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Pediatric Nursing test banks chapter 13
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Pediatric Nursing test banks chapter 13
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1 Copyright © 201 7 Pearson Education, Inc. Principles of Pediatric Nursing: Caring for Children , 7e (Ball et al.) Chapter 13 The Child with a Life -Threatening Condition and End -of-Life Care 1) The parents of a toddler -age child who sustained severe head trauma from falling out a second -story win dow are arguing in the pediatric intensive -care unit (PICU) and blaming each other for the child's accident. Which nursing diagnosis is most appropriate for this family? 1. Parental Role Conflict Related to Protecting the Child 2. Hopelessness Related to the Child's Deteriorating Condition 3. Anxiety Related to the Critical -Care -Unit Environment 4. Family Coping: Compromised, Related to the Child's Critical Injury Answer: 4 Explanation: 1. The parents are displaying ineffective coping behaviors as a fami ly. Parental role conflict does not refer to the parents' argument in the PICU, but means a parent is conflicted or confused about some aspect of the parental role. Each parent may be experiencing hopelessness, frustration, and anxiety, but they are not co ping well as a family unit. 2. The parents are displaying ineffective coping behaviors as a family. Parental role conflict does not refer to the parents' argument in the PICU, but means a parent is conflicted or confused about some aspect of the parental r ole. Each parent may be experiencing hopelessness, frustration, and anxiety, but they are not coping well as a family unit. 3. The parents are displaying ineffective coping behaviors as a family. Parental role conflict does not refer to the parents' argume nt in the PICU, but means a parent is conflicted or confused about some aspect of the parental role. Each parent may be experiencing hopelessness, frustration, and anxiety, but they are not coping well as a family unit. 4. The parents are displaying ineffe ctive coping behaviors as a family. Parental role conflict does not refer to the parents' argument in the PICU, but means a parent is conflicted or confused about some aspect of the parental role. Each parent may be experiencing hopelessness, frustration, and anxiety, but they are not coping well as a family unit. Page Ref: 266 Cognitive Level: Analyzing Client Need &Sub: Psychosocial Integrity Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Diagnosis/Coordination of care Learning Outcome: LO 13.3 Identify the coping mechanisms used by the child and family in response to stress. MNL LO: Examine health promotion, stress reduction therapies, and safety for hospitalized child and family. NURSINGTB.COMPRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
NURSINGTB.COM 2 Copyright © 201 7 Pearson Education, Inc. 2) The emergency -room nurse receives a preschool -age child who was hit by a car. Which nursing interventions are a priority for this child? Select all that apply. 1. Performing a rapid head -to-toe assessment 2. Recording the parents' insurance information 3. Assessing airway, breathing, and circulation 4. Asking the parents about organ donation 5. Asking the parents if anyone witnessed the accident Answer: 1, 3 Explanation: 1. Assessing airway, breathing, and circulation and performing a rapid head -to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the child's injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child's point of impact with the car and mechanism of injury, but this is not the initial priority. 2. Assessing airway, breathing, and circulation and performing a rapid head -to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the chil d's injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child's point of impact with the car and mechanis m of injury, but this is not the initial priority. 3. Assessing airway, breathing, and circulation and performing a rapid head -to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the child's injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child's point of impact with the car and mechanism of injury, but this is not the initial priority. 4. Assessing airway, breathing, and circulation and performing a rapid head -to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive unti l the extent of the child's injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child's point of impact w ith the car and mechanism of injury, but this is not the initial priority. 5. Assessing airway, breathing, and circulation and performing a rapid head -to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is inse nsitive until the extent of the child's injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child's point of impact with the car and mechanism of injury, but this is not the initial priority. Page Ref: 262 Cognitive Level: Analyzing Client Need &Sub: Physiological Integrity Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Implementation/Coordination of care Learning Outcome: LO 13.4 Develop a nursing care plan for the child with a li fe-threatening illness or injury. MNL LO: Apply the nursing process to care for the needs of the hospitalized child. NURSINGTB.COM
PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
NURSINGTB.COM 3 Copyright © 201 7 Pearson Education, Inc. 3) A young school -age child is in the pediatric intensive -care unit (PICU) with a fractured femur and head trauma. The child was not wear ing a helmet while riding his new bicycle on the highway and collided with a car. Which nursing diagnoses may be appropriate for this family? Select all that apply. 1. Guilt Related to Lack of Child Supervision and Safety Precautions 2. Family Coping: Comp romised, Related to the Critical Injury of the Child 3. Parental Role Conflict Related to Child's Injuries and PICU Policies 4. Knowledge Deficit Related to Home Care of Fractured Femur 5. Anger Related to Feelings of Helplessness Answer: 1, 2, 3, 5 Expla nation: 1. All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately. 2. All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately. 3. All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately. 4. All of these nursing diagnoses except Knowledge Deficit ar e possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately. 5. All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepa red to recognize current problems and intervene appropriately. Page Ref: 266 Cognitive Level: Analyzing Client Need &Sub: Psychosocial Integrity Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential IX: Baccalaurea te generalist nursing practice | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Diagnosis/Coordination of care Learning Outcome: LO 13.2 Examine the family's experience and reactions to having a child with a life -threa tening illness or injury. MNL LO: Apply the nursing process to care for the needs of the hospitalized child. NURSINGTB.COM
PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
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