Child Health Nursing Partnering with Children and Families, 2E By Jane W. Ball
Email: richard@qwconsultancy.com
1. 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 an 8-year-old with acute otitis media and prescribe an antibiotic. 2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery. 3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local support group options. 4. Diagnose a 6-year-old with diversional activity deficit related to placement in isolation. Correct answer: 1 Rationale: 1. 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. 2. Listening to concerns is within the expectations of a nurse in an acute care unit. 3. Providing information about support groups is within the expectations of the acute care unit. 4. Nursing diagnoses are the responsibility of the acute care unit. Cognitive Level: Application Client Need: Health Promotion and Maintenance Nursing Process: Implementation Learning Outcome 1-1: Describe and differentiate between the general and advanced practice nurse roles in child health nursing.
2. Despite the availability of State Children’s Health Insurance Programs (SCHIP), many eligible children are not enrolled. The nursing intervention that can best help eligible children to become enrolled is: 1. Assessment of the details of the family’s income and expenditures. 2. Case management to limit costly, unnecessary duplication of services. 3. To advocate for the child by encouraging the family to investigate its SCHIP eligibility. 4 To educate the family about the need for keeping regular well-child visit appointments. Correct answer: 3 Rationale: 1. Financial assessment is more commonly the function of a social worker. 2. The case management activity mentioned will not provide a source of funding. 3. In the role of an advocate, a nurse will advance the interests of another; by suggesting that the family investigate its SCHIP eligibility, the nurse is directing their action toward the child’s best interest. 4. While it is the nurse’s responsibility to educate the family, this intervention is not what will best help eligible children to become enrolled. Cognitive Level: Analysis Client Need: Health Promotion and Maintenance Nursing Process: Intervention Learning Outcome 1-1: Describe and differentiate between the general and advanced practice nurse roles in child health nursing.
3. A nurse is examining different nursing roles. Which best illustrates an advanced practice nursing role? 1. A registered nurse who is the manager of a large pediatric unit 2. A registered nurse who is the circulating nurse in surgery
3. A clinical nurse specialist working as a staff nurse on a medical–surgical pediatric unit 4.
A clinical nurse specialist with whom other nurses consult for her expertise in
caring for high-risk children Correct answer: 4 Rationale: 1. A registered nurse who is the manager of a large pediatric unit, or one 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. 2. A registered nurse who is the manager of a large pediatric unit, or one 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 3. 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. 4. 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. Cognitive Level: Analysis Client Need: Safe, Effective Care Environment Nursing Process: Assessment Learning Outcome 1-1: Describe and differentiate between the general and advanced practice nurse roles in child health nursing.
4. The major focus of the nurse practitioner is on: 1. Leadership. 2. Physical and psychosocial clinical assessment.
3. Independent care of the high-risk chronic child. 4. Tertiary prevention Correct answer: 2 Rationale: 1. Leadership might be a quality of the NP, but it is not the major focus. 2. Physical and psychosocial clinical assessment is the major focus of the nurse practitioner (NP), who provides care in many different clinical settings. 3. NPs cannot provide independent care of the high-risk chronic child, but must work in collaboration with a physician. 4. The NP usually does not do tertiary prevention as a major focus. Cognitive Level: Application Client Need: Safe, Effective Care Environment Nursing Process: Assessment Learning Outcome 1-1: Describe and differentiate between the general and advanced practice nurse roles in child health nursing.
5. The role of the professional registered nurse as an educator is to: 1. Provide primary care for high-risk children who are in hospital settings. 2. Provide primary care for healthy children. 3. Work toward the goal of informed choices with the family. 4. Obtain a physician consultation for any technical procedures at delivery. Correct answer: 3 Rationale: 1. The nurse educator does not provide primary care for high-risk children in hospital settings. 2. The nurse educator does not provide primary care for healthy children.