Test Bank For Principles Of Pediatric Nursing: Caring For Children, 6th Edition

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1Ball/Bindler/Cowen,Principles of Pediatric Nursing: Caring for Children6th Edition Test BankChapter 1Question 1Type:MCSAWhich nursing role is not directly involved when providing family-centered approach to the pediatricpopulation?1.Advocacy2.Case management3.Patient education4.ResearcherCorrect Answer:4Rationale 1: A researcher is not involved in the family-centered approach to patient care of childrenand their families. Advocacy, case management, and patient education are all roles directly involvedin the care of children and their families.Rationale 2: A researcher is not involved in the family-centered approach to patient care of childrenand their families. Advocacy, case management, and patient education are all roles directly involvedin the care of children and their families.Rationale 3: A researcher is not involved in the family-centered approach to patient care of childrenand their families. Advocacy, case management, and patient education are all roles directly involvedin the care of children and their families.Rationale 4: A researcher is not involved in the family-centered approach to patient care of childrenand their families. Advocacy, case management, and patient education are all roles directly involvedin the care of children and their families.Global Rationale:A researcher is not involved in the family-centered approach to patient care ofchildren and their families. Advocacy, case management, and patient education are all roles directlyinvolved in the care of children and their families.Cognitive Level:AnalyzingClient Need:Safe Effective Care EnvironmentClient Need Sub:Nursing/Integrated Concepts:Nursing Process: AssessmentLearning Outcome:LO 1.2 Compare the roles of nurses in child health care.

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Question 2Type:MCMAA nurse is working with pediatric clients in a research facility. The nurse recognizes that federalguidelines are in place that delineate which pediatrics clients must give assent for participation inresearch 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 beingresearched.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:2,3,4Rationale 1: Federal guidelines mandate that research participants 7 years old and older must receivedevelopmentally appropriate information about healthcare procedures and treatments and give assent.Rationale 2: Federal guidelines mandate that research participants 7 years old and older must receivedevelopmentally appropriate information about healthcare procedures and treatments and give assent.Rationale 3: Federal guidelines mandate that research participants 7 years old and older must receivedevelopmentally appropriate information about healthcare procedures and treatments and give assent.Rationale 4: Federal guidelines mandate that research participants 7 years old and older must receivedevelopmentally appropriate information about healthcare procedures and treatments and give assent.Global Rationale:Federal guidelines mandate that research participants 7 years old and older mustreceive developmentally appropriate information about healthcare procedures and treatments andgive assent.Cognitive Level:ApplyingClient Need:Psychosocial IntegrityClient Need Sub:Nursing/Integrated Concepts:Nursing Process: PlanningLearning Outcome:LO 1.6 Examine three unique pediatric legal and ethical issues in pediatricnursing practice.Question 3Type:MCSA

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The nurse in a pediatric acute-care unit is assigned the following tasks. Which task is not appropriatefor 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:1Rationale 1: The role of the pediatric nurse includes providing nursing assessment, directing nursingcare interventions, and educating client and family at developmentally appropriate levels; clientadvocacy, case management, minimization of distress, and enhancement of coping. Advancedpractice nurse practitioners perform assessment, diagnosis, and management of health conditions.Rationale 2: The role of the pediatric nurse includes providing nursing assessment, directing nursingcare interventions, and educating client and family at developmentally appropriate levels; clientadvocacy, case management, minimization of distress, and enhancement of coping. Advancedpractice nurse practitioners perform assessment, diagnosis, and management of health conditions.Rationale 3: The role of the pediatric nurse includes providing nursing assessment, directing nursingcare interventions, and educating client and family at developmentally appropriate levels; clientadvocacy, case management, minimization of distress, and enhancement of coping. Advancedpractice nurse practitioners perform assessment, diagnosis, and management of health conditions.Rationale 4: The role of the pediatric nurse includes providing nursing assessment, directing nursingcare interventions, and educating client and family at developmentally appropriate levels; clientadvocacy, case management, minimization of distress, and enhancement of coping. Advancedpractice nurse practitioners perform assessment, diagnosis, and management of health conditions.Global Rationale:The role of the pediatric nurse includes providing nursing assessment, directingnursing care interventions, and educating client and family at developmentally appropriate levels;client advocacy, case management, minimization of distress, and enhancement of coping. Advancedpractice nurse practitioners perform assessment, diagnosis, and management of health conditions.Cognitive Level:ApplyingClient Need:Health Promotion and MaintenanceClient Need Sub:Nursing/Integrated Concepts:Nursing Process: ImplementationLearning Outcome:LO 1.2 Compare the roles of nurses in child health care.

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Question 4Type:MCSAA 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse aboutexpectations during the child’s recovery. Which information tool would be most useful in answeringa parent’s questions about the timing of key events?1.Healthy People 20202.Clinical pathways3.Child mortality statistics4.National clinical practice guidelinesCorrect Answer:2Rationale 1: Clinical pathways are interdisciplinary documents provided by a hospital to suggestideal sequencing and timing of events and interventions for specific diseases to improve efficiency ofcare and enhance recovery. This pathway serves as a model outlining the typical hospital stay forindividuals with specified conditions.Healthy People 2020contains objectives set by the U.S.government to improve the health and reduce the incidence of death in the twenty-first century. Childmortality statistics can be compared with those from other decades for the evaluation of achievementtoward health-care goals. National clinical practice guidelines promote uniformity in care for specificdisease conditions by suggesting expected outcomes from specific interventions.Rationale 2: Clinical pathways are interdisciplinary documents provided by a hospital to suggestideal sequencing and timing of events and interventions for specific diseases to improve efficiency ofcare and enhance recovery. This pathway serves as a model outlining the typical hospital stay forindividuals with specified conditions.Healthy People 2020contains objectives set by the U.S.government to improve the health and reduce the incidence of death in the twenty-first century. Childmortality statistics can be compared with those from other decades for the evaluation of achievementtoward health-care goals. National clinical practice guidelines promote uniformity in care for specificdisease conditions by suggesting expected outcomes from specific interventions.Rationale 3: Clinical pathways are interdisciplinary documents provided by a hospital to suggestideal sequencing and timing of events and interventions for specific diseases to improve efficiency ofcare and enhance recovery. This pathway serves as a model outlining the typical hospital stay forindividuals with specified conditions.Healthy People 2020contains objectives set by the U.S.government to improve the health and reduce the incidence of death in the twenty-first century. Childmortality statistics can be compared with those from other decades for the evaluation of achievement

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toward health-care goals. National clinical practice guidelines promote uniformity in care for specificdisease conditions by suggesting expected outcomes from specific interventions.Rationale 4: Clinical pathways are interdisciplinary documents provided by a hospital to suggestideal sequencing and timing of events and interventions for specific diseases to improve efficiency ofcare and enhance recovery. This pathway serves as a model outlining the typical hospital stay forindividuals with specified conditions.Healthy People 2020contains objectives set by the U.S.government to improve the health and reduce the incidence of death in the twenty-first century. Childmortality statistics can be compared with those from other decades for the evaluation of achievementtoward health-care goals. National clinical practice guidelines promote uniformity in care for specificdisease conditions by suggesting expected outcomes from specific interventions.Global Rationale:Clinical pathways are interdisciplinary documents provided by a hospital tosuggest ideal sequencing and timing of events and interventions for specific diseases to improveefficiency of care and enhance recovery. This pathway serves as a model outlining the typicalhospital stay for individuals with specified conditions.Healthy People 2020contains objectives setby the U.S. government to improve the health and reduce the incidence of death in the twenty-firstcentury. Child mortality statistics can be compared with those from other decades for the evaluationof achievement toward health-care goals. National clinical practice guidelines promote uniformity incare for specific disease conditions by suggesting expected outcomes from specific interventions.Cognitive Level:AnalyzingClient Need:Psychosocial IntegrityClient Need Sub:Nursing/Integrated Concepts:Nursing Process: PlanningLearning Outcome:1.1 Describe the continuum of pediatric health care.Question 5Type:MCSAThe nurse recognizes that the pediatric client is from a cultural background different from that of thehospital 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 toresult in the family’s ability to accept medical care and comply with the regimen prescribed. Sinceculture develops from social learning, attempts to ignore or minimize cultural consideration willresult in mistrust, suspicion, or offenses that can have negative effects upon the health of children byreducing the resources available to promote health and prevent illness. Complementary therapy maybe 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 toresult in the family’s ability to accept medical care and comply with the regimen prescribed. Sinceculture develops from social learning, attempts to ignore or minimize cultural consideration willresult in mistrust, suspicion, or offenses that can have negative effects upon the health of children byreducing the resources available to promote health and prevent illness. Complementary therapy maybe 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 toresult in the family’s ability to accept medical care and comply with the regimen prescribed. Sinceculture develops from social learning, attempts to ignore or minimize cultural consideration willresult in mistrust, suspicion, or offenses that can have negative effects upon the health of children byreducing the resources available to promote health and prevent illness. Complementary therapy maybe 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 toresult in the family’s ability to accept medical care and comply with the regimen prescribed. Sinceculture develops from social learning, attempts to ignore or minimize cultural consideration willresult in mistrust, suspicion, or offenses that can have negative effects upon the health of children byreducing the resources available to promote health and prevent illness. Complementary therapy maybe 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 mostlikely 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 considerationwill result in mistrust, suspicion, or offenses that can have negative effects upon the health ofchildren by reducing the resources available to promote health and prevent illness. Complementarytherapy may be used later if other primary therapies prove to be ineffective.Cognitive Level:AnalyzingClient Need:Health Promotion and MaintenanceClient Need Sub:

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Nursing/Integrated Concepts:Nursing Process: PlanningLearning Outcome:LO 1.3 Analyze the current societal influences on pediatric health care andnursing practice.Question 6Type:MCSAThe telephone triage nurse at a pediatric clinic knows each call is important. Which call wouldrequire 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 gastroenteritis2.A term 2-week-old infant of American Indian descent with an upper respiratory infection3.A post term 4-week-old infant non-Hispanic black descent with moderate emesis after feeding4.A 1-week-old infant born at 40 weeks gestation with symptoms of colicCorrect Answer:1Rationale 1: The leading causes of death in the neonatal period (birth to 28 days of age) are shortgestation, low birth weight, and congenital malformations. The preterm infant experiencinggastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extraattentiveness from the registered nurse.Rationale 2: The leading causes of death in the neonatal period (birth to 28 days of age) are shortgestation, low birth weight, and congenital malformations. The preterm infant experiencinggastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extraattentiveness from the registered nurse.Rationale 3: The leading causes of death in the neonatal period (birth to 28 days of age) are shortgestation, low birth weight, and congenital malformations. The preterm infant experiencinggastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extraattentiveness from the registered nurse.Rationale 4: The leading causes of death in the neonatal period (birth to 28 days of age) are shortgestation, low birth weight, and congenital malformations. The preterm infant experiencinggastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extraattentiveness from the registered nurse.Global Rationale:The leading causes of death in the neonatal period (birth to 28 days of age) areshort gestation, low birth weight, and congenital malformations. The preterm infant experiencinggastroenteritis at 3 weeks of age is at the greatest risk for mortality; therefore, would require extraattentiveness from the registered nurse.

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Cognitive Level:AnalyzingClient Need:Health Promotion and MaintenanceClient Need Sub:Nursing/Integrated Concepts:Nursing Process: PlanningLearning Outcome:LO 1.4 Report the most common causes of child mortality by age group andreasons for hospitalization.Question 7Type:MCSADespite the availability of Children’s Health Insurance Programs (CHIP), many eligible children arenot enrolled. Which nursing intervention would be the most appropriate to help children becomeenrolled in CHIP?1.Assessment of the details of the family’s income and expenditures2.Case management to limit costly, unnecessary duplication of services3.To advocate for the child by encouraging the family to investigate its SCHIP eligibility4.To educate the family about the need for keeping regular well-child–visit appointmentsCorrect Answer:3Rationale 1: In the role of an advocate, a nurse will advance the interests of another; by suggestingthe family investigate its SCHIP eligibility, the nurse is directing their action toward the child’s bestinterest. 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 effortdescribed.Rationale 2: In the role of an advocate, a nurse will advance the interests of another; by suggestingthe family investigate its CHIP eligibility, the nurse is directing their action toward the child’s bestinterest. 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 effortdescribed.Rationale 3: In the role of an advocate, a nurse will advance the interests of another; by suggestingthe family investigate its CHIP eligibility, the nurse is directing his action toward the child’s bestinterest. 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 effortdescribed.

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Rationale 4: In the role of an advocate, a nurse will advance the interests of another; by suggestingthe family investigate its CHIP eligibility, the nurse is directing theiraction toward the child’s bestinterest. 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 effortdescribed.Global Rationale:In the role of an advocate, a nurse will advance the interests of another; bysuggesting the family investigate its CHIP eligibility, the nurse is directing their action toward thechild’s best interest. Financial assessment is more commonly the function of a social worker. Thecase-management activity mentioned will not provide a source of funding nor will the educationaleffort described.Cognitive Level:AnalyzingClient Need:Health Promotion and MaintenanceClient Need Sub:Nursing/Integrated Concepts:Nursing Process: PlanningLearning Outcome:LO 1.2 Compare the roles of nurses in child health care.Question 8Type:MCSAA supervisor is reviewing the documentation of the nurses in the unit. Which client documentation isthe 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 armsfollowing catheter removal. M. May RN”2.“1/9/05 2 pm NG tube placement confirmed and irrigated with 30 ml sterile water. Suction set atlow, intermittent. Oxygen via nasal canal at 2 L/min. Nares patent, pink, and nonirritated. K. EarnstRN”3.“4:00 Trach dressing removed with dime-size stain of dry serous exudate. Site cleansed withnormal saline. Dried with sterile gauze. New sterile trach sponge and trach ties applied. Respirationsregular 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’ssignature 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’ssignature and title.Rationale 3: The client record should include the date and time of entry, nursing care provided,assessments, an objective report of theclient’s physiologic response, exact quotes, and the nurse’ssignature 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, exactquotes, and the nurse’ssignature and title.Global Rationale:The client record should include the date and time of entry, nursing careprovided, assessments, an objective report of the client’s physiologic response, exact quotes, and thenurse’s signature and title.Cognitive Level:ApplyingClient Need:Safe Effective Care EnvironmentClient Need Sub:Nursing/Integrated Concepts:Nursing Process: AssessmentLearning Outcome:LO 1.2 Compare the roles of nurses in child health care.Question 9Type:MCSAA 12-year-old pediatric client is in need of surgery. Which member of the health care team is legallyresponsible for obtaining informed consent for an invasive procedure?1.Nurse2.Physician3.Unit secretary4.Social workerCorrect Answer:2Rationale 1: Informed consent is legal preauthorization for an invasive procedure. It is thephysician’s legal responsibility to obtain this, because it consists of an explanation about the medicalcondition, a detailed description of treatment plans, the expected benefits and risks related to the

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proposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s rightto refuse treatment.Rationale 2: Informed consent is legal preauthorization for an invasive procedure. It is thephysician’s legal responsibility to obtain this, because it consists of an explanation about the medicalcondition, a detailed description of treatment plans, the expected benefits and risks related to theproposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s rightto refuse treatment.Rationale 3: Informed consent is legal preauthorization for an invasive procedure. It is thephysician’s legal responsibility to obtain this, because it consists of an explanation about the medicalcondition, a detailed description of treatment plans, the expected benefits and risks related to theproposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s rightto refuse treatment.Rationale 4: Informed consent is legal preauthorization for an invasive procedure. It is thephysician’s legal responsibility to obtain this, because it consists of an explanation about the medicalcondition, a detailed description of treatment plans, the expected benefits and risks related to theproposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s rightto refuse treatment.Global Rationale:Informed consent is legal preauthorization for an invasive procedure. It is thephysician’s legal responsibility to obtain this, because it consists of an explanation about the medicalcondition, a detailed description of treatment plans, the expected benefits and risks related to theproposed treatment plan, alternative treatment options, the client’s questions, and the guardian’s rightto refuse treatment.Cognitive Level:ApplyingClient Need:Safe Effective Care EnvironmentClient Need Sub:Nursing/Integrated Concepts:Nursing Process: PlanningLearning Outcome:1.5 Contrast the policies for obtaining informed consent of minors to policiesfor adults.Question 10Type:MCSAA child is being prepared for an invasive procedure. The mother of the child has legal custody but isnot present. After details of the procedure are explained, who can provide legal consent on behalf ofa minor child for treatment?

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1.The divorced parent without custody2.A cohabitating unmarried boyfriend of the child’s mother3.A grandparent who lives in the home with the child4.A babysitter with written proxy consentCorrect Answer:4Rationale 1: A parent may grant proxy consent in writing to another adult so that children are notdenied necessary health care. In the case of divorced parents, the parent with custody may be the onlyparent allowed by some states to give informed consent. Residence in the same household with achild 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 notdenied necessary health care. In the case of divorced parents, the parent with custody may be the onlyparent allowed by some states to give informed consent. Residence in the same household with achild 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 notdenied necessary health care. In the case of divorced parents, the parent with custody may be the onlyparent allowed by some states to give informed consent. Residence in the same household with achild 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 notdenied necessary health care. In the case of divorced parents, the parent with custody may be the onlyparent allowed by some states to give informed consent. Residence in the same household with achild 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 arenot denied necessary health care. In the case of divorced parents, the parent with custody may be theonly parent allowed by some states to give informed consent. Residence in the same household witha child does not authorize an adult to sign consent for treatment.Cognitive Level:ApplyingClient Need:Safe Effective Care EnvironmentClient Need Sub:Nursing/Integrated Concepts:Nursing Process: PlanningLearning Outcome:LO 1.5 Contrast the policies for obtaining informed consent of minors topolicies for adults.Question 11Type:MCSA

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A 12-year-old child is admitted to the unit for a surgical procedure. The child is accompanied by twoparents and a younger sibling. What is the level of involvement in treatment decision making for thischild?1.That of an emancipated minor.2.That of a mature minor.3.That of assent.4.None.Correct Answer:3Rationale 1: Assent requires the ability to generally understand what procedure and treatments areplanned, to understand what participation is required, and to make a statement of agreement ordisagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-oldsshould be able to problem solve using abstract concepts and are able to give valid assent whenparents sign the informed consent. An emancipated minor is a self-supporting adolescent who is notsubject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the statelaw designates as being able to understand medical risks and who is thus permitted to give informedconsent for treatment.Rationale 2: Assent requires the ability to generally understand what procedure and treatments areplanned, to understand what participation is required, and to make a statement of agreement ordisagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-oldsshould be able to problem solve using abstract concepts and are able to give valid assent whenparents sign the informed consent. An emancipated minor is a self-supporting adolescent who is notsubject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the statelaw designates as being able to understand medical risks and who is thus permitted to give informedconsent for treatment.Rationale 3: Assent requires the ability to generally understand what procedure and treatments areplanned, to understand what participation is required, and to make a statement of agreement ordisagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-oldsshould be able to problem solve using abstract concepts and are able to give valid assent whenparents sign the informed consent. An emancipated minor is a self-supporting adolescent who is notsubject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the statelaw designates as being able to understand medical risks and who is thus permitted to give informedconsent for treatment.

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Rationale 4: Assent requires the ability to generally understand what procedure and treatments areplanned, to understand what participation is required, and to make a statement of agreement ordisagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-oldsshould be able to problem solve using abstract concepts and are able to give valid assent whenparents sign the informed consent. An emancipated minor is a self-supporting adolescent who is notsubject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the statelaw designates as being able to understand medical risks and who is thus permitted to give informedconsent for treatment.Global Rationale:Assent requires the ability to generally understand what procedure and treatmentsare planned, to understand what participation is required, and to make a statement of agreement ordisagreement with the plan. Usually, in Piaget’s stage of formal operations, 11- to 13-year-oldsshould be able to problem solve using abstract concepts and are able to give valid assent whenparents sign the informed consent. An emancipated minor is a self-supporting adolescent who is notsubject to the control of a parent or guardian. A mature minor is a 14- or 15-year-old whom the statelaw designates as being able to understand medical risks and who is thus permitted to give informedconsent for treatment.Cognitive Level:ApplyingClient Need:Safe Effective Care EnvironmentClient Need Sub:Nursing/Integrated Concepts:Nursing Process: PlanningLearning Outcome:LO 1.5 Contrast the policies for obtaining informed consent of minors topolicies for adults.Question 12Type:MCSAWhich nursing intervention is most appropriate when providing education to the pediatric client andfamily?1.Giving primary care for high-risk children who are in hospital settings2.Giving primary care for healthy children3.Working toward the goal of informed choices with the family4.Obtaining a physician consultation for any technical procedures at deliveryCorrect Answer:3

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Rationale 1: The educator works with the family toward the goal of making informed choicesthrough education and explanation.Rationale 2: The educator works with the family toward the goal of making informed choicesthrough education and explanation.Rationale 3: The educator works with the family toward the goal of making informed choicesthrough education and explanation.Rationale 4: The educator works with the family toward the goal of making informed choicesthrough education and explanation.Global Rationale:The educator works with the family toward the goal of making informed choicesthrough education and explanation.Cognitive Level:ApplyingClient Need:Safe Effective Care EnvironmentClient Need Sub:Nursing/Integrated Concepts:Nursing Process: PlanningLearning Outcome:1.2 Compare the roles of nurses in child health care.Question 13Type:MCSAWhat is the pediatric nurse’s best defense against an accusation of malpractice or negligence?1.Following the physician’s writtenorders2.Meeting the scope and standards of practice for pediatric nursing3.Being a nurse practitioner or clinical nurse specialist4.Acting on the advice of the nurse managerCorrect Answer:2Rationale 1: Meeting the scope and standards of practice for pediatric nursing would cover thepediatric nurse against an accusation of malpractice or negligence because the standards are rigorousand cover all bases of excellent nursing practice. Following the physician’s written orders or actingon the advice of the nurse manager are not enough to defend the nurse from accusations because theorders and/or advice may be wrong or unethical. Being a clinical nurse specialist or nurse practitionerdoes not defend the nurse against these accusations if he or she does not follow the Society ofPediatric Nurses standards of practice.Rationale 2: Meeting the scope and standards of practice for pediatric nursing would cover thepediatric nurse against an accusation of malpractice or negligence because the standards are rigorous

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