Concept of child health care, trends and emerging challenges for Pediatric nurse.
Time: 15:00
What is the primary philosophy of family-centered care in pediatrics?
[a] The healthcare team makes all decisions for the child's well-being.
[b] The family's role is limited to providing comfort and emotional support.
[c] Recognizing the family as the constant in a child's life and partnering with them in care.
[d] Focusing solely on the child's physical needs, separate from the family unit.
The principle of "atraumatic care" is best demonstrated by which nursing action?
[a] Performing procedures as quickly as possible without explanation to reduce anxiety time.
[b] Using a topical anesthetic agent on the skin before starting an intravenous (IV) line.
[c] Separating a toddler from their parents to ensure the procedure is completed efficiently.
[d] Allowing the child to watch a frightening procedure to prepare them for future experiences.
Which of the following represents a major trend in pediatric health care over the past few decades?
[a] An increase in hospital-based care for common childhood illnesses.
[b] A decrease in the prevalence of chronic conditions like asthma and diabetes.
[c] A shift from inpatient hospital stays to community-based and home-based care.
[d] A reduced focus on preventive care and immunizations.
An emerging challenge for pediatric nurses is the significant increase in which health issue among children and adolescents?
[a] Infectious diseases like polio and measles.
[b] Mental health disorders, including anxiety and depression.
[c] Acute nutritional deficiencies like scurvy and rickets.
[d] A decline in childhood obesity rates.
When a 10-year-old child is asked if they agree to participate in a research study, after their parents have already given permission, this is known as obtaining:
[a] Informed consent.
[b] Emancipation.
[c] Assent.
[d] Medical power of attorney.
The leading cause of death in children older than 1 year in the United States is:
[a] Congenital anomalies.
[b] Unintentional injuries.
[c] Cancer.
[d] Infectious diseases.
Which factor is a primary driver for the increasing complexity of pediatric home care?
[a] Advanced medical technology allowing medically fragile children to be cared for at home.
[b] A preference by insurance companies to avoid all hospitalizations.
[c] A shortage of pediatric hospital beds nationwide.
[d] A decrease in the number of children with chronic health conditions.
"Social determinants of health" that significantly challenge pediatric nurses include all of the following EXCEPT:
[a] Poverty and food insecurity.
[b] Lack of access to safe housing and quality education.
[c] The child's genetic predisposition to a specific disease.
[d] Unstable family environments and community violence.
A key role of the modern pediatric nurse as an educator is to:
[a] Make all healthcare decisions for the family.
[b] Dictate the plan of care to the parents.
[c] Empower families with knowledge to manage their child's health and promote wellness.
[d] Withhold complex information to prevent family anxiety.
The rise of vaccine hesitancy, fueled by misinformation, presents a significant challenge to which core pediatric nursing principle?
[a] Palliative care.
[b] Acute injury management.
[c] Health promotion and disease prevention.
[d] Family-centered decision making.
Telehealth has emerged as a significant trend in pediatrics, primarily offering the benefit of:
[a] Eliminating the need for in-person physical examinations.
[b] Replacing the role of the school nurse.
[c] Increasing access to specialist care for families in remote or underserved areas.
[d] Reducing the cost of all medical equipment.
Which statement best reflects the concept of morbidity in a pediatric population?
[a] It refers to the number of child deaths in a given year.
[b] It refers to the prevalence of a specific illness or condition in a population.
[c] It is a measure of the success of childhood immunizations.
[d] It is solely related to the number of days a child is hospitalized.
An emerging ethical challenge for pediatric nurses involves:
[a] Deciding which immunizations a child should receive.
[b] Navigating complex end-of-life decisions for children with terminal illnesses.
[c] Teaching parents basic first aid.
[d] Administering prescribed medications on time.
To provide culturally competent care, a pediatric nurse must first:
[a] Insist that all families adopt the cultural norms of the hospital.
[b] Memorize the practices of every culture in the world.
[c] Engage in self-reflection to understand their own cultural biases and assumptions.
[d] Assume a family's cultural practices based on their appearance.
The childhood obesity epidemic is a major health challenge that increases a child's risk for:
[a] Improved cardiovascular health.
[b] Acute infections like the common cold.
[c] Chronic conditions such as Type 2 diabetes and hypertension.
[d] Better mental health outcomes.
What is the most appropriate communication strategy for a nurse to use with a toddler?
[a] Use complex medical terminology to be precise.
[b] Use simple, concrete terms and focus on what the child will see, hear, and feel.
[c] Explain the long-term benefits of the procedure in detail.
[d] Communicate primarily with the parents and avoid speaking to the child.
The increasing trend of children with complex medical needs surviving into adulthood is primarily due to:
[a] Advances in medical treatment and technology for once-fatal conditions.
[b] A decline in the number of congenital anomalies.
[c] A universal improvement in public health infrastructure.
[d] Changes in parental attitudes toward chronic illness.
A pediatric nurse acting as a patient advocate would be most likely to perform which action?
[a] Following a physician's order without question, even if it seems incorrect.
[b] Prioritizing hospital administrative tasks over patient concerns.
[c] Ignoring a family's questions to complete tasks more quickly.
[d] Questioning a medication dosage that seems inappropriate for a child's weight.
Which challenge relates directly to the impact of modern technology and social media on adolescents?
[a] An increase in physical activity and outdoor play.
[b] A decrease in the incidence of eating disorders.
[c] Cyberbullying and its negative effects on mental health.
[d] Higher rates of childhood immunizations.
The concept of a "medical home" in pediatrics refers to a model of care that is:
[a] Delivered exclusively in the patient's house.
[b] A large, centralized hospital for all pediatric needs.
[c] Accessible, continuous, comprehensive, family-centered, and coordinated.
[d] Focused only on emergency and urgent care services.
A current trend in pediatric pain management is:
[a] Believing that infants do not experience pain as intensely as adults.
[b] Using medication as the only method for pain control.
[c] Avoiding pain assessment in non-verbal children.
[d] Utilizing a combination of pharmacologic and non-pharmacologic methods.
The changing structure of the modern family (e.g., single-parent, same-sex parents) requires the pediatric nurse to:
[a] Assume that a traditional nuclear family is the primary caregiver.
[b] Approach each family with an open, non-judgmental, and inclusive attitude.
[c] Ask invasive questions about the family's structure.
[d] Provide a lower standard of care to non-traditional families.
The use of play therapy in a hospital setting for a young child is a core nursing intervention designed to:
[a] Keep the child busy so parents can rest.
[b] Distract the healthcare team from performing their duties.
[c] Help the child cope with the stress and anxiety of illness and hospitalization.
[d] Assess the child's physical strength and coordination only.
An emerging substance use challenge that pediatric nurses are increasingly encountering among adolescents is:
[a] A decline in alcohol consumption.
[b] The use of e-cigarettes and vaping devices.
[c] A sharp decrease in marijuana use.
[d] The complete eradication of tobacco use.
A major professional challenge for the pediatric nurse today is:
[a] An overabundance of pediatric specialists, leading to low demand.
[b] The simplicity of pediatric cases, which can lead to boredom.
[c] Managing high acuity, complex patients and preventing professional burnout.
[d] A lack of new research and evidence-based practice in pediatrics.
No comments: