Unit 1: Ch. 1 Study Guide Exam 1

The comparatively high rate of infant _____ is believed to be related to the high incidence of low-birth-weight infants being born.

Mortality

Family nurse practitioner

Provides health care across the life span

The current health care delivery system, based on diagnostic-related groups, improve access to preventative care, but limit access to _______ care.

Speciality

Neonatal nurse practitioner

Speciality within a specialty

Which child represents an increasingly common pediatric medical scenario currently present in the United States?

A. 9-year-old girl diagnosed with type 2 diabetes

A child's parents have stated that they are adamantly opposed to a transfusion of packed red blood cells for their daughter, despite her critically low hemoglobin level. What action should the nurse perform first?

A. Provide health education about the need for the transfusion while remaining nonjudgmental

The nurse is talking with the mother of a 2-year-old girl during a scheduled visit. Which teaching subject least supports the emphasis on preventive care?

A. Reminding that child will imitate parents

Case manager

Integrates care from before admission to after discharge

With the emphasis on reducing costs, _______ guidance and education by pediatric nurses has become ever more important.

Anticipatory

The nurse is updating the records of a 10-year-old girl who had her appendix removed. Which action could jeopardize the privacy of the child's medical records?

B. Letting another nurse use the nurse's log-in session

The nurse is assessing a 9-year-old boy during a back-to-school check-up. Which finding is a factor for childhood injury?

B. Mother reports she has abused alcohol and drugs

Which nursing activity requires the pediatric nurse to implement the ethical principle of nonmaleficence?

B. Weighing the potential harm caused by a child's chemotherapy with its potential benefits

The nurse is caring for a 14-year-old boy with a debilitating illness who wants to attend school. Which intervention addresses the child's physical health but not his quality of life?

C. Assessing the child's daily oxygen supplement needs

The nurse is applying the nursing process to the care of a 5-year-old child who has been diagnosed with asthma. Which action should the nurse perform first?

C. Interview the child and the caregivers to determine the most common causes of the child's symptoms

Pediatric nurse practitioner

Certified specialist

Describe the components of case management

Collaborative process involving assessment, planning, implementation, coordination, monitoring, and evaluation Advocacy, communication, and resource management Client-focused comprehensive care across a continuum Coordinated care with an interdisciplinary approach

Clinical nurse specialist

Consults in an area of expertise

A nurse is reviewing morbidity data related to a recent outbreak of severe influenza in the community. This epidemiologic information will allow the nurse to determine:

D. What proportin of children in the community have recently been diagnosed with influenza

The nursery nurse is preparing a consent form for the circumcision of a newborn. The mother of child is 16 years of age. The baby's father is not participating in the care. When planning to complete the surgical consent, which action by the nurse is most appropriate?

D. Ask the baby's mother to sign the surgical consent

A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory?

D. Defines consistencies in how families change

The parents of a 12-year-old child preparing to undergo surgery explain to the nurse that their religious beliefs do not allow for blood transfusions. What initial action by the nurse is most appropriate?

D. Document the parents requests

The nurse is caring for a 7-year-old boy with cystic fibrosis whose parents are intensely interested in all aspects of the child's condition and care. Which intervention is least important for empowering these health care consumers?

D. Locating the best deal on a high-frequency chest compression vest

The school nurse is caring for several children who witnessed an 8-year-old girl get hit by a car on the way to school. Which intervention is least important to the nursing plan of care for these children?

D. Making phone calls to the parents of the children counseled

A nurse is considering employment in a practice that promotes family-centered care. When considering this position, the nurse recognizes that this philosophy will:

D. Promote the involvement of the child and parents as members of the health care team

What does the term "child mortality rates" refer to?

Defined as the number of deaths per 100,000 population in children between 1 and 14 years of age.

Children's medical records are only shared with legal parents, ________, or others with written authorization by the parents.

Guardians

What is the purpose of the government's Healthy People agenda?

Healthy People originated in 1979. The principle behind the report was to set national objectives and provide a means to monitor progress. The report incorporates input from public health and prevention experts; federal, state, and local governments; and more than 2,000 organizations.

What are the three levels of care provided by pediatric nurses?

The primary level- Focuses on health promotion and illness prevention and typically occurs in the community. Provided in clinics, offices, schools, homes, and child care facilities. The secondary level- Provided in acute treatment centers that focus on diagnosis and treatment of illness. The tertiary level- Involves restorative, rehabilitation, hospice, and home care settings.

Name the 6 standards of care formulated by the American Nurses Association (ANA) and the society of Pediatric Nurses (SPN). What is the purpose of these standards?

The standards are assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. The purpose of the standards is to specify what is adequate and effective for general pediatric nursing and to promote consistency in practice.

More children and adolescents die from ______ injuries than any other cause.

Unintentional