Peds Wk 1
During a well-child care visit, the mother of a 4-year-old child reports her son is extremely active at home and cries easily if frustrated. This is consistent with which level of the classic temperament theory?
difficult temperament
The nurse is educating the parents of a 10-year-old girl in ways to help their child avoid tobacco. Which suggestion should be part of the nurse's advice?
"As parents, you need to be good role models."
A child is seen in the pediatric clinic for update of immunizations prior to starting middle school. During the intake process the nurse asks the parents if the family is involved in any neighborhood or community activities. The parents ask the nurse, "What does that have to do with immunizations?" What is an accurate response by the nurse?
"Based on research, our physician feels that better connection to community leads to better health in many ways."
The mother of a 7-year-old girl is asking the nurse's advice about getting her daughter a 2-wheel bike. Which response by the nurse is most important?
"Be sure to get the proper size bike."
The parents of a 10-year-old girl voice concern to the nurse because their daughter seems to "have a higher amount of body fat" than they expect based on the healthy eating habits and high activity level of the family. What is the best response by the nurse?
"Before adolescence the body fat composition of school-age children increases earlier and in greater amounts in girls than in boys."
The parents of an 8-year-old boy report their son is being bullied and teased by a group of boys in the neighborhood. Which response by the nurse is best?
"Bullying can have lifelong effects on the self-esteem of a child."
The nurse is working with a group of caregivers of 6-year-olds. One of the mothers states her son has been lying and making up stories; she asks for some advice about how to address the issue. What would be an appropriate response by the nurse?
"Children this age sometimes can't distinguish between fantasy and reality."
The mother of two school-age children is getting divorced. Which would be the best advice for the nurse to give?
"Discuss how things will work after the divorce."
A 14-year-old child shares with the nurse that she is adopted. She reports she was born in another country and now wishes she had more information about her ethnic and cultural background. She states her parents are not comfortable with this. What response by the nurse is most appropriate?
"Finding out about your culture may be enlightening for you."
The nurse is assessing for violence in the home. Which statement by a parent would warrant further investigation?
"I don't think my children have seen my husband hit me."
During a hospital admission, an 8-year-old of Polish heritage tells you he is angry because so many people have asked him how to pronounce his name. What would be your best response?
"I will mark in your nursing care plan how to say it correctly."
A 10-year-old child tells the school nurse that she is embarrassed that she is afraid of the dark. Which is the best response by the nurse?
"It is normal for a 10-year-old to be afraid of the dark so there is no need to be embarrassed. Would you like to talk about it?"
A nursing instructor is discussing ways to promote safe Internet use in children with a group of nursing students. Which statement by a student would indicate a need for further education?
"It is okay for a parent to place a computer in a child's room if it is used for homework."
The nurse is providing a class to a group of parents about child rearing. One of the participants reports that she regularly uses spanking as a form of discipline for her 5-year-old son. What is the best response by the nurse?
"Many studies show that spanking can lead to aggression in children."
The parents of a 10-year-old tell the clinic nurse that they are concerned because they noticed that their child has gained about 10 pounds over the past 2 years. What is the best response by the nurse?
"Normal growth and development for this age results in an average weight gain of 7 pounds per year."
The nurse is caring for a 6-year-old boy. During the course of a routine wellness examination, the mother proudly reports that the child eats whatever the mother puts on his plate. The nurse wants to emphasize the importance of allowing the child to make some of his own choices regarding the types of foods he eats. How should the nurse communicate this to the mother?
"Now is the time to let him choose some of his meals."
During a health history assessment, the mother of a 10-year-old girl tells you that her daughter does not have time to "play" because she is busy going to gymnastics, cheerleading, art class, flute lessons, reading club, and soccer. What should the nurse's response be?
"Play helps children to develop cognitively, socially, physically, and emotionally."
Parents have a 3-year-old boy with a difficult temperament. Which guidance will be most helpful for the nurse to provide?
"Provide a place for him to roughhouse."
The nurse is caring for a hospitalized 5-year-old child. The child's mother has reported her child is becoming very "clingy." Which advice should the nurse provide? Select all that apply.
"Regression is normal during hospitalization." "Allowing the child to have some input in the care may be helpful in managing these behaviors." "The child may miss school and interaction with peers."
The mother of a 15-year-old child reports that her husband is very strict with her son. She voices concerns about the future impact of this style of parenting on him later in life. What response by the nurse is most appropriate?
"The children who have parents who are authoritarians often are resentful later in life."
The mother of two children ages 6 and 12 reports that her 6-year-old child seems to have "cold after cold" while her older child never seems to be ill. She questions if there is something wrong with her younger child. What is the best response by the nurse?
"The immune system of your younger child is less mature and may result in having more infections."
The nurse is conducting teaching with families of school-age children. Which statement made by the nurse is most appropriate related to topics that would be covered with this group of individuals?
"The school-age child needs 10 to 12 hours of sleep per night."
The parents of a child receiving chemotherapy for leukemia notice "certified pediatric hematology/oncology nurse" on the nurse's name badge. The parents ask the nurse about this. What is the best response by the nurse?
"This certifies that I have specialized in the field of oncology/hematology care of children."
A nurse is determining whether or not informed consent has been obtained from the family of a child who is going to have abdominal surgery. Which statement by the family would lead the nurse to suspect that informed consent is lacking?
"We had to sign the form right away so the surgery could get scheduled."
The parents of a 9-year-old child voice concern that their daughter seems to be gaining weight rapidly. The nurse reviews the medical record and notes the child has increased his weight by 6 or 7 pounds (2.7 to 3.2 kg) per year for the past 2 years. What response by the nurse is indicated?
"Weight gains of about 7 pounds per year are normal for children in this age range."
A parent brings a 6-year-old to the clinic and informs the nurse that the child is tired all the time even though the child sleeps 7 to 8 hours each night. What is the best response by the nurse?
"Your child should be getting 11 to 12 hours of sleep per night with some quiet time after school."
The parents of a 11-year-old girl are discussing having their daughter come home after school alone rather than continue attending after-school care. They ask the nurse about the implications of making this decision. What should be included in the information provided by the nurse? Select all that apply.
-"Children who are considered "latch key kids" are at an increased risk for engaging in risky behaviors." -"Children who do not come home to an adult do not perform as well in school." -"Maturity and not age should be considered when deciding when a child is ready to stay home
The father of a child mentions to the nurse that he is very worried about his 14-year-old son because he is associating with a group of kids that get into trouble frequently. What responses by the nurse would be appropriate? (Select all that apply.)
-"Have you thought about encouraging your son to become involved in a sport? This could occupy his time in a constructive way." -"Are there any activities that your son likes? There are often clubs offered at schools for a variety of interests."
A student nurse shares an interest in pediatric nursing. When discussing her thoughts about pediatric nursing, which statements are consistent with the philosophies of pediatric nursing care? Select all that apply.
-"I believe the family should be included in all aspects of the plan of care and treatment." -"The child should be included as much as possible in the plan of care." -"Since health care can be scary for a child, it's important to make them feel secure."
The nurse is caring for a 12-year-old child with a depressive disorder. When providing teaching about the disorder and the importance of treatment to the child's parents, the nurse accurately includes which teaching points? Select all that apply.
-"We need to monitor your child's academic performance since this is often affected." -"It's important to be aware that having a depressive disorder as a child increases the chance of mental health issues as an adult." -"Substance abuse is common during the adolescent years if mental health issues are present during childhood."
The nurse in a community clinic is speaking with the parents of a child. The parents are planning to get a divorce and discuss with the nurse how they plan on handling talking with their child. Which statements by the parents demonstrate an effective approach to speaking with their child? Select all that apply.
-"We plan on seeking the advice of a counselor during this difficult transition." -"We plan on reminding our child that the divorce is not their fault in any way." -"We both plan on communicating with our child every day, no matter whose house our child is staying at the time."
A child has been injured and his parents are not available. Which individuals may provide consent for the care in the event the parents have provided documentation allowing for this? Select all that apply.
-A babysitter -A teacher -A family friend -A clergy member
Resilient children are able to cope effectively with stressors. What external factors can nurses promote to foster this resiliency? Select all that apply.
-A caring relationship with an adult -Feeling part of a team -Enjoying school and learning
A parent is disciplining the 5-year-old daughter by putting her in time-out. How long should the child be in time-out?
5 minutes
A nurse is working as part of a research team evaluating children for participation in a research study. The nurse demonstrates respect when the nurse obtains assent from children over which age?
7
Which child represents an increasingly common pediatric medical scenario currently present in the United States?
9-year-old girl diagnosed with type 2 diabetes
A hospitalized 7-year-old is recovering from a head injury. Occupational therapy has been ordered to assist the child in regaining eye/hand coordination. If the child cannot master this skill, what feelings may arise?
A feeling of inferiority
A nurse is caring for a hospitalized 7-year-old whose family members have been unable to visit for 2 days. The nurse is preparing a diversional activity for the child. Which activity would best be suited for a child in this age group?
A paint-by-numbers activity
The nurse at an elementary school is explaining the concept of industry versus inferiority to a group of nursing students. What is part of this stage of Erikson's theory?
A sense of competence, mastery, and worth
A 10-year-old girl is living with her grandparents. Which nursing intervention is most important with this family structure?
Assessing the child for emotional problems
The nurse in a free clinic is caring for a 1-year-old girl and her single mother. Which nursing intervention would most likely be needed initially?
Assessing the child's nutritional status
Traditionally, hot and cold are viewed as potential causes of disease by which group?
Arab Americans
An 11-year-old boy is significantly above the 100% percentile for height. The boy tells the school nurse that his parents expect so much out of him when he is playing basketball for the school team that he is thinking of quitting. What action should the nurse take?
Arrange a conference with the parents, son, and nurse to discuss the child's concerns.
"You can always seek a second opinion if not in agreement with the current plan of care."
Ask the child's mother to elaborate on her concerns about the medication.
The nurse is caring for a 7-year-old child who is being treated for multiple fractures after being involved in an automobile accident. The nurse observes that the father frequently takes on the role of nurturer in the family. When planning care, which nursing intervention would most involve the father?
Bathing the child
The nurse correctly differentiates race from ethnicity by noting that race is based on which characteristics?
Biological
Following the discharge of a child who has a chronic health condition from the hospital, the nurse case manager follows up with a visit to the home and meets with the family and child. This visit best represents which philosophy of pediatric nursing?
Family-centered care
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
The nurse is caring for a 7-year-old boy and his family, who are immigrants. Which intervention will most significantly affect the success of the care provided?
Communicating with sensitivity using understandable terms
The parents of a school-aged child with school phobia have taken her to three different psychiatrists trying to resolve this problem. Based on this, which nursing diagnosis would be most appropriate?
Compromised parental coping related to inability to enforce school attendance
After unintentional injuries, what is the leading cause of childhood mortality for children ages 1 to 4 years?
Congenital malformations
Which term represents a view of the world and a set of traditions that a specific social group uses and transmits to the next generation?
Culture
The nurse is caring for a Native American child. Which approach would be most consistent with the culture?
Discussing treatment as reestablishing harmony
The father of a 12-year-old child who has low resiliency has asked for tips in working with his son to promote the improvement of this trait. What would be the most effective advice the nurse can provide to the parent?
Encourage the child's father to assist his son to set short-term goals for identified projects.
Morbidity rates among children are most highly associated with which cause?
Environmental factors
A Native American who has just delivered her first child asks the nurse if she might have the placenta to take home. The nurse tells a co-worker that she thought it was the most bizarre request she has ever heard. This is an example of which type of behavior by the nurse?
Ethnocentrism
What is a current trend in child health care?
Health promotion rather than health restoration is stressed.
An 8-year-old boy, who says he wants to be a doctor when he grows up, pleads with the nurse to let him put on his own band-aid after receiving an injection. The nurse agrees and watches as the boy very carefully lines the band-aid up with the mark left by the injection and applies it to his skin. Then he asks, "Did I do it right?" and waits eagerly for the nurse's feedback. The nurse recognizes in this situation the boy's attempt to master the primary developmental step of school age. What is that step?
Industry
The nurse has just completed an assessment on a child who voices an interest in how things are made and who needs support when they are not successful. The child further reports he is involved in clubs and sports outside the home. The nurse is aware that this child is in which of Erikson's states of development?
Industry versus inferiority
When describing the State Children's Health Insurance Program (SCHIP) to a group of families, what information would the nurse include?
It provides health insurance to children whose families are not eligible for Medicaid but cannot afford to purchase health insurance.
The nurse is updating the records of a 10-year-old boy who had his 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 parent of an 11-year-old girl 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.
A nurse would be extra understanding and aware of modesty issues when working with clients from which culture?
Middle East
A nurse is preparing a community health program to discuss the best indicator to measure the state of children's health in the United States. What is the best measure?
Mortality rate for infants and children
The nurse is assessing a 9-year-old boy during a back-to-school checkup. Which finding is a factor for childhood injury?
Mother reports she has abused alcohol and drugs.
The mother of a 12-year-old boy is concerned about the dangers of the Internet. Which suggestion by the nurse best targets safety related to this?
Never share personal information online.
A 4-year-old boy is residing permanently with his grandparents. Which situation is unique to this type of family or living arrangement?
Physical and financial stress on the caregivers
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 be likely?
Physician offices
The nurse is observing a group of 8-year-olds who are being taught the concept of conservation of numbers. Which activity would best help these children understand this concept?
Rearranging a group of coins first into a circle, then a triangle and then a square
The nurse is reviewing documentation on a client's chart. The physician 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.
What was the primary goal for the establishment of the Children's Bureau?
To improve the standards of health care
The nurse is advised in the change of shift report that a child on the unit is considered a "mature minor". What criteria must this child meet to be considered in this role?
The child must have the maturity to understand the information provided related to his condition and planned course of treatment.
The nurse is working in a pediatric facility whose mission statement strongly emphasizes providing family-centered care. What nursing intervention best exemplifies this facility's belief?
The nurse plans a meeting with the parents, child, and case worker to discuss care alternatives for the child
A child with a serious health condition has been hospitalized to undergo treatments. After a week of treatment the physicians have determined that the child has only weeks to live. What is the most likely initial course of action the nurse can anticipate?
The physician will confer with the parents to outline the severity of the child's condition.
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 statement accurately reflects the state of health in North America?
The prevalence of chronic diseases is increasing.
A mother tells you her 6-year-old has been biting his fingernails since he began first grade. After analyzing the cause of this as increased stress, the advice you would give his mother regarding this problem would be to:
allow some time every day for the child to talk about new experiences.
While caring for a hospitalized child, the nurse notes the father does not take into consideration the wishes or opinions of the child. During a period of discussion the father explains to the nurse that he feels his child is best served having clearly outlined rules and expectations. This is most consistent with which style of parenting?
authoritarian
Native Americans who are wearing their tribal dress are demonstrating their native dance to a community group. This is an example of:
ethnicity.
A boy tells you that his family celebrates the Fourth of July by eating out at a local restaurant. He tells you this is a better way to celebrate the holiday than having a picnic like his neighbors. This statement is an example of:
ethnocentrism.
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
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 advances in health care that allow children with formerly fatal diseases to survive.
The developmental task of the school-aged period, according to Erikson, is gaining a sense of:
industry versus inferiority.
The nurse is assessing the risk potential for infection for children on a pediatric unit, based on their developmental level. Which group does the nurse determine is at the highest risk for respiratory infections?
infants
During a well-child check at the ambulatory clinic, the mother of a 10-year-old boy reports concerns about her son's frequent discussions about death and dying. Based upon knowledge of this age group, the nurse understands that:
preoccupation with death and dying is common in the school-aged child.
A parent asks why spanking works so well to stop her toddler's behavior. The nurse explains it is the:
suddenness and shock value of the act.
The nurse is caring for a child of Asian descent. The nurse is trying to ensure that the family's cultural practices are supported. Which statement by the nurse indicates a lack of understanding regarding cultural competence?
"Since your child is only 8, I doubt that your child has any cultural practices we need to be aware of."
The public health nurse is aware suicide in teens is a significant health issue. Which child is most at risk?
The 17-year-old American Indian boy
The nurse is running an education program for early grade-school children. Which topic would address the number one cause of death for this age group?
The importance of crossing streets safely
The nurse is assessing for violence in the home. Which response by the mother represents the greatest risk to the child?
The mother's partner calls the child names.
The school-age child develops the ability to recognize that if a block of clay is in a round ball and then is flattened, the shape changes but not the amount of clay. This child has developed an understanding of:
conservation.
First-time parents are discussing temperament with the nurse. They describe their child as easily frustrated by his toys and withdrawing from anything new. Overall, he is quite physically active and can become irritated easily. The nurse believes this child could be categorized as:
difficult.
The parents of an 8-year-old girl with a slow-to-warm temperament are concerned about their daughter's reaction when she visits the dentist for the first time after having a cavity filled at the last visit. How should the nurse respond?
"Remind her in simple terms what will happen in the dentist's office."
A client family recently moved to the United States. They live with their relatives, who were already residing in the United States. This is an example of which family form?
Extended
The parents of a child on a pediatric unit are concerned with the plan of care the physician has provided. The parents ask the nurse if they may seek a second opinion if they are not in agreement with the plan of care. How should the nurse respond?
"You can always seek a second opinion if not in agreement with the current plan of care."
A mother asks the clinic nurse if she will be able to make payments for the care her child receives today. She tells the nurse that she applied for Medicaid for her child but that their income is just above the allowed amount for Medicaid. Which comment by the nurse would be appropriate?
"Let me give you some information about the Children's Health Insurance Program (CHIP). This might be a good option for coverage."
A child is in need of emergency care. The child's parents want to provide consent via telephone. What actions by the nurse are appropriate in this matter? Select all that apply.
-Cosign the consent with the other witness after obtaining the parental permission. -Obtain another nurse to also listen to the consent being provided from the parents.
The nurse is creating a care plan for a school-aged child with a nursing diagnosis of ineffective health maintenance related to lack of exercise and poor food choices. Which nursing interventions should the nurse include? Select all that apply.
-Educate the parents and the child on the need to decrease TV/computer/device time. -Educate the parents and child on the need to increase the amount of daily exercise. -Interview the parents about their eating and exercising habits. -Plot out the child's height, weight and BMI to detect weight loss or gain.
The nurse is assessing a woman who is pregnant. Her health history reveals she has three young adult children. Which nursing intervention would be most appropriate according to Duvall's developmental theory?
Assessing the parent's coping abilities
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 a 16-year-old boy with injuries from a car accident. Which activity describes the nurse's manager role?
Facilitating return to school by working with the school nurse
The nurse is teaching techniques for effective discipline to the parents of a 9-year-old girl. The girl is misbehaving, and the parents wish to use the extinction method. Which action is an example of extinction?
Going home early from shopping
The nurse is caring for a 7-year-old boy with cystic fibrosis whose parents are intensely interested in all aspects of his condition 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
To assess the sociocultural aspects of the family of an adolescent in an ambulatory clinic, what would you try to find out more about?
His family structure
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
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 provides soy milk and fresh vegetables to a pregnant woman who is single, and the mother of a toddler. Which federal program is the nurse implementing?
WIC Food Package Revised
A woman has presented to the clinic with her sick school-aged child. The child's mother reports she rarely has enough money to meet the health care needs of her chronically ill child. What information should be provided to the woman?
Medicaid may be available to low-income parents and their children.
A 17-year-old has been diagnosed with HIV. When developing the plan of care, which initial action should be included?
Notify the local health department of the individual's HIV status.
The mother of a child who has been termed to have a "difficult" temperament voices frustration in managing his care. What would be the best initial course of action by the nurse for this parent?
Review strategies that are beneficial in the care of a child with a difficult temperament.
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 physician about the planned course of care and treatment.
An 8-year-old seeks out the school nurse crying because she was recently told her parents would divorce. What is the most important idea the nurse will help the child grasp?
The divorce is not her fault.
A group of students are reviewing information about Medicaid. Which statement shows inadequate knowledge of the topic?
The federal government is responsible for administering it.
The client is a 1-year-old girl from a low-income family presenting with a vitamin D deficiency and anemia. What assistance program would you recommend to the child's young mother?
WIC
An important role of the nurse caring for children and their families is that of child advocate. Which intervention best reflects this role?
Working to change agency policy to better serve families
A child in an elementary school visits the school nurse frequently reports being tired. Upon questioning, the child says that when at the mother's house there is no set time for bed, but at the father's house there is a set bedtime. Before discussing this issue with the parents, the nurse determines that the child is living in which type of family structure?
binuclear
A nurse is reviewing morbidity data related to a recent outbreak of severe influenza in the community. This epidemiological information will allow the nurse to determine:
what proportion of children in the community have recently been diagnosed with influenza.
Which nursing activity requires the pediatric nurse to implement the ethical principle of nonmaleficence?
Weighing the potential harm caused by a child's chemotherapy with its potential benefits
A child lives with his parents and grandmother. Which could be a specific issue with this type of family structure?
Family conflict due to different views and practices related to child and health care
A nursing student is presenting information to the class about abuse of children. The nursing instructor should intervene when the student presents which information? Select all that apply.
-Child abuse and sexual abuse are not the same thing -The concepts of "good touch" versus "bad touch" should be taught around the age of 10 years -The nurse should speak with the family first if child abuse is suspected
A student nurse raises questions about the value of evidence-based practice. What information should be contained in the response provided? Select all that apply.
-Client outcomes are improved with evidence-based practice. -Evidence-based practice is a clinical decision-making approach to providing nursing care. -The quest for practice improvement is the responsibility for all nurses.
Over coffee following a worship service, parents ask the parish nurse for guidance in disciplining their children ages 4 years, 9 years, and 14 years. What concepts will guide the nurse's response? Select all that apply.
-Maintain consistency in expectations at all ages. -Role model appropriate behavior in word and deed. -Use parental attention as positive reinforcement for desired behaviors.
The nurse is preparing a care plan for a 7-year-old child on the pediatric unit newly diagnosed with asthma. One of the child's parents is employed as a family practice physician and the other as a lawyer. The child has two older siblings and two younger siblings. Which nursing diagnoses would apply to this situation? Select all that apply.
-Risk for caregiver role strain -Risk for infection -Knowledge deficit regarding disease process -Knowledge deficit regarding use of inhaler medication for asthma
The nurse is assessing a child brought to the emergency department with a badly abscessed ingrown toenail that could have been avoided with early treatment. When assessing for potential barriers to health care, the nurse should address which possible factors? Select all that apply.
-The family's spirituality and religion -The child's previous experiences in the health care system -The family's cultural beliefs about health and illness -The family's current health care insurance status
The nurse is caring for a 16-year-old female who has been brought to the clinic by her mother seeking information about contraceptives. What action by the nurse will best promote the client's autonomy?
After a review of suitable contraceptive options, ask the client which is of the greatest interest.
Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact with a client who has a different cultural perspective on space and distance?
Allow the client to adopt a position that is comfortable for him or her.
A nurse is caring for a hospitalized 10-year-old. What would be an appropriate activity for this child to meet the developmental tasks of this age group?
Participating in a craft project
The mother of a school-aged child is discussing parenting behaviors with the nurse. She questions the nurse about the best way to provide feedback to her child. What suggestion by the nurse is most appropriate?
Positive reinforcement is more valuable than negative feedback.
According to the pediatric patient's Bill of Rights, the nurse manager should privately counsel a staff nurse to change their behavior in which of these situations? Select all that apply.
-The nurse manager hears the staff nurse call the patient "kiddo." -The nurse manager hears the parents ask the name of the surgeon that has been consulted and the staff nurse responding, "I'm not sure, it's best if you ask your doctor."
When providing care to the pediatric client recently diagnosed with diabetes, the role of nurse educator is best demonstrated with which scenarios? Select all that apply.
-The nurse provides diabetic teaching to the child and family -The nurse asks the child to list signs and symptoms of hypoglycemic reaction after the family has attended diabetic teaching classes -The nurse encourages the child and family to attend nutrition classes for those newly diagnosed with diabetes
The nurse is caring for a 12-year-old African American girl. The child is in pain as a result of a back injury. The nurse correctly recognizes which belief regarding pain to be most consistent with the child's culture?
Pain may be relieved through prayer and folk healing.
The school nurse is reviewing the chart of a 12-year-old student who has had excessive absences due respiratory infections. What is the best action by the nurse?
Speak with the parents about the unusual increased number of respiratory infections
The nurse is caring for a 5-year-old girl with meningitis. What action by the nurse may be considered ethical behavior?
Starting intravenous fluids even though the child protests
A nurse is faced with an ethical conflict involving the care of a child. The child's parents disagree with the physician about the use of a feeding tube. The nurse sees the benefits and limitations of both parties' views. What action would be most appropriate?
Take the issue to the Institutional Ethics Committee for advice.