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NURS 461 Final Exam Detailed Questions And Expert Answers 2024
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NURS 461 Final Exam Detailed Questions And Expert Answers 2024
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NURS 461 Final Exam Detailed Questions AndExpert Answers 2024
Changes in health care for children - ANS Vaccination programs
-smallpox vaccine before starting school
Discovery of penicillin and corticosteroids
Leading causes of death - ANS unintentional injury
Under 1: suffocation
1-4 yrs: drowning
5-9 yrs: motor vehicle
10-14 yrs: motor vehicle
15-19 yrs: motor vehicle
heart rate - ANS infant: 80-150
toddler: 70-120
preschooler: 65-110
school-age: 60-100
adolescent: 55-95
,Assent - ANS The child's participation in the decision-making process about
healthcare
•Helps the child to understand his or her health condition as developmentally
appropriate for the child
•Informs the child of the treatment planned and discuss what he or she should
expect
•Make sure he or she is not being unduly influenced to make a decision one way
or another
•Ascertains the child's willingness to participate in the treatment or research
Child does not make the final decision
Emancipated minor - ANS Person who is not 18 but has the same legal rights as an
adult
can make his or her own health care decisions
mature minor - ANS An individual younger than 18 with the maturity to provide
informed consent for certain medical procedures
usually older than 14
,A physician must determine if the patient is mature and intelligent enough to
make the decisions for tx
pregnancy counseling, prenatal care, contraception, testing and tx for STIs,
substance abuse, and mental health - ANS Care that doesn't require parental
permission
religion and involve ethics
-this should help everyone come to an agreement, if not the courts can decide and
provide care w/o the parents consent - ANS If parents refuse for their child to
receive certain tx and care, the nurse needs to assess...
The nurse's responsibility for informed consent: - ANS •Determine whether
parent/legal guardian understands what they are signing
•Ask specific questions to assess parent/legal guardian's knowledge related to the
consent
•Clarify and resolve knowledge deficits
•Ensure the consent form is completed with signatures for parents or legal
guardians
•Serve as a witness to the consent process
•Children over the age of 8 years of age may be asked to sign an assent form
Physician's role in informed consent - ANS Educating family and the pediatric pt.
about the procedure as well as the risks and benefits
Obtain the consent
, authoritarian parenting - ANS Parent expects obedience from the child and
discourages the child from questioning the family's rules.
High control-low support (warmth)
Associated w/ negative self-esteem
authoritative parenting - ANS parent show some respect for the child's opinions
Parents still have the ultimate authority ad expect the child to adhere to the rules,
they allow children to be different and believe that each child is an individual
High direction/rules = high warmth
Promotes independence and self-confidence
Permissive (laissez-faire) parenting - ANS Parents have little control over the
behavior of their children
Inconsistent discipline and unclear expectations
Parents let their children determine their own standards
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