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NURS 6500 Exam 1 Newest Updates Questions
with Correct Answers Actual Exam (Score A)-
Marquette University
which demographic has consistently had higher infant mortality rates compared to other ethnic groups? non-hispanic african american Women, Infants, Children (WIC) program provides nutritional supplementation and education to low-income families; pregnant, postpartum, and lactating women, and infants and children up to age 5 Children's Health Insurance Program (CHIP) formerly known as State Children's Health Insurance Program (SCHIP) offered federal assistance to state-based health insurance for low income families that are not eligible for medicaid but cannot afford private insurance what is a key risk factor for infant death preterm births and low birth weight
pediatric nursing is the practice of nursing involved in the healthcare of children from infancy through adolescence what is the overall goal of pediatric nursing? promote and assist the child in maintaining optimal levels of health while recognizing the influence of the family on the child's well-being how can the nurse help provide family-centered care pediatric nurses must respect the families view and concerns, address those issues and concerns, regard the parents as important participants in their child's health and always include the child and family in the decision making process in regards to pediatric nursing what does the assessment look like during the nursing process? assessment involves colecting data about the child and family and performing physical assessment during community based health services, at admission to an acute care setting, at periodic times during the child's hospitalization or care, and during home care visits in pediatric nursing what does the nursing diagnosis include?
accountable and uses sound reasoning to resolve ethical challenges ethics includes the basic principles of? autonomy beneficence nonmaleficence justice veracity fidelity autonomy refers to the freedom to choose and self-determination in regard to making healthcare decisions generally parents have the autonomy to make healthcare decisions for their child beneficence refers to actions that will benefit others in pediatric care this means actions of kindness that will benefit the child rather than harming him or her
nonmaleficence means avoiding causing harm, intentionally or unintentionally justice refers to acting fairly treatment decisions will not be based on factors such as age, religion, gender, socioeconomic status, or ethnic group veracity is telling the truth fidelity is keeping promises an maintaining confidentiality and privacy in certain cases such as child abuse or neglect or during fostering care a guardian ad litem may be appointed by the courts this person generally serves to? protect the child's best interests
___ can provide emergency treatment to a child without consent if they have made reasonable attempts to contact the childs parent or legal guardian physicians key elements of informed consent
- the decision maker must be of legal age in that state, with full civil rights and be competent
- present information that is simple, concise, and appropriate to the level of education and language of the individual responsible for making the decision
- the decision must be voluntary without coercion, force or influence of duress
- have a witness to the process of informed consent
- have the witness sign the consent form in some states a mature minor may give consent to certain medication treatment but the physician must? determine that the adolescent usually older than 14 years of age is sufficiently mature and intelligent to make the decision for treatment state laws vary in relation to the definition of emancipated minor and the types of treatment that may be obtained by an emancipated minor emancipation may be considered in what situations depending on state law?
- membership in a branch of armed services
- marriage
- court-determine emancipation
- financial independence and living apart from parents
- pregnancy
- mother younger than 18 years of age emancipated minor without parental consent depending on state law health care may be provided to minor for certain condition in a confidential manner w/o parent consent these types of care may include? pregnancy counseling prenatal care contraception
in pediatrics the term assent refers to the child's participation in the decision making process about health care in the past health was defined simply as the absence of disease health was measured by monitoring the mortality and morbidity of a group over the past century the focus of health has shifted to? disease prevention, health promotion and wellness what are major health problems of children today obesity environmental toxins allergies drug abuse child abuse and neglect mental health problems three general concepts that form the philosophy of pediatric nursing care are? family-centered care atraumatic care
evidence based care the primary role of pediatric nurse is to? provide direct nursing care to children and their families being an advocate, educator and manager also serving as a collaborator, care coordinator, and consultant what is the nurses responsibility related to informed consent? determining that the parents or legal guardian understand what they are signing by asking them pertinent questions, ensuring that the consent form is completed with signatures from the parents or legal guardian and serving as a witness to the signature process The nurse is developing a community outreach program to help reduce childhood mortality. What topic below would be essential to include? motor vehicle accidents The nurse is assessing the vital signs of a child who is being evaluated in an urgent care center. The child is to be seen by the PNP. The mother asks, "Why is my child seeing the PNP and not the doctor"? What is the best response by the nurse?
with these events the family structure changes and roles are redefined or redistributed Friedman's structural functional theory emphasizes the social system of family such as the organization or structure of the family and how the structure relates to the function Friedman's structural functional theory identified five functions of families?
- affective function: meeting the love and belonging needs of each other
- socialization and social placement function: teaching children how to function and assume adult roles in society
- reproductive role: containing family and society in general
- economic role: ensuring the family has necessary resources with appropriate allocation
- healthcare function: involving the provision of physical care to keep family healthy duvall's developmental theory emphasizes the developmental stages that all families go through, beginning with marriage; the longitudinal career of the family is also known as the family life cycle
duvall's developmental theory described 8 chronological stages with specific predictable tasks that each family completes?
- marriage: beginning of family
- childbearing stage
- family with preschool children
- family with school age children
- family with adolescents
- family with young adults
- middle aged parents
- family in later years von bertalanffy: general system theory applies to families emphasizes the family as a system with interdependent, interacting parts that endure overtime to ensure the survival, continuity, and growth of its components; the family is not the sum of its part but is characterized by wholeness and unity
once considered the traditional family structure true now decreased due to trends in divorce rates or other social situation such as non marital childbearing binuclear family child who is member of two families due to joint custody parenting is considered a joint venture single parent family one parent responsible for care of children may result from death, divorce, desertion, birht outside marriage, or adoption likely to encounter several challenges because of economic, social or personal restraints one person as the homemaker, caregiver and financial provider commuter family adults in the family living and working apart for professional or financial reasons
often leaving the daily care of children to one parent step or blended family adults with children from previous marriages or from the new marriage may lead to family conflict due to different expectation for the children and adults; may have different views and practices related to child care and health extended family nuclear family and grandparents, cousins, aunts, and uncles need to determine decision maker as well as primary caretaker o the children same sex family adults of the same sex living together with or without children may face prejudice against those with different lifestyles communal family
- the nurse manager hears the parents ask the name of the surgeon that has been consulted and the staff nurse responding "I am not sure it is best if you ask your doctor" grandparents as parents families grandparents raising their grandchildren if parents are unable to do so may increase the risk for physical, financial and emotional stress on older adults may lead to confusion and emotional stress for child if biologic parents are in and out of the childs life adolescent families young parents still mastering the developmental tasks of their own childhood greater risk to teenage girls for health problems during pregnancy and delivery of premature infants, leading to risk of subsequent health and developmental problems probably still need support from their families related to financial, emotional, and school issues the nurse notes that a 5 year old boy is approaching obesity. Which is the priority intervention?
assessing the diet of the child and family the nurse is assessing a 9 year old boy during a back to school check up. Which findings are factors for childhood injury?
- being a typical school ager
- lack of after school supervision by an adult
- low socioeconomic status of family The nurse is providing a class to a group of parents about child rearing. One of the participants reports that she regularly uses spanking as a form of discipline for her 5- year-old son. What is the best response by the nurse? many studies show that spanking can lead to aggression in children the nurse is caring for a child from a different culture. Which statements by the nurse demonstrates an understanding of how culture impacts a client?
- culture can impact who a client chooses to see for health care needs
- culture can impact the diet a client follows
