pediatric nursing chapter 1 prep you
An instructor is describing the issues of research involving children. Which of the following would the instructor include?
Children are considered vulnerable subjects at high risk for injury.
The parent of an 11-year-old female patient with an inoperable brain tumor confides to the nurse that her daughter's physician is "pushing them" to convince their daughter to participate in a controversial treatment that has a high risk for side effects. She further states that she told him twice that they were not interested. What would be the nurse's best response to this situation?
Meet with the physician and disclose the concerns of the family; refer the case to the institutional ethics committee if not resolved
Your patient is a 1-year-old girl from a low-income family presenting with a vitamin D deficiency and anemia. What assistance program do you recommend to the child's young mother?
WIC
A terminally ill 15-year-old tells the nurse that she wants to stop all treatments and go home despite her parents' directives to provide extraordinary means to keep their child alive. What is the best resource available to this nurse to help solve this dilemma
an institutional ethics committee
A single18-year-old woman in her second trimester presents at the clinic with vaginal bleeding. She confides to the nurse in confidence that she has been using cocaine to "calm her nerves" and hopes it didn't harm her baby. What would be the nurse's best response to this situation?
consult with the health care facility's institutional ethics committee for an appropriate response.
Morbidity rates among children are most highly associated with which cause?
environmental factors
The nurse is caring for a 16-year-old boy with injuries from a car accident. Which of the following activities describes the nurse's manager role?
facilitating return to school by working with the school nurse
In order to advocate for children and families, the nurse must first acknowledge that the basic system in which health behavior and care are organized, secured, and performed is the
family
Which of the following would be a current trend that is influencing child care?
greater use of alternative treatment modalities
Which of the following is a trend in child health care today?
health promotion rather than health restoration is stressed
A nurse is presenting a class to a local community group on children's health and factors affecting it. Which group would the nurse describe as having the highest number of uninsured children?
hispanics
Pediatric nurses are developing more home care and community-based services for children with chronic illnesses because:
increasing numbers of children live with chronic disabilities due to advance in healthcare that allow children with formerly fatal diseases to survive.
In 2007 the World Factbook published statistics that showed the United States still lagged behind other industrialized nations in the incidence of infant mortality. What is one reason that the United States has a higher infant mortality rate than other countries?
low birth weight
The nurse is assessing a 9-year-old boy with pneumonia. Which of the following findings is a factor for this child's morbidity?
medical records reveal a history of asthma
A nurse is caring for a child. Which individual would the nurse identify as being primarily responsible for initiating and coordinating healthcare?
parents
A nurse is reviewing the medical record of a terminally ill child who has a DNR order. The nurse interprets this as refraining from which of the following?
performing cardiopulmonary resuscitation
The nurse is talking with the mother of a 2-year-old girl during a scheduled visit. Which of the following teaching subjects best supports the emphasis on preventive care?
showing the mother how to teach handwashing to her child
A nurse is looking for information about advocacy activities related to promoting literacy. Which of the following would be most appropriate for the nurse to contact?
society of pediatric nurses
To decrease childhood mortality, pediatric nurses need to consistently engage in what activity throughout all age groups?
teach injury prevention and proper safely practices
You are going to provide an education program to early grade-school children. Which of the following topics would address the number one cause of death for this age group?
the importance of crossing the street safely
The nurse dealing with global populations knows that the health of individuals in North America continues to improve, but much room for improvement remains. Which one of the following statements accurately reflects the state of health in North America?
the prevalence of chronic diseases is increasing
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 action be evaluated?
this nurse has not met the standard of care that consitutes adequate nursing practice identified in pediatric nursing: scope of standards and practice
A family that makes too much money to qualify for Medicaid, but who cannot afford to purchase health insurance, should be referred to the State Children's Health Insurance Program (SCHIP).
true
The nurse is caring for a 2-year-old boy who needs a lumbar puncture. His mother is present. Which of the following would prevent informed consent from being obtained?
learning the mother is not the custodial parent
