The role of the pediatric nurse is influenced by trends in health care. Which is an influential trend in pediatric health care based on Healthy People 2030 goals?
A. Primary focus on the pediatric age range.
B. Engaging key partnerships in design of healthcare policies.
C. Focusing educational materials for the bilingual population.
D. Focus on the unification of the population to meet one common standard
B. Engaging key partnerships in design of healthcare policies.
A child is admitted to the hospital with a diagnosis of possible meningitis. Which information is the most important to ask at the time of admission?
A. “Are there any pets in the household?”
B. “Is anyone else in the household ill?”
C. “Are the immunizations up to date?”
D. “Has the child had a recent injury?”
C. “Are the immunizations up to date?”
A nurse has been working with a family who has 2 children, ages 5 and 7 years of age, to provide health teaching related to healthy nutritional patterns. Which observation if noted would indicate that additional instruction should be given related to health teaching in this area?
A. The children demonstrate application of skills by identifying healthy food snacks.
B. The parents are able to identify which foods are poor examples of “healthy food snacks.”
C. In response to the family’s identification of healthy food snacks, the nurse provides limited feedback since the answers are correct.
D. The nurse provides an interactive learning environment using age appropriate learning strategies.
C. In response to the family’s identification of healthy food snacks, the nurse provides limited feedback since the answers are correct.
The etiology component of the nursing diagnosis describes the
A. projected changes in an individual’s health status, clinical conditions, or behavior.
B. individual’s responses to health pattern deficits in the child, family, or community.
C. cluster of cues and/or defining characteristics that are derived from patient assessment and indicate actual health problems.
D. physiologic, situational, and maturational factors that cause the problem or influence its development.
D. physiologic, situational, and maturational factors that cause the problem or influence its development.
Which nursing intervention would be most effective in decreasing mortality from unintentional injury?
A. Teaching children the dangers of contact sports
B. Encouraging potential parents to obtain genetic counseling
C. Educating parents-caretakers about the benefits of immunizations
D. Teaching parents-caretakers about proper use of vehicle restraint seats
D. Teaching parents-caretakers about proper use of vehicle restraint seats
The nurse in considering ethical dilemmas that may affect delivery of care with regard to pediatric patients, must consider that the patient’s well-being is of paramount importance. This concept is best described by
A. fairness.
B. applying equity.
C. beneficence.
D. prevention of harm.
C. beneficence.
Nurses play an important role in current issues and trends in health care. Which is a current trend in pediatric nursing and health care today?
A. The patient is the unit of care for the health care provider.
B. Discharge planning begins when the physician writes the order.
C. Health promotion resources enable children to achieve their full potential.
D. The focus of pediatric health care is trending toward acute hospital care.
C. Health promotion resources enable children to achieve their full potential.
A nurse is preparing an educational workshop on atraumatic care in pediatric patient care. The most appropriate nursing intervention to include in the workshop is to
A. prepare the child that their parents will not be able stay during hospitalization by watching a video.
B. help the child to accept the pain associated with any treatments, procedures, or surgery.
C. tell the child that the loss of control and privacy in the hospital is temporary.
D. provide the child play activities for expression of fear and aggression.
D. provide the child play activities for expression of fear and aggression.
With regard to the nutritional well-being, at what age should the nurse instruct the parents that lifelong learning habits have been fostered?
A. By 1 year of age
B. When the child enters kindergarten
C. At 6 months of age when solid food introduction takes place
D. By age 3
D. By age 3
The nurse is providing education to a group of parents at a health fair in a local kindergarten school. The nurse describes the most common cause of death for children age 5 to 9 years is
A. inappropriate use of bike helmets and seat belts.
B. childhood immunizations.
C. lack of hand washing in the prevention of communicable diseases.
D. the obesity epidemic.
A. inappropriate use of bike helmets and seat belts.
Which represents the most likely cause of death for children greater than 1 year of age?
A. Homicide
B. Unintentional injuries
C. Violent death
D. Congenital diseases
B. Unintentional injuries
The nurse demonstrates understanding of family-centered care by
A. encouraging family visitation.
B. assuming total care for the child.
C. limiting visitation to three time periods per day.
D. expecting the child to perform self-care in activities of daily living.
A. encouraging family visitation.
Bright Futures program provides initiatives that focus on health promotion of children by focusing on (Select all that apply.)
A. encouraging use of community resources.
B. focus on after school activities as a source of engagement.
C. promotion of healthy eating habits.
D. limitations on introduction of health and sexuality teaching so as to assure parental support.
E. providing a safe environment.
F. providing limited mental health services.
A. encouraging use of community resources.
B. focus on after school activities as a source of engagement.
C. promotion of healthy eating habits.
E. providing a safe environment.
Arrange in sequential order the steps of the nursing process in relationship to evidenced based practice (EBP). (Answer with a letter followed by a comma and a space (e.g., A, B, C, D).)
a. Collecting research based on the question of interest
b. Integrating evidence with clinical expertise to implement care
c. Development of the research question
d. Evaluation of the effectiveness of the care plan
e. Development of the care plan
C, A, E, B, D
Rationale:
The nursing process is a method of problem identification and problem-solving that describes what the nurse actually does. The six-step nursing process model includes (Select all that apply.)
A. planning.
B. diagnosis.
C. evaluation.
D. assessment.
E. clinical outcomes identification.
F. diagnostic testing.
A. planning.
B. diagnosis.
C. evaluation.
D. assessment.
E. clinical outcomes identification.