TEST BANK Wong's Essentials of Pediatric Nursing 11th Edition by Marilyn J. Hockenberry

The nurse would include which associated risk when planning a teaching session about childhood obesity? a. Type I diabetes b. Respiratory disease c. Celiac disease d. Type II diabetes

Antwoord: ANS: D

Which second-leading cause of death topic would the nurse emphasize to a group of boys ranging in age from 15 to 19 years? a. Suicide b. Cancer c. Homicide d. Occupational injuries

Antwoord: ANS: C Firearm homicide is the second overall cause of death in this age group and the leading cause of death in African-American males. Suicide is the third-leading cause of death in this population. Cancer, although a major health problem, is the fourth-leading cause of death in this age group. Occupational injuries do not contribute to a significant death rate for this age group. DIF: Cognitive Level: Understand TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance

Which is the major cause of death for children older than 1 year? a. Cancer b. Heart disease c. Unintentional injuries d. Congenital anomalies

Antwoord: ANS: C Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. Congenital anomalies are the leading cause of death in those younger than 1 year. Cancer ranks either second or fourth, depending on the age group, and heart disease ranks fifth in the majority of the age groups.

Which factor most impacts the type of injury a child is susceptible to, according to the child’s age? Physical health of the child Developmental level of the child Educational level of the child oo Number of responsible adults in the home

Antwoord: ANS: B The child’s developmental stage determines the type of injury that is likely to occur. The child’s physical health may facilitate the child’s recovery from an injury but does not impact the type of injury. Educational level is related to developmental level, but it is not as important as the child’s developmental level in determining the type of injury. The number of responsible adults in the home may affect the number of unintentional injuries, but the type of injury is related to the child’s developmental stage.

A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering? a. Taking over total care of the child to reduce stress on the family b. Encouraging family dependence on health care systems c. Recognizing that the family is the constant in a child’s life d. Excluding families from the decision-making process

Antwoord: ANS: C The three key components of family-centered care are respect, collaboration, and support. Family-centered care recognizes the family as the constant in the child’s life. Taking over total care does not include the family in the process and may increase stress instead of reducing stress. The family should be enabled and empowered to work with the health care system. The family is expected to be part of the decision-making process.