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Ball
1. Educating the family about the need for keeping regular well-child visit appointments.
4. Advocating for the child by encouraging the family to investigate CHIP eligibility.
Correct Answer: 4
Rationale 1: While it is the nurse's responsibility to educate the family, this intervention is not what will best help
eligible children to become enrolled.
Rationale 3: The case management activity mentioned will not provide a source of funding.
Rationale 4: In the role of an advocate, a nurse advances the interests of the child by suggesting that the family
investigate CHIP eligibility.
Global Rationale:
Question 3
Type: MCSA
A nurse is examining different nursing roles. Which best illustrates an advanced practice nursing role?
1. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk children
Correct Answer: 1
Rationale 1: A clinical nurse specialist with whom other nurses consult for expertise in caring for high-risk
children would define an advanced practice nursing role. Advanced practice nurses have specialized knowledge
and competence in a specific clinical area and have earned a master's degree.
Ball, Child Health Nursing, 3/E
Rationale 2: A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit might have
the qualifications for an advanced practice nursing staff but is not working in that capacity.
Rationale 3: A registered nurse who is a circulating nurse in surgery is defined as a professional nurse and has
graduated from an accredited program in nursing and completed the licensure examination.
Rationale 4: A registered nurse who is the manager of a large pediatric unit is defined as a professional nurse and
has graduated from an accredited program in nursing and completed the licensure examination.
Global Rationale:
Question 4
Type: MCSA
2. Assist the family in making informed decisions by providing information about the pros and cons of the
treatment plan.
3. Assist the primary care nurse with procedures requiring advanced practice skills.
4. Communicate with the hospitalized school-aged child’s classroom teacher to assist the child in achieving
classroom goals.
Correct Answer: 2
Rationale 1: The nurse educator does not provide primary care for healthy children.
Rationale 2: The educator works with the family toward the goal of making informed choices through education
and explanation.
Rationale 3: The nurse educator does not assist with procedures requiring advance practice skills.
Rationale 4: The nurse educator is concerned with teaching the child and parents health care practices related to
the child’s condition.
Global Rationale:
Question 5
Type: MCSA
A 7-year-old child has been admitted for acute appendicitis. The parents are questioning the nurse about
expectations during the child's recovery. Which information tool would be most useful in answering a parent's
questions about timing of key events?
Correct Answer: 4
Rationale 1: Healthy People 2020 contains objectives set by the U.S. government to improve the health and
reduce the incidence of death in the twenty-first century.
Rationale 2: National clinical practice guidelines promote uniformity in care for specific disease conditions by
suggesting expected outcomes from specific interventions.
Rationale 3: Child mortality statistics can be compared with those from other decades for the evaluation of
achievement toward health care goals.
Rationale 4: Critical clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of care and enhance
recovery. These pathways serve as models outlining the typical hospital stay for individuals with specified
conditions.
Global Rationale:
Question 6
Type: MCSA
The telephone triage nurse at a pediatric clinic knows that each call is important. However, recognizing that infant
deaths are most frequent in this group, the nurse must be extra attentive during the call from the parent of an
infant who is:
Ball, Child Health Nursing, 3/E
1. Between six and eight months old.
Correct Answer: 4
Rationale 1: About two-thirds of infant deaths occur much earlier—in the first 28 days of life.
Rationale 2: Native American and Alaskan natives experience an infant mortality rate of 8.3 per 100,000 live
births.
Rationale 3: During 2000, the infant mortality statistics for non-Hispanic blacks was 13.6 per 100,000 live births.
Rationale 4: Almost two-thirds of all infant deaths occur during the first 28 days after birth.
Global Rationale:
Question 7
Type: MCSA
When discussing injury prevention with the parents of a toddler, which statement indicates teaching has been
successful? "The leading cause of death in children is:
1. Unintentional injury."
2. Infectious disease."
3. Congenital anomalies."
4. Cancer."
Correct Answer: 1
Rationale 1: The most common cause of death for children between 1 and 19 years of age is unintentional injury,
which includes motor vehicle crashes, drowning, fire, burns, firearms, and suffocation.
Rationale 3: The leading cause of death in children is unintentional injuries, not congenital anomalies.
Ball, Child Health Nursing, 3/E
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Tonalamatl, the, a book of fate and fortune. See Appendix, 359 ff.;
nature of, 359–60;
day-signs of, 360–1;
in tabular form, 361–2;
day-gods of, 362–3;
gods of the “weeks,” 363;
“Lords of the Night,” or Acompañados, in, 364;
lords of the day-hours in, 365;
festivals included in the, 366;
recapitulation of information regarding the, 366;
solar calendar and the, 367;
names of the years, 368;
the calendar-round, 368–9;
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Venus period and the, 370;
bibliography of the, 373
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