,Principles of Pediatric Nursing: Caring for Children, 7e (Ball et al.)
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Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home
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1) Whichnursingroleis not directlyinvolvedwhenprovidingfamily-centered approachtothe
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pediatric population?
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1. Advocacy
2. Case management r
3. Patient education r
4. Researcher
Answer: 4
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Explanation: 1.Aresearcher is not involved inthefamily-centered approach topatient careof
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children and their families. Advocacy, case management, and patient education are all
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roles directly involved in the care of children and their families.
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2. A researcher is not involved in the family-centered approach to patient care of children
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andtheirfamilies.Advocacy, casemanagement, and patienteducationareallrolesdirectlyinvolved
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in the care of children and their families.
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3. A researcher is not involved in the family-centered approach to patient care of children
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andtheirfamilies.Advocacy, casemanagement, and patienteducationareallrolesdirectlyinvolved
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in the care of children and their families.
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4. A researcher is not involved in the family-centered approach to patient care of children
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andtheirfamilies.Advocacy, casemanagement, and patienteducationareallrolesdirectlyinvolved
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in the care of children and their families.
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PageRef: 4 r r
CognitiveLevel: Analyzing r r
Client Need &Sub: Safe and Effective Care Environment: Management of Care
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Standards: QSENCompetencies:Patient-centered care |AACNEssential Competencies:
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EssentialII:Basicorganizational andsystemsleadership forqualitycareand patientsafety | NLN
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Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
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Assessment/Coordination of care
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LearningOutcome: LO1.2Comparetherolesofnursesinchildhealthcare.MNL
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LO: Family-centered care
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,2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
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federal guidelines are in place that delineate which pediatrics clients must give assent
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for participationinresearch trials. Based upon the client's age, thenursewould seek assent from
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which children?
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Select all that apply.
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1. Theprecocious 4-year-old commencing as a cystic fibrosis research-study participant.
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2. The7-year-oldleukemiaclientelectingtoreceiveanewlydevelopedmedication,nowbeing
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researched.
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3. The10-year-old commencing in an investigative study for clients with precocious puberty.
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4. The13-year-oldclient commencingparticipation inaresearchprogram forAttentionDeficit
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Hyperactivity Disorder (ADHD) treatments.
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Answer: 2, 3, 4 r r r
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older
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must receive developmentally appropriate information about healthcare procedures and
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treatments andgive assent.
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2. Federal guidelines mandate that research participants 7 years old and older must
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receive developmentallyappropriateinformationabouthealthcareprocedures andtreatments
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andgiveassent.
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3. Federal guidelines mandate that research participants 7 years old and older must
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receive developmentallyappropriateinformationabouthealthcareprocedures andtreatments
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andgiveassent.
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4. Federal guidelines mandate that research participants 7 years old and older must
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receive developmentallyappropriateinformationabouthealthcareprocedures andtreatments
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andgiveassent.
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PageRef: 11, 12
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Cognitive Level: Applying r r
ClientNeed &Sub: Psychosocial Integrity
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Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
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Essential V: Healthcare policy, finance, and regulatory environments | NLN
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Competencies: Nursingjudgement|Nursing/IntegratedConcepts:NursingProcess:
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Planning/Coordinationofcare
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LearningOutcome: LO 1.6 Examinethreeuniquepediatric legal and ethical issues in pediatric
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nursing practice.
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MNLLO: Developmentally appropriate care
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, 3) Thenursein a pediatric acute care unit is assigned the following tasks. Which task is not
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appropriate forthe nurse to complete? r r r r r
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
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2. Listentotheconcerns of an adolescent about being out ofschool foralengthy surgical
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recovery.
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3. Provideinformation to a mother ofanewly diagnosed 4-year-old diabetic about local support-
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group options.
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4. Diagnosea6-year-old withDiversional ActivityDeficitrelatedtoplacementinisolation.
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Answer: 1
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Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing
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nursing care interventions, and educating client and family at developmentally appropriate levels;client
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advocacy,casemanagement,minimizationofdistress,and enhancementofcoping.
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Advancedpracticenursepractitionersperformassessment,diagnosis,andmanagementofhealth
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conditions.
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2. Theroleofthepediatricnurseincludes providing nursing assessment, directing nursing care
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rinterventions, and educating client and family at developmentally appropriate levels;
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rclient advocacy, case management, minimization of distress, and enhancement of coping.
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Advancedpractice nurse practitioners perform assessment, diagnosis, and management of
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rhealth conditions. r
3. Theroleofthepediatricnurseincludes providing nursing assessment, directing nursing care
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rinterventions, and educating client and family at developmentally appropriate levels;
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rclient advocacy, case management, minimization of distress, and enhancement of coping.
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Advancedpractice nurse practitioners perform assessment, diagnosis, and management of
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rhealth conditions. r
4. Theroleofthepediatricnurseincludes providing nursing assessment, directing nursing care
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rinterventions, and educating client and family at developmentally appropriate levels;
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rclient advocacy, case management, minimization of distress, and enhancement of coping.
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Advancedpractice nurse practitioners perform assessment, diagnosis, and management of
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rhealth conditions. r
PageRef: 2-4
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Cognitive Level: Applying r r
Client Need &Sub: Safe and Effective Care Environment: Management of Care
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rStandards: QSENCompetencies:Patient-centered care |AACNEssential Competencies:
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EssentialII:Basicorganizational andsystemsleadership forqualitycareand patientsafety | NLN
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Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
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rImplementation/Coordination of care r r
LearningOutcome: LO1.2Comparetherolesofnursesinchildhealthcare.MNL
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LO: Pediatric nursing care
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