Test Bank For Principles Of Pediatric Nursing: Caring For Children, 6th Edition
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Ball/Bindler/Cowen, Principles of Pediatric Nursing: Caring for Children 6th Edition Test Bank
Chapter 1
Question 1
Type: MCSA
Which nursing role is not directly involved when providing family-centered approach to the pediatric
population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher
Correct Answer: 4
Rationale 1: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 2: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 3: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 4: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Global Rationale: A researcher is not involved in the family-centered approach to patient care of
children and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO 1.2 Compare the roles of nurses in child health care.
Ball/Bindler/Cowen, Principles of Pediatric Nursing: Caring for Children 6th Edition Test Bank
Chapter 1
Question 1
Type: MCSA
Which nursing role is not directly involved when providing family-centered approach to the pediatric
population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher
Correct Answer: 4
Rationale 1: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 2: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 3: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 4: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Global Rationale: A researcher is not involved in the family-centered approach to patient care of
children and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO 1.2 Compare the roles of nurses in child health care.
1
Ball/Bindler/Cowen, Principles of Pediatric Nursing: Caring for Children 6th Edition Test Bank
Chapter 1
Question 1
Type: MCSA
Which nursing role is not directly involved when providing family-centered approach to the pediatric
population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher
Correct Answer: 4
Rationale 1: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 2: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 3: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 4: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Global Rationale: A researcher is not involved in the family-centered approach to patient care of
children and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO 1.2 Compare the roles of nurses in child health care.
Ball/Bindler/Cowen, Principles of Pediatric Nursing: Caring for Children 6th Edition Test Bank
Chapter 1
Question 1
Type: MCSA
Which nursing role is not directly involved when providing family-centered approach to the pediatric
population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher
Correct Answer: 4
Rationale 1: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 2: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 3: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Rationale 4: A researcher is not involved in the family-centered approach to patient care of children
and their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Global Rationale: A researcher is not involved in the family-centered approach to patient care of
children and their families. Advocacy, case management, and patient education are all roles directly
involved in the care of children and their families.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO 1.2 Compare the roles of nurses in child health care.
Question 2
Type: MCMA
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal
guidelines are in place that delineate which pediatrics clients must give assent for participation in
research trials. Based upon the client’s age, the nurse would seek assent from which children?
Standard Text: Select all that apply.
1. The precocious 4-year-old starting as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD treatments.
Correct Answer: 2,3,4
Rationale 1: Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give assent.
Rationale 2: Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give assent.
Rationale 3: Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give assent.
Rationale 4: Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give assent.
Global Rationale: Federal guidelines mandate that research participants 7 years old and older must
receive developmentally appropriate information about healthcare procedures and treatments and
give assent.
Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
nursing practice.
Question 3
Type: MCSA
Type: MCMA
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal
guidelines are in place that delineate which pediatrics clients must give assent for participation in
research trials. Based upon the client’s age, the nurse would seek assent from which children?
Standard Text: Select all that apply.
1. The precocious 4-year-old starting as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD treatments.
Correct Answer: 2,3,4
Rationale 1: Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give assent.
Rationale 2: Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give assent.
Rationale 3: Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give assent.
Rationale 4: Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give assent.
Global Rationale: Federal guidelines mandate that research participants 7 years old and older must
receive developmentally appropriate information about healthcare procedures and treatments and
give assent.
Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
nursing practice.
Question 3
Type: MCSA
The nurse in a pediatric acute-care unit is assigned the following tasks. Which task is not appropriate
for the registered to nurse complete?
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: The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
Rationale 2: The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
Rationale 3: The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
Rationale 4: The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
Global Rationale: The role of the pediatric nurse includes providing nursing assessment, directing
nursing care interventions, and educating client and family at developmentally appropriate levels;
client advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO 1.2 Compare the roles of nurses in child health care.
for the registered to nurse complete?
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: The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
Rationale 2: The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
Rationale 3: The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
Rationale 4: The role of the pediatric nurse includes providing nursing assessment, directing nursing
care interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
Global Rationale: The role of the pediatric nurse includes providing nursing assessment, directing
nursing care interventions, and educating client and family at developmentally appropriate levels;
client advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health conditions.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO 1.2 Compare the roles of nurses in child health care.
Question 4
Type: MCSA
A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse about
expectations during the child’s recovery. Which information tool would be most useful in answering
a parent’s questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
Correct Answer: 2
Rationale 1: Clinical pathways are interdisciplinary documents provided by a hospital to suggest
ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century. Child
mortality statistics can be compared with those from other decades for the evaluation of achievement
toward health-care goals. National clinical practice guidelines promote uniformity in care for specific
disease conditions by suggesting expected outcomes from specific interventions.
Rationale 2: Clinical pathways are interdisciplinary documents provided by a hospital to suggest
ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century. Child
mortality statistics can be compared with those from other decades for the evaluation of achievement
toward health-care goals. National clinical practice guidelines promote uniformity in care for specific
disease conditions by suggesting expected outcomes from specific interventions.
Rationale 3: Clinical pathways are interdisciplinary documents provided by a hospital to suggest
ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century. Child
mortality statistics can be compared with those from other decades for the evaluation of achievement
Type: MCSA
A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse about
expectations during the child’s recovery. Which information tool would be most useful in answering
a parent’s questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
Correct Answer: 2
Rationale 1: Clinical pathways are interdisciplinary documents provided by a hospital to suggest
ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century. Child
mortality statistics can be compared with those from other decades for the evaluation of achievement
toward health-care goals. National clinical practice guidelines promote uniformity in care for specific
disease conditions by suggesting expected outcomes from specific interventions.
Rationale 2: Clinical pathways are interdisciplinary documents provided by a hospital to suggest
ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century. Child
mortality statistics can be compared with those from other decades for the evaluation of achievement
toward health-care goals. National clinical practice guidelines promote uniformity in care for specific
disease conditions by suggesting expected outcomes from specific interventions.
Rationale 3: Clinical pathways are interdisciplinary documents provided by a hospital to suggest
ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century. Child
mortality statistics can be compared with those from other decades for the evaluation of achievement
toward health-care goals. National clinical practice guidelines promote uniformity in care for specific
disease conditions by suggesting expected outcomes from specific interventions.
Rationale 4: Clinical pathways are interdisciplinary documents provided by a hospital to suggest
ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century. Child
mortality statistics can be compared with those from other decades for the evaluation of achievement
toward health-care goals. National clinical practice guidelines promote uniformity in care for specific
disease conditions by suggesting expected outcomes from specific interventions.
Global Rationale: Clinical pathways are interdisciplinary documents provided by a hospital to
suggest ideal sequencing and timing of events and interventions for specific diseases to improve
efficiency of care and enhance recovery. This pathway serves as a model outlining the typical
hospital stay for individuals with specified conditions. Healthy People 2020 contains objectives set
by the U.S. government to improve the health and reduce the incidence of death in the twenty-first
century. Child mortality statistics can be compared with those from other decades for the evaluation
of achievement toward health-care goals. National clinical practice guidelines promote uniformity in
care for specific disease conditions by suggesting expected outcomes from specific interventions.
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.1 Describe the continuum of pediatric health care.
Question 5
Type: MCSA
The nurse recognizes that the pediatric client is from a cultural background different from that of the
hospital staff. Which goal is most appropriate for this client when planning nursing care?
1. Overlook or minimize the differences that exist.
2. Facilitate the family’s ability to comply with the care needed.
3. Avoid inadvertently offending the family by imposing the nurse’s perspective.
4. Encourage complementary beneficial cultural practices as primary therapies.
Correct Answer: 2
disease conditions by suggesting expected outcomes from specific interventions.
Rationale 4: Clinical pathways are interdisciplinary documents provided by a hospital to suggest
ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century. Child
mortality statistics can be compared with those from other decades for the evaluation of achievement
toward health-care goals. National clinical practice guidelines promote uniformity in care for specific
disease conditions by suggesting expected outcomes from specific interventions.
Global Rationale: Clinical pathways are interdisciplinary documents provided by a hospital to
suggest ideal sequencing and timing of events and interventions for specific diseases to improve
efficiency of care and enhance recovery. This pathway serves as a model outlining the typical
hospital stay for individuals with specified conditions. Healthy People 2020 contains objectives set
by the U.S. government to improve the health and reduce the incidence of death in the twenty-first
century. Child mortality statistics can be compared with those from other decades for the evaluation
of achievement toward health-care goals. National clinical practice guidelines promote uniformity in
care for specific disease conditions by suggesting expected outcomes from specific interventions.
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.1 Describe the continuum of pediatric health care.
Question 5
Type: MCSA
The nurse recognizes that the pediatric client is from a cultural background different from that of the
hospital staff. Which goal is most appropriate for this client when planning nursing care?
1. Overlook or minimize the differences that exist.
2. Facilitate the family’s ability to comply with the care needed.
3. Avoid inadvertently offending the family by imposing the nurse’s perspective.
4. Encourage complementary beneficial cultural practices as primary therapies.
Correct Answer: 2
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Rationale 1: The incorporation of the family’s cultural perspective into the care plan is most likely to
result in the family’s ability to accept medical care and comply with the regimen prescribed. Since
culture develops from social learning, attempts to ignore or minimize cultural consideration will
result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by
reducing the resources available to promote health and prevent illness. Complementary therapy may
be used later if other primary therapies prove to be ineffective.
Rationale 2: The incorporation of the family’s cultural perspective into the care plan is most likely to
result in the family’s ability to accept medical care and comply with the regimen prescribed. Since
culture develops from social learning, attempts to ignore or minimize cultural consideration will
result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by
reducing the resources available to promote health and prevent illness. Complementary therapy may
be used later if other primary therapies prove to be ineffective.
Rationale 3: The incorporation of the family’s cultural perspective into the care plan is most likely to
result in the family’s ability to accept medical care and comply with the regimen prescribed. Since
culture develops from social learning, attempts to ignore or minimize cultural consideration will
result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by
reducing the resources available to promote health and prevent illness. Complementary therapy may
be used later if other primary therapies prove to be ineffective.
Rationale 4: The incorporation of the family’s cultural perspective into the care plan is most likely to
result in the family’s ability to accept medical care and comply with the regimen prescribed. Since
culture develops from social learning, attempts to ignore or minimize cultural consideration will
result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by
reducing the resources available to promote health and prevent illness. Complementary therapy may
be used later if other primary therapies prove to be ineffective.
Global Rationale: The incorporation of the family’s cultural perspective into the care plan is most
likely to result in the family’s ability to accept medical care and comply with the regimen prescribed.
Since culture develops from social learning, attempts to ignore or minimize cultural consideration
will result in mistrust, suspicion, or offenses that can have negative effects upon the health of
children by reducing the resources available to promote health and prevent illness. Complementary
therapy may be used later if other primary therapies prove to be ineffective.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
result in the family’s ability to accept medical care and comply with the regimen prescribed. Since
culture develops from social learning, attempts to ignore or minimize cultural consideration will
result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by
reducing the resources available to promote health and prevent illness. Complementary therapy may
be used later if other primary therapies prove to be ineffective.
Rationale 2: The incorporation of the family’s cultural perspective into the care plan is most likely to
result in the family’s ability to accept medical care and comply with the regimen prescribed. Since
culture develops from social learning, attempts to ignore or minimize cultural consideration will
result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by
reducing the resources available to promote health and prevent illness. Complementary therapy may
be used later if other primary therapies prove to be ineffective.
Rationale 3: The incorporation of the family’s cultural perspective into the care plan is most likely to
result in the family’s ability to accept medical care and comply with the regimen prescribed. Since
culture develops from social learning, attempts to ignore or minimize cultural consideration will
result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by
reducing the resources available to promote health and prevent illness. Complementary therapy may
be used later if other primary therapies prove to be ineffective.
Rationale 4: The incorporation of the family’s cultural perspective into the care plan is most likely to
result in the family’s ability to accept medical care and comply with the regimen prescribed. Since
culture develops from social learning, attempts to ignore or minimize cultural consideration will
result in mistrust, suspicion, or offenses that can have negative effects upon the health of children by
reducing the resources available to promote health and prevent illness. Complementary therapy may
be used later if other primary therapies prove to be ineffective.
Global Rationale: The incorporation of the family’s cultural perspective into the care plan is most
likely to result in the family’s ability to accept medical care and comply with the regimen prescribed.
Since culture develops from social learning, attempts to ignore or minimize cultural consideration
will result in mistrust, suspicion, or offenses that can have negative effects upon the health of
children by reducing the resources available to promote health and prevent illness. Complementary
therapy may be used later if other primary therapies prove to be ineffective.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
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Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 1.3 Analyze the current societal influences on pediatric health care and
nursing practice.
Question 6
Type: MCSA
The telephone triage nurse at a pediatric clinic knows each call is important. Which call would
require extra attentiveness from the registered nurse because of an increased risk of mortality?
1. A 3-week-old infant born at 35 weeks gestation with gastroenteritis
2. A term 2-week-old infant of American Indian descent with an upper respiratory infection
3. A post term 4-week-old infant non-Hispanic black descent with moderate emesis after feeding
4. A 1-week-old infant born at 40 weeks gestation with symptoms of colic
Correct Answer: 1
Rationale 1: The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra
attentiveness from the registered nurse.
Rationale 2: The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra
attentiveness from the registered nurse.
Rationale 3: The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra
attentiveness from the registered nurse.
Rationale 4: The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra
attentiveness from the registered nurse.
Global Rationale: The leading causes of death in the neonatal period (birth to 28 days of age) are
short gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra
attentiveness from the registered nurse.
Learning Outcome: LO 1.3 Analyze the current societal influences on pediatric health care and
nursing practice.
Question 6
Type: MCSA
The telephone triage nurse at a pediatric clinic knows each call is important. Which call would
require extra attentiveness from the registered nurse because of an increased risk of mortality?
1. A 3-week-old infant born at 35 weeks gestation with gastroenteritis
2. A term 2-week-old infant of American Indian descent with an upper respiratory infection
3. A post term 4-week-old infant non-Hispanic black descent with moderate emesis after feeding
4. A 1-week-old infant born at 40 weeks gestation with symptoms of colic
Correct Answer: 1
Rationale 1: The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra
attentiveness from the registered nurse.
Rationale 2: The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra
attentiveness from the registered nurse.
Rationale 3: The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra
attentiveness from the registered nurse.
Rationale 4: The leading causes of death in the neonatal period (birth to 28 days of age) are short
gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra
attentiveness from the registered nurse.
Global Rationale: The leading causes of death in the neonatal period (birth to 28 days of age) are
short gestation, low birth weight, and congenital malformations. The preterm infant experiencing
gastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extra
attentiveness from the registered nurse.
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Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 1.4 Report the most common causes of child mortality by age group and
reasons for hospitalization.
Question 7
Type: MCSA
Despite the availability of Children’s Health Insurance Programs (CHIP), many eligible children are
not enrolled. Which nursing intervention would be the most appropriate to help children become
enrolled in CHIP?
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: In the role of an advocate, a nurse will advance the interests of another; by suggesting
the family investigate its SCHIP eligibility, the nurse is directing their action toward the child’s best
interest. Financial assessment is more commonly the function of a social worker. The case-
management activity mentioned will not provide a source of funding nor will the educational effort
described.
Rationale 2: In the role of an advocate, a nurse will advance the interests of another; by suggesting
the family investigate its CHIP eligibility, the nurse is directing their action toward the child’s best
interest. Financial assessment is more commonly the function of a social worker. The case-
management activity mentioned will not provide a source of funding nor will the educational effort
described.
Rationale 3: In the role of an advocate, a nurse will advance the interests of another; by suggesting
the family investigate its CHIP eligibility, the nurse is directing his action toward the child’s best
interest. Financial assessment is more commonly the function of a social worker. The case-
management activity mentioned will not provide a source of funding nor will the educational effort
described.
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 1.4 Report the most common causes of child mortality by age group and
reasons for hospitalization.
Question 7
Type: MCSA
Despite the availability of Children’s Health Insurance Programs (CHIP), many eligible children are
not enrolled. Which nursing intervention would be the most appropriate to help children become
enrolled in CHIP?
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: In the role of an advocate, a nurse will advance the interests of another; by suggesting
the family investigate its SCHIP eligibility, the nurse is directing their action toward the child’s best
interest. Financial assessment is more commonly the function of a social worker. The case-
management activity mentioned will not provide a source of funding nor will the educational effort
described.
Rationale 2: In the role of an advocate, a nurse will advance the interests of another; by suggesting
the family investigate its CHIP eligibility, the nurse is directing their action toward the child’s best
interest. Financial assessment is more commonly the function of a social worker. The case-
management activity mentioned will not provide a source of funding nor will the educational effort
described.
Rationale 3: In the role of an advocate, a nurse will advance the interests of another; by suggesting
the family investigate its CHIP eligibility, the nurse is directing his action toward the child’s best
interest. Financial assessment is more commonly the function of a social worker. The case-
management activity mentioned will not provide a source of funding nor will the educational effort
described.
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Rationale 4: In the role of an advocate, a nurse will advance the interests of another; by suggesting
the family investigate its CHIP eligibility, the nurse is directing their action toward the child’s best
interest. Financial assessment is more commonly the function of a social worker. The case-
management activity mentioned will not provide a source of funding nor will the educational effort
described.
Global Rationale: In the role of an advocate, a nurse will advance the interests of another; by
suggesting the family investigate its CHIP eligibility, the nurse is directing their action toward the
child’s best interest. Financial assessment is more commonly the function of a social worker. The
case-management activity mentioned will not provide a source of funding nor will the educational
effort described.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 1.2 Compare the roles of nurses in child health care.
Question 8
Type: MCSA
A supervisor is reviewing the documentation of the nurses in the unit. Which client documentation is
the most accurate and contains all the required part for a narrative entry?
1. “2/2/05 1630 Catheterized using an 8 French catheter, 45 mL clear yellow urine obtained,
specimen sent to lab, squirmed and cried softly during insertion of catheter. Quiet in mother’s arms
following catheter removal. M. May RN”
2. “1/9/05 2 pm NG tube placement confirmed and irrigated with 30 ml sterile water. Suction set at
low, intermittent. Oxygen via nasal canal at 2 L/min. Nares patent, pink, and nonirritated. K. Earnst
RN”
3. “4:00 Trach dressing removed with dime-size stain of dry serous exudate. Site cleansed with
normal saline. Dried with sterile gauze. New sterile trach sponge and trach ties applied. Respirations
regular and even throughout the procedure. F. Luck RN”
4. “Feb. ’05 Port-A-Cath assessed with Huber needle. Blood return present. Flushed with NaCl sol.,
IV gamma globins hung and infusing at 30cc/hr. Child smiling and playful throughout the procedure.
P. Potter, RN”
Correct Answer: 1
the family investigate its CHIP eligibility, the nurse is directing their action toward the child’s best
interest. Financial assessment is more commonly the function of a social worker. The case-
management activity mentioned will not provide a source of funding nor will the educational effort
described.
Global Rationale: In the role of an advocate, a nurse will advance the interests of another; by
suggesting the family investigate its CHIP eligibility, the nurse is directing their action toward the
child’s best interest. Financial assessment is more commonly the function of a social worker. The
case-management activity mentioned will not provide a source of funding nor will the educational
effort described.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 1.2 Compare the roles of nurses in child health care.
Question 8
Type: MCSA
A supervisor is reviewing the documentation of the nurses in the unit. Which client documentation is
the most accurate and contains all the required part for a narrative entry?
1. “2/2/05 1630 Catheterized using an 8 French catheter, 45 mL clear yellow urine obtained,
specimen sent to lab, squirmed and cried softly during insertion of catheter. Quiet in mother’s arms
following catheter removal. M. May RN”
2. “1/9/05 2 pm NG tube placement confirmed and irrigated with 30 ml sterile water. Suction set at
low, intermittent. Oxygen via nasal canal at 2 L/min. Nares patent, pink, and nonirritated. K. Earnst
RN”
3. “4:00 Trach dressing removed with dime-size stain of dry serous exudate. Site cleansed with
normal saline. Dried with sterile gauze. New sterile trach sponge and trach ties applied. Respirations
regular and even throughout the procedure. F. Luck RN”
4. “Feb. ’05 Port-A-Cath assessed with Huber needle. Blood return present. Flushed with NaCl sol.,
IV gamma globins hung and infusing at 30cc/hr. Child smiling and playful throughout the procedure.
P. Potter, RN”
Correct Answer: 1
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Rationale 1: The client record should include the date and time of entry, nursing care provided,
assessments, an objective report of the client’s physiologic response, exact quotes, and the nurse’s
signature and title.
Rationale 2: The client record should include the date and time of entry, nursing care provided,
assessments, an objective report of the client’s physiologic response, exact quotes, and the nurse’s
signature and title.
Rationale 3: The client record should include the date and time of entry, nursing care provided,
assessments, an objective report of the client’s physiologic response, exact quotes, and the nurse’s
signature and title.
Rationale 4: The client record should include the date and time of entry, nursing care provided,
assessments, an objective report of the client’s physiologic response, exact quotes, and the nurse’s
signature and title.
Global Rationale: The client record should include the date and time of entry, nursing care
provided, assessments, an objective report of the client’s physiologic response, exact quotes, and the
nurse’s signature and title.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO 1.2 Compare the roles of nurses in child health care.
Question 9
Type: MCSA
A 12-year-old pediatric client is in need of surgery. Which member of the health care team is legally
responsible for obtaining informed consent for an invasive procedure?
1. Nurse
2. Physician
3. Unit secretary
4. Social worker
Correct Answer: 2
Rationale 1: Informed consent is legal preauthorization for an invasive procedure. It is the
physician’s legal responsibility to obtain this, because it consists of an explanation about the medical
condition, a detailed description of treatment plans, the expected benefits and risks related to the
assessments, an objective report of the client’s physiologic response, exact quotes, and the nurse’s
signature and title.
Rationale 2: The client record should include the date and time of entry, nursing care provided,
assessments, an objective report of the client’s physiologic response, exact quotes, and the nurse’s
signature and title.
Rationale 3: The client record should include the date and time of entry, nursing care provided,
assessments, an objective report of the client’s physiologic response, exact quotes, and the nurse’s
signature and title.
Rationale 4: The client record should include the date and time of entry, nursing care provided,
assessments, an objective report of the client’s physiologic response, exact quotes, and the nurse’s
signature and title.
Global Rationale: The client record should include the date and time of entry, nursing care
provided, assessments, an objective report of the client’s physiologic response, exact quotes, and the
nurse’s signature and title.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO 1.2 Compare the roles of nurses in child health care.
Question 9
Type: MCSA
A 12-year-old pediatric client is in need of surgery. Which member of the health care team is legally
responsible for obtaining informed consent for an invasive procedure?
1. Nurse
2. Physician
3. Unit secretary
4. Social worker
Correct Answer: 2
Rationale 1: Informed consent is legal preauthorization for an invasive procedure. It is the
physician’s legal responsibility to obtain this, because it consists of an explanation about the medical
condition, a detailed description of treatment plans, the expected benefits and risks related to the
Loading page 11...
proposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s right
to refuse treatment.
Rationale 2: Informed consent is legal preauthorization for an invasive procedure. It is the
physician’s legal responsibility to obtain this, because it consists of an explanation about the medical
condition, a detailed description of treatment plans, the expected benefits and risks related to the
proposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s right
to refuse treatment.
Rationale 3: Informed consent is legal preauthorization for an invasive procedure. It is the
physician’s legal responsibility to obtain this, because it consists of an explanation about the medical
condition, a detailed description of treatment plans, the expected benefits and risks related to the
proposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s right
to refuse treatment.
Rationale 4: Informed consent is legal preauthorization for an invasive procedure. It is the
physician’s legal responsibility to obtain this, because it consists of an explanation about the medical
condition, a detailed description of treatment plans, the expected benefits and risks related to the
proposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s right
to refuse treatment.
Global Rationale: Informed consent is legal preauthorization for an invasive procedure. It is the
physician’s legal responsibility to obtain this, because it consists of an explanation about the medical
condition, a detailed description of treatment plans, the expected benefits and risks related to the
proposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s right
to refuse treatment.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.5 Contrast the policies for obtaining informed consent of minors to policies
for adults.
Question 10
Type: MCSA
A child is being prepared for an invasive procedure. The mother of the child has legal custody but is
not present. After details of the procedure are explained, who can provide legal consent on behalf of
a minor child for treatment?
to refuse treatment.
Rationale 2: Informed consent is legal preauthorization for an invasive procedure. It is the
physician’s legal responsibility to obtain this, because it consists of an explanation about the medical
condition, a detailed description of treatment plans, the expected benefits and risks related to the
proposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s right
to refuse treatment.
Rationale 3: Informed consent is legal preauthorization for an invasive procedure. It is the
physician’s legal responsibility to obtain this, because it consists of an explanation about the medical
condition, a detailed description of treatment plans, the expected benefits and risks related to the
proposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s right
to refuse treatment.
Rationale 4: Informed consent is legal preauthorization for an invasive procedure. It is the
physician’s legal responsibility to obtain this, because it consists of an explanation about the medical
condition, a detailed description of treatment plans, the expected benefits and risks related to the
proposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s right
to refuse treatment.
Global Rationale: Informed consent is legal preauthorization for an invasive procedure. It is the
physician’s legal responsibility to obtain this, because it consists of an explanation about the medical
condition, a detailed description of treatment plans, the expected benefits and risks related to the
proposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s right
to refuse treatment.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.5 Contrast the policies for obtaining informed consent of minors to policies
for adults.
Question 10
Type: MCSA
A child is being prepared for an invasive procedure. The mother of the child has legal custody but is
not present. After details of the procedure are explained, who can provide legal consent on behalf of
a minor child for treatment?
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1. The divorced parent without custody
2. A cohabitating unmarried boyfriend of the child’s mother
3. A grandparent who lives in the home with the child
4. A babysitter with written proxy consent
Correct Answer: 4
Rationale 1: A parent may grant proxy consent in writing to another adult so that children are not
denied necessary health care. In the case of divorced parents, the parent with custody may be the only
parent allowed by some states to give informed consent. Residence in the same household with a
child does not authorize an adult to sign consent for treatment.
Rationale 2: A parent may grant proxy consent in writing to another adult so that children are not
denied necessary health care. In the case of divorced parents, the parent with custody may be the only
parent allowed by some states to give informed consent. Residence in the same household with a
child does not authorize an adult to sign consent for treatment.
Rationale 3: A parent may grant proxy consent in writing to another adult so that children are not
denied necessary health care. In the case of divorced parents, the parent with custody may be the only
parent allowed by some states to give informed consent. Residence in the same household with a
child does not authorize an adult to sign consent for treatment.
Rationale 4: A parent may grant proxy consent in writing to another adult so that children are not
denied necessary health care. In the case of divorced parents, the parent with custody may be the only
parent allowed by some states to give informed consent. Residence in the same household with a
child does not authorize an adult to sign consent for treatment.
Global Rationale: A parent may grant proxy consent in writing to another adult so that children are
not denied necessary health care. In the case of divorced parents, the parent with custody may be the
only parent allowed by some states to give informed consent. Residence in the same household with
a child does not authorize an adult to sign consent for treatment.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 1.5 Contrast the policies for obtaining informed consent of minors to
policies for adults.
Question 11
Type: MCSA
2. A cohabitating unmarried boyfriend of the child’s mother
3. A grandparent who lives in the home with the child
4. A babysitter with written proxy consent
Correct Answer: 4
Rationale 1: A parent may grant proxy consent in writing to another adult so that children are not
denied necessary health care. In the case of divorced parents, the parent with custody may be the only
parent allowed by some states to give informed consent. Residence in the same household with a
child does not authorize an adult to sign consent for treatment.
Rationale 2: A parent may grant proxy consent in writing to another adult so that children are not
denied necessary health care. In the case of divorced parents, the parent with custody may be the only
parent allowed by some states to give informed consent. Residence in the same household with a
child does not authorize an adult to sign consent for treatment.
Rationale 3: A parent may grant proxy consent in writing to another adult so that children are not
denied necessary health care. In the case of divorced parents, the parent with custody may be the only
parent allowed by some states to give informed consent. Residence in the same household with a
child does not authorize an adult to sign consent for treatment.
Rationale 4: A parent may grant proxy consent in writing to another adult so that children are not
denied necessary health care. In the case of divorced parents, the parent with custody may be the only
parent allowed by some states to give informed consent. Residence in the same household with a
child does not authorize an adult to sign consent for treatment.
Global Rationale: A parent may grant proxy consent in writing to another adult so that children are
not denied necessary health care. In the case of divorced parents, the parent with custody may be the
only parent allowed by some states to give informed consent. Residence in the same household with
a child does not authorize an adult to sign consent for treatment.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 1.5 Contrast the policies for obtaining informed consent of minors to
policies for adults.
Question 11
Type: MCSA
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A 12-year-old child is admitted to the unit for a surgical procedure. The child is accompanied by two
parents and a younger sibling. What is the level of involvement in treatment decision making for this
child?
1. That of an emancipated minor.
2. That of a mature minor.
3. That of assent.
4. None.
Correct Answer: 3
Rationale 1: Assent requires the ability to generally understand what procedure and treatments are
planned, to understand what participation is required, and to make a statement of agreement or
disagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-olds
should be able to problem solve using abstract concepts and are able to give valid assent when
parents sign the informed consent. An emancipated minor is a self-supporting adolescent who is not
subject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the state
law designates as being able to understand medical risks and who is thus permitted to give informed
consent for treatment.
Rationale 2: Assent requires the ability to generally understand what procedure and treatments are
planned, to understand what participation is required, and to make a statement of agreement or
disagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-olds
should be able to problem solve using abstract concepts and are able to give valid assent when
parents sign the informed consent. An emancipated minor is a self-supporting adolescent who is not
subject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the state
law designates as being able to understand medical risks and who is thus permitted to give informed
consent for treatment.
Rationale 3: Assent requires the ability to generally understand what procedure and treatments are
planned, to understand what participation is required, and to make a statement of agreement or
disagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-olds
should be able to problem solve using abstract concepts and are able to give valid assent when
parents sign the informed consent. An emancipated minor is a self-supporting adolescent who is not
subject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the state
law designates as being able to understand medical risks and who is thus permitted to give informed
consent for treatment.
parents and a younger sibling. What is the level of involvement in treatment decision making for this
child?
1. That of an emancipated minor.
2. That of a mature minor.
3. That of assent.
4. None.
Correct Answer: 3
Rationale 1: Assent requires the ability to generally understand what procedure and treatments are
planned, to understand what participation is required, and to make a statement of agreement or
disagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-olds
should be able to problem solve using abstract concepts and are able to give valid assent when
parents sign the informed consent. An emancipated minor is a self-supporting adolescent who is not
subject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the state
law designates as being able to understand medical risks and who is thus permitted to give informed
consent for treatment.
Rationale 2: Assent requires the ability to generally understand what procedure and treatments are
planned, to understand what participation is required, and to make a statement of agreement or
disagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-olds
should be able to problem solve using abstract concepts and are able to give valid assent when
parents sign the informed consent. An emancipated minor is a self-supporting adolescent who is not
subject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the state
law designates as being able to understand medical risks and who is thus permitted to give informed
consent for treatment.
Rationale 3: Assent requires the ability to generally understand what procedure and treatments are
planned, to understand what participation is required, and to make a statement of agreement or
disagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-olds
should be able to problem solve using abstract concepts and are able to give valid assent when
parents sign the informed consent. An emancipated minor is a self-supporting adolescent who is not
subject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the state
law designates as being able to understand medical risks and who is thus permitted to give informed
consent for treatment.
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Rationale 4: Assent requires the ability to generally understand what procedure and treatments are
planned, to understand what participation is required, and to make a statement of agreement or
disagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-olds
should be able to problem solve using abstract concepts and are able to give valid assent when
parents sign the informed consent. An emancipated minor is a self-supporting adolescent who is not
subject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the state
law designates as being able to understand medical risks and who is thus permitted to give informed
consent for treatment.
Global Rationale: Assent requires the ability to generally understand what procedure and treatments
are planned, to understand what participation is required, and to make a statement of agreement or
disagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-olds
should be able to problem solve using abstract concepts and are able to give valid assent when
parents sign the informed consent. An emancipated minor is a self-supporting adolescent who is not
subject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the state
law designates as being able to understand medical risks and who is thus permitted to give informed
consent for treatment.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 1.5 Contrast the policies for obtaining informed consent of minors to
policies for adults.
Question 12
Type: MCSA
Which nursing intervention is most appropriate when providing education to the pediatric client and
family?
1. Giving primary care for high-risk children who are in hospital settings
2. Giving primary care for healthy children
3. Working toward the goal of informed choices with the family
4. Obtaining a physician consultation for any technical procedures at delivery
Correct Answer: 3
planned, to understand what participation is required, and to make a statement of agreement or
disagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-olds
should be able to problem solve using abstract concepts and are able to give valid assent when
parents sign the informed consent. An emancipated minor is a self-supporting adolescent who is not
subject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the state
law designates as being able to understand medical risks and who is thus permitted to give informed
consent for treatment.
Global Rationale: Assent requires the ability to generally understand what procedure and treatments
are planned, to understand what participation is required, and to make a statement of agreement or
disagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-olds
should be able to problem solve using abstract concepts and are able to give valid assent when
parents sign the informed consent. An emancipated minor is a self-supporting adolescent who is not
subject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the state
law designates as being able to understand medical risks and who is thus permitted to give informed
consent for treatment.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO 1.5 Contrast the policies for obtaining informed consent of minors to
policies for adults.
Question 12
Type: MCSA
Which nursing intervention is most appropriate when providing education to the pediatric client and
family?
1. Giving primary care for high-risk children who are in hospital settings
2. Giving primary care for healthy children
3. Working toward the goal of informed choices with the family
4. Obtaining a physician consultation for any technical procedures at delivery
Correct Answer: 3
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Rationale 1: The educator works with the family toward the goal of making informed choices
through education and explanation.
Rationale 2: The educator works with the family toward the goal of making informed choices
through education and explanation.
Rationale 3: The educator works with the family toward the goal of making informed choices
through education and explanation.
Rationale 4: The educator works with the family toward the goal of making informed choices
through education and explanation.
Global Rationale: The educator works with the family toward the goal of making informed choices
through education and explanation.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.2 Compare the roles of nurses in child health care.
Question 13
Type: MCSA
What is the pediatric nurse’s best defense against an accusation of malpractice or negligence?
1. Following the physician’s written orders
2. Meeting the scope and standards of practice for pediatric nursing
3. Being a nurse practitioner or clinical nurse specialist
4. Acting on the advice of the nurse manager
Correct Answer: 2
Rationale 1: Meeting the scope and standards of practice for pediatric nursing would cover the
pediatric nurse against an accusation of malpractice or negligence because the standards are rigorous
and cover all bases of excellent nursing practice. Following the physician’s written orders or acting
on the advice of the nurse manager are not enough to defend the nurse from accusations because the
orders and/or advice may be wrong or unethical. Being a clinical nurse specialist or nurse practitioner
does not defend the nurse against these accusations if he or she does not follow the Society of
Pediatric Nurses standards of practice.
Rationale 2: Meeting the scope and standards of practice for pediatric nursing would cover the
pediatric nurse against an accusation of malpractice or negligence because the standards are rigorous
through education and explanation.
Rationale 2: The educator works with the family toward the goal of making informed choices
through education and explanation.
Rationale 3: The educator works with the family toward the goal of making informed choices
through education and explanation.
Rationale 4: The educator works with the family toward the goal of making informed choices
through education and explanation.
Global Rationale: The educator works with the family toward the goal of making informed choices
through education and explanation.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.2 Compare the roles of nurses in child health care.
Question 13
Type: MCSA
What is the pediatric nurse’s best defense against an accusation of malpractice or negligence?
1. Following the physician’s written orders
2. Meeting the scope and standards of practice for pediatric nursing
3. Being a nurse practitioner or clinical nurse specialist
4. Acting on the advice of the nurse manager
Correct Answer: 2
Rationale 1: Meeting the scope and standards of practice for pediatric nursing would cover the
pediatric nurse against an accusation of malpractice or negligence because the standards are rigorous
and cover all bases of excellent nursing practice. Following the physician’s written orders or acting
on the advice of the nurse manager are not enough to defend the nurse from accusations because the
orders and/or advice may be wrong or unethical. Being a clinical nurse specialist or nurse practitioner
does not defend the nurse against these accusations if he or she does not follow the Society of
Pediatric Nurses standards of practice.
Rationale 2: Meeting the scope and standards of practice for pediatric nursing would cover the
pediatric nurse against an accusation of malpractice or negligence because the standards are rigorous
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Subject
Nursing