Chapter 1

Nurses can help decrease the United States mortality rate by advocating for improved access to health care for which ethic groups? (Select all)

Native Americans African Americans

A pediatric nurse specialist offers to provide a workshop for colleagues regarding recent advances in the care of children with head injuries. Which Standard of Professional Performance is the nurse demonstrating?

Quality

The nurse is reviewing documentation on a client's chart. The healthcare provider has referred to parens patriae. When considering this notation, what should be included in the client's plan of care?

Recognize the child's care has been ordered by the state.

An older couple approaches the nurse's station seeking information about their hospitalized grandchild. What should be the nurse's response?

Tell the couple to seek information directly from the child's parents.

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

letting another nurse use the nurse's log-in session.

The nurse is providing care to a 6 year old child following surgery. The nurse asks the child to rate the pain using the Faces of Pain scale. Which phase of the nursing process is the nurse demonstrating?

Assessment

The nurse is caring for several children who witnessed an accident in which an 8 year old child was struck by a car on the way to school. Which is the first step in developing the nurse care plan for these children?

Determining whether the children were traumatized by the accident.

During the weekly team meetings, the physician and case manager discuss the client's planned assent. What activity should the nurse most anticipate?

The client will have a conference with the healthcare provider about the planned course of care and treatment

The nurse knows that children can give assent (agree) to participate in research, but first each child's decision making ability must be assessed by the healthcare team. Based on the American Academy of Pediatrics recommendations, which area(s) will the team assess? (Select all)

psychological state developmental state maturity

A nurse is providing care to a child on an oncology unit. The nurse is both administering chemotherapy to the child and teaching the parents about the actions, side effects, and complications of the drug. These actions best describe which nursing role?

Clinical nurse specialist

A child with a chronic illness is being discharged home. The nurse manager arranges for home care for the child. The nurse manager follows up with a phone call to check on the child's progress 1 week after discharge. Which concept best defines these actions?

Continuity of care

Morbidity data indicate that support is needed from pediatric nursing groups to establish improved and additional services for children with what health issues?

Mental health and behavioral disorders

The nurse is caring for a 16 year old child injuries from a car accident. Which activity describes the nurse's manager role?

Facilitating return to school by working with the school nurse

A student nurse is interested in working at a practice caring for children. When considering work locations, where will the greatest opportunity to care for children to be likely?

Healthcare provider offices

The nurse is caring for a 7 year old child with cystic fibrosis whose parents are intensely interested in all aspects of his conditions and care. Which is the most effective way of advocating for this child and family?

Helping parents access the area's multidisciplinary cystic fibrosis clinic

The 5 year old in the emergency room is having glass removed from a wound. Which action constitutes ethical behavior by the nurse?

Holding the child's hand in order to facilitate removal of the glass.

The nurse is caring for a 2 year old child who needs a lumbar puncture. His parent is present. What would prevent informed consent from being obtained?

Learning the parent is not the custodial parent

The nurse is assessing a 9 years old with pneumonia. Which finding is a factor for this child's morbidity?

Medical records reveal a history of asthma.

The nurse is focusing on health promotion for a 6 year old child. Which intervention best supports Healthy People goals?

Recommending a helmet for biking

The nurse is talking with the parent of a 2 year old child during a schedule visit. Which teaching subject best supports the emphasis on preventive care?

Showing the parent how to teach hand washing to the child.

The nurse is caring for a 5 year old child with meningitis. What action by the nurse may be considered ethical behavior?

Starting intravenous fluids even though the child protests

The nurse is caring for a 16 year old who is terminally ill with bone cancer. Which order is least likely to be in the child's advance medical directive?

Stop all opioid analgesics

To decrease childhood mortality, pediatric nurses need to consistently engage in what activity throughout all age groups?

Teach injury prevention and proper safety practices.

Consent for urgent treatment is needed for a minor. The parents are. Unable to be at the hospital. What action by the nurse constitutes informed consent?

Telephone consent with two witnesses listening simultaneously.

The line at the well-child walk-in clinic is long, with closing time near. Which child does the nurse assess based on knowledge of morbidity data?

The foreign born adopted child

a newly hired nurse is receiving education about the role of the facility's ethics committee during the orientation period. Which statements indicate an understanding of the role of this group? (Select all)

The role of the ethics committee has increased over the years. This group will review each case presented and formulate a decision for the facility. Education concerning ethics is a role of the committee.

The nurse providing care to the fifth grade child and his family reviews the nursing care plan, noting that teaching about pubertal changes is one of the individualized interventions. The nurse chooses not to address this. How should the nurse's actions be evaluated?

This nurse has not met the standard of care that constitutes adequate nursing practice identified in Pediatric Nursing: Scope of Standards and Practice.

The nurse is caring for a child who has a gastrostomy tube (G-tube) used for feeding. When planning interventions, the nurse best demonstrates the use of evidence based practice when performing which intervention?

Using litmus paper to determine the pH of the stomach contents when checking placement of the G-tube.

Pediatric nurses are developing more care and community-based services for the children with chronic illnesses because:

increasing numbers of children live with chronic disabilities due to advances in health care that allow children with formerly fatal diseases to survive.