Chapter 1 Child Health Nursing Partnering With Children & Families, 3rd Edition by Jane W. Ball

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 1

Question 1

Question 1

Type: MCSA

The nurse in a pediatric acute care unit is assigned the following tasks. Based on recognition that the action defined requires training beyond the preparation of a registered nurse, the nurse would refuse to:

1. Diagnose a six-year-old with diversional activity deficit related to placement in isolation.
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery.
3. Diagnose an eight-year-old with acute otitis media and prescribe an antibiotic.
4. Provide information to a mother of a newly diagnosed four-year-old diabetic about local support group options.

Correct Answer: 3

Rationale 1: Nursing diagnoses are a responsibility of the nurse in an acute care unit.

Rationale 2: Listening to concerns is within the expectations of a nurse in an acute care unit.

Rationale 3: Advanced practice nurse practitioners perform assessment, diagnosis, and management of health conditions. The role of the pediatric nurse includes providing nursing assessment, direct nursing care interventions, client and family education at developmentally appropriate levels, client advocacy, case management, minimization of distress, and enhancement of coping.

Rationale 4: Providing information about support groups is within the expectations of the nurse in an acute care unit.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1-1

 

Question 2

Type: MCSA

Despite the availability of Children’s Health Insurance Programs (CHIP), many eligible children are not enrolled. The nursing intervention that can best help eligible children to become enrolled is:

1. Educating the family about the need for keeping regular well-child visit appointments.
2. Assessing details of the family’s income and expenditures.
3. Limiting costly, unnecessary duplication of services through case management.
4. Advocating for the child by encouraging the family to investigate CHIP eligibility.

Correct Answer: 4

Rationale 1: While it is the nurse’s responsibility to educate the family, this intervention is not what will best help eligible children to become enrolled.

Rationale 2: Financial assessment is more commonly the function of a social worker.

Rationale 3: The case management activity mentioned will not provide a source of funding.

Rationale 4: In the role of an advocate, a nurse advances the interests of the child by suggesting that the family investigate CHIP eligibility.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1-1

 

Question 3

Type: MCSA

A nurse is examining different nursing roles. Which best illustrates an advanced practice nursing role?

1. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk children
2. A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit
3. A registered nurse who is the circulating nurse in surgery
4. A registered nurse who is the manager of a large pediatric unit

Correct Answer: 1

Rationale 1: A clinical nurse specialist with whom other nurses consult for expertise in caring for high-risk children would define an advanced practice nursing role. Advanced practice nurses have specialized knowledge and competence in a specific clinical area and have earned a master’s degree.

Rationale 2: A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit might have the qualifications for an advanced practice nursing staff but is not working in that capacity.

Rationale 3: A registered nurse who is a circulating nurse in surgery is defined as a professional nurse and has graduated from an accredited program in nursing and completed the licensure examination.

Rationale 4: A registered nurse who is the manager of a large pediatric unit is defined as a professional nurse and has graduated from an accredited program in nursing and completed the licensure examination.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 1-1

 

Question 4

Type: MCSA

The role of the registered nurse as a nurse educator is to:

1. Provide primary care for healthy children.
2. Assist the family in making informed decisions by providing information about the pros and cons of the treatment plan.
3. Assist the primary care nurse with procedures requiring advanced practice skills.
4. Communicate with the hospitalized school-aged child’s classroom teacher to assist the child in achieving classroom goals.

Correct Answer: 2

Rationale 1: The nurse educator does not provide primary care for healthy children.

Rationale 2: The educator works with the family toward the goal of making informed choices through education and explanation.

Rationale 3: The nurse educator does not assist with procedures requiring advance practice skills.

Rationale 4: The nurse educator is concerned with teaching the child and parents health care practices related to the child’s condition.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 1-1

 

Question 5

Type: MCSA

A 7-year-old child has been admitted for acute appendicitis. The parents are questioning the nurse about expectations during the child’s recovery. Which information tool would be most useful in answering a parent’s questions about timing of key events?

1. Healthy People 2020
2. National clinical practice guidelines
3. Child mortality statistics
4. Critical clinical pathways

Correct Answer: 4

Rationale 1: Healthy People 2020 contains objectives set by the U.S. government to improve the health and reduce the incidence of death in the twenty-first century.

Rationale 2: National clinical practice guidelines promote uniformity in care for specific disease conditions by suggesting expected outcomes from specific interventions.

Rationale 3: Child mortality statistics can be compared with those from other decades for the evaluation of achievement toward health care goals.

Rationale 4: Critical clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of care and enhance recovery. These pathways serve as models outlining the typical hospital stay for individuals with specified conditions.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 1-2