Child Health Nursing 3rd Edition By Jane W. Ball-Test Bank

Chapter 1
Question 1
Question 1
Type: MCSA
The pediatric acute care unit nurse has been assigned the following tasks. Considering that some actions require specialized training beyond that of a registered nurse, the nurse would decline to:
1. Identify diversional activity deficit in a six-year-old due to isolation.
2. Attend to an adolescent’s concerns about extended absence from school after surgery.
3. Diagnose and prescribe an antibiotic for acute otitis media in an eight-year-old.
4. Offer information on local support groups to a mother of a newly diagnosed four-year-old diabetic.
Correct Answer: 3
Rationale 1: Nursing diagnoses fall within the nurse’s purview in an acute care unit.
Rationale 2: Listening to concerns is part of the tasks expected in an acute care unit.
Rationale 3: Advanced practice nurse practitioners are responsible for assessment, diagnosis, and management of health conditions. The role of a pediatric nurse focuses on nursing assessment, care interventions, education, advocacy, distress management, and coping enhancement.
Rationale 4: Providing information about support groups aligns with the responsibilities of a nurse in an acute care unit.
Global Rationale:

Cognitive Level: Application
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-1

Question 2
Type: MCSA
Despite the availability of Children’s Health Insurance Programs (CHIP), many eligible children remain unenrolled. The most effective nursing intervention to assist eligible children in enrolling is:
1. Educating families on the importance of regular well-child visit appointments.
2. Assessing the family’s income and expenditures details.
3. Managing service duplication through case management to control costs.
4. Advocating for children by guiding families to explore CHIP eligibility.
Correct Answer: 4
Rationale 1: While educating families is crucial, it may not be the most effective way to enroll children.
Rationale 2: Financial assessment typically falls under the domain of a social worker.
Rationale 3: Case management does not directly address enrollment.
Rationale 4: Nurses act as advocates by suggesting families investigate CHIP eligibility to benefit the children.
Global Rationale:

Cognitive Level: Analysis
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-1

Question 3
Type: MCSA
In examining various nursing roles, which represents an advanced practice nursing role?
1. A clinical nurse specialist consulted by others for her expertise in high-risk child care.
2. A clinical nurse specialist serving as a staff nurse on a medical-surgical pediatric unit.
3. A registered nurse acting as the circulating nurse in surgery.
4. A registered nurse managing a sizable pediatric unit.
Correct Answer: 1
Rationale 1: A clinical nurse specialist consulted by peers for high-risk child care expertise exemplifies an advanced practice nursing role requiring specialized knowledge and a master’s degree.
Rationale 2: While a clinical nurse specialist on a pediatric unit may be qualified, this role does not define advanced practice nursing.
Rationale 3: The circulating nurse in surgery is a professional nurse with essential qualifications.
Rationale 4: A nurse manager of a large pediatric unit is a professional nurse with appropriate qualifications.
Global Rationale:

Cognitive Level: Analysis
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-1

Question 4
Type: MCSA
The role of a registered nurse as a nurse educator involves:
1. Providing primary care for healthy children.
2. Assisting families in informed decision-making by discussing treatment plan benefits and risks.
3. Aiding primary care nurses in advanced practice skill procedures.
4. Collaborating with the school-aged child’s teacher while in the hospital to achieve educational goals.
Correct Answer: 2
Rationale 1: Nurse educators do not provide primary care for healthy children.
Rationale 2: Educators help families make informed decisions by offering education and explanation.
Rationale 3: Nurse educators do not assist with advanced practice skill procedures.
Rationale 4: Nurse educators focus on teaching children and parents about health care practices related to their conditions.
Global Rationale:

Cognitive Level: Application
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1-1

Question 5
Type: MCSA
A 7-year-old child is hospitalized for acute appendicitis. Parents are curious about the child’s recovery timeline. Which tool is best for clarifying the timing of significant events?
1. Healthy People 2020
2. National clinical practice guidelines
3. Child mortality statistics
4. Critical clinical pathways
Correct Answer: 4
Rationale 1: Healthy People 2020 facilitates U.S. health improvement objectives.
Rationale 2: National clinical practice guidelines regulate care uniformity and expected outcomes.
Rationale 3: Child mortality statistics track progress toward health goals.
Rationale 4: Critical clinical pathways outline event sequencing and interventions for efficient care and recovery improvement based on specific conditions.
Global Rationale:

Cognitive Level: Analysis
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1-2

Question 6
Type: MCSA
The telephone triage nurse at a pediatric clinic must be particularly vigilant during calls from parents of infants due to the high frequency of infant deaths in this group. The nurse must be extra cautious during a call from a parent of an infant who is:
1. Aged between six and eight months.
2. From a Native American family.
3. From a non-Hispanic black family.
4. Less than three weeks old.
Correct Answer: 4
Rationale 1: Most infant deaths occur within the first 28 days of life.
Rationale 2: Native Americans have an infant mortality rate of 8.3 per 100,000 live births.
Rationale 3: Non-Hispanic black infants experience an infant mortality rate of 13.6 per 100,000 live births.
Rationale 4: The majority of infant deaths occur within the first month after birth.
Global Rationale:

Cognitive Level: Application
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1-3

Question 7
Type: MCSA
In discussing injury prevention with toddler parents, which statement indicates successful teaching? “The primary cause of child deaths is:
1. Accidental injury.”
2. Infectious disease.”
3. Congenital anomalies.”
4. Cancer.”
Correct Answer: 1
Rationale 1: Accidental injuries are the most common cause of child deaths between 1 and 19 years of age.
Rationale 2: Infectious diseases are not the leading cause of child mortality.
Rationale 3: Congenital anomalies are not the primary cause of child deaths.
Rationale 4: Cancer does not top the list of child mortality causes.
Global Rationale:

Cognitive Level: Application
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-3

Question 8
Type: MCSA
What nursing intervention would be most effective in reducing mortality from accidental injuries based on child mortality statistics?
1. Teaching children about the dangers of contact sports.
2. Encouraging parents to seek genetic counseling.
3. Educating parents on the benefits of immunizations.
4. Coaching parents on proper vehicle restraint seat use.
Correct Answer: 4
Rationale 1: Teaching about contact sports dangers doesn’t primarily address mortality from unintentional injuries.
Rationale 2: Genetic counseling won’t directly reduce unintentional injury mortality.
Rationale 3: While essential, immunization education is not the most effective intervention for reducing unintentional injury mortality.
Rationale 4: Unintentional injuries are the leading cause of child deaths, making proper vehicle restraint seat use crucial in reducing mortality.
Global Rationale:

Cognitive Level: Application
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-3

Question 9
Type: MCSA
To reduce post-neonatal mortality and improve infant health, what nursing intervention would be most effective based on infant mortality statistics?
1. Teaching parents how to “baby-proof” their homes.
2. Educating parents on appropriate feeding techniques.
3. Offering support to first-time mothers.
4. Instructing parents on the importance of placing the baby on their backs when sleeping.
Correct Answer: 4
Rationale 1: Baby-proofing homes does not address post-neonatal mortality.
Rationale 2: Teaching feeding techniques is important but not the most effective intervention to decrease post-neonatal mortality.
Rationale 3: Support for first-time mothers does not directly impact post-neonatal mortality.
Rationale 4: Positioning babies on their backs while sleeping significantly reduces sudden infant death syndrome rates during the post-neonatal period.
Global Rationale:

Cognitive Level: Application
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-3

Question 10
Type: MCSA
Despite the availability of the Children’s Health Insurance Program (CHIP), many families fail to obtain coverage for eligible children because:
1. They underestimate the importance of insurance coverage.
2. Families lack time to complete the enrollment process.
3. They are unaware of their child’s eligibility.
4. Parents undervalue medical interventions for their children.
Correct Answer: 3
Rationale 1: Most families do value insurance coverage, so this is not the primary reason for not enrolling in SCHIP.
Rationale 2: Families typically have adequate time to enroll but may not be confident about qualifying.
Rationale 3: Despite CHIP availability, many eligible children remain unenrolled due to lack of awareness, perceived barriers, and financial considerations.
Rationale 4: Parents do prioritize medical interventions, but some may doubt their eligibility due to income levels.
Global Rationale:

Cognitive Level: Application
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-3