Type:
Test Bank
Resource:
Child Health Nursing
Edition:
3rd Edition
Author(s):
Jane W. Ball Ruth C. Bindler Kay J. Cowen
Ball, Child Health Nursing, 3/E 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: Ball, Child Health Nursing, 3/E Copyright 2014 by Pearson Education, Inc.
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. Ball, Child Health Nursing, 3/E Copyright 2014 by Pearson Education, Inc.