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NURS 461 Final Exam Questions And Already Passed Answers.

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Changes in health care for children - Answer Vaccination programs -smallpox vaccine before starting school Discovery of penicillin and corticosteroids Leading causes of death - Answer unintentional injury Under 1: suffocation 1-4 yrs: drowning 5-9 yrs: motor vehicle 10-14 yrs: ...

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NURS 461 Final Exam Questions And
Already Passed Answers.
Changes in health care for children - Answer Vaccination programs

-smallpox vaccine before starting school

Discovery of penicillin and corticosteroids



Leading causes of death - Answer unintentional injury



Under 1: suffocation

1-4 yrs: drowning

5-9 yrs: motor vehicle

10-14 yrs: motor vehicle

15-19 yrs: motor vehicle



heart rate - Answer infant: 80-150

toddler: 70-120

preschooler: 65-110

school-age: 60-100

adolescent: 55-95



Assent - Answer The child's participation in the decision-making process about healthcare



•Helps the child to understand his or her health condition as developmentally appropriate for the child

•Informs the child of the treatment planned and discuss what he or she should expect

•Make sure he or she is not being unduly influenced to make a decision one way or another

•Ascertains the child's willingness to participate in the treatment or research

,Child does not make the final decision



Emancipated minor - Answer Person who is not 18 but has the same legal rights as an adult



can make his or her own health care decisions



mature minor - Answer An individual younger than 18 with the maturity to provide informed consent
for certain medical procedures



usually older than 14



A physician must determine if the patient is mature and intelligent enough to make the decisions for tx



pregnancy counseling, prenatal care, contraception, testing and tx for STIs, substance abuse, and mental
health - Answer Care that doesn't require parental permission



religion and involve ethics

-this should help everyone come to an agreement, if not the courts can decide and provide care w/o the
parents consent - Answer If parents refuse for their child to receive certain tx and care, the nurse needs
to assess...



The nurse's responsibility for informed consent: - Answer •Determine whether parent/legal guardian
understands what they are signing

•Ask specific questions to assess parent/legal guardian's knowledge related to the consent

•Clarify and resolve knowledge deficits

•Ensure the consent form is completed with signatures for parents or legal guardians

•Serve as a witness to the consent process

•Children over the age of 8 years of age may be asked to sign an assent form



Physician's role in informed consent - Answer Educating family and the pediatric pt. about the
procedure as well as the risks and benefits

, Obtain the consent



authoritarian parenting - Answer Parent expects obedience from the child and discourages the child
from questioning the family's rules.



High control-low support (warmth)



Associated w/ negative self-esteem



authoritative parenting - Answer parent show some respect for the child's opinions



Parents still have the ultimate authority ad expect the child to adhere to the rules, they allow children to
be different and believe that each child is an individual



High direction/rules = high warmth



Promotes independence and self-confidence



Permissive (laissez-faire) parenting - Answer Parents have little control over the behavior of their
children



Inconsistent discipline and unclear expectations



Parents let their children determine their own standards

-"best friends" with their kids



Promotes negative effects in school, impulsive, and problems w/ authority



rejecting-neglecting parenting - Answer Parents are indifferent

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