Chapter 13 Principles of Pediatric Nursing 6th Ed By Ball

Chapter 13 Principles of Pediatric Nursing 6th Ed By Ball

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The parents of a toddler-age child who sustained severe head trauma from falling out a second-story window are arguing in the pediatric intensive-care unit (PICU) and blaming each other for the child’s accident. Which nursing diagnosis is most appropriate for this family?

1. Parental Role Conflict Related to Protecting the Child
2. Hopelessness Related to the Child’s Deteriorating Condition
3. Anxiety Related to the Critical-Care-Unit Environment
4. Family Coping: Compromised, Related to the Child’s Critical Injury

Correct Answer: 4

Rationale 1: The parents are displaying ineffective coping behaviors as a family. Parental role conflict does not refer to the parents’ argument in the PICU, but means a parent is conflicted or confused about some aspect of the parental role. Each parent may be experiencing hopelessness, frustration, and anxiety, but they are not coping well as a family unit.

Rationale 2: The parents are displaying ineffective coping behaviors as a family. Parental role conflict does not refer to the parents’ argument in the PICU, but means a parent is conflicted or confused about some aspect of the parental role. Each parent may be experiencing hopelessness, frustration, and anxiety, but they are not coping well as a family unit.

Rationale 3: The parents are displaying ineffective coping behaviors as a family. Parental role conflict does not refer to the parents’ argument in the PICU, but means a parent is conflicted or confused about some aspect of the parental role. Each parent may be experiencing hopelessness, frustration, and anxiety, but they are not coping well as a family unit.

Rationale 4: The parents are displaying ineffective coping behaviors as a family. Parental role conflict does not refer to the parents’ argument in the PICU, but means a parent is conflicted or confused about some aspect of the parental role. Each parent may be experiencing hopelessness, frustration, and anxiety, but they are not coping well as a family unit.

Global Rationale: The parents are displaying ineffective coping behaviors as a family. Parental role conflict does not refer to the parents’ argument in the PICU, but means a parent is conflicted or confused about some aspect of the parental role. Each parent may be experiencing hopelessness, frustration, and anxiety, but they are not coping well as a family unit.

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: LO 13.3 Identify the coping mechanisms used by the child and family in response to stress.

Question 2

Type: MCMA

The emergency-room nurse receives a preschool-age child who was hit by a car. Which nursing interventions are a priority for this child?

Standard Text: Select all that apply.

1. Performing a rapid head-to-toe assessment
2. Recording the parents’ insurance information
3. Assessing airway, breathing, and circulation
4. Asking the parents about organ donation
5. Asking the parents if anyone witnessed the accident

Correct Answer: 1,3

Rationale 1: Assessing airway, breathing, and circulation and performing a rapid head-to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the child’s injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child’s point of impact with the car and mechanism of injury, but this is not the initial priority.

Rationale 2: Assessing airway, breathing, and circulation and performing a rapid head-to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the child’s injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child’s point of impact with the car and mechanism of injury, but this is not the initial priority.

Rationale 3: Assessing airway, breathing, and circulation and performing a rapid head-to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the child’s injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child’s point of impact with the car and mechanism of injury, but this is not the initial priority.

Rationale 4: Assessing airway, breathing, and circulation and performing a rapid head-to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the child’s injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child’s point of impact with the car and mechanism of injury, but this is not the initial priority.

Rationale 5: Assessing airway, breathing, and circulation and performing a rapid head-to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the child’s injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child’s point of impact with the car and mechanism of injury, but this is not the initial priority.

Global Rationale: Assessing airway, breathing, and circulation and performing a rapid head-to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the child’s injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child’s point of impact with the car and mechanism of injury, but this is not the initial priority.

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 13.4 Develop a nursing care plan for the child with a life-threatening illness or injury.

Question 3

Type: MCMA

A young school-age child is in the pediatric intensive-care unit (PICU) with a fractured femur and head trauma. The child was not wearing a helmet while riding his new bicycle on the highway and collided with a car. Which nursing diagnoses may be appropriate for this family?

Standard Text: Select all that apply.

1. Guilt Related to Lack of Child Supervision and Safety Precautions
2. Family Coping: Compromised, Related to the Critical Injury of the Child
3. Parental Role Conflict Related to Child’s Injuries and PICU Policies
4. Knowledge Deficit Related to Home Care of Fractured Femur
5. Anger Related to Feelings of Helplessness

Correct Answer: 1,2,3,5

Rationale 1: All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately.

Rationale 2: All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately.

Rationale 3: All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately.

Rationale 4: All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately.

Rationale 5: All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately.

Global Rationale: All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately.

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: LO 13.2 Examine the family’s experience and reactions to having a child with a life-threatening illness or injury.