San Jacinto College

Chapter 01: Perspectives of Pediatric Nursing

Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition

MULTIPLE CHOICE

1)A nurse is planning a teaching session for parents of preschool children. Which statement explains why the nurse should include information about morbidity and mortality?

1. 1. Life span statistics are included in the data.
   2. It explains effectiveness of treatment.
   3. Cost-effective treatment is detailed for the general population.
   4. High-risk age groups for certain disorders or hazards are identified.

2. A clinic nurse is planning a teaching session about childhood obesity prevention for parents of school-age children. The nurse should include which associated risk of obesity in the teaching plan?
   1. Type I diabetes

1. 2. Respiratory disease
   3. Celiac disease
   4. Type II diabetes

3. Which is the leading cause of death in infants younger than 1 year?
   1. Congenital anomalies
   2. Sudden infant death syndrome
   3. Respiratory distress syndrome
   4. Bacterial sepsis of the newborn

4. Which leading cause of death topic should the nurse emphasize to a group of African-American boys ranging in age from 15 to 19 years?
   1. Suicide
   2. Cancer
   3. Firearm homicide
   4. Occupational injuries

5. Which is the major cause of death for children older than 1 year?
   1. Cancer
   2. Heart disease
   3. Unintentional injuries
   4. Congenital anomalies

6. Which is the leading cause of death from unintentional injuries for females ranging in age from 1 to 14?
   1. Mechanical suffocation
   2. Drowning
   3. Motor vehicle–related fatalities
   4. Fire- and burn-related fatalities

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

8. Which is now referred to as the “new morbidity”?
   1. Limitations in the major activities of daily living
   2. Unintentional injuries that cause chronic health problems
   3. Discoveries of new therapies to treat health problems
   4. Behavioral, social, and educational problems that alter health

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

10. The nurse is preparing an in-service education to staff about atraumatic care for pediatric patients. Which intervention should the nurse include?
    1. Prepare the child for separation from parents during hospitalization by reviewing a video.
    2. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal.
    3. Help the child accept the loss of control associated with hospitalization.
    4. Help the child accept pain that is connected with a treatment or procedure.

11. Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and

family?

1. 1. Staff is concerned about the nurse’s actions with the patient and family.
   2. Staff assignments allow the nurse to care for same patient and family over an extended time.
   3. Nurse is able to withdraw emotionally when emotional overload occurs but still remains committed.
   4. Nurse uses teaching skills to instruct patient and family rather than doing everything for them.

12. Which is most descriptive of clinical reasoning?
    1. A simple developmental process
    2. Purposeful and goal-directed
    3. Based on deliberate and irrational thought

1. 4. Assists individuals in guessing what is most appropriate

13. A nurse makes the decision to apply a topical anesthetic to a child’s skin before drawing blood. Which ethical principle is the nurse demonstrating?
    1. Autonomy
    2. Beneficence
    3. Justice
    4. Truthfulness

14. Which action by the nurse demonstrates use of evidence-based practice (EBP)?
    1. Gathering equipment for a procedure
    2. Documenting changes in a patient’s status
    3. Questioning the use of daily central line dressing changes
    4. Clarifying a physician’s prescription for morphine

15. A nurse is admitting a toddler to the hospital. The toddler is with both parents and is currently sitting comfortably on a parent’s lap. The parents state they will need to leave for a brief period. Which type of nursing diagnosis should the nurse formulate for this child?
    1. Risk for anxiety
    2. Anxiety
    3. Readiness for enhanced coping

1. 4. Ineffective coping

16. A child has a postoperative appendectomy incision covered by a dressing. The nurse has just completed a prescribed dressing change for this child. Which description is an accurate documentation of this procedure?
    1. Dressing change to appendectomy incision completed, child tolerated procedure well, parent present
    2. No complications noted during dressing change to appendectomy incision
    3. Appendectomy incision non-reddened, sutures intact, no drainage noted on old dressing, new dressing applied, procedure tolerated well by child
    4. No changes to appendectomy incisional area, dressing changed, child complained of pain during procedure, new dressing clean, dry and intact

17. A nurse is planning a class on accident prevention for parents of toddlers. Which safety topic is the priority for this class?
    1. Appropriate use of car seat restraints
    2. Safety crossing the street
    3. Helmet use when riding a bicycle
    4. Poison control numbers

18. A nurse is collecting subjective and objective information about target populations to diagnose problems based on community needs. This describes which step in the community nursing process?
    1. Planning
    2. Diagnosis
    3. Assessment
    4. Establishing objectives

19. A nurse is establishing several health programs, such as bicycle safety, to improve the health status of a target population. This describes which step in the community nursing process?
    1. Planning
    2. Evaluation
    3. Assessment
    4. Implementation

20. A school nurse is conducting vision and hearing testing on fifth-grade children. Which level of prevention is the nurse demonstrating?
    1. Primary
    2. Secondary
    3. Tertiary
    4. Health promotion

21. The home health nurse asks a child’s mother many questions as part of the assessment. The mother answers many questions, then stops and says, “I don’t know why you ask me all this. Who gets to know this information?” The nurse should take which action?
    1. Determine why the mother is so suspicious.
    2. Determine what the mother does not want to tell.
    3. Explain who will have access to the information.
    4. Explain that everything is confidential and that no one else will know what is said.

22. When communicating with other professionals, what is important for the nurse to do?
    1. Ask others what they want to know.
    2. Share everything known about the family.
    3. Recognize that confidentiality is not possible.

23. A nurse manager at a home-care agency is planning a continuing education program for the home-care staff nurses. Which type of continuing education program should the nurse manager plan?
    1. On-line training modules
    2. A structured written teaching module each nurse completes individually
    3. A workshop training day, with a professional speaker, where nurses can interact with each other
    4. One-on-one continuing education training with each nurse

MULTIPLE RESPONSE

1. Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)
   1. Spending off-duty time with children and families
   2. Asking questions if families are not participating in the care
   3. Clarifying information for families
   4. Buying toys for a hospitalized child
   5. Learning about the family’s religious preferences

2. Which behaviors by the nurse indicate therapeutic nurse-family boundaries? (Select all that apply.)
   1. Nurse visits family on days off.
   2. House rules are negotiated.
   3. Nurse buys child expensive gifts.
   4. Communication is open and two-way.

OTHER