,Chapter 1, Introduction to Child Health and Pediatric Nursing
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1. The nurse providing family-centered care in a hospital setting reflects on the focus of
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the health care provided in today’s society. Which statement best describes the
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j current definition of health? j j j
a. Health is described as “an absence of disease.”j j j j j j j
b. Health is measured by monitoring mortality and morbidity of a group.
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c. Health is a state of complete physical, mental, and social well-being.
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d. Technologic gains made in health care are shared equally among all children. j j j j j j j j j j j
ANS: C j j
Feedback:
In the past, health was defined simply as the absence of disease; health was measured by
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j monitoring the mortality and morbidity of a group. Over the past century, however, the
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j focus of health has shifted to disease prevention, health promotion, and wellness. The
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World Health Organization (2018) defines health as “a state of complete physical,
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j mental, and social well-being, and not merely the absence of disease or infirmity.” The
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j gains in child health have been huge, but, unfortunately, these gains are not shared
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j equally among all children. j j j
PTS: 1 REF: p. 6, Child Health
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NAT: Client Needs: Safe and Effective Care Environment: Management of Care
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j KEY: Integrated Process: Teaching/Learning
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BLM: Cognitive Level: Understand
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2. The student nurse is learning about the history of child health and health care in the
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,United States. Which statement accurately reflects the condition of health care in the
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j past and current centuries?
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a. In past centuries in the United States, the health of the country was better than
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it is today due to the simpler style of living.
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b. In the current century, mortality rates are high, but life expectancy has
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increased due to technologic advances.
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c. In the late 18th and early 19th centuries, urban public health improvements
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made cities healthier places for growing children.
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d. By the late 20th century, unintentional injuries rather than infectious diseases
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had become the leading cause of death for children older than 1 year old.
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ANS: D j j
Feedback:
In past centuries in the United States, the health of the country was poorer than it is
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j today; mortality rates were high and life expectancy was short. Over the years, the
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j health of children received more and more attention, leading to a better understanding
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j of sources of illness and improvements in sanitation, water, and nutrition. As a result, by
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j the late 20th century, unintentional injuries rather than infectious diseases had become
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the leading cause of death for children older than 1 year old.
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PTS: 1 REF: p. 6, The History of Child Health and Child Health Care
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j NAT: Client Needs: Safe and Effective Care Environment: Management of Care
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j KEY: Integrated Process: Teaching/Learning
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, BLM: Cognitive Level: Understand
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3. The nurse is administering a number of therapeutic interventions for neonates, infants,
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and children on the pediatric unit. Which intervention contributes to an increase in
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j chronic illness seen in early childhood?
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a. Administering antibiotics to prevent lethal infections j j j j j
b. Vaccinating children to prevent childhood diseases j j j j j
c. Using mechanical ventilation for premature infants
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d. Using corticosteroids as a treatment for asthma
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ANS: C j j
Feedback:
Using mechanical ventilation and medications to foster lung development in premature
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j infants increases their survival rate. Yet the infants who survive are often faced with
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j myriad chronic illnesses. Administering antibiotics to prevent lethal infections,
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j vaccinating children to prevent childhood diseases, and using corticosteroids as a
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treatment for asthma may cause side effects, but do not contribute to chronic illness in
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j children.
PTS: 1 REF: p. 6, The History of Child Health and Child Health Care
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j NAT: Client Needs: Health Promotion and Maintenance
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KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Apply
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4. The nurse is reviewing a copy of the U.S. Surgeon General’s Report, Healthy People.
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j Which nursing action best reflects the nurse fostering this healthcare agenda?
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