(Test Bank) Essentials Of Pediatric Nursing

Kyle,Carman, 4

Nursing

Test Bank

4th Edition

• $15.00 $50.00

---

Description

Test Bank for Essentials Of Pediatric Nursing, The downloadable file consists of 744 pages, and the total size of the file is 8.88 MB. Purchase now only for highly discounted price.

Author(s): Kyle, Carman

---

---

Study Note Preview

Essentials of Pediatric Nursing 4th Edition Kyle Carman Test Bank CHAPTER 1 Introduction to Child Health and Pediatric Nursing MULTIPLE CHOICE 1. A nurse is planning a teaching session for parents of preschool children. Whichstatement explains why the nurse should include information about morbidity andmortality? a. Life-span statistics are included in the data. b. It explains effectiveness of treatment. c. Cost -effective treatment is detailed for the general population. d. High -risk age groups for certain disorders or hazards are identified.ANS: D Analysis of morbidity and mortality data provides the parents with information about which groups of individuals are at risk for which health problems. Life - span statistics is apart of the mortality data. Treatment modalities and cost are not included in morbidity and mortality data. PTS: 1 DIF: Cognitive Level: Apply REF: 6-8 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance 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 obesityin the teaching plan? a. Type I diabetes b. Respiratory disease c. Celiac disease d. Type II diabetesANS: D Childhood obesity has been associated with the rise of type II diabetes in children. Type Idiabetes is not associated with obesity and has a genetic component. Respiratory disease is not associated with obesity, and celiac disease is the inability to metabolize gluten in foods and is not associated with obesity. PTS: 1 DIF: Cognitive Level: Apply REF: 3 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance 3. Which is the leading cause of death in infants younger than 1 year? a. Congenital anomalies b. Sudden infant death syndrome c. Respiratory distress syndrome d. Bacterial sepsis of the newbornANS: A Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Suddeninfant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distresssyndrome accounts for 3.4% of deaths in this age group. Infections specific to the perinatal period account for 2.7% of deaths in this age group. PTS: 1 DIF: Cognitive Level: Remember REF: 7 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance 4. Which leading cause of death topic should the nurse emphasize to a group of African -American boys ranging in ages 15 to 19 years? a. Suicide b. Cancer c. Firearm homicide d. Occupational injuriesANS: C Firearm homicide is the second overall cause of death in this age group and the leading cause of death in African -American males. Suicide is the third -leading cause of death in this population. Cancer, although a major health problem, is the fourth -leading cause of death in this age group. Occupational injuries do not contribute to a significant death ratefor this age group. PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance 5. Which is the major cause of death for children older than 1 year? a. Cancer b. Heart disease c. Unintentional injuries d. Congenital anomaliesANS: C Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. Congenital anomalies are the leading cause of death in those younger than 1year. Cancer ranks either second or fourth, depending on the age group, and heart diseaseranks fifth in the majority of the age groups. PTS: 1 DIF: Cognitive Level: Remember REF: 8 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance 6. Which is the leading cause of death from unintentional injuries for females ranging inage from 1 to 14? a. Mechanical suffocation b. Drowning c. Motorvehicle -related fatalities d. Fire- and burn -related fatalitiesANS: C Motorvehicle -related fatalities are the leading cause of death for females ranging in agefrom 1 to 14, either as passengers or as pedestrians. Mechanical suffocation is fourth orfifth, depending on the age. Drowning is the second - or third -leading cause of death, depending on the age. Fire - and burn -related fatalities are the second-leading cause of death. PTS: 1 DIF: Cognitive Level: Remember REF: 4 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance 7. Which factor most impacts the type of injury a child is susceptible to, according to thechilds age? a. Physical health of the child b. Developmental level of the child c. Educational level of the child d. Number of responsible adults in the homeANS: B The childs developmental stage determines the type of injury that is likely to occur. The childs physical health may facilitate the childs recovery from an injury but does not impact the type of injury. Educational level is related to developmental level, but it is not as important as the childs developmental level in determining the type of injury. The number of responsible adults in the home may affect the number of unintentional injuries,but the type of injury is related to the childs developmental stage. PTS: 1 DIF: Cognitive Level: Understand REF: 3 - 4TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance 8. Which is now referred to as the new morbidity? a. Limitations in the major activities of daily living b. Unintentional injuries that cause chronic health problems c. Discoveries of new therapies to treat health problems d. Behavioral, social, and educational problems that alter healthANS: D The new morbidity reflects the behavioral, social, and educational problems that interferewith the childs social and academic development. It is currently estimated that the incidence of these issues is from 5% to 30%. Limitations in major activities of daily living and unintentional injuries that result in ch ronic health problems are included in morbidity data. Discovery of new therapies would be reflected in changes in morbidity data over time. PTS: 1 DIF: Cognitive Level: Remember REF: 3 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance 9. A nurse on a pediatric unit is practicing family -centered care. Which is mostdescriptive of the care the nurse is delivering? a. Taking over total care of the child to reduce stress on the family b. Encouraging family dependence on health care systems c. Recognizing that the family is the constant in a childs life d. Excluding families from the decision -making processANS: C The three key components of family -centered care are respect, collaboration, and support.Family -centered care recognizes the family as the constant in the childs life. Taking over total care does not include the family in the process and may increase stress instead of reducing stress. The family should be enabled and empowered to work with the health care system. The family is expected to be part of the decision -making process. PTS: 1 DIF: Cognitive Level: Remember REF: 8 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Health Promotion and Maintenance 10. The nurse is preparing an in -service education to staff about atraumatic care forpediatric patients. Which intervention should the nurse include? a. Prepare the child for separation from parents during hospitalization by reviewing avideo. b. Prepare the child before any unfamiliar treatment or procedure by demonstrating on astuffed animal. c. Help the child accept the loss of control associated with hospitalization. d. Help the child accept pain that is connected with a treatment or procedure.ANS: B Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy, providing play activities for expression of fear and aggression, providing choices, and respecting cultural differences are components of atraumatic care. In the provisi on of atraumatic care, the separation of child from parents during hospitalization is minimized.The nurse should promote a sense of control for the child. Preventing and minimizing bodily injury and pain are major components of atraumatic care. PTS: 1 DIF: Cognitive Level: Understand REF: 9 TOP: Integrated Process: Nursing Process: ImplementationMSC: Area of Client Needs: Psychosocial Integrity 11. Which is most suggestive that a nurse has a nontherapeutic relationship with a patientand family? a. Staff is concerned about the nurses actions with the patient and family. b. Staff assignments allow the nurse to care for same patient and family over an extendedtime. c. Nurse is able to withdraw emotionally when emotional overload occurs but stillremains committed. d. Nurse uses teaching skills to instruct patient and family rather than doing everythingfor them. ANS: A An important clue to a nontherapeutic staff -patient relationship is concern of other staff members. Allowing the nurse to care for the same patient over time would be therapeuticfor the patient and family. Nurses who are able to somewhat withdraw emotionally can protect themselves while providing therapeutic care. Nurses using teaching skills to instruct patient and family will assist in transiti oning the child and family to self-care. PTS: 1 DIF: Cognitive Level: Analyze REF: 9 TOP: Integrated Process: Nursing Process: AssessmentMSC: Area of Client Needs: Psychosocial Integrity 12. Which is most descriptive of clinical reasoning? a. A simple developmental process b. Purposeful and goal -directed c. Based on deliberate and irrational thought d. Assists individuals in guessing what is most appropriateANS: B Clinical reasoning is a complex, developmental process based on rational and deliberate thought. Clinical reasoning is not a developmental process. Clinical reasoning is based onrational and deliberate thought. Clinical reasoning is not a guessing process. PTS: 1 DIF: Cognitive Level: Understand REF: 12 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care 13. A nurse makes the decision to apply a topical anesthetic to a childs skin beforedrawing blood. Which ethical principle is the nurse demons trating? a. Autonomy b. Beneficence c. Justice d. Truthfulne ssANS: B Beneficence is the obligation to promote the patients well-being. Applying a topical anesthetic before drawing blood promotes reducing the discomfort of the venipuncture.Autonomy is the patients right to be self -governing. Justice is the concept of fairness. Truthfulness is the concept of honesty. PTS: 1 DIF: Cognitive Level: Understand REF: 11 TOP: Integrated Process: Nursing Process: ImplementationMSC: Area of Client Needs: Physiological Integrity 14. Which action by the nurse demonstrates use of evidence -based practice (EBP)? a. Gathering equipment for a procedure b. Documenting changes in a patients status c. Questioning the use of daily central line dressing changes d. Clarifying a physicians prescription for morphineANS: C The nurse who questions the daily central line dressing change is ascertaining whether clinical interventions result in positive outcomes for patients. This demonstrates evidence -based practice (EBP), which implies questioning why something is effective and whether a better approach exists. Gathering equipment for a procedure and documenting changes in a patients status are practices that follow established gu idelines.Clarifying a physicians prescription for morphine constitutes safe nursing care. PTS: 1 DIF: Cognitive Level: Apply REF: 11 TOP: Integrated Process: Nursing Process: Evaluation MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care 15. A nurse is admitting a toddler to the hospital. The toddler is with both parents and iscurrently sitting comfortably on a parents 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? a. Risk for anxiety b. Anxiety c. Readiness for enhanced coping d. Ineffective copingANS: A A potential problem is categorized as a risk. The toddler has a risk to become anxious when the parents leave. Nursing interventions will be geared toward reducing the risk. The child is not showing current anxiety or ineffective coping. The child is not at a pointfor readiness for enhanced coping, especially because the parents will be leaving. PTS: 1 DIF: Cognitive Level: Remember REF: 12 TOP: Integrated Process: Nursing Process: Diagnosis MSC: Area of Client Needs: Health Prom otion and Maintenance 16. A child has a postoperative appendectomy incision covered by a dressing. The nursehas just completed a prescribed dressing change for this child. Which description is an accurate documentation of this procedure? a. Dressing change to appendectomy incision completed, child tolerated procedure well,parent present b. No complications noted during dressing change to appendectomy incision c. Appendectomy incision non -reddened, sutures intact, no drainage noted on olddressing, new dressing applied, procedure tolerated well by child d. No changes to appendectomy incisional area, dressing changed, child complained ofpain during procedure, new dressing clean, dry and intact ANS: C The nurse should document assess ments and reassessments. Appearance of the incision described in objective terms should be included during a dressing change. The nurse should document patients response and the outcomes of the care provided. In this example, these include drainage on the old dressing, the application of the new dressing,and the childs response. The other statements partially fulfill the requirements of documenting assessments and reassessments, patients response, and outcome, but do notinclude all three. PTS: 1 DIF: Cognitive Level: Analyze REF: 14 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care 17. A nurse is planning a class on accident prevention for parents of toddlers. Whichsafety topic is the priority for this class? a. Appropriate use of car seat restraints b. Safety crossing the street c. Helmet use when riding a bicycle d. Poison control numbersANS: A Motor vehicle accidents (MVAs) continue to be the most common cause of death in children older than 1 year, therefore the priority topic is appropriate use of car seat restraints. Safety crossing the street and bicycle helmet use are topics that should be included for preschool parents but are not priorities for parents of toddlers. Informationabout poison control is important for parents of toddlers and would be a safety topic to include but is not the priority over appropriate use of car seat restraints. PTS: 1 DIF: Cognitive Level: Apply REF: 3-4 TOP: Integrate d Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and MaintenanceMULTIPLE RESPONSE 1. Which behaviors by the nurse indicate a therapeutic relationship with children andfamilies? (Select all that apply.) a. Spending off-duty time with children and families b. Asking questions if families are not participating in the care c. Clarifying information for families d. Buying toys for a hospitalized child e. Learning about the familys religious preferences ANS: B, C, E Asking questions if families are not participating in the care, clarifying information forfamilies, and learning about the familys religious preferences are positive actions and foster therapeutic relationships with children and families. Spending off -duty time withchildren and families and buying toys for a hospitalized child are negative actions and indicate overinvolvement with children and families, which is nontherapeutic. PTS: 1 DIF: Cognitive Level: Understand REF: 9 - 10 TOP: Integrated Process: Nurs ing Process: EvaluationMSC: Area of Client Needs: Psychosocial Integrity ESSAY 1. A nurse is formulating a clinical question for evidence -based practice. Place in orderthe steps the nurse should use to clarify the scope of the problem and clinical topic of interest. Begin with the first step of the process and proceed ordering the steps ending with the final step of the process. Provide answer as lowercase letters separated by commas (e.g., a, b, c, d, e). a. Intervention b. Outcome c. Population d. Time e. Contro lANS: c, a, e, b, d When formulating a clinical question for evidence -based practice, the nurse should follow a concise, organized way that allows for clear answers. Good clinical questions should be asked in the PICOT (population, intervention , control, outcome, time) formatto assist with clarity and literature searching. PICOT questions assist with clarifying thescope of the problem and clinical topic of interest. CHAPTER 2 Factors Influencing Child Health MULTIPLE CHOICE 1. A nurse is selecting a family theory to assess a patients family dynamics. Which familytheory best describes a series of tasks for the family throughout its life span? a. Interactional theory b. Developmental systems theory c. Structural -functional theory d. Duvalls developmental theoryANS: D Duvalls developmental theory describes eight developmental tasks of the family throughout its life span. Interactional theory and structural -functional theory are not family theories. Developmental systems theory is an outgrowth of Duvalls theory. Thefamily is described as a small group, a semiclosed system of personalities that interactwith the larger cultural system. Changes do not occur in one part of the family withoutchanges in others. PTS: 1 DIF: Cognitive Level: Understand REF: 24 -26 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance