EXAM 1 PEDS Flashcards
(99 cards)
1
Q
A student RN is teaching about safety to 10-11 yr olds- what type of accident should they emphasize of PRIMARY cause in accidental death in this age group?
a.) drowning
b.) rollerblading
c.) mva
d.) bike accidents
A
c.) mva
2
Q
RN assessing a 6 month old weighing 8lbs at birth. The RN should expect the baby to weigh how many lbs now?
A
16lbs
3
Q
What statement by parents reflects the need for further teaching re: car seat safety?
a.) My kid should ride in back seat until 13yrs old.
b.) My older child should stay in their booster seat until he is 4ft 9in.
c.) I should check my old car seats expiration date before use with my new baby.
d.) My baby should stay in a rear-facing car seat until he is 9 months old.
A
d.) My baby should stay in a rear-facing care seat until he is 9 months old.
4
Q
To assess the development of a 1 month old the RN asked the parents of the infants to demonstrate which skill?
a.) smile and laugh outloud
b.) roll from back to side
c.) lift head from prone position
d.) hold a rattle briefly
A
c.) lift head from prone position
5
Q
A mother is asking the Dr. about gross motor development. She’s concerned about what age the infant can sit steadily unsupported. The Dr. informs her most infants should be able to sit unsupported by what age?
a.) 3-4 months
b.) 4-5 months
c.) 6-7 months
d.) 9-10 months
A
c.) 6-7 months
6
Q
During a routine health assessment the RN notes that a 6 month old has significant head lay (not being able to control their head). In planning care what is a PRIORITY nursing action for this pt?
a.) teach parents appropriate exercise to strengthen neck
b.) recheck head control at next visit as this is a normal finding
c.) promptly refer the infant for further eval
d.) have the infant wear neck support until able to hold head
A
c.) promptly refer the infant for further eval
7
Q
What info should the RN give the mother re: the intro of solid foods during infancy?
A
one thing at a time
8
Q
The RN should teach parents at what age is it safe to give the infant whole milk instead of formula?
A
12 months
9
Q
The RN is preparing a presentation on child development and communication which of the following is most important in considering when communicating with children?
a.) child’s physical condition
b.) presents of absents of a child’s parents
c.) the child’s nonverbal behavior
d.) child’s developmental level
A
d.) child’s developmental level
10
Q
Examination of the abdomen is performed correctly by the RN in the following order…
A
inspect/ listen/ auscultation/ palpation
11
Q
A RN on a Ped’s Unit is providing family-centered care which of the following is the most descriptive of the care the RN is providing?
a.) encouraging family dependence on health care system
b.) excluding family members
c.) taking over total control of the child to reduce stress on family
d.) recongize family’s involvement in all decision making
A
d.) recognize family’s involvement in all decision making
12
Q
Charge RN provides Education Inservice to staff about providing ATRAUMATIC care to Peds pt. Which staff member statement indicates the need for further teaching?
a.) I will prevent or minimize the child’s separation from the family
b.) I will promote a sense of control
c.) I will encourage unethical decision making
d.) I will prevent or minimize bodily injury or pain
A
c.) I will encourage unethical decision making
13
Q
The community health RN is preparing a poster for educational session for a group of RN students that focuses on childhood morbidity. What group of children w/ increased morbidity should the RN list on the poster? SATA
a.) homeless
b.) homeschooled
c.) low birth weight
d.) foreign born adopted children
A
a.) homeless
c.) low birth weight
d.) foreign born adopted children
14
Q
Which of the following is the most appropriate RN intervention for the parents with school-age child with precocious or early puberty?
a.) teach parents how to give intradermal injections
b.) explain to parents the precocious puberty primarily effects boys
c.) teach parents there is no treatment available
d.) explain to parents the importance of treating the child by the child’s chronological age
A
d.) explain to parents the importance of treating the child by the child’s chronological age
15
Q
The nurse is teaching the parents of a child who is taking Methmonizole for the treatment of hyperthyroidism. Which statement by the parents indicates an understanding of the teaching?
a.) I would expect my child to gain weight while taking this med
b.) I expect my child to experience episodes of ear pain
c.) if my child develops a sore throat or fever I would contact the dr
d.) if my child develops the stomach flu my child needs to be hospitalized
A
c.) if my child develops a sore throat or fever I would contact the dr
16
Q
A school-aged child is being diagnosed and is to start drug therapy for their illness. Which instruction should the RN include in the teaching plan for the child’s parents?
a.) continue with same amount of school and homework
b.) understand mood swings are rare
c.) limit amount of food offered
d.) provide the child with calm nonstimulating environment
A
d.) provide the child with calm nonstimulating environment
17
Q
Where would you give an injection for an 18 month old?
A
vastus lateralis muscle
18
Q
Which size needle would you use for a 2 month old?
A
25gauge, 5/8th inch
19
Q
Which nursing intervention would minimize aspiration when giving oral medication to a 4 month old?
a.) mix med with formula
b.) hold infant nose and allow them to drink from a straw
c.) admin med rapidly to keep them from spitting it out
d.) admin slowly with oral syringe alone the cheek
A
d.) admin slowly with an oral syringe along the cheek
20
Q
Where are you going to give a 2yr old an IM injection?
A
mid anterior lateral thigh
21
Q
Philosophy of Pediatric Care
A
Utilizing a patient- and family- centered care approach, pediatric nurses. strive for preventing illness and injury, restoring health, and maximizing comfort in health conditions and at the end of life, through diagnosis, treatment, and management of the child’s condition and advocacy in the care of children and families..
22
Q
Federal Programs to Support Children
A
- National School Lunch Program (1946)
- Head Start Developed (1964)
- Women, Infants, Children (WIC) Program (1966/ 1974)
- No Child Left Behind Act (2002)
- Child-care Assistance
23
Q
the role of the pediatric nurse
A
- therapeutic relationship
- family advocacy & caring
- disease prevention & health promotion
- health teaching
- injury prevention
- support & counseling
- coordination & collaboration
- ethical decision making
24
Q
2 basic concepts of family-centered care
A
- enabling
- empowerment
25
professional identity
a sense of onself that is influenced by characteristics, norms, and values of the nursing discipline resulting in individual thinking, acting, and feeling like a nurse
26
most common nutritional problem among American children; increasing in epidemic proportions
obesity
27
childhood health problems
* diabetes
* cystic fibrosis
* obesity and overweight
* malnutrition
* developmental disabilites and differences
* mental illness
28
29
what is the nursing focus of overweight and obesity (pediatrics)
prevention
30
what is the ratio of mental illness in children
1 in 5
30
what percentage of chronic mental disorders begin in childhood?
80%
31
obesity = in children and adolescents
BMI > 96th percentile for youth of the same age and gender
32
overweight = in children and adolescents
* BMI @ or above the 85th percentile
* BMI below the 95th percentile
for children and teens of the same age and gender
33
No screen time
children <18 months of age
34
what are the most common causes of death among children in the US?
injuries
35
vaping increased by how much in high school students and by how much in middle school students (2018)?
78% - high school students
48% - middle school students
36
The presence of a gun in a household does what to the risk of suicide and the risk of homicide?
it increases the risk for suicide 5 fold and homicide by 3 fold
37
childhood morbidity
* measures prevalence of a specific illness in a population at a particular time
* often difficult to define & record
38
Childhood morbidity statistics are commonly collected for children under __ yrs old, children aged __ to __ yrs, and children aged __ to __ years.
Who?
* 5
* 1 to 4
* 5 to 14
* National Vital Statistics
39
health and healtcare priorities for children
* poverty
* lack of health ins
* environmental health
* nutrition
* firearm deaths and injuries
* mental health
* racial and ethnic disparities
* immigration
40
key concepts for intro to peds
* Unintentional injuries are the leading cause of death for children and adolescents aged 1-19 yrs in the US
* Health problems such as obesity, type 2 diabetes, violence and mental health problems endanger children
* Three general concepts that form the philosophy of pediatric nursing care are family- centered care, atraumatic care & evidence-based care
* Primary role of the pediatric nurse is to provide direct nursing care to children & their families, being an advocate, educator & manager
41
What are the leading cause of death for children and adolescents aged 1-19 yrs in the US?
unintentional injuries
42
Which health problems are endangering children's health today?
* obesity
* type 2 diabetes
* violence
* mental health problems
43
What are the 3 general concepts that form the philosophy of pediatric nursing care?
* family-centered care
* atraumatic care
* evidence-based care
44
What is the primary role of the pediatric nurse?
to provide direct nursing care to children and their families, being an advocate, educator, and manager
45
Which of the following is the common cause of death and disability to children ages 1-19 yrs in the US?
* Fires and burns
* Firearms
* Unintentional injuries
* Falls
Unintentional injuries
46
Which of the following increases the risk of childhood suicide by about fivefold and the risk of homicide by about threefold?
* Exposure to violent video games
* Presence of a gun in a household
* Exposure to violence in the home
* Growing up in disadvantaged neighborhood
Presence of a gun in the household
47
Which of the following is a warning sign of a nontherapeutic relationship?
* Staff members voicing concerns about their peer's closeness with a family
* Open communication between staff and family
* Staff offering anticipatory guidance before procedures
* Care provided to reduce or eliminate pain or discomfort
Staff members voicing concerns about their peer's closeness with a family
48
When caring for a child, the nurse recognizes that the following intervention is the best way to facilitate nonverbal communication.
* Touching and physical presence
* verbal communication
* anticipatory guidance
* play
Touching and physical presence
49
The role of the Peds RN is influenced by trends in health care. Which is an influential trend in pediatric health care?
a.) Primary focus on treatment of disease or disability
b.) Shift of focus to maintenance of health and illness prevention
c.) National health care planning on a distributive or episodic basis
d.) Accountability to professional codes and international standards
b.) Shift of focus to maintenance of health and illness prevention
50
A PED RN student is studying child health statistics. Which would the nurse answer when asked about the definition of infant mortality rate?
a.) It is the number of fetal deaths (over 500 g) per 1000 live births.
b.) It is the number of deaths per 1000 live births during the first year of life.
c.) It is the number of deaths per 1000 live births occurring at birth or in the first 28 days of life.
d.) It is the number of deaths per 1000 live births occurring between 28 days and 11 months of life.
b.) It is the number of deaths per 1000 live births during the 1st year of life.
51
After recording the weight of a newborn child, the nurse concludes that the newborn is a LBW baby. Which is the weight of the baby?
a.) more than 4.5 kg/ 9.9 lbs
b.) more than 3.5 kg/ 7.7 lbs
c.) less than 2.5 kg/ 5.5 lbs
d.) less than 5.0 kg/ 12.1 lbs
c.) less than 2.5 kg/ 5.5 lbs
52
A nurse understands that moral values are important in any decision making. Which does the moral value of autonomy refer to?
a.) The obligation to prevent or minimize harm.
b.) The patient's right to be self-governing.
c.) The concept of fairness.
d.) The obligation to promote the patient's well-being.
b.) The patient's right to be self-governing
53
Which is considered a key factor in the higher neonatal mortality rate in the US compared with the rates in other countries?
a) infections
b.) parasitic disease
c.) low birth weight
d.) high birth weight
c.) low birth weight
54
Which does the etiology component of the nursing diagnosis describe?
a.) The individual's responses to health pattern deficits in the child, family, or community.
b.) The projected changes in an individual's health status, clinical conditions, or behavior.
c.) The physiologic, situational, and maturational factors that cause the problem or influence its developement.
d.) The cluster of cues and/ or defining characteristics that are derived from the patient assessment and indicate actual heath problems.
c.) The physiologic, situational, and maturational factors that cause the problem or influence its developement.
55
A nurse is preparing a nursing care plan for a ped pt. Which activities would be included in the assessment phase?
a.) Data collection, classification, analysis of gathered information
b.) Interpretation of data and formulation of nursing diagnosis
c.) Developing a care plan and establishing outcomes
d.) Implementation of the care plan for the pt
a.) Data collection, classification, analysis of gathered information
56
A nurse is delivering a lecture on breastfeeding to a group of women. When explaining the nutritional advantages of breast milk, which information would the nurse include? SATA
a.) Breast milk provides micronutrients to the child.
b.) Breast milk provides some defense against infections.
c.) Breast milk is rich in digestive enzymes.
d.) Breast milk does not affect the absorption of nutrients.
e.) Breast milk is necessary for the growth and development of the baby.
a, b, c, e
57
Which is the principle of EBP in nursing? SATA
a.)Basing clinical judgment solely on a nurse's intuition.
b.) Basing clincial nursing practice on clinical experience.
c.) Using a combination of knowledge, clinical experience, and intuition.
d.) Asking why something is effective and whether a better approach exists.
e.) Collecting, interpreting, and integrating valid, important, and applicable research-driven information.
c, d, e
58
Which is the role of a school nurse in educating children about reducing bicycle-associated injuries? SATA
a.) Stress the importance of wearing helmets when riding.
b.) Encourage peer leaders to act as role models.
c.) Discourage helmet use if ridiculed by peers.
d.) Insist on avoiding bicycles because they invariably lead to injuries.
e.) Address issues related to noncompliance for helmet use.
a, b, e
59
The nurse is providing care for a child with an injury that requires a brief hospital stay. Which nursing action is MOST appropriate for building a good therapeutic relationship with the child and the family? SATA
a.) The nurse works overtime to care for the child and the family.
b.) The nurse encourages family involvement in the caring process.
c.) The nurse learns about the religious beliefs of the child.
d.) The nurse assesses the family's feelings of anxiety or fear.
e.) The nurse focuses on the technical aspects of providing care.
b, c, d
60
A nurse understands that the nursing process is an important part of pediatric nursing. Which activity is a part of the implementation phase of the nursing process?
a.) Putting the selected interventions into action
b.) Establishing patient outcomes.
c.) Identifying the problems and formulating a dx
d.) Collecting related data from various sources.
a.) Putting the selected interventions into action
61
Which principle would the nurse recognize in providing atraumatic care? SATA
a.) Promote the medical model of care.
b.) Prevent or minimize bodily injury to the child.
c.) Promote the child's sense of control and independence.
d.) Minimize the number of choices the child needs to make.
e.) Prevent or minimize the child's separation from the family.
b, c, e
62
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Which is the correct term referring to when a nurse helps parents and children understand a dx?
a.) direct counseling
b.) indirect counseling
c.) direct health teaching
d.) indirect health teaching
d.) indirect health teaching
63
The nurse is making a clinical judgement about the pt's response to an actual health problem. Which step of the nursing process is the nurse implementing?
a.) Evaluation
b.) Assessment
c.) Implementation
d.) Nursing diagnosis
d.) nursing diagnosis
64
A nurse is teaching a mother of a 2-month-old infant about nutrition of the baby. Which food is the best for the child at this age?
a.) Breast milk
b.) Rice cereal
c.) Chicken soup
d.) Pureed meat
a.) Breast milk
65
How does the nurse demonstrate understanding family-centered care?
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
66
Which is the best approach to disease prevention?
a.) Education and safety measures.
b.) Medications and regular check-ups
c.) Education with anticipatory guidance
d.) Cultural sensitivity in health care practices
c.) Education with anticipatory guidance
67
A nurse is delivering a lecture on child health in a community-based initiative. Which cause would the nurse identify as a risk factor for infant deaths? SATA
a.) Female gender
b.) low birth weight
c.) Native American race
d.) Short gestation period
e.) Lower level of maternal education
b, d, e
68
The nurse is providing care for a child with an injury. The nurse observes that the parents seldom visit the child, and the child is missing family. Which is the MOST appropriate nursing action?
a.) Focus on the technical aspects of care
b.) Work overtime to care for the child
c.) Seek further clarification from the parents in regard to their visiting schedule.
d.) Tell the parents that their behavior is wrong.
c.) Seek further clarification from the parents in regard to their visiting schedule.
69
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 pt is the unit of care for the health care provider.
b.) Discharge planning begins when the physician writes the order.
c.) The focus of pediatric health care is trending toward acute hospital care.
d.) Health promotion resources enable children to achieve their full health potential.
d.) Health promotion resources enable children to achieve their full health potential.
70
How does the nursing dx phase of the nursing process help the nurse make decisions about the patient's care?
a.) The nursing dx phase is completed once the outcome has been met.
b.) The nursing dx phase occurs when the nurse puts the selected intervention into action.
c.) The nursing dx phases operates at all phases of problem solving and is the foundation for decision making.
d.) The nursing dx phase helps the nurse make a clinical judgement about the pt's response to an actual or potential health problem.
d.) The nursing dx phase helps the nurse make a clinical judgement about the pt's response to an actual or potential health problem.
71
In a community pediatric health care facility, a nurse helps a child and their family members to make informed choices and act in the child's best interest. Which nursing skill is the nurse exhibiting here?
a.) caregiver
b.) collaborator
c.) counselor
d.) patient advocate
d.) patient advocate
72
A school nurse finds that many adolescents in the school are overweight. Being overweight predisposes these adolescents to which condition? SATA
a.) diabetes
b.) hypertension
c.) heart diseases
d.) fractures
e.) headaches
a, b, c
73
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 seek genetic counseling
c.) educating parents and caretakers about the benefits of immunizations
d.) teaching parents and caretakers about proper use of vehicle restraint seats
d.) teaching parents and caretakers about proper use of vehicle restraint seats
74
The nurse is providing care for a child with a respiratory illness. The child appears very shy during interaction. Which intervention will the nurse implement to improve the level of functioning and increase the self-esteem in the child?
a.) Being physically present and using touch.
b.) Allowing the child to rest often and avoid disturbances.
c.) Asking the child to use the call bell in case of emergency.
d.) Telling the child that it is not good to be so quiet.
a.) Being physically present and using touch.
75
Which would be the nurse's instruction to the parent of a child who is overweight?
a.) Inform the parent that the child is well nourished.
b.) Advise the parent to put the child on a temporary fast.
c.) Tell the parent to reduce the quantity of food supplied to the child.
d.) Emphasize the importance of physical activity for the child.
d.) Emphasize the importance of physical activity for the child.
76
Which role does a nurse play in family-centered care to enhance the care provided to the children of a family?
a.) Provide basic medical care.
b.) Screen for illness in children and all family members.
c.) Enhance natural caregiving expertise within the family.
d.) Train the family members about basic medical remedies.
c.) Enhance natural caregiving expertise within the family.
77
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While delivering a lecture on family-centered care, the nurse says, "An important duty of a nurse is to interact with the families to make them understand their responsibilities. Nurses would encourage behaviors that could bring positive changes in their family lives. "Which concept of family care is the nurse speaking about?"
a.) Enabling
b.) Empowerment
c.) Commitment
d.) positive communication
b.) Empowerment
78
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Which nursing intervention would best help a pediatric pt solve a current problem if the patient has impaired problem-solving and decision-making skills due to a psychiatric illness?
a.) Ask the pt what caused the problem.
b.) Listen to the pt's views regarding the problem.
c.) Provide the pt with the correct solution to the problem.
d.) Instruct the pt's parents that they should solve the problem.
b.) Listen to the pt's views regarding the problem.
79
A nurse finds that a 6-year-old child admitted to the hospital is showing signs of physical distress because of hospitalization. Which clinical finding would have led the nurse to conclude this?
a.) fear
b.) anxiety
c.) disappointment
d.) immobilization to disturbances caused by sensory stimuli
c.) immobilization to disturbances caused by sensory stimuli
80
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A nurse understands that young children are predisposed to certain injuries because of their anatomic characteristics. Which anatomic characterisitics predisposes them to cranial injuries?
a.) hepatomegaly
b.) large head
c.) wide costal margin
d.) small body
b.) large head
81
The head nurse is evaluating the performance of a student nurse, who is promoting the health and well-being of a child and family. Which intervention of the student nurse indicates the provision of atraumatic care? SATA
a.) Spending additional time with the family
b.) Teaching the family about all available health services.
c.) Preparing the child before any unfamiliar treatment.
d.) Showing concern about a peer's actions with the family.
e.) Fostering the parent-child relationship during hospitalization.
c, e
82
The nurse is providing education to a group of parents at a health fair in a local kindergarten. The nurse tells the group that which is the MOST common cause of death among children ages 5 to 9 years old?
a.) The obesity epidemic
b.) Childhood immunizations
c.) Inappropriate use of bike helmets and seat belts
d.) Lack of hand washing in the prevention of communicable diseases
c.) Inappropriate use of bike helmets and seat belts
83
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When teaching safety and injury prevention, the nurse explains that children are at risk for different injuries based on their developmental stage. Which group of children is at the greatest risk of street accidents?
a.) small infants
b.) crawling infants
c.) mobile toddler
d.) preschooler
d.) preschooler
84
Dental caries is the MOST common chronic disease of childhood. Which fact regarding dental disease in childhood would the nurse remember? SATA
a.) Childhood caries is the most common form of early dental disease.
b.) Nearly one in five children between the ages of 2 & 4 years has visible cavities.
c.) Preschoolers in low-income families are twice as likely to have tooth decay as other children.
d.) Daily consumption of fluoridated bottled water contributes to the development of cavities in children.
e.) Dental caries in children may start before the 1st birthday and result in pain and infection within the first 2 years of life.
a, b, c, e
85
Which action by the nurse may represent a nontherapeutic relationship with a pt or family?
a.) Staff members are concerned about the nurse's actions with a pt or family
b.) Assignments are structured to allow nurses to care for the same pts over the extent of the hospital stay.
c.) The nurse engages in appropriate small talk wit hthe pts and family members after performing the morning assessment.
d.) The nurse is able to emotionally withdraw when emotional overload occurs but still remain committed to providing quality care.
a.) Staff members are concerned about the nurse's actions with a pt or family
86
The nurse is teaching a group of nursing students about involvement with children and their parents while providing care. Which statement by the nursing student would indicate a neeed for additional teaching?
a.) "I will ask questions of the family members if they do not participate in care."
b.) "I will clarify any information about pt care to the family."
c.) "I will help the family decrease their dependence on the nurse for activities of daily living."
d.) "I will try to influence the family's decisions regarding pt care."
d.) "I will try to influence the family's decisions regarding pt care."
87
The nurse is caring for a child with a musculoskeletal injury. The child is prescribed physical therapy. The nurse is teaching the exercises for the first time. Which is the MOST appropriate action for the nurse to take?
a.) Collaborate with other professionals to provide care.
b.) Learn about the exercises an hour before teaching.
c.) Teach the exercise later, after learning them well.
d.) Asks the child's parents to learn the exercises.
a.) Collaborate with other professionals to provide care.
88
A registered nurse is explaining to a nursing intern about atraumatic care in a pediatric care facility. Which example would the nurse cite to explain this process?
a.) Administering pain medications
b.) Recording blood pressure
c.) Administering intravenous fluids
d.) Providing diet as listed in the diet chart
a.) Administering pain medications
89
A nurse is assessing a 12-year-old child in a community establishment. The parent says that, for the past 2 years, the child has not seemed to concentrate in school. The child is very forgetful, becomes extremely aggressive while playing, and is very silent otherwise. What does the nurse suspect from the history of the child?
a.) The child is affected by incidents of chronic violence
b.) The child is suffering from malnutrition
c.) The child is autistic
d.) The child has low intelligence quotient (IQ)
a.) The child is affected by incidents of chronic violence
90
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The nurse is working with the family of a child who just received a diagnosis of cancer. The family is overwhelmed with all of the information given to them. The nurse instructs the family to make a list of pros and cons of the different treatment regimens and bring their concerns to the next health care provider's appt. What role does the nurse assume in this situation?
a.) family advocacy
b.) ethical decision making
c.) coordination and collaboration
d.) disease prevention and health promotion
a.) family advocacy
91
The nurse is developing a plan of care using the nursing process for a pt admitted to the hospital for cystic fibrosis treatment. During which stage of the nursing process does the nurse document that the pt has an alternation in breathing pattern related to use of accessory muscles?
a.) planning
b.) diagnosis
c.) assessment
d.) documentation
b.) diagnosis
92
A nurse is caring for a 7-year-old child. Which nursing action would be inappropriate to build an optimal professional patient-nurse relationship?
a.) The nurse works overtime to provide care to the family.
b.) The nurse is able to identify the needs of the family and deliver care accordingly.
c.) The nurse is able to resolve conflicts with those who are directly invloved.
d.) The nurse is able to involve the family members in the caregiving process.
a.) The nurse works overtime to provide care to the family.
93
A nurse is preparing an educational workshop on atraumatic care in pediatric patient care. Which is the MOST appropriate nursing intervention to include in the workshop?
a.) Providing the child play activities for expression of fear and aggression.
b.) Telling the child that the loss of control and privacy in the hospital is temporary.
c.) Helping the child accept the pain associated with any treatment, procedures, or surgery
d.) Using a video to help the child accept the knowledge that their parents will not be able stay during hospitalization.
a.) Providing the child play activities for expression of fear and aggression.
94
How would the nurse counsel a parent whose toddler has eaten medication from the first aid box? SATA
a.) Refer to a child psychiatrist for counseling.
b.) Ask the parent to punish or threaten the child.
c.) Explain that the child is in an explorative and investigative stage.
d.) Advise that such things be kept out of reach.
e.) Explain that it is natural for the child to put things in the mouth.
c, d, e
95
The nurse is teaching the parents of a crawling infant about childhood injuries and how to prevent them. Based on the developmental characteristics of infants, which will the nurse include in the teaching?
a.) See to it that the child does not place objects in mouth.
b.) Take care that the child does not collide with objects.
c.) Be careful as the child may experience falls or burns.
d.) Do not place the infant on unprotected surfaces.
a.) See to it that the child does not place objects in mouth.
96
The nurse is planning interventions for a child with an illness. Which action will the nurse take to ensure evidence-based practice? SATA
a.) The nurse uses published clinical research for planning interventions.
b.) The nurse documents the clinical outcome of the interventions.
c.) The nurse uses the PICOT (population, intervention, comparison, outcome, time) format to ask clinical questions.
d.) The nurse uses journals and online resources to search for evidence.
e.) the nurse selects interventions that the nurse thinks will work best.
a, b, c, d
97
Which is a quality, identified by Dunst, Trivette, and Deal, that helps a strong family function effectively?
a.) The desire to spend the majority of free time isolated from other family members.
b.) A heavy reliance on external family resources for coping and adapting to life events.
c.) The ability to engage in problem-solving activities that meet the needs and resources of the family.
d.) Commitment to the growth of the individual family members over the growth of the family unit.
c.) The ability to engage in problem-solving activities that meet the needs and resources of the family.
98
