Chapter 2: Standards of Practice/Ethical Considerations
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Chapter 2: Standards of Practice/Ethical Considerations

Pediatric Nursing The Critical Components of Nursing Care 1st Edition by Kathryn Rudd

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Chapter 2: Standards of Practice/Ethical Considerations

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

  1. Leah is a new graduate nurse and has questions about her scope of practice. The best place to review would be:
  2. The code of ethics.
  3. The standards of practice and professional performance.
  4. The NCLEX exam.
  5. The state licensing body.

 

ANS: 2

  Feedback
1. Applies to the accountability and protection for the public
2. Benchmark for quality and accountability to provide professional guidance
3. This is the basic exam, but it does not give guidance on this matter.
4. The state has rules and regulations, but it is not the source for overall professional accountability and guidance.

KEY: Content Area: Professionalism | Integrated Processes: Communication/Documentation | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | REF: Chapter 2 | Type: Multiple Choice

 

 

 

  1. The Code of Ethics for Nurses is characterized by all of the following except:
  2. It serves as a guide to empower individuals.
  3. It upholds ethics, principles, rights, duties and virtues.
  4. It is a private statement for nurses only.
  5. It is a public statement for nurses and their patients.

 

ANS: 3

  Feedback
1. Part of the Code of Ethics
2. Part of the Code of Ethics
3. The Code of Ethics is not a private statement. It is for the public and nurses.
4. Part of the Code of Ethics

KEY: Content Area: Professionalism | Integrated Processes: Caring | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | REF: Chapter 2 | Type: Multiple Choice

 

 

 

  1. A nurse has discussed the plan of care, asked for parental input, and has spoken with the doctor about the needs of the family and patient. This nurse is exhibiting which characteristics of therapeutic relationships in pediatric medicine?
  2. Goals, mutual respect/trust, and advocacy
  3. Empowerment, sympathy, and empathy
  4. Goals, advocacy, and sympathy
  5. Respect/trust, disengagement, and sympathy

 

ANS: 1

  Feedback
1. The nurse is demonstrating all characteristics listed.
2. The nurse is not demonstrating sympathy or empathy for the patient.
3. The nurse is not demonstrating sympathy for this family.
4. The nurse is not disengaging or providing sympathy for the family.

KEY: Content Area: Therapeutic Communication | Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Application REF: Chapter 2 | Type: Multiple Choice

 

 

 

  1. A primary source for the standards of practice for pediatric nurses is:
  2. Pediatric Nursing Scope and Standards of Practice.
  3. Code of Ethics.
  4. Nightingale’s Pledge.
  5. None of the above.

 

ANS: 1

  Feedback
1. Reflects key themes and trends that are relevant to our time and to all pediatric health care settings, which provide the framework for the emergence of specific standards.
2. The Code of Ethics in Nursing provides a foundation for nurses and empowers them as well.
3. The pledge was part of the early Hippocratic Oath.
4. One answer is correct.

KEY: Content Area: Professionalism | Integrated Processes: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Knowledge | REF: Chapter 2 | Type: Multiple Choice

 

 

 

  1. Sarah is a 4-year-old patient with cystic fibrosis. She has been having increased hospitalizations and prefers to have Leah as her nurse as an inpatient. Leah has been assigned to care for a different set of patients today, yet Sarah’s mother insists on having Leah as their nurse. Which action would be best for Leah to take with Sarah and her mother?
  2. Ignore the situation.
  3. Speak to Sarah and her mother to discuss the importance of having another nurse, who also knows the case, care for her.
  4. Let Sarah’s mother and Sarah voice their reasoning for wanting Leah, and then explain the need for Leah to have a different assignment.
  5. Let the charge nurse deal with the situation.

 

ANS: 3

  Feedback
1. Ignoring the situation does not demonstrate therapeutic communication.
2. Speaking with the family is important, but letting the family voice their concerns is important as well.
3. The dialogue between the patient and nurse can enhance trust and understanding so the patient can understand the situation.
4. The charge nurse may be part of the conversation, but it is important for Leah to speak too.

KEY: Content Area: Therapeutic Interactions | Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Analysis | REF: Chapter 2 | Type: Multiple Choice

 

 

 

  1. Which of the following situations would be considered a therapeutic communication challenge in pediatric nursing?
  2. A street-smart teenager
  3. A noncompliant patient and family
  4. A culture that the nurse has not been previously exposed to
  5. All of the above

 

ANS: 4

  Feedback
1. Considered a therapeutic communication challenge in pediatric nursing
2. Considered a therapeutic communication challenge in pediatric nursing
3. Considered a therapeutic communication challenge in pediatric nursing
4. All fit the criteria

KEY: Content Area: Therapeutic Communication | Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 2 | Type: Multiple Choice

 

 

 

  1. The purpose of a Child Life Department for Family-Centered Care is:
  2. To prepare the child for procedures.
  3. To offer time to be a “kid”.
  4. To provide the staff with information about child development.
  5. To be the liaison between the hospital and the school system for a child.
  6. 1, 2, 4

 

ANS: 5

  Feedback
1. Preparation is an important element in caring for a child. It helps reduce anxiety and promotes a trusting relationship.
2. Playtime allows a child to cope and fosters self-expression, which reduces stress.
3. CLD is knowledgeable in child development and is present to support the child and the family, not the staff.
4. CLD provides a working relationship between the hospital and school for patients who are in the hospital long term.
5. Preparation is an important element in caring for a child. It helps reduce anxiety and promotes a trusting relationship. Playtime allows a child to cope and fosters self-expression, which reduces stress. CLD provides a working relationship between the hospital and school for patients who are in the hospital long term.

KEY: Content Area: Multidisciplinary Care | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 2 | Type: Multiple Choice

 

 

 

  1. A nurse is discussing pain management of a 3 year-old with the parents. An important factor the nurse should mention is:
  2. “A child is like a mini-adult, so they cope with pain the same way.”
  3. “Effective pain management for a child may require pharmacological and non-pharmacological methods.”
  4. “Children use the pain scale of 0-10.”
  5. “Pain is subjective, and all children cry when they are in pain.”

 

ANS: 2

  Feedback
1. Children have a unique response to pain.
2. Pharmacological methods may work for children, but using non-pharmacological methods, such as distraction, are also beneficial.
3. Common pain scales for children consist of the FLACC and NAP.
4. Pain is subjective, but not all children will cry. Some will be irritable or withdrawn.

KEY: Content Area: Pain | Integrated Processes: Teaching/Learning | Client Need: Physiological Integrity | Cognitive: Level: Synthesis | REF: Chapter 2 | Type: Multiple Choice

 

 

 

  1. A 6-year-old boy is to receive a dose of morphine to aid in pain management after an open appendectomy. The nurse knows the correct dose for the morphine is calculated based on:
  2. Age.
  3. Height.
  4. Body weight.
  5. All of the above.

 

ANS: 3

  Feedback
1. Age is not a factor in drug calculation.
2. Height is not a factor in drug calculation.
3. Body weight is used for drug calculation.
4. Age and height do not affect drug calculation.

KEY: Content Area: Pharmacology | Integrated Processes: Nursing Process | Client Need: Safe and

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