an accurate family assessment, which initial step is the most appropriate? 1. Establish a trusting relationship with the family. 2. Select the most relevant family -assessment tool. 3. Focus primarily upon the mother, while learning her greatest concern. 4. Observe the family in the home setting, since this step always proves indispensable. - 1. Establish a trusting relationship with the family. The camp nurse is assessing a group of children attending summer camp. The nurse will expect which children to most likely have problems perceiving a sense of belonging? 1. Children whose parents divorced recently 2. Children who gained a stepparent recently 3. Children recently placed into fo ster care 4. Children adopted as infants - 3. Children recently placed into foster care There are several tools that help with obtaining a cultural assessment of a client and his family. Which tool would be appropriate to gather 12 major concepts of cultu ral assessment? 1. Sunrise enabler 2. Model for cultural competence 3. Transcultural assessment model 4. Health traditions model - 2. Model for cultural competence Cultures have many different childrearing practices. Which culture is known to value the male child more than the female child, and often teaches children to avoid displaying emotion? 1. Mexican 2. Amish 3. Chinese 4. Navajo - 3. Chinese The nurse is planning care for a school -age client and family who have expressed wanting to use complementar y and alternative modalities (CAM) in the treatment plan. Which interventions can the nurse safely implement into the plan of care? Select all that apply. 1. Substituting an herbal remedy for a prescribed medication 2. Encouraging the parents to share whic h modalities they would like to implement 3. Educating on the benefits and risks for each modality 4. Using essential oils to decrease nausea 5. Discouraging the use of faith -based therapies - 2. Encouraging the parents to share which modalities they woul d like to implement 3. Educating on the benefits and risks for each modality 4. Using essential oils to decrease nausea While in the pediatricians office for their childs 12 -month well -child exam, the parents ask the nurse for advice on age -appropriate to ys for their child. Based on the child's developmental level, which types of toys would the nurse suggest? Select all that apply. 1. Soft toys that can be manipulated 2. Small toys that can pop apart and go back together 3. Jack -in-the-box toys 4. Toys wit h black and white patterns 5. Push -and-pull toys - 1. Soft toys that can be manipulated 3. Jack -in-the-box toys 5. Push -and-pull toys A mother of a school -age client who recently had surgery for the removal of tonsils and adenoids complains that the child has begun sucking his thumb again. Which coping mechanisms is the child using to cope with the surgery and hospitalization? 1. Repression 2. Rationalization 3. Regression 4. Fantasy - 3. Regression While being comforted in the emergency department, a you ng school -age sibling of a pediatric trauma victim blurts out to the nurse, Its all my fault! When we were fighting yesterday, I told him I wished he was dead! Which response is most appropriate by the nurse? 1. Asking the child if she would like to sit do wn and drink some water 2. Sitting the child down in an empty room with markers and paper so that she can draw a picture 3. Calmly discussing the catheters, tubes, and equipment that the patient requires and explaining to the sibling why the patient needs them 4. Reassuring the child that it is normal to get angry and say things that we do not mean but that we have no control over whether or not an accident happens - 4. Reassuring the child that it is normal to get angry and say things that we do not mean b ut that we have no control over whether or not an accident happens While assessing the development of a 9 -month -old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. Which developmental task is the n urse assessing this infant for? 1. Object permanence 2. Centration 3. Transductive reasoning 4. Conservation - 1. Object permanence The nurse is counseling the parents of a 6 -1/2-month -old infant. Which age -appropriate toy is most appropriate for the nurs e to suggest to these parents? 1. Soft, fluid -filled ring that can be chilled in the refrigerator 2. Colorful rattle 3. Jack -in-the-box toy 4. Push -and-pull toy - 1. Soft, fluid -filled ring that can be chilled in the refrigerator A nurse is assessing lang uage development in all the infants presenting at the doctors office for well -child visits. At which age range would the nurse expect a child to verbalize the words dada and mama? 1. 3 and 5 months 2. 6 and 8 months 3. 9 and 12 months 4. 13 and 18 months - 3. 9 and 12 months 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 - 4. Researcher A nurse is working with pediatric clien ts in a research facility. The nurse recognizes that federal guidelines are in place that delineate which pediatrics clients must give assent
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