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  • October 13, 2024
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Wong's zNursing zCare zof zInfants zand zChildren z12th zEdition zby zHockenberry zTest zBank

,Chapter z01: zPerspectives zof zPediatric zNursing
Hockenberry: zWong’s zNursing zCare zof zInfants zand zChildren,
z12th z zEdition


MULTIPLE zCHOICE

1. What zis zthe zmajor zcause zof zdeath zfor zchildren zin zthe zUnited zStates?
a. Heart zdisease
b. Childhood zcancer
c. Injuries
d. Congenital zanomalies

ANS: z C
Unintentional zinjuries z(accidents) zare zthe zleading zcause zof zdeath zafter zage z1 zyear zthrough
zadolescence. zThe zleading zcause zof zdeath zfor zthose zyounger zthan z1 zyear zis zcongenital
zanomalies, zand zchildhood zcancers zand zheart zdisease zcause za zsignificantly zlower zpercentage zof
zdeaths zin zchildren zolder zthan z1 zyear zof zage.


DIF: Cognitive zLevel: zUnderstanding TOP: zNursing zProcess:
zPlanning zMSC: z Client zNeeds: zHealth zPromotion zand zMaintenance


2. Parents zof za zhospitalized ztoddler zask zthe znurse, z―What zis zmeant zby zfamily-centered zcare?‖
zThe znurse zshould zrespond zwith zwhich zstatement?
a. Family-centered zcare zreduces zthe zeffect zof zcultural zdiversity zon zthe zfamily.
b. Family-centered zcare zencourages zfamily zdependence zon zthe zhealth zcare
zsystem.
c. Family-centered zcare zrecognizes zthat zthe zfamily zis zthe zconstant zin za zchild‘s
zlife.
d. Family-centered zcare zavoids zexpecting zfamilies zto zbe zpart zof zthe zdecision-
making zprocess.
ANS: z C
The zthree zkey zcomponents zof zfamily-centered zcare zare zrespect, zcollaboration, zand zsupport.
zFamily- zcentered zcare zrecognizes zthe zfamily zas zthe zconstant zin zthe zchild‘s zlife. zThe zfamily
zshould zbe zenabled zand zempowered zto zwork zwith zthe zhealth zcare zsystem zand zis zexpected zto zbe
zpart zof zthe zdecision-making zprocess. zThe znurse zshould zalso zsupport zthe zfamily‘s zcultural
zdiversity, znot zreduce zits zeffect.


DIF: Cognitive zLevel: zApplying TOP: zNursing zProcess:
zImplementation zMSC: z Client zNeeds: zHealth zPromotion zand zMaintenance


3. Evidence-based zpractice z(EBP), za zdecision-making zmodel, zis zbest zdescribed zas zwhich?
a. Using zinformation zin ztextbooks zto zguide zcare
b. Combining zknowledge zwith zclinical zexperience zand zintuition
c. Using za zprofessional zcode zof zethics zas za zmeans zfor zdecision zmaking
d. Gathering zall zevidence zthat zapplies zto zthe zchild‘s zhealth zand zfamily
zsituation

ANS: z B
EBP zhelps zfocus zon zmeasurable zoutcomes; zthe zuse zof zdemonstrated, zeffective zinterventions; zand
zquestioning zthe zbest zapproach. zEBP zinvolves zdecision zmaking zbased zon zthe zintegration zof zthe
zbest zresearch zevidence zcombined zwith zclinical zexpertise zand zpatient zvalues.

,Wong's zNursing zCare zof zInfants zand zChildren z12th zEdition zby zHockenberry zTest
zBank




DIF: Cognitive zLevel: zRemembering TOP: zNursing zProcess:
zPlanning zMSC: z Client zNeeds: zSafe zand zEffective zCare zEnvironment


4. The znurse zis ztalking zto za zgroup zof zparents zof zschool-age zchildren zat zan zafter-school
zprogram zabout zchildhood zhealth zproblems. zWhich zstatement zshould zthe znurse zinclude zin
zthe zteaching?
a. Childhood zobesity zis zthe zmost zcommon znutritional zproblem zamong zchildren.
b. Immunization zrates zare zthe zsame zamong zchildren zof zdifferent zraces zand
zethnicity.
c. Dental zcaries zis znot za zproblem zcommonly zseen zin zchildren zsince zthe
zintroduction zof zfluorinated zwater.
d. Mental zhealth zproblems zare ztypically znot zseen zin zschool-age zchildren zbut zmay
zbe zdiagnosed zin zadolescents.

ANS: z A
When zteaching zparents zof zschool-age zchildren zabout zchildhood zhealth zproblems, zthe znurse
zshould zinclude zinformation zabout zchildhood zobesity zbecause zit zis zthe zmost zcommon zproblem
zamong zchildren zand zis zassociated zwith ztype z2 zdiabetes. zTeaching zparents zabout zways zto zprevent
zobesity zis zimportant zto zinclude. zImmunization zrates zdiffer zdepending zon zthe zchild‘s zrace zand
zethnicity; zdental zcaries zcontinues zto zbe za zcommon zchronic zdisease zin zchildhood; zand zmental
zhealth zproblems zare zseen zin zchildren zas zyoung zas zschool zage, znot zjust zin zadolescents.


DIF: Cognitive zLevel: zApplying TOP: zIntegrated zProcess:
zTeaching/Learning zMSC: z Client zNeeds: zHealth zPromotion zand zMaintenance


5. The znurse zis zplanning zcare zfor za zhospitalized zpreschool-aged zchild. zWhich zshould zthe znurse
zplan zto zensure zatraumatic zcare?
a. Limit zexplanation zof zprocedures zbecause zthe zchild zis zpreschool zaged.
b. Ask zthat zall zfamily zmembers zleave zthe zroom zwhen zperforming zprocedures.
c. Allow zthe zchild zto zchoose zthe ztype zof zjuice zto zdrink zwith zthe zadministration
zof zoral zmedications.
d. Explain zthat zEMLA zcream zcannot zbe zused zfor zthe zmorning zlab zdraw zbecause
zthere zis znot ztime zfor zit zto zbe zeffective.

ANS: z C
The zoverriding zgoal zin zproviding zatraumatic zcare zis zfirst, zdo zno zharm. zAllowing zthe zchild, za
zchoice zof zjuice zto zdrink zwhen ztaking zoral zmedications zprovides zthe zchild zwith za zsense zof
zcontrol. zThe zpreschool zchild zshould zbe zprepared zbefore zprocedures, zso zlimiting zexplanations zof
zprocedures zwould zincrease zanxiety. zThe zfamily zshould zbe zallowed zto zstay zwith zthe zchild zduring
zprocedures, zminimizing zstress.
Lidocaine/prilocaine z(EMLA) zcream zis za ztopical zlocal zanesthetic. zThe znurse zshould zplan zto zuse zthe
zprescribed zcream zin ztime zfor zmorning zlaboratory zdraws zto zminimize zpain.


DIF: Cognitive zLevel: zApplying TOP: zNursing zProcess:
zPlanning zMSC: z Client zNeeds: zHealth zPromotion zand zMaintenance


6. Which zsituation zdenotes za znontherapeutic znurse–patient–family zrelationship?
a. The znurse zis zplanning zto zread za zfavorite zfairy ztale zto za zpatient.
b. During zshift zreport, zthe znurse zis zcriticizing zparents zfor znot zvisiting ztheir zchild.
c. The znurse zis zdiscussing zwith za zfellow znurse zthe zemotional zdraw zto za zcertain
zpatient.
d. The znurse zis zworking zwith za zfamily zto zfind zways zto zdecrease zthe zfamily‘s
zdependence zon zhealth zcare zproviders.

, Wong's zNursing zCare zof zInfants zand zChildren z12th zEdition zby zHockenberry zTest
zBank




ANS: z B
Criticizing zparents zfor znot zvisiting zin zshift zreport zis znontherapeutic zand zshows zan zunder
zinvolvement zwith zthe zparents. zReading za zfairy ztale zis za ztherapeutic zand zage-appropriate zaction.
zDiscussing zfeelings zof zan zemotional zdraw zwith za zfellow znurse zis ztherapeutic zand zshows za
zwillingness zto zunderstand zfeelings. zWorking zwith zparents zto zdecrease zdependence zon zhealth
zcare zproviders zis ztherapeutic zand zhelps zto zempower zthe zfamily.


DIF: Cognitive zLevel: zAnalyzing TOP: zIntegrated zProcess:
zCaring zMSC: z Client zNeeds: zPsychosocial zIntegrity


7. The znurse zis zaware zthat zwhich zage-group zis zat zrisk zfor zchildhood zinjury zbecause zof zthe
zcognitive zcharacteristic zof zmagical zand zegocentric zthinking?
a. Preschool
b. Young zschool zage
c. Middle zschool
zage
d. Adolescent

ANS: z A
Preschool zchildren zhave zthe zcognitive zcharacteristic zof zmagical zand zegocentric zthinking, zmeaning
zthey zare zunable zto zcomprehend zdanger zto zself zor zothers. zYoung zand zmiddle zschool-aged
zchildren zhave ztransitional zcognitive zprocesses, zand zthey zmay zattempt zdangerous zacts zwithout
zdetailed zplanning zbut zrecognize zdanger zto zthemselves zor zothers. zAdolescents zhave zformal
zoperational zcognitive zprocesses zand zare zpreoccupied zwith zabstract zthinking.


DIF: Cognitive zLevel: zUnderstanding TOP: z Nursing zProcess:
zAssessment zMSC: z Client zNeeds: zSafe zand zEffective zCare zEnvironment


8. The zschool znurse zis zassessing zchildren zfor zrisk zfactors zrelated zto zchildhood zinjuries. zWhich
zchild zhas zthe zmost zrisk zfactors zrelated zto zchildhood zinjury?
a. Female, zmultiple zsiblings, zstable zhome zlife
b. Male, zhigh zactivity zlevel, zstressful zhome zlife
c. Male, zeven ztempered, zhistory zof zprevious zinjuries
d. Female, zreacts znegatively zto znew zsituations, zno zserious zprevious
zinjuries

ANS: z B
Boys zhave za zpreponderance zfor zinjuries zover zgirls zbecause zof za zdifference zin zbehavioral
zcharacteristics, za zhigh zactivity ztemperament zis zassociated zwith zrisk-taking zbehaviors, zand zstress
zpredisposes zchildren zto zincreased zrisk ztaking zand zself-destructive zbehaviors. zTherefore, za zmale
zchild zwith za zhigh zactivity zlevel zand zliving zin za zstressful zenvironment zhas zthe zhighest znumber zof
zrisk zfactors. zA zgirl zwith zseveral zsiblings zand za zstable zhome zlife zis zlow zrisk. zA zboy zwith
zprevious zinjuries zhas ztwo zrisk zfactors, zbut zan zeven ztemper zis znot za zrisk zfactor zfor zinjuries. zA
zgirl zwho zreacts znegatively zto znew zsituations zbut zhas zno zprevious zserious zillnesses zhas zonly zone
zrisk zfactor.


DIF: Cognitive zLevel: zAnalyzing TOP: z Nursing zProcess:
zAssessment zMSC: z Client zNeeds: zSafe zand zEffective zCare zEnvironment


9. An zadolescent zpatient zwants zto zmake zdecisions zabout ztreatment zoptions, zalong zwith zhis zparents.
zWhich zmoral zvalue zis zthe znurse zdisplaying zwhen zsupporting zthe zadolescent zto zmake zdecisions?
a. Justice

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