Family and Rationale

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Ball/Bindler/Cowen, Principles of Pediatric Nursing: Caring for Children 5th Edition Test Bank Chapter 2
Question 1
Type: MCMA
The mother of a newly hospitalized pediatric patient asks the nurse about the advantages of “rooming in.” The nurse could indicate which items are confirmed by research as benefits when a parent “rooms in”? Standard Text: Select all that apply.

1. Sleeping more soundly.
2. Requiring shortened recovery periods.
3. Having less anxiety during procedures.
4. Requiring less analgesic for pain relief after surgery.
Correct Answer: 2,3,4
Rationale 1: When parents stayed in the hospital with their child, research found that the child experienced shortened recovery periods, exhibited decreased anxiety during procedures, required less analgesic medication for pain relief after surgery, was quieter, had improved coping, and was happier. These research studies did not investigate the child’s depth of sleep or sleep patterns. Rationale 2: When parents stayed in the hospital with their child, research found that the child experienced shortened recovery periods, exhibited decreased anxiety during procedures, required less analgesic medication for pain relief after surgery, was quieter, had improved coping, and was happier. These research studies did not investigate the child’s depth of sleep or sleep patterns. Rationale 3: When parents stayed in the hospital with their child, research found that the child experienced shortened recovery periods, exhibited decreased anxiety during procedures, required less analgesic medication for pain relief after surgery, was quieter, had improved coping, and was happier. These research studies did not investigate the child’s depth of sleep or sleep patterns. Rationale 4: When parents stayed in the hospital with their child, research found that the child experienced shortened recovery periods, exhibited decreased anxiety during procedures, required less analgesic medication for pain relief after surgery, was quieter, had improved coping, and was happier. These research studies did not investigate the child’s depth of sleep or sleep patterns. Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: LO 06. Identify family support services that might be available in a community.

Question 2
Type: MCSA
A new pediatric hospital will open soon. While planning nursing care, the hospital administration is considering two models of providing health care: family-focused care and family-centered care. The action that best implements family-centered care is: 1. Telling the family what must be done for the family’s health. 2. Assuming the role of an expert professional to direct the health care. 3. Intervening for the child and family as a unit.

4. Conferring with the family in deciding which health-care option will be chosen. Correct Answer: 4
Rationale 1: The benefit of employing the family-centered-care philosophy is that the priorities and needs as seen by the family are addressed as a partnership between a family and a nurse develops. In family-focused care the health-care worker assumes the role of professional expert while missing the multiple contributions the family brings to the health-care meeting. Rationale 2: The benefit of employing the family-centered-care philosophy is that the priorities and needs as seen by the family are addressed as a partnership between a family and a nurse develops. In family-focused care the health-care worker assumes the role of professional expert while missing the multiple contributions the family brings to the health-care meeting. Rationale 3: The benefit of employing the family-centered-care philosophy is that the priorities and needs as seen by the family are addressed as a partnership between a family and a nurse develops. In family-focused care the health-care worker assumes the role of professional...
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