Various child welfare services, ethical and legal aspects of pediatrics nursing
Time: 15:00
A nurse in the emergency department suspects a 4-year-old's injuries are non-accidental. What is the nurse's primary legal responsibility?
[a] To confront the parents with the suspicion.
[b] To obtain a signed confession from the caregiver.
[c] To report the suspicion to the appropriate child protective services agency.
[d] To wait for the physician to make the final diagnosis of abuse.
The ethical principle of "beneficence" in paediatric nursing is best described as:
[a] The duty to do no harm.
[b] The right of the family to make their own decisions.
[c] The obligation to act in the best interest of the child.
[d] The fair distribution of healthcare resources.
The process of obtaining a 10-year-old child's willing agreement to participate in a procedure, after their parents have already given permission, is known as:
[a] Informed consent.
[b] Emancipation.
[c] Assent.
[d] Medical power of attorney.
Foster care is a child welfare service that provides:
[a] A permanent new family for a child.
[b] A temporary, safe living arrangement for a child who cannot live at home.
[c] Financial assistance for low-income families.
[d] In-home counseling to prevent family separation.
Who is legally responsible for providing informed consent for the surgery of a 6-year-old child?
[a] The child.
[b] The surgeon performing the operation.
[c] The charge nurse on the paediatric unit.
[d] The child's parent or legal guardian.
The WIC (Women, Infants, and Children) program in the United States is a child welfare service that primarily provides:
[a] Emergency shelter for homeless families.
[b] Free medical and dental care.
[c] Supplemental nutritious foods and health education.
[d] Funding for early childhood education.
A 16-year-old who is married and lives independently seeks medical care. This minor can legally consent for their own treatment under the status of:
[a] Mature minor.
[b] Emancipated minor.
[c] Assenting minor.
[d] Dependent minor.
When a nurse questions a medication order that seems incorrect for a child's weight, the nurse is primarily fulfilling the role of:
[a] A caregiver.
[b] An educator.
[c] A patient advocate.
[d] A manager.
The principle of "non-maleficence" requires that a paediatric nurse:
[a] Always tells the truth to the family.
[b] Takes action to avoid causing harm to a child.
[c] Respects the child's wishes above all else.
[d] Ensures all children receive the same treatment.
The Integrated Child Development Services (ICDS) scheme, prominent in India, provides a package of services including nutrition and health check-ups primarily through:
[a] Large regional hospitals.
[b] Anganwadi centers in local communities.
[c] Private paediatric clinics.
[d] Mobile health vans.
A nurse discusses a patient's confidential health information with a colleague in the hospital cafeteria. This is a potential violation of:
[a] The principle of beneficence.
[b] The Patient's Bill of Rights.
[c] The principle of veracity.
[d] The Health Insurance Portability and Accountability Act (HIPAA).
Family Preservation Services are child welfare programs designed to:
[a] Expedite the adoption process.
[b] Provide long-term foster care placements.
[c] Provide intensive, short-term support to families at risk to prevent child removal.
[d] Offer financial support to families after a child has been adopted.
The ethical principle of Justice in paediatric nursing refers to:
[a] The nurse's duty to be faithful to their commitments.
[b] The nurse's obligation to tell the truth.
[c] The fair and equitable treatment of all children.
[d] The family's right to refuse treatment.
Which action by a nurse best demonstrates the application of the Patient's Bill of Rights for a hospitalized child?
[a] Making care decisions without consulting the family.
[b] Limiting visiting hours for all parents.
[c] Ensuring the family receives understandable information about their child's condition and treatment options.
[d] Administering medication without explaining its purpose to an adolescent.
"Well-baby" or "Under-Five" clinics are examples of which type of child welfare service?
[a] Rehabilitative services.
[b] Protective services.
[c] Preventive and promotive health services.
[d] Adoption services.
A 15-year-old is diagnosed with a sexually transmitted infection (STI). In many jurisdictions, the nurse's responsibility regarding parental notification is to:
[a] Immediately inform the parents of the diagnosis.
[b] Respect the adolescent's confidentiality and legal right to consent for STI treatment.
[c] Refuse to treat the adolescent until a parent is present.
[d] Report the adolescent to child protective services.
The ultimate goal for a child within the child welfare system who cannot be safely returned to their biological parents is:
[a] Long-term institutional care.
[b] Placement in a series of different foster homes.
[c] Achieving permanency, typically through adoption or guardianship.
[d] Emancipation at the age of 16.
A nurse promises to return in 10 minutes with a pain medication for a child but gets busy and forgets. This is a failure to uphold which ethical principle?
[a] Veracity.
[b] Justice.
[c] Beneficence.
[d] Fidelity.
School health services, including screenings and first aid, represent a crucial component of:
[a] The juvenile justice system.
[b] Community-based child welfare services.
[c] The foster care system.
[d] Adoption support services.
The legal "standard of care" for a paediatric nurse is defined as:
[a] Providing the same level of care as a physician.
[b] Following hospital policies without exception.
[c] Acting as a reasonably prudent paediatric nurse would in a similar situation.
[d] Doing whatever the child's parents request.
A nurse is caring for a terminally ill child whose parents are refusing pain medication based on their beliefs. This situation creates a conflict between which two ethical principles?
[a] Justice and veracity.
[b] Fidelity and confidentiality.
[c] Parental autonomy and the nurse's duty of beneficence/non-maleficence to the child.
[d] Advocacy and resource allocation.
Child guidance clinics are a specialized service focused on providing:
[a] Nutritional support for infants.
[b] Physical therapy for children with disabilities.
[c] Mental and behavioral health support for children and families.
[d] Legal aid for juvenile offenders.
The main difference between assent and consent is that:
[a] Assent is given by parents, while consent is given by the child.
[b] Assent is a verbal agreement, while consent must be written.
[c] Assent is not required if consent has been given.
[d] Assent is the child's ethical agreement, while consent is the guardian's legal permission.
A child who has been apprehended by law enforcement for a minor offense may be referred to which system that intersects with child welfare?
[a] The juvenile justice system.
[b] The adoption agency.
[c] The foster care system.
[d] The public school system.
Providing false reassurance to a family (e.g., "Don't worry, everything will be perfectly fine") when the outcome is uncertain violates the ethical principle of:
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