(Test Bank) Principles Of Pediatric Nursing

Ball,Bindler,Cowen, 8

Nursing

Test Bank

8th Edition

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Test Bank for Principles Of Pediatric Nursing, The downloadable file consists of 622 pages, and the total size of the file is 2.51 MB. Purchase now only for highly discounted price.

Author(s): Ball, Bindler, Cowen

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Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 1 Copyright © 20 23 Pearson Education , Inc. Principles of Pediatric Nursing, 8e (Ball et al.) Chapter 1 Contemporary Child Health Nursing 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 ca re of children and their families. Advocacy, case management, and patient education are all roles directly involved in the care of children and their families. 2. 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. 3. A researcher is not involved in the family -centered approach to patient care of children and their families. Adv ocacy, case management, and patient education are all roles directly involved in the care of children and their families. 4. A researcher is not involved in the family -centered approach to patient care of children and their families. Advocacy, case managem ent, 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/Coordin ation of care Learning Outcome: 1.2 Identify the nursing roles available to pediatric nurses. 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. 1. The precocious 4 -year-old commencing as a cystic fibrosis research -study participant. 2. The 7 -year-old leukemia client electing to receive a newly developed medication, now being researched. 3. The 10 -year-old commencing in an investigative study for clients with precocious puberty. 4. The 13 -year-old client commencing participation in a rese arch 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 Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 2 Copyright © 20 23 Pearson Education , Inc. give assent. 2. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments and give assent. 3. Federal guideline s mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments and give assent. 4. 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 Ess ential Competencies: Essential V: Healthcare policy, finance, and regulatory environments. | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of care Learning Outcome: 1.8 Delineate significant lega l and ethical issues that influence the practice of pediatric nursing. 3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not appropriate for the nurse to complete? 1. Diagnose an 8 -year-old with acute otitis media and prescribe an antibiotic. 2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery. 3. Provide information to a mother of a newly diagnosed 4 -year-old diabetic about local support - group options. 4. 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 deve lopmentally 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. 2. The role of the pediatric nu rse 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. 3. The role of the pediatric nurse includes providing nursing assessment, directing nursing care interventions, and educating client and family at developmentally appr opriate levels; client advocacy, case management, minimization of distress, and enhancement of coping. Advanced practice nurse practitioners perform assessment, diagnosis, and management of health conditions. 4. 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 enhanceme nt of coping. Advanced Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 3 Copyright © 20 23 Pearson Education , Inc. practice nurse practitioners perform assessment, diagnosis, and management of health conditions. Page Ref: 2 -4 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment / Management of Care Standards: QSEN Com petencies: 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: Impleme ntation/Coordination of care Learning Outcome: 1.2 Identify the nursing roles available to pediatric nurses. 4) A 7 -year-old child is admitted for acute appendicitis. The parents are questioning the nurse about expectations during the child's recovery. Which information tool would be most useful in answering a parent's questions about the timing of key events? 1. Healthy People 2030 2. Clinical pathways 3. Child mortality statistics 4. National clinical practice guidelines Answer: 2 Explanation: 1. Cli nical pathways are interdisciplinary documents provided by a hospital to suggest ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for individuals with specified conditions. Healthy People 2030 contains objectives set by the U.S. government to improve the health and reduce the incidence of death in the twenty -first century. Child mortality statistics can be compa red with those from other decades for the evaluation of achievement toward health -care goals. National clinical practice guidelines promote uniformity in care for specific disease conditions by suggesting expected outcomes from specific interventions. 2. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of care and enhance recovery. This pathway serves as a model outlining th e typical hospital stay for individuals with specified conditions. Healthy People 2030 contains objectives set by the U.S. government to improve the health and reduce the incidence of death in the twenty -first century. Child mortality statistics can be com pared with those from other decades for the evaluation of achievement toward health -care goals. National clinical practice guidelines promote uniformity in care for specific disease conditions by suggesting expected outcomes from specific interventions. 3. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for individuals with specified conditions. Healthy People 2030 contains objectives set by the U.S. government to improve the health and reduce the incidence of death in the twenty -first century. Child mortality statistics can be c ompared with those from other decades for the evaluation of achievement toward health -care goals. National clinical practice guidelines promote uniformity in care for specific disease conditions by suggesting expected outcomes from specific interventions. 4. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of care and enhance recovery. This pathway serves as a model outlinin g the typical hospital stay for individuals with specified conditions. Healthy People 2030 contains objectives set by the U.S. Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 4 Copyright © 20 23 Pearson Education , Inc. government to improve the health and reduce the incidence of death in the twenty -first century. Child mortality statistics can be compared with those from other decades for the evaluation of achievement toward health -care goals. National clinical practice guidelines promote uniformity in care for specific disease conditions by suggesting expected outcomes from specific interventions . Page Ref: 1, 2 Cognitive Level: Applying Client Need/Sub: Psychosocial Integrity Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential II: Basic organizational and systems leadership for quality care and patient safety. | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health promotion Learning Outcome: 1.1 Describe the continuum of pediatric healthcare. 5) The nurse recognizes that the pediatric cl ient is from a cultural background different from that of the hospital staff. Which goal is most appropriate for this client when planning nursing care? 1. Overlook or minimize the differences that exist. 2. Facilitate the family's ability to comply with t he care needed. 3. Avoid inadvertently offending the family by imposing the nurse's perspective. 4. Encourage complementary beneficial cultural practices as primary therapies. Answer: 2 Explanation: 1. The incorporation of the family's cultural perspective into the care plan is most likely to result in the family's ability to accept medical care and comply with the regimen prescribed. Since culture develops from social learning, attempts to ignore or minimize cultural consideration will result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by reducing the resources available to promote health and prevent illness. Complementary therapy may be used later if other primary therapies prove to be ineffecti ve. 2. The incorporation of the family's cultural perspective into the care plan is most likely to result in the family's ability to accept medical care and comply with the regimen prescribed. Since culture develops from social learning, attempts to ignore or minimize cultural consideration will result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by reducing the resources available to promote health and prevent illness. Complementary therapy may be used late r if other primary therapies prove to be ineffective. 3. The incorporation of the family's cultural perspective into the care plan is most likely to result in the family's ability to accept medical care and comply with the regimen prescribed. Since culture develops from social learning, attempts to ignore or minimize cultural consideration will result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by reducing the resources available to promote health and preve nt illness. Complementary therapy may be used later if other primary therapies prove to be ineffective. 4. The incorporation of the family's cultural perspective into the care plan is most likely to result in the family's ability to accept medical care and comply with the regimen prescribed. Since culture develops from social learning, attempts to ignore or minimize cultural consideration will result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by reducing t he resources available to promote health and prevent illness. Complementary therapy may be used later if other primary therapies prove to be ineffective. Page Ref: 3 Cognitive Level: Applying Client Need/Sub: Health Promotion and Maintenance Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 5 Copyright © 20 23 Pearson Education , Inc. Essential II: Basic organizational and systems leadership for quality care and patient safety. | NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nurs ing Process: Planning/Coordination of care Learning Outcome: 1.3 Summarize the current status of societal influences on pediatric health care and nursing practice. 6) The telephone triage nurse at a pediatric clinic knows each call is important. Which ca ll would require attentiveness from the nurse because of an increased risk of mortality? 1. A 3 -week -old infant born at 35 weeks' gestation with gastroenteritis 2. A term 2 -week -old infant of American Indian descent with an upper respiratory infection 3. A postterm 4 -week -old infant non -Hispanic black descent with moderate emesis after feeding 4. A 1 -week -old infant born at 40 weeks' gestation with symptoms of colic Answer: 1 Explanation: 1. The leading causes of death in the neonatal period (birth to 28 days of age) are short gestation, low birth weight, and congenital malformations. The preterm infant experiencing gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra attentiveness from the registered nurs e. 2. The leading causes of death in the neonatal period (birth to 28 days of age) are short gestation, low birth weight, and congenital malformations. The preterm infant experiencing gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra attentiveness from the registered nurse. 3. The leading causes of death in the neonatal period (birth to 28 days of age) are short gestation, low birth weight, and congenital malformations. The preterm infant experiencing ga stroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra attentiveness from the registered nurse. 4. The leading causes of death in the neonatal period (birth to 28 days of age) are short gestation, low birth we ight, and congenital malformations. The preterm infant experiencing gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra attentiveness from the registered nurse. Page Ref: 6, 7 Cognitive Level: Applying Client Need/Sub: Health Promotion and Maintenance Standards: QSEN Competencies: Informatics/Patient -centered care | AACN Essential Competencies: Essential IV: Information management and application of patient care technology. | NLN Competencies: Professio nal identity | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of care Learning Outcome: 1.4 Report the most common public health data for causes of child morbidity and mortality. 7) Despite the availability of Children's Health Insurance Programs (CHIP), many eligible children are not enrolled. Which nursing intervention would be the most appropriate to help children become enrolled in CHIP? 1. Assess details of the family's income and expenditures 2. Case management to limit cos tly, unnecessary duplication of services 3. Advocate for the child by encouraging the family to investigate SCHIP eligibility 4. Educate the family about the need for keeping regular well -child -visit appointments Answer: 3 Explanation: 1. In the role of an advocate, a nurse will advance the interests of another; by Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 6 Copyright © 20 23 Pearson Education , Inc. suggesting the family investigate its CHIP eligibility, the nurse is directing their action toward the child's best interest. Financial assessment is more commonly the function of a social work er. The case -management activity mentioned will not provide a source of funding nor will the educational effort described. 2. In the role of an advocate, a nurse will advance the interests of another; by suggesting the family investigate its CHIP eligibili ty, the nurse is directing their action toward the child's best interest. Financial assessment is more commonly the function of a social worker. The case - management activity mentioned will not provide a source of funding nor will the educational effort des cribed. 3. In the role of an advocate, a nurse will advance the interests of another; by suggesting the family investigate its CHIP eligibility, the nurse is directing their action toward the child's best interest. Financial assessment is more commonly the function of a social worker. The case - management activity mentioned will not provide a source of funding nor will the educational effort described. 4. In the role of an advocate, a nurse will advance the interests of another; by suggesting the family inve stigate its CHIP eligibility, the nurse is directing their action toward the child's best interest. Financial assessment is more commonly the function of a social worker. The case - management activity mentioned will not provide a source of funding nor will the educational effort described. Page Ref: 2 -4 Cognitive Level: Applying Client Need/Sub: Health Promotion and Maintenance Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential VI: Interprofessional communication and collaboration for improving patient health outcomes. | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of care Learning Outcome: 1.2 Identify the nursing roles available to pediatric nurses. 8) A supervisor is reviewing documentation of the nurses in the unit. Which client documentation is the most accurate and contains all the required part for a narrative entry? 1. "2/2/05 1630 Catheterized using an 8 French catheter, 45 mL clear yellow urin e obtained, specimen sent to lab, squirmed and cried softly during insertion of catheter. Quiet in mother's arms following catheter removal. M. May RN" 2. "1/9/05 2 pm nasogastric tube placement confirmed and irrigated with 30 ml sterile water. Suction set at low, intermittent. Oxygen via nasal canal at 2 L/min. Nares patent, pink, and nonirritated. K. Earnst RN" 3. "4:00 tracheostomy dressing removed with dime -size stain of dry serous exudate. Site cleansed with normal saline. Dried with sterile gauze. New sterile tracheostomy sponge and trach ties applied. Respirations regular and even throughout the procedure. F. Luck RN" 4. "Feb. '05 Port -A-Cath assessed with Huber needle. Blood return present. Flushed with NaCl solution, IV gamma globulins hung and infu sing at 30 cc/hr. Child smiling and playful throughout the procedure. P. Potter, RN" Answer: 1 Explanation: 1. The client record should include the date and time of entry, nursing care provided, assessments, an objective report of the client's physiologi c response, exact quotes, and the nurse's signature and title. 2. The client record should include the date and time of entry, nursing care provided, Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 7 Copyright © 20 23 Pearson Education , Inc. assessments, an objective report of the client's physiologic response, exact quotes, and the nurse's signa ture and title. 3. The client record should include the date and time of entry, nursing care provided, assessments, an objective report of the client's physiologic response, exact quotes, and the nurse's signature and title. 4. The client record should inc lude the date and time of entry, nursing care provided, assessments, an objective report of the client's physiologic response, exact quotes, and the nurse's signature and title. Page Ref: 2 -4 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment / Management of Care Standards: QSEN Competencies: Informatics | AACN Essential Competencies: Essential IV: Information management and application of patient care technology. | NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Assessment/Coordination of care Learning Outcome: 1.2 Identify the nursing roles available to pediatric nurses. 9) A 12 -year-old pediatric client is in need of surgery. Which member of the healthcare team is legally responsible for obtaining informed consent for an invasive procedure? 1. Nurse 2. Physician 3. Unit secretary 4. Social worker Answer: 2 Explanation: 1. Informed consent is legal preauthorization for an invasive procedure. It is the physician's legal responsibility to obtain this, because it consists of an explanation about the medical condition, a detailed description of treatment plans, the expected benefits and risks related to the proposed treatment plan, alternative treatment options, the client's questions, an d the guardian's right to refuse treatment. 2. Informed consent is legal preauthorization for an invasive procedure. It is the physician's legal responsibility to obtain this, because it consists of an explanation about the medical condition, a detailed de scription of treatment plans, the expected benefits and risks related to the proposed treatment plan, alternative treatment options, the client's questions, and the guardian's right to refuse treatment. 3. Informed consent is legal preauthorization for an invasive procedure. It is the physician's legal responsibility to obtain this, because it consists of an explanation about the medical condition, a detailed description of treatment plans, the expected benefits and risks related to the proposed treatment p lan, alternative treatment options, the client's questions, and the guardian's right to refuse treatment. 4. Informed consent is legal preauthorization for an invasive procedure. It is the physician's legal responsibility to obtain this, because it consist s of an explanation about the medical condition, a detailed description of treatment plans, the expected benefits and risks related to the proposed treatment plan, alternative treatment options, the client's questions, and the guardian's right to refuse tr eatment. Page Ref: 11, 12 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment / Management of Care Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 8 Copyright © 20 23 Pearson Education , Inc. Standards: QSEN Competencies: Informatics | AACN Essential Competencies: Essential IV: Information management and application o f patient care technology. | NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Planning/Communication Learning Outcome: 1.7 Contrast the policies for obtaining informed consent of minors to policies for adults. 10) A child is being prepared for an invasive procedure. The mother of the child has legal custody but is not present. After details of the procedure are explained, who can provide legal consent on behalf of a minor child for treatment? 1. The divorced parent w ithout custody 2. A cohabitating boyfriend of the child's mother 3. A grandparent who lives in the home with the child 4. A babysitter with written proxy Answer: 4 Explanation: 1. A parent may grant proxy consent in writing to another adult so that child ren are not denied necessary healthcare. In the case of divorced parents, the parent with custody may be the only parent allowed by some states to give informed consent. Residence in the same household with a child does not authorize an adult to sign conse nt for treatment. 2. A parent may grant proxy consent in writing to another adult so that children are not denied necessary healthcare. In the case of divorced parents, the parent with custody may be the only parent allowed by some states to give informed consent. Residence in the same household with a child does not authorize an adult to sign consent for treatment. 3. A parent may grant proxy consent in writing to another adult so that children are not denied necessary healthcare. In the case of divorced parents, the parent with custody may be the only parent allowed by some states to give informed consent. Residence in the same household with a child does not authorize an adult to sign consent for treatment. 4. A parent may grant proxy consent in writing to another adult so that children are not denied necessary healthcare. In the case of divorced parents, the parent with custody may be the only parent allowed by some states to give informed consent. Residence in the same household with a child does not au thorize an adult to sign consent for treatment. Page Ref: 11, 12 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment / Management of Care Standards: QSEN Competencies: Informatics | AACN Essential Competencies: Essential IV: Information management and application of patient care technology. | NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 1.7 Contrast the policies for obtaining informed consent of minors to policies for adults. Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 9 Copyright © 20 23 Pearson Education , Inc. 11) A 12 -year-old child is admitted to the unit for a surgical procedure. The child is accompanied by two parents and a younger sibling. What is the level of involvement in treatment decision making for this child? 1. Emancipated mino r 2. Mature minor 3. Assent 4. None Answer: 3 Explanation: 1. Assent requires the ability to generally understand what procedure and treatments are planned, to understand what participation is required, and to make a statement of agreement or disagreemen t with the plan. Usually, in Piaget's stage of formal operations, 11 - to 13-year-olds should be able to problem solve using abstract concepts and are able to give valid assent when parents sign the informed consent. An emancipated minor is a self -supportin g adolescent who is not subject to the control of a parent or guardian. A mature minor is a 14 - or 15-year-old whom the state law designates as being able to understand medical risks and who is thus permitted to give informed consent for treatment. 2. Asse nt requires the ability to generally understand what procedure and treatments are planned, to understand what participation is required, and to make a statement of agreement or disagreement with the plan. Usually, in Piaget's stage of formal operations, 11 - to 13 -year-olds should be able to problem solve using abstract concepts and are able to give valid assent when parents sign the informed consent. An emancipated minor is a self -supporting adolescent who is not subject to the control of a parent or guardi an. A mature minor is a 14 - or 15 -year-old whom the state law designates as being able to understand medical risks and who is thus permitted to give informed consent for treatment. 3. Assent requires the ability to generally understand what procedure and t reatments are planned, to understand what participation is required, and to make a statement of agreement or disagreement with the plan. Usually, in Piaget's stage of formal operations, 11 - to 13 -year-olds should be able to problem solve using abstract con cepts and are able to give valid assent when parents sign the informed consent. An emancipated minor is a self -supporting adolescent who is not subject to the control of a parent or guardian. A mature minor is a 14 - or 15 -year-old whom the state law design ates as being able to understand medical risks and who is thus permitted to give informed consent for treatment. 4. Assent requires the ability to generally understand what procedure and treatments are planned, to understand what participation is required, and to make a statement of agreement or disagreement with the plan. Usually, in Piaget's stage of formal operations, 11 - to 13 -year-olds should be able to problem solve using abstract concepts and are able to give valid assent when parents sign the inform ed consent. An emancipated minor is a self -supporting adolescent who is not subject to the control of a parent or guardian. A mature minor is a 14 - or 15 -year-old whom the state law designates as being able to understand medical risks and who is thus permi tted to give informed consent for treatment. Page Ref: 11, 12 Cognitive Level: Analyzing Client Need/Sub: Safe and Effective Care Environment / Management of Care Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essenti al V: Healthcare policy, finance, and regulatory environments. | NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Planning/Communication Learning Outcome: 1.7 Contrast the policies for obtaining informed consent of m inors to Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 10 Copyright © 20 23 Pearson Education , Inc. policies for adults. 12) Which nursing intervention is most appropriate when providing education to the pediatric client and family? 1. Giving primary care for high -risk children who are in hospital settings 2. Giving primary care for healthy children 3. Working toward the goal of informed choices with the family 4. Obtaining a physician consultation for any technical procedures at delivery Answer: 3 Explanation: 1. The educator works with the family toward the goal of making informed choices through education and explanation. 2. The educator works with the family toward the goal of making informed choices through education and explanation. 3. The educator works with the family toward the goal of making informed choices through education and e xplanation. 4. The educator works with the family toward the goal of making informed choices through education and explanation. Page Ref: 3 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment / Management of Care Standards: QS EN 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: Planning/Health teaching and health promotion Learning Outcome: 1.2 Identify the nursing roles available to pediatric nurses. 13) What is the pediatric nurse's best defense against an accusation of malpractice or negligence? 1. Following the physician's written orders 2. Meeting the scope and standards of practice for pediatric nursing 3. Being a nurse practitioner or clinical nurse specialist 4. Acting on the advice of the nurse manager Answer: 2 Explanation: 1. Meeting the scope and standards of pract ice for pediatric nursing would cover the pediatric nurse against an accusation of malpractice or negligence because the standards are rigorous and cover all bases of excellent nursing practice. Following the physician's written orders or acting on the adv ice of the nurse manager are not enough to defend the nurse from accusations because the orders and/or advice may be wrong or unethical. Being a clinical nurse specialist or nurse practitioner does not defend the nurse against these accusations if he or sh e does not follow the Society of Pediatric Nurses standards of practice. 2. Meeting the scope and standards of practice for pediatric nursing would cover the pediatric nurse against an accusation of malpractice or negligence because the standards are rigor ous and cover all bases of excellent nursing practice. Following the physician's written orders or acting on the advice of the nurse manager are not enough to defend the nurse from accusations because the orders and/or advice may be wrong or unethical. Bei ng a clinical nurse specialist or nurse practitioner does not defend the nurse against these accusations if he or she does not follow the Society of Pediatric Nurses standards of practice. 3. Meeting the scope and standards of practice for pediatric nursin g would cover the pediatric Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 11 Copyright © 20 23 Pearson Education , Inc. nurse against an accusation of malpractice or negligence because the standards are rigorous and cover all bases of excellent nursing practice. Following the physician's written orders or acting on the advice of the nurse manager are not enough to defend the nurse from accusations because the orders and/or advice may be wrong or unethical. Being a clinical nurse specialist or nurse practitioner does not defend the nurse against these accusations if he or she does not follow the Society of Pediatric Nurses standards of practice. 4. Meeting the scope and standards of practice for pediatric nursing would cover the pediatric nurse against an accusation of malpractice or negligence because the standards are rigorous and cover all bases of excellent nursing practice. Following the physician's written orders or acting on the advice of the nurse manager are not enough to defend the nurse from accusations because the orders and/or advice may be wrong or unethical. Being a clinical nurse spec ialist or nurse practitioner does not defend the nurse against these accusations if he or she does not follow the Society of Pediatric Nurses standards of practice. Page Ref: 9 -11 Cognitive Level: Analyzing Client Need/Sub: Safe and Effective Care Enviro nment / Management of Care Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and regulatory environments. | NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nu rsing Process: Planning/Ethics Learning Outcome: 1.8 Delineate significant legal and ethical issues that influence the practice of pediatric nursing. Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 12 Copyright © 20 23 Pearson Education , Inc. 14) Which legal or ethical offense would be committed if a nurse tells family members the condition of a newborn baby without first consulting the parents? 1. A breach of privacy 2. Negligence 3. Malpractice 4. A breach of ethics Answer: 1 Explanation: 1. A breach of privacy would have been committed in this situation, because it violates the right to pr ivacy of this family. The right to privacy is the right of a person to keep his or her person and property free from public scrutiny, including other family members. Negligence and malpractice are punishable legal offenses and are more serious. A breach of ethics would not apply to this situation. 2. A breach of privacy would have been committed in this situation, because it violates the right to privacy of this family. The right to privacy is the right of a person to keep his or her person and property fre e from public scrutiny, including other family members. Negligence and malpractice are punishable legal offenses and are more serious. A breach of ethics would not apply to this situation. 3. A breach of privacy would have been committed in this situation, because it violates the right to privacy of this family. The right to privacy is the right of a person to keep his or her person and property free from public scrutiny, including other family members. Negligence and malpractice are punishable legal offens es and are more serious. A breach of ethics would not apply to this situation. 4. A breach of privacy would have been committed in this situation, because it violates the right to privacy of this family. The right to privacy is the right of a person to kee p his or her person and property free from public scrutiny, including other family members. Negligence and malpractice are punishable legal offenses and are more serious. A breach of ethics would not apply to this situation. Page Ref: 9 -11 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment / Management of Care Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and regulatory environments. | NLN Competenci es: Professional identity | Nursing/Integrated Concepts: Nursing Process: Implementation/Ethics Learning Outcome: 1.8 Delineate significant legal and ethical issues that influence the practice of pediatric nursing. Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 13 Copyright © 20 23 Pearson Education , Inc. 15) Pediatric nurses have foundationa l knowledge obtained in nursing school and add specific competencies related to the pediatric client. Which would be considered an additional specific expected competency of the pediatric nurse? 1. Physical assessment 2. Anatomical and developmental differ ences 3. Nursing process 4. Management of healthcare conditions Answer: 2 Explanation: 1. Assessing anatomical and developmental differences would be a specific expected competency for the pediatric nurse that would not be learned in nursing school. Physical assessment, nursing process, and management of health conditions are all foundational knowledge learned in nursing school. 2. Assessing anatomical and developmental differences would be a specific expected competency for the pediatric nurse that w ould not be learned in nursing school. Physical assessment, nursing process, and management of health conditions are all foundational knowledge learned in nursing school. 3. Assessing anatomical and developmental differences would be a specific expected competency for the pediatric nurse that would not be learned in nursing school. Physical assessment, nursing process, and management of health conditions are all foundational knowledge learned in nursing school. 4. Assessing anatomical and developmental di fferences would be a specific expected competency for the pediatric nurse that would not be learned in nursing school. Physical assessment, nursing process, and management of health conditions are all foundational knowledge learned in nursing school. Page Ref: 2 -4 Cognitive Level: Applying 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: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Assessment/Education Learning Outcome: 1.2 Identify the nursing roles available to pediatric nurses. Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 14 Copyright © 20 23 Pearson Education , Inc. 16) Which of the following are components of family -centered care? Select all that apply. 1. Recognizing and building on family strengths 2. Meeting the emotional, social, and developmental needs of the child and family 3. Respect all parenting practices 4. Support all cultural practice s 5. Encourage parent -to-parent support Answer: 1, 2, 5 Explanation: 1. Recognizing and building on family strengths are one of the components of family -centered care. 2. Meeting the emotional, social, and developmental needs of the child and family are included in the components of family -centered care. 3. Respecting all parenting practices is not one of the components of family -centered care. 4. Supporting all cultural practices is not one of the components of family -centered care. 5. Encouraging parent -to-parent support is one of the components of family -centered care. Page Ref: 6 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment / Management of Care Standards: QSEN Competencies: Patient -centered care | AACN Essential Com petencies: Essential II: Basic organizational and systems leadership for quality care and patient safety. | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Intervention/Coordination of care Learning Outcome: 1.1 Describ e the continuum of pediatric healthcare. Complete Test Bank For Principles Of Pediatric Nursing 8th Edition By Jane W Ball, Ruth C Bindler, And Kay Cowen 2023 15 Copyright © 20 23 Pearson Education , Inc. 17) A three -week -old infant is returned post -pyloromyotomy three hours ago. The father is refusing pain medication for the infant and states, "The baby is hungry. Can I give the baby a bottle?" How should the nurse best advocate for the infant? Select all that apply. 1. Call the physician to ask if the child can feed yet. 2. The FLACC scale rating is 8 out of 10; try swaddling and rocking the infant. 3. Ask the parent to obtain a FLACC scale rating and let the nurse know what rating they get. 4. Educate the parent about the surgery and why the infant should not have anything by mouth. 5. Inform the parent about the meaning of the pain scale and the need for pain medication. Answer: 4, 5 Explanation: 1. Calling the physician to ask if the infant can feed yet is not the best way to advocate for the infant. 2. Swaddling and rocking the infant may calm the child but is not the best way to advocate for the infant. 3. Asking the parent to obtain a FLACC scale rating and let the nurse know what rating they get. This is not the parents' duty. It is the nurse's responsibility to assess pain. 4. Educating the parent about the surgery and why the infant should not have anything by mouth is a good way to advocate for the in fant. 5. Informing the parent about the meaning of the pain scale and the need for pain medication is a good way to advocate for the infant. Page Ref: 3 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: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Assessment/Health teaching and health promotion Learning Outcome: 1.2 Identify the nursing roles available to pediatric nurses.