Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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MULTIPLE CHOICE v
1. What is the major cause of death for children in the United States?
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a. Heart disease w
b. Childhood cancer w
c. Injuries
d. Congenital anomalies w
ANS: C w
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
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adolescence. The leading cause of death for those younger than 1 year is congenital anomalies, and
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childhood cancers and heart disease cause a significantly lower percentage of deaths in children
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older than 1 year of age.
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DIF: Cognitive Level: Understanding TOP: Nursing Process: w w w w
PlanningMSC: Client Needs: Health Promotion and Maintenance
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2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The
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nurseshould respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family. w w w w w w w w w w
b. Family-centered care encourages family dependence on the health care system. w w w w w w w w w
c. Family-centered care recognizes that the family is the constant in a child’s life.
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d. Family-centered care avoids expecting families to be part of the decision- w w w w w w w w w w
makingprocess. w
ANS: C w
The three key components of family-centered care are respect, collaboration, and support. Family-
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centered care recognizes the family as the constant in the child’s life. The family should be
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enabledand empowered to work with the health care system and is expected to be part of the
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decision- makingprocess. The nurse should also support the family’s cultural diversity, not reduce
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its effect.
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DIF: Cognitive Level: Applying TOP: Nursing Process: w w w w
ImplementationMSC: Client Needs: Health Promotion and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which?
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a. Using information in textbooks to guide care
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b. Combining knowledge with clinical experience and intuition
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c. Using a professional code of ethics as a means for decision making
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d. Gathering all evidence that applies to the child’s health and family situation
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ANS: B w
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and
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questioning the best approach. EBP involves decision making based on the integration of the best
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research evidence combined with clinical expertise and patient values.
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,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test
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Bank
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DIF: Cognitive Level: Remembering TOP: Nursing Process: w w w w
PlanningMSC: Client Needs: Safe and Effective Care Environment
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4. The nurse is talking to a group of parents of school-age children at an after-school program
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aboutchildhood health problems. Which statement should the nurse include in the teaching?
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a. Childhood obesity is the most common nutritional problem among children.
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b. Immunization rates are the same among children of different races and ethnicity.
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c. Dental caries is not a problem commonly seen in children since the introduction
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offluorinated water.
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d. Mental health problems are typically not seen in school-age children but may
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bediagnosed in adolescents.
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ANS: A w
When teaching parents of school-age children about childhood health problems, the nurse should
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include information about childhood obesity because it is the most common problem among
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children and is associated with type 2 diabetes. Teaching parents about ways to prevent obesity is
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important toinclude. Immunization rates differ depending on the child’s race and ethnicity; dental
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caries continuesto be a common chronic disease in childhood; and mental health problems are seen
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in children as young as school age, not just in adolescents.
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DIF: Cognitive Level: Applying TOP: Integrated Process: w w w w
wTeaching/LearningMSC: Client Needs: Health Promotion and w w w w w
wMaintenance
5. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan
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toensure atraumatic care?
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a. Limit explanation of procedures because the child is preschool aged.
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b. Ask that all family members leave the room when performing procedures.
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c. Allow the child to choose the type of juice to drink with the administration of
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oralmedications.
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d. Explain that EMLA cream cannot be used for the morning lab draw because
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therei s not time for it to be effective.
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ANS: C w
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice
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ofjuice to drink when taking oral medications provides the child with a sense of control. The
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preschoolchild should be prepared before procedures, so limiting explanations of procedures
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would increase anxiety. The family should be allowed to stay with the child during procedures,
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minimizing stress.
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Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the
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prescribed cream in time for morning laboratory draws to minimize pain.
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DIF: Cognitive Level: Applying TOP: Nursing Process: w w w w
PlanningMSC: Client Needs: Health Promotion and Maintenance
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6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
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a. The nurse is planning to read a favorite fairy tale to a patient.
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b. During shift report, the nurse is criticizing parents for not visiting their child.
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c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
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d. The nurse is working with a family to find ways to decrease the
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w family’sdependenceon health care providers. w w w w
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test
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Bank
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ANS: B w
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under
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involvement with the parents. Reading a fairy tale is a therapeutic and age-appropriate action.
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Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a
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willingness to understand feelings. Working with parents to decrease dependence on health care
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providers is therapeutic and helps to empower the family.
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DIF: Cognitive Level: Analyzing TOP: Integrated Process:
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CaringMSC: Client Needs: Psychosocial Integrity
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7. The nurse is aware that which age-group is at risk for childhood injury because of the
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cognitivecharacteristic of magical and egocentric thinking?
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a. Preschool
b. Young school age w w
c. Middle school age w w
d. Adolescent
ANS: A w
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning
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they are unable to comprehend danger to self or others. Young and middle school-aged children
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have transitional cognitive processes, and they may attempt dangerous acts without detailed
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planning but recognize danger to themselves or others. Adolescents have formal operational
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cognitive processes and are preoccupied with abstract thinking.
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DIF: Cognitive Level: Understanding TOP: Nursing Process:w w w w
AssessmentMSC: Client Needs: Safe and Effective Care Environment w w w w w w w
8. The school nurse is assessing children for risk factors related to childhood injuries. Which child
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hasthe most risk factors related to childhood injury?
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a. Female, multiple siblings, stable home life
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b. Male, high activity level, stressful home life
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c. Male, even tempered, history of previous injuries
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d. Female, reacts negatively to new situations, no serious previous injuries
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ANS: B w
Boys have a preponderance for injuries over girls because of a difference in behavioral
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characteristics, a high activity temperament is associated with risk-taking behaviors, and stress
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predisposes children toincreased risk taking and self-destructive behaviors. Therefore, a male child
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with a high activity level and living in a stressful environment has the highest number of risk
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factors. A girl with several siblingsand a stable home life is low risk. A boy with previous injuries
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has two risk factors, but an eventemperis not a risk factor for injuries. A girl who reacts negatively
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to new situations but has no previous serious illnesses has only one risk factor.
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DIF: Cognitive Level: Analyzing TOP: Nursing Process:
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AssessmentMSC: Client Needs: Safe and Effective Care Environment w w w w w w w
9. An adolescent patient wants to make decisions about treatment options, along with his parents.
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w Whichmoral value is the nurse displaying when supporting the adolescent to make decisions?
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a. Justice
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