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Perspectives of Pediatric Nursing: Chapter 1 Questions and Answers, Exams of Nursing

Florida Memorial UniversityNursing

A study guide for chapter 1 of 'perspectives of pediatric nursing', featuring a series of questions and answers related to various topics in pediatric nursing, such as common causes of death and disability in children, health disparities, and nutritional problems. The guide is intended to help students prepare for exams and assess their understanding of the material.

Typology: Exams

2023/2024

Available from 06/04/2024

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Wong's Study Guide - Perspectives of
Pediatric Nursing Ch. 1 Question & Answers
2024
1. Which of the following is the most common cause of death and
disability to children aged 1 to 4 years in the United States?
a. Fires and burns
b. Firearms
c. Unintentional injuries
d. Falls - Correct Answers ✅Unintentional injuries
2. Which of the following best defines the primary goal of Healthy
People 2020?
a. Reduce substance and tobacco use through educative measures.
b. Increase quality and length of life, and eliminate health disparities.
c. Avoid injury and violence by adhering to preventive health outcomes.
d. Provide access to care and immunizations to avoid potential injuries
and health disparities. - Correct Answers ✅Increase quality and
length of life, and eliminate health disparities.
3. The health status of children has improved in the past few years in a
number of areas. Which best describes how the health status of
children has improved? a. Average reading scores for fourth- through
eighth-grade students have increased. b. The percentage of children
living in poverty has decreased.
c. The percentage of children with at least one parent employed full
time year-round has decreased.
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Pediatric Nursing Ch. 1 Question & Answers

  1. Which of the following is the most common cause of death and disability to children aged 1 to 4 years in the United States? a. Fires and burns b. Firearms c. Unintentional injuries d. Falls - Correct Answers ✅ Unintentional injuries
  2. Which of the following best defines the primary goal of Healthy People 2020? a. Reduce substance and tobacco use through educative measures. b. Increase quality and length of life, and eliminate health disparities. c. Avoid injury and violence by adhering to preventive health outcomes. d. Provide access to care and immunizations to avoid potential injuries and health disparities. - Correct Answers ✅ Increase quality and length of life, and eliminate health disparities.
  3. The health status of children has improved in the past few years in a number of areas. Which best describes how the health status of children has improved? a. Average reading scores for fourth- through eighth-grade students have increased. b. The percentage of children living in poverty has decreased. c. The percentage of children with at least one parent employed full time year-round has decreased.

Pediatric Nursing Ch. 1 Question & Answers

d. The violent crime victimization rate among youth has decreased. - Correct Answers ✅ The violent crime victimization rate among youth has decreased.

  1. What is considered to be the most dramatic time of physical, motor, cognitive, emotional, and social development? a. Development that occurs during infancy b. Development that occurs during gestation ' c. Development that occurs during preschool d. Every stage of development in a child's life - Correct Answers ✅ Development that occurs during infancy
  2. Which of the following is the single most common chronic disease of childhood? a. Cancer b. Obesity c. Dental caries d. Otitis media - Correct Answers ✅ Dental caries
  3. Children who grow up with an inadequate intake of nutritional foods are at risk for certain negative outcomes. Which of the following is the most recognized negative outcome related to inadequate nutrition?

Pediatric Nursing Ch. 1 Question & Answers

b. The 14-year-old boy's body mass index is at the 97th percentile for children of the same age. c. The 14-year-old boy reports consuming large amounts of sugar at each meal. d. The 14-year-old boy's height is in the 55th percentile for children of the same age. - Correct Answers ✅ The 14-year-old boy's body mass index is at the 97th percentile for children of the same age.

  1. Which of the following has surpassed motor vehicle accidents as the leading cause of injury and mortality in children? a. Drowning b. Burns c. Head injuries d. Suicide - Correct Answers ✅ Suicide
  2. Define infant mortality. - Correct Answers ✅ The number of deaths per 1000 live births during the first year of life
  3. Which of the following increases the risk of childhood suicide by about fivefold and the risk of homicide by about threefold? a. Exposure to violent video games b. Presence of a gun in a household

Pediatric Nursing Ch. 1 Question & Answers

c. Exposure to violence in the home d. Growing up in a disadvantaged neighborhood - Correct Answers ✅ Presence of a gun in a household

  1. Which of the following best describes the major determinant of neonatal death in technologically developed countries? a. Maternal education level b. Birth weight c. Amount of prenatal care d. Health care services - Correct Answers ✅ Birth weight
  2. Which of the following is true with regard to African-American infants in the United States? a. They are at a lower risk of infant mortality compared with Caucasian infants. b. They are at a lower risk of low birth weight compared with Caucasian infants. c. Their infant mortality risk is two times higher than that of Caucasian infants. d. Their infant mortality risk is three times higher than that of Caucasian infants - Correct Answers ✅ Their infant mortality risk is two times higher than that of Caucasian infants.

Pediatric Nursing Ch. 1 Question & Answers

c. Meningitis d. Common cold - Correct Answers ✅ Common cold

  1. Which of the following scenarios best describes how empowerment can be used to promote family-centered care? a. Creating opportunities and means for all family members to display their current abilities b. Providing the family with opportunities to acquire new abilities c. Providing care that meets the immediate needs of the family d. Providing an environment where the family has a sense of control over their lives by fostering their own strengths, abilities, and actions - Correct Answers ✅ Providing an environment where the family has a sense of control over their lives by fostering their own strengths, abilities, and actions
  2. Atraumatic care is the provision of therapeutic care in settings, by personnel, and through the use of interventions that eliminate or minimize the ____________ children and their families in the health care system. and ____________ distress experienced by - Correct Answers ✅ psychologic, physical

Pediatric Nursing Ch. 1 Question & Answers

  1. List the three principles that provide the framework for achieving the goal in providing atraumatic care. a. b. c. - Correct Answers ✅ a. Prevent or minimize the child's separation from the family b. Promote a sense of control c. Prevent or minimize bodily injury and pain
  2. The establishment of a ____________ is the essential foundation for providing high-quality nursing care. - Correct Answers ✅ 20. therapeutic relationship
  3. Which of the following is a warning sign of a nontherapeutic relationship? a. Staff members voicing concerns about their peer's actions with a family b. Open communication between staff and family c. Staff offering anticipatory guidance before procedures d. Care provided to reduce or eliminate pain or discomfort - Correct Answers ✅ Staff members voicing concerns about their peer's actions with a family

Pediatric Nursing Ch. 1 Question & Answers

  1. Which of the following is often perceived by families as quality nursing care? a. Care focused on the technical needs of the child and family b. Care focused on the nontechnical needs of the child and family c. Care focused on the general needs of the child d. Care focused on the nursing process - Correct Answers ✅ 25. b
  2. Which of the following is the best approach to disease prevention? a. Quick and adequate treatment b. Family-centered care c. Education and anticipatory guidance d. Communication and building rapport - Correct Answers ✅ 26. c
  3. What is an indirect health-teaching strategy? a. Encouraging a parent to learn cardiopulmonary resuscitation b. Teaching a family how to bathe an infant c. Teaching a parent how to feed a newborn d. Encouraging parents to ask questions - Correct Answers ✅ 27. d
  4. When caring for a child, the nurse recognizes that the following intervention is the best way to facilitate nonverbal communication: a. Touching and physical presence b. Verbal communication c. Anticipatory guidance d. Play - Correct Answers ✅ 28. a
  5. Which of the following moral values is recognized as the obligation to minimize or prevent harm? a. Justice

Pediatric Nursing Ch. 1 Question & Answers

b. Nonmaleficence c. Beneficence d. Autonomy - Correct Answers ✅ 29. b

  1. The art of questioning why something is effective and whether a better approach exists is best described as a. intuition. b. the nursing process. c. evidence-based practice. d. problem solving - Correct Answers ✅ 30. c
  2. Which of the following describes the GRADE criteria that indicate a high quality of evidence? a. Consistent evidence from well-performed randomized clinical trials (RCTs) or exceptionally strong evidence from unbiased observational studies b. Evidence from RCTs with important limitations (inconsistent results, flaws in methodology, indirect evidence, or imprecise results) or unusually strong evidence from unbiased observational studies c. Evidence for at least one critical outcome from observational studies, from RCTs with serious flaws, or from indirect evidence d. Evidence for at least one of the critical outcomes from unsystematic clinical observations or very indirect evi- dence - Correct Answers ✅ 31. a
  3. Describe clinical reasoning. - Correct Answers ✅ 32. It is a cognitive process that uses

Pediatric Nursing Ch. 1 Question & Answers

  1. This phase begins when the nurse puts the selected intervention into action and accumulates feedback data regarding its effects.
  2. This phase begins when the nurse must interpret and make decisions about the data gathered.
  3. In this phase the nurse gathers, sorts, and analyzes data to determine whether (1) the established outcome has been met, (2) the nursing inter- ventions were appropriate, (3) the plan requires modification, or (4) other alternatives should be considered. - Correct Answers ✅ a.2 b.4 c.1 d.3 e.
  4. The three components of nursing diagnosis are ____________ , ____________ , and ____________. - Correct Answers ✅ problem statement, etiology, signs and symptoms
  5. Match each of the following definitions with the appropriate term. a. ____________ b. ____________ c. ____________ Problem statement Etiology Signs and symptoms
  6. Describes the child's response to health pattern deficits in the child, family, or community
  7. The cluster of cues and/or defining characteristics derived from the patient assessment

Pediatric Nursing Ch. 1 Question & Answers

  1. The physiologic, situational, and maturational factors that cause the problem or influence its development - Correct Answers ✅ 36. a. b.3 c.
  2. Define quality of care. - Correct Answers ✅ 37. The degree to which health ser- vices for individuals and popula- tions increase the likelihood of desired health outcomes and are consistent with current profes- sional knowledge A. Spend a day following a nurse in a pediatric unit of an acute care facility. Briefly describe and give examples of the roles of the pediatric nurse in a pediatric unit.
  3. Family advocacy
  4. Disease prevention and health promotion
  5. Restorative role
  6. Coordination and collaboration
  7. Ethical decision making
  8. Research
  9. Family-centered care - Correct Answers ✅ 1. Ensure families' awareness of various health services; inform families of treatments and proce- dures; involve families in child's care; change or support existing health care practices.

Pediatric Nursing Ch. 1 Question & Answers

examples. What steps could be taken to make these situations more family centered?

  1. A child's father is allowed to visit for 3 hours a day. During his visitation time, the nurse decides to give the child a bath and asks the father to wait outside in the waiting room 2 The posted visiting hours are noon to 8 pm for families, and no children under 14 years of age are allowed.
  2. A mother changes the dressing on her child's leg. The nurse observes and assists as necessary.
  3. The nurse would like to perform the morning bath on a child, but the nurse notes the child's mother is just awaken- ing. The nurse asks the mother whether she would prefer the bath to occur now or at a time more convenient for her and t - Correct Answers ✅ 1. Violated: Recognize that the family is the constant in a child's life. Consider the needs of the family members—not just the child. Work to extend family visitation hours. Cluster care in units that still have times when the unit is closed to visitors to provide the family with more meaningful interaction times with their child.
  4. Violated: Family members, espe- cially siblings, should have free access to their family member. Work to extend visitation hours and to allow siblings of any age to visit. If this is not possible, strive to have a viewing room so siblings can see their brother or sister.

Pediatric Nursing Ch. 1 Question & Answers

  1. Applied: Enabling family mem- bers to display their ability and competence fosters a parent- professional partnership. This could be enhanced by including the family members in sched- uling activities of daily living throughout the day.
  2. Applied: This empowers the family member to maintain a sense of control over daily activi- ties. This intervention could be further enhanced by asking the mother what activities of daily living she would like to assist with or perform throughout the day during the initial morning assessment.