Chapter 16 Child Health Nursing Partnering With Children & Families, 3rd Edition

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Chapter 16  Child Health Nursing Partnering With Children & Families, 3rd Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Question 1
Type: MCSA
The nurse in the long-term care clinic is reviewing the charts of a group of children being seen for follow-up visits in the pediatric clinic. The nurse recognizes that chronic limitations might result from which diagnosis?
1. Pneumonia from Haemophilus influenzae virus
2. Respiratory syncytial virus
3. Streptococcus pneumoniae, a gram-positive diplococcus
4. Congenital heart defect
Correct Answer: 4
Rationale 1: Pneumonia is not a chronic limitation.
Rationale 2: Respiratory syncytial virus is a serious infection caused by a virus that affects infants. It does not result in permanent disability.
Rationale 3: Streptococcus pneumoniae, a gram-positive diplococcus, is treatable and will not cause chronic limitation.
Rationale 4: A congenital heart defect can leave a child with a permanent chronic condition.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 16-1

Question 2
Type: MCSA
All of the following children are inpatients on the pediatric unit. Which child is likely to be left with a developmental disability?
1. An 18-month-old admitted with a diagnosis of near drowning
2. A school-age child newly diagnosed with type 1 diabetes mellitus
3. A toddler with sepsis
4. A two-year-old child with a fractured femur
Correct Answer: 1
Rationale 1: Near drowning indicates a period of time when the child was underwater and not breathing; near drowning can leave a child with a permanent chronic condition.
Rationale 2: Diabetes is a chronic disease but does not lead to developmental disabilities.
Rationale 3: Sepsis is treatable and will not result in a developmental disability.
Rationale 4: A fractured femur is limiting to a child but will not leave the child with a chronic, limiting condition.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 16-1

Question 3
Type: MCSA
The school nurse completes an assessment of a six-year-old child to determine the services this child will need in the classroom. The child needs respiratory support with oxygen. The child requires enteral tube feedings and intravenous medications during the school day. With these needs, the school nurse evaluates the child to be:
1. Medically fragile.
2. Developmentally delayed.
3. Mentally retarded.
4. Socially withdrawn.
Correct Answer: 1
Rationale 1: A child who is dependent on medical devices for survival or prevention of further disability is medically fragile. A child who is medically fragile is not necessarily developmentally delayed, mentally retarded, or socially withdrawn.
Rationale 2: There is no behavioral evidence to support a finding that the child is developmentally delayed.
Rationale 3: There is no evidence in the stem that suggests that this child is mentally retarded.
Rationale 4: The child who is socially withdrawn does not need any special equipment in the classroom.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 16-2

Question 4
Type: MCMA
The nurse is partnering with the family of a hospitalized premature infant who suffered an intraventricular brain hemorrhage. After three months in the neonatal intensive care unit (NICU), the infant is being discharged. Which activities will the nurse suggest to the family to help stimulate the infant’s development?
Standard Text: Select all that apply.
1. Using a day care for stimulation
2. Discouraging sibling interaction
3. Holding and rocking the infant
4. Interacting face to face
5. Talking softly and singing to the infant
Correct Answer: 3,4,5
Rationale 1: A premature infant might not have a mature immune system; therefore, day care might present an infection issue. The needs of this child might not be met in a day care setting with many children.
Rationale 2: Sibling interaction is important and should be encouraged.
Rationale 3: Holding and rocking the infant stimulates the infant’s sense of motion, facilitating parent-infant bonding.
Rationale 4: Interacting face to face stimulates the infant’s sense of vision, facilitating parent-infant bonding.
Rationale 5: Talking softly and singing to the infant are activities that stimulate the infant’s senses of hearing, touch, and motion, facilitating parent-infant bonding.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 16-3

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