Test Bank for Principles of Pediatric Nursing: Caring for Children, 7 Edition (Ball et al.)

Chapter 1 Nurse’s Role in Care of the Child: Hospital, Community, and Home
1) Which nursing role is not directly involved when providing family-centered approach to the
pediatric population? 1. Advocacy

2. Case management
3. Patient education
4. Researcher
   Answer: 4
   Explanation: 1. A researcher is not involved in the family-centered approach to patient care of
   children and their families. Advocacy, case management, and patient education are all roles
   directly involved in the care of children and their families.
5. A researcher is not involved in the family-centered approach to patient care of children
   and their families. Advocacy, case management, and patient education are all roles directly
   involved in the care of children and their families.
6. A researcher is not involved in the family-centered approach to patient care of children
   and their families. Advocacy, case management, and patient education are all roles directly
   involved in the care of children and their families.
7. A researcher is not involved in the family-centered approach to patient care of children
   and their families. Advocacy, case management, and patient education are all roles directly
   involved in the care of children and their families.
   Page Ref: 4
   Cognitive Level: Analyzing
   Client Need &Sub: Safe and Effective Care Environment: Management of Care
   Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
   Essential II: Basic organizational and systems leadership for quality care and patient safety |
   NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
   Assessment/Coordination of care
   Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
   MNL LO: Family-centered care
   2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
   federal guidelines are in place that delineate which pediatrics clients must give assent for
   participation in research trials. Based upon the client’s age, the nurse would seek assent from
   which children?
   Select all that apply.
8. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
9. The 7-year-old leukemia client electing to receive a newly developed medication, now being
   researched.
10. The 10-year-old commencing in an investigative study for clients with precocious puberty.
11. The 13-year-old client commencing participation in a research program for Attention Deficit
    Hyperactivity Disorder (ADHD) treatments.
    Answer: 2, 3, 4
    Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
    receive developmentally appropriate information about healthcare procedures and treatments and
    give assent.
12. Federal guidelines mandate that research participants 7 years old and older must receive
    developmentally appropriate information about healthcare procedures and treatments and give
    assent.
13. Federal guidelines mandate that research participants 7 years old and older must receive
    developmentally appropriate information about healthcare procedures and treatments and give
    assent.
14. Federal guidelines mandate that research participants 7 years old and older must receive
    developmentally appropriate information about healthcare procedures and treatments and give
    assent.
    Page Ref: 11, 12
    Cognitive Level: Applying
    Client Need &Sub: Psychosocial Integrity
    Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
    Essential V: Healthcare policy, finance, and regulatory environments | NLN Competencies:
    Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of
    care
    Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
    nursing practice.
    MNL LO: Developmentally appropriate care
    3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
    appropriate for the nurse to complete?
15. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
16. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
    recovery.
17. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local
    supportgroup options.
18. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation.
    Answer: 1
    Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing
    nursing care interventions, and educating client and family at developmentally appropriate
    levels; client advocacy, case management, minimization of distress, and enhancement of coping.
    Advanced practice nurse practitioners perform assessment, diagnosis, and management of health
    conditions.
19. The role of the pediatric nurse includes providing nursing assessment, directing nursing
    care interventions, and educating client and family at developmentally appropriate levels; client