Wong’s Nursing Care of Infants and Children, 10th Edition by Marilyn J. Hockenberry, David Wilson – Test Bank

Description

Wong’s Nursing Care of Infants and Children, 10th Edition by Marilyn J. Hockenberry, David Wilson – Test Bank

Table of Contents

UNIT I: Children, Their Families and The Nurse
1. Perspectives of Pediatric Nursing
2. Social, Cultural, Religious, and Family Influences on Child Health Promotion
3. Hereditary Influences on Health Promotion of the Child and Family
UNIT II: Childhood and Family Assessment
4. Communication, Physical, and Developmental Assessment
5. Pain Assessment and Management
6. Childhood Communicable and Infectious Diseases
UNIT III: Family-Centered Care of the Newborn
7. Health Promotion of the Newborn and Family
8. Health Problems of Newborns
9. The High-Risk Newborn and Family
UNIT IV: Family-Centered Care of the Infant
10. Health Promotion of the Infant and Family
11. Health Problems of the Infant
UNIT V: Family-Centered Care of the Toddler and Preschooler
12. Health Promotion of the Toddler and Family
13. Health Promotion of the Preschooler and Family
14. Health Problems of the Toddler and Preschooler
UNIT VI: Family-Centered Care of the School-Age Child
15. Health Promotion of the School-Age Child and Family
16. Health Problems of the School-Age Child
UNIT VII: Family-Centered Care of the Adolescent
17. Health Promotion of the Adolescent and Family
18. Health Problems of the Adolescent
UNIT VIII: Family-Centered Care of the Child with Special Needs
19. Family-Centered Care of the Child with Chronic Illness or Disability
20. Family-Centered End-of-Life Care
21. Family-Centered Care of the Child with Cognitive or Sensory Impairment
UNIT IX: The Child who is Hospitalized
22. Family-Centered Care of the Child During Illness and Hospitalization
23. Pediatric Nursing Interventions and Skills
UNIT X: Childhood Nutrition and Elimination Problems
24. The Child with Fluid and Electrolyte Imbalance
25. The Child with Renal Dysfunction
26. The Child with Gastrointestinal Dysfunction
UNIT XI: Childhood Oxygenation Problems
27. Overview of Oxygen and Carbon Dioxide Exchange
28. The Child with Respiratory Dysfunction
UNIT XII: Childhood Blood Production and Circulation Problems
29. The Child with Cardiovascular Dysfunction
30. The Child with Hematologic or Immunologic Dysfunction
UNIT XIII: Childhood Regulatory Problems
31. The Child with Cancer
32. The Child with Neurologic Dysfunction
33. The Child with Endocrine Dysfunction
UNIT XIV: Childhood Physical Mobility Problems
34. The Child with Musculoskeletal or Articular Dysfunction
35. The Child with Neuromuscular or Muscular Dysfunction
Appendixes
A. Growth Measurements
B. Translations of FACES Pain Rating Scale
C. Spanish-English Translations
Answers to Critical Thinking Case Studies

 

MULTIPLE CHOICE

1. The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination?

a.	The United States is ranked last among 27 countries.
b.	The United States is ranked similar to 20 other developed countries.
c.	The United States is ranked in the middle of 20 other developed countries.
d.	The United States is ranked highest among 27 other industrialized countries.

ANS: A

Although the death rate has decreased, the United States still ranks last in infant mortality among nations with a population of at least 25 million. The United States has the highest infant death rate of developed nations.

DIF:Cognitive Level: RememberingREF:p. 6

TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance

2. Which is the leading cause of death in infants younger than 1 year in the United States?

a.	Congenital anomalies
b.	Sudden infant death syndrome
c.	Disorders related to short gestation and low birth weight
d.	Maternal complications specific to the perinatal period

ANS: A

Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation and unspecified low birth weight, which account for 16.5%; and maternal complications such as infections specific to the perinatal period, which account for 6.1% of deaths in infants younger than 1 year of age.

DIF: Cognitive Level: Remembering REF: p. 7 TOP: Nursing Process: Planning

MSC: Client Needs: Health Promotion and Maintenance

3. What is the major cause of death for children older than 1 year in the United States?

a.	Heart disease
b.	Childhood cancer
c.	Unintentional injuries
d.	Congenital anomalies

ANS: C

Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart disease cause a significantly lower percentage of deaths in children older than 1 year of age.

DIF: Cognitive Level: Understanding REF: p. 7 TOP: Nursing Process: Planning

MSC: Client Needs: Health Promotion and Maintenance

4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?

a.	Suicide and cancer
b.	Suicide and homicide
c.	Drowning and cancer
d.	Homicide and heart disease

ANS: B

Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account for 10.9% of deaths, heart disease and cancer account for approximately 5.5%, and homicide and heart disease account for 10.9% of the deaths in this age group.

DIF: Cognitive Level: Remembering REF: p. 7 TOP: Nursing Process: Planning

MSC: Client Needs: Health Promotion and Maintenance

5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should the nurse include in the session with regard to deaths caused by injuries?

a.	More deaths occur in males.
b.	More deaths occur in females.
c.	The pattern of deaths does not vary according to age and sex.
d.	The pattern of deaths does not vary widely among different ethnic groups.

ANS: A

The majority of deaths from unintentional injuries occur in males. The pattern of death does vary greatly among different ethnic groups, and the causes of unintentional deaths vary with age and gender.

DIF:Cognitive Level: ApplyingREF:pp. 7-8

TOP:Integrated Process: Teaching/Learning

MSC: Client Needs: Health Promotion and Maintenance

6. What do mortality statistics describe?

a.	Disease occurring regularly within a geographic location
b.	The number of individuals who have died over a specific period
c.	The prevalence of specific illness in the population at a particular time
d.	Disease occurring in more than the number of expected cases in a community

ANS: B

Mortality statistics refer to the number of individuals who have died over a specific period.

Morbidity statistics show the prevalence of specific illness in the population at a particular time. Data regarding disease within a geographic region, or in greater than expected numbers in a community, may be extrapolated from analyzing the morbidity statistics.

DIF: Cognitive Level: Remembering REF: p. 3 TOP: Nursing Process: Planning

MSC: Client Needs: Health Promotion and Maintenance

7. The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death?

a.	Preschoolers
b.	Young school age
c.	Middle school age
d.	Late school age and adolescents

ANS: D

Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age group should be late school age and adolescents. Suicide is not one of the leading causes of death for preschool and young or middle school-aged children.

DIF:Cognitive Level: UnderstandingREF:p. 6

TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance

8. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The nurse should respond with which statement?

a.	Family-centered care reduces the effect of cultural diversity on the family.
b.	Family-centered care encourages family dependence on the health care system.
c.	Family-centered care recognizes that the family is the constant in a child’s life.
d.	Family-centered care avoids expecting families to be part of the decision-making process.

ANS: C

The three key components of family-centered care are respect, collaboration, and support. Family-centered care recognizes the family as the constant in the child’s life. The family should be enabled and empowered to work with the health care system and is expected to be part of the decision-making process. The nurse should also support the family’s cultural diversity, not reduce its effect.

DIF:Cognitive Level: ApplyingREF:p. 8

TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance

9. The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning?

a.	Purposeful and goal directed
b.	A simple developmental process
c.	Based on deliberate and irrational thought
d.	Assists individuals in guessing what is most appropriate

ANS: A

Clinical reasoning is a complex developmental process based on rational and deliberate thought. When thinking is clear, precise, accurate, relevant, consistent, and fair, a logical connection develops between the elements of thought and the problem at hand.

DIF:Cognitive Level: ApplyingREF:p. 12

TOP:Integrated Process: Teaching/Learning

MSC: Client Needs: Health Promotion and Maintenance

10. Evidence-based practice (EBP), a decision-making model, is best described as which?

a.	Using information in textbooks to guide care
b.	Combining knowledge with clinical experience and intuition
c.	Using a professional code of ethics as a means for decision making
d.	Gathering all evidence that applies to the child’s health and family situation

ANS: B

EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioning what is the best approach. EBP involves decision making based on data, not all evidence on a particular situation, and involves the latest available data. Nurses can use textbooks to determine areas of concern and potential involvement.

DIF: Cognitive Level: Remembering REF: p. 11 TOP: Nursing Process: Planning

MSC: Client Needs: Safe and Effective Care Environment