Chapter 14 Child Health Nursing Partnering With Children & Families, 3rd Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 14

Question 1

Type: MCSA

Prior to accepting an assignment as a home health nurse, the nurse must realize that:

1. The family will adapt their lifestyle to the needs of the nurse.
2. The family is in charge.
3. Independent decisions regarding emergency care of the child will be made by the nurse.
4. All decisions will be made by the healthcare provider.

Correct Answer: 2

Rationale 1: The nurse must be flexible and adaptable to the lifestyle of the family, not the other way around.

Rationale 2: The home health nurse must realize that the family is in charge.

Rationale 3: The family must provide informed consent for emergency care.

Rationale 4: All decisions will be made by the family, not by the healthcare provider.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-2

 

Question 2

Type: MCMA

A majority of pediatric health care occurs in community-based settings. Community-based health care settings include:

Standard Text: Select all that apply.

1. The local community hospital.
2. Outpatient surgical facilities.
3. The public health clinic.
4. An inpatient mental health center.
5. A pediatrician’s office

Correct Answer: 2,3,5

Rationale 1: The hospital is not a community-based setting.

Rationale 2: Outpatient day surgery centers are community-based healthcare settings.

Rationale 3: The public health clinic is a community-based healthcare setting.

Rationale 4: An inpatient mental health center is a hospital-based program and is not considered a community-based program.

Rationale 5: A pediatrician’s office would be a community-based healthcare setting.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 14-1

 

Question 3

Type: MCSA

A pediatric nurse has accepted a position in a pediatric office. What nursing functions would the nurse expect to perform in this setting?

1. Performing minor surgical procedures
2. Providing medical care to chronically ill children
3. Planning hospital admissions
4. Identifying children in need of urgent care or isolation

Correct Answer: 4

Rationale 1: Nurses do not perform minor surgical procedures, regardless of location.

Rationale 2: The nurse would provide nursing care, not medical care, to chronically ill children.

Rationale 3: Children seen at the clinic who need to be admitted to the hospital will be admitted under the physician’s care. The nurse may transmit medical orders from the physician but is not responsible for planning hospital admissions.

Rationale 4: The nursing process is used when providing care for children who are seen in the pediatrician’s office. Specific functions of the pediatric nurse in this setting include identifying children in need of urgent care or isolation.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-2

 

Question 4

Type: MCSA

A child is being discharged after an extended hospitalization. Prior to discharge from a hospital, home health care nurses should assess which aspect of the home setting?

1. Parents’ insurance
2. Parents’ income
3. Readiness of the home for the child who is returning home from the hospital
4. Parents’ home location

Correct Answer: 3

Rationale 1: The nurse would not assess the parents’ insurance. Social workers might assist the parents in this area.

Rationale 2: The nurse would not assess the income of the parents. Social workers might assist in this arena.

Rationale 3: When working with the hospital discharge planner to initiate home health care services, the nurse should assess the home readiness (safe sleeping arrangements, adequate supplies, ability to meet nutritional and fluid needs, telephone access, heat, electricity, refrigeration, lack of communicable disease in the home, and safe access in and out of the home).

Rationale 4: The home location is assessed only insofar as determining whether heat, electricity, water, and the necessary services are available in the location.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-2