ESSENTIALSOFPEDIATRICNURSING3RDEDITIONBYKYLE AND CARMAN TEST BANK CHAPTER: INTRODUCTION TO CHILD HEALTH AND PEDIATRIC NURSING Origin: Chapter 1, 1 1. The nurse providing family-centered care in a hospital setting reflects on the focus of the health care provided in today's society. Which statement best describes the current definition of health? A) Health is described as 'an absence of disease.' B) Health is measured by monitoring mortality and morbidity of a group. C) Health is a state of complete physical, mental, and social well-being. D) Technological gains made in health care are shared equally among all children. Ans: C Feedback: 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, however, the focus of health has shifted to disease prevention, health promotion, and wellness. The World Health Organization (2013) defines health as "a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity." The gains in child health have been huge, but, unfortunately, these gains are not shared equally among all children. Origin: Chapter 1, 2 Page 2 2. The student nurse is learning about the past history of child health and health care in the United States. Which statement accurately reflects the condition of health care in the past and current centuries? A) In past centuries in the United States, the health of the country was better than it is today due to the simpler style of living. B) In the current century, mortality rates are high, but life expectancy has increased due to technological advances. C) In the late eighteenth and early nineteenth centuries urban public health improvements made cities healthier places for growing children. D) By the late twentieth century unintentional injuries rather than infectious diseases had become the leading cause of death for children older than 1 year old. Ans: D Feedback: In past centuries in the United States, the health of the country was poorer than it is today; mortality rates were high and life expectancy was short. Over the years the health of children received more and more attention, leading to a better understanding of sources of illness and improvements in sanitation, water, and nutrition. As a result, by the late twentieth century unintentional injuries rather than infectious diseases had become the leading cause of death for children older than 1 year old. Origin: Chapter 1, 3 3. The nurse is administering a number of therapeutic interventions for neonates, infants, and children on the pediatric unit. Which intervention contributes to an increase in chronic illness seen in early childhood? A) Administering antibiotics to prevent lethal infections B) Vaccinating children to prevent childhood diseases C) Using mechanical ventilation for premature infants D) Using corticosteroids as a treatment for asthma Ans: C Feedback: Using mechanical ventilation and medications to foster lung development in premature infants increases their survival rate. Yet the infants who survive are often faced with myriad chronic illnesses. Administering antibiotics to prevent lethal infections, vaccinating children to prevent childhood diseases, and using corticosteroids as a treatment for asthma may cause side effects, but do not contribute to chronic illness in children.read more
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