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Chapter”1,”Introduction”to”Child”Health”and”Pediatric”Nursing
1. The”nurse”providing”family-
centered”care”in”a”hospital”setting”reflects”on”the”focus”of”the”health”care”provided”in”tod
ay’s”society.”Which”statement”best”describes”the”current”definition”of”health?
a. Health”is”described”as”“an”absence”of”disease.”
b. Health”is”measured”by”monitoring”mortality”and”morbidity”of”a”group.
c. Health”is”a”state”of”complete”physical,”mental,”and”social”well-being.
d. Technologic”gains”made”in”health”care”are”shared”equally”among”all”children.
ANS:” “ C
Feedback:
In”the”past,”health”was”defined”simply”as”the”absence”of”disease;”health”was”measured”by”m
onitoring”the”mortality”and”morbidity”of”a”group.”Over”the”past”century,”however,”the”focus”
of”health”has”shifted”to”disease”prevention,”health”promotion,”and”wellness.”The”World”Healt
h”Organization”(2018)”defines”health”as”“a”state”of”complete”physical,”mental,”and”social”we
ll-
being,”and”not”merely”the”absence”of”disease”or”infirmity.”“The”gains”in”child”health”have”be
en”huge,”but,”unfortunately,”these”gains”are”not”shared”equally”among”all”children.
PTS: 1 REF: p.”6,”Child”Health
NAT:” Client”Needs:”Safe”and”Effective”Care”Environment:”Management”of”Care”KE
Y:” Integrated”Process:”Teaching/Learning
BLM:” Cognitive”Level:”Understand NOT:” Multiple”Choice
2. The”student”nurse”is”learning”about”the”history”of”child”health”and”health”care”in”the”United
”States.”Which”statement”accurately”reflects”the”condition”of”health”care”in”the”past”and”cu
rrent”centuries?
a. In”past”centuries”in”the”United”States,”the”health”of”the”country”was”better”than”it”is
”today”due”to”the”simpler”style”of”living.
b. In”the”current”century,”mortality”rates”are”high,”but”life”expectancy”has”increased
”due”to”technologic”advances.
c. In”the”late”18th”and”early”19th”centuries,”urban”public”health”improvements”made
”cities”healthier”places”for”growing”children.
d. By”the”late”20th”century,”unintentional”injuries”rather”than”infectious”diseases”had
”become”the”leading”cause”of”death”for”children”older”than”1” year”old.
ANS:” “ D
Feedback:
In”past”centuries”in”the”United”States,”the”health”of”the”country”was”poorer”than”it”is”today;”
mortality”rates”were”high”and”life”expectancy”was”short.”Over”the”years,”the”health”of”childr
en”received”more”and”more”attention,”leading”to”a”better”understanding”of”sources”of”illness”
and”improvements”in”sanitation,”water,”and”nutrition.”As”a”result,”by”the”late”20th”century,”u
nintentional”injuries”rather”than”infectious”diseases”had”become”the”leading”cause”of”death”f
or”children”older”than”1”year”old.
PTS: 1 REF:
p.”6,”The”History”of”Child”Health”and”Child”Health”Care”NAT:” Client”Needs:
”Safe”and”Effective”Care”Environment:”Management”of”Care”KEY:” Integrated”Proce
ss:”Teaching/Learning
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BLM:” Cognitive”Level:”Understand NOT:” Multiple”Choice
3. The”nurse”is”administering”a”number”of”therapeutic”interventions”for”neonates,”infants,”and
”children”on”the”pediatric”unit.”Which”intervention”contributes”to”an”increase”in”chronic”ill
ness”seen”in”early”childhood?
a. Administering”antibiotics”to”prevent”lethal”infections
b. Vaccinating”children”to”prevent”childhood”diseases
c. Using”mechanical”ventilation”for”premature”infants
d. Using”corticosteroids”as”a”treatment”for”asthma
ANS:” “ C
Feedback:
Using”mechanical”ventilation”and”medications”to”foster”lung”development”in”premature”infa
nts”increases”their”survival”rate.”Yet”the”infants”who”survive”are”often”faced”with”myriad”chr
onic”illnesses.”Administering”antibiotics”to”prevent”lethal”infections,”vaccinating”children”to”
prevent”childhood”diseases,”and”using”corticosteroids”as”a”treatment”for”asthma”may”cause”si
de”effects,”but”do”not”contribute”to”chronic”illness”in”children.
PTS: 1 REF:
p.”6,”The”History”of”Child”Health”and”Child”Health”Care”NAT:” Client”Needs:
”Health”Promotion”and”Maintenance
KEY:” Integrated”Process:”Nursing”Process
BLM:” Cognitive”Level:”Apply NOT:” Multiple”Choice
4. The”nurse”is”reviewing”a”copy”of”the”U.S.”Surgeon”General’s”Report,”Healthy”People
.”Which”nursing”action”best”reflects”the”nurse”fostering”this”healthcare”agenda?
a. The”nurse”signs”up”for”classes”to”obtain”an”advanced”degree”in”nursing.
b. The”nurse”volunteers”at”a”local”healthcare”clinic”providing”free”vaccinations”for
”low-income”populations.
c. The”nurse”performs”an”in-service”on”basic”hospital”equipment”for”student”nurses.
d. The”nurse”compiles”nursing”articles”on”evidence-
based”practices”in”nursing”to”present”at”a”hospital”training”seminar.
ANS:” “ B
Feedback:
Healthy”People”is”a”comprehensive”health”promotion”and”disease”prevention”agenda”that”is”
working”toward”improving”the”quantity”and”quality”of”life”for”all”Americans”(U.S.”Departm
ent”of”Health”and”Human”Services,”2019).”Overarching”goals”are”obtain”healthy,”thriving”li
ves,”to”eliminate”preventable”disease,”disability,”injury,”and”premature”death;”achieve”health
”equity,”eliminate”disparities,”and”attain”health”literacy”to”improve”the”health”of”all”groups;”
create”physical,”economic”and”social”environments”that”promote”good”health;”and”well-
being”for”all;”promote”healthy”development”and”behaviors”across”every”stage”of”life;”and”en
gage”leadership,”the”public,”and”key”constituents”to”take”action”and”develop”policies”that”wi
ll”improve”the”health”and”well-
being”of”all.”Volunteering”at”a”local”healthcare”clinic”directly”reflects”the”goal”of”improving”
the”health”of”all”groups”of”people.”Signing”up”for”classes,”performing”in-
services”on”equipment,”and”compiling”nursing”articles”on”evidence-
based”practices”in”nursing”are”all”worthwhile”activities”that”foster”healthcare”delivery,”but”ar
e”not”as”directly”linked”to”the”agenda”of”promoting”health”in”the”community.
PTS: 1 REF:
p.”7,”Measurement”of”Children’s”Health”Status”NAT:” Client”Needs:”Safe”
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and”Effective”Care”Environment:”Management”of”Care
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