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wong's test 1
ch 1-8: children/family/newborn
| Question | Answer |
|---|---|
| children eating preference est by | family influence and culture |
| adolescent eating preference est by | peer and sociability |
| single most common chronic dz | dental caries |
| public interventions that has had greatest impact on world health | vaccine and clean drinking water |
| six major childhood problems | obesity, type 2, injuries, violence, substance abuse, mental health |
| figures describing rates of occurrence for events such as death in children = | vital statistics |
| define infant mortality | # of deaths per 1000 live births during the first year of life |
| country with highest infant mortality rates; country with lowest infant mortality rates | united states; Singapore |
| major cause of death for children over the age of 1 year is | accidents |
| four most common cause of death during infancy | congenital, short gestation/lbw, SIDS, effected by maternal complications. |
| three common causes of death during early childhood (1-4) | accidents, congenital, accidents |
| three common causes of death during later childhood (5-9) | accidents, cancer, congenital |
| three common causes of death during adolescence (10-14) | accidents, cancer, suicide |
| morbidity statistics | prevalence of a specific illness in the population at a particular time |
| most common acute childhood illness is respiratory illness which accounts for _____% of all acute conditions | 50 |
| nursing is defined as the diagnosis and treatment of.... | human responses to actual or potential health problems |
| family centered care recognizes the family as the _______ in a child's life. | constant |
| family-centered care considers not only the individual needs of a child but also the needs of the ______ | family |
| two basic concepts in family-centered care are ______ and _________ | enabling; empowering |
| atraumatic care is the provision of the health care team that eliminates the _______ and ______ distress experienced by children and their families in the health care system | psychological; physical |
| three principles that provide the framework for achieving the goal in providing atraumatic care | prevent/min. the child's separation from the family; promote a sense of control; prevent/min. bodily injury and pain |
| the establishment of a _______ _______ is the essential foundation for providing high-quality nursing care | therapeutic relationships |
| staff members' concerns about their peer's actions with a family are often signs of a ___________relationship | non-therapeutic |
| in a therapeutic relationship, caring, well-defined _____ separate the nurse from the child and family | boundaries |
| as an advocate, the nurse assists children and families in making informed choices and acting in the child's best interest. Advocacy involves ensuring that families are (hint 3) | aware of all available health services; informed and involved in tx and procedures; encouraged to change or support existing health care practices. |
| pediatric nursing involves the practice of ______ health care | preventative |
| anticipatory guidance | appreciation of the hazards or conflicts of each developmental period. helps the nurse to guide parents in child rearing practices aimed at preventing potential problems |
| to provide high-quality health care, pediatric nurses _____ and _____ nursing services with the activities of other professionals | collaborate; coordinate |
| values found in the practice of ped nursing include autonomy, or the patient's right to be _____; nonmalefiecence, the obligation to ______ or ______ harm; beneficence, the obligation to promote the patient's ____; and justice, the concept of ____. | self-governing; minimize, prevent; well-being; fairness |
| define evidence based practice | collection,interpretation, and integration of valid, important and applicable patient reported, nurse observed, and research derived information. |
| 5 steps of nursing process | assessment/diagnosis/planning/implementation/evaluation |
| assessment | continuous process and is the foundation for decision making |
| diagnosis | when the nurse must interpret and make decisions about the data gathered |
| planning | once the nursing dx have been identified the nurse engages in this to est. outcomes or goals |
| implementation | nurse puts the selected intervention into action and accumulates feedback data regarding its effects |
| evaluation | nurse gathers,sorts, and analyzes data to determine whether the est. outcomes were met; interventions were appropriate; requires modification; other alternatives needed |
| three components of nursing diagnosis are: | problem statement; etiology; signs/symptoms |
| Problem statement | describes the child’s response to health pattern deficits in the child, family, or community |
| Etiology | physiologic, situational, and maturational factors that cause the problem or influence its development |
| Signs & symptoms | the cluster of cues /defining characteristics that are derived from the patient assessment Community |
| Community health initiatives are directed at either the __ ___ of the community or at __ populations within the community that have unique needs. | general health; specific |
| Target population | narrowly defined groups for whom nurses direct activities to improve the health status of individuals in the group |
| List three traditional community health settings | promoting, maintaing, nursing, public health |
| The study of population characteristics | demographics |
| An increased probabilty of developing a disease, injury, or illness | risk |
| Epidemiology | science of population health applied to the detection of morbidity and mortality in a population |
| The epidemologic process identifies the ___ and ____ of disease or injury across a _____ | distrubution; causes; population |
| Morbidity (dz and injury) is reported using what two types of rates | incidence; prevelence |
| What measures the occurrence of new events in a population during a period of time | incidence |
| What measures existing events in a population during a period of time | prevelence |
| Epidemiologic triangle is fromed by three factors whose interrelationship alters the risk for acquiring a dz or condition; they are ____ , _____, and ____ factors | agent; host; environmental |
| Interventions that focus on health promotion and prevention. Ex nutritional program on how to prevent type 2 diabetes in children | primary prevention |
| Intervention that optimize fxn for children w/ disability or chronic dz. Ex. Asthma dz management | teritary prevention |
| Intervention that promote early detection and treatment of illness or efforts to prevent the spread of contagious dz. Ex. Lead screening | secondary |
| Screening for acanthosis nigricans to identify early type 2 diabetes in children is a good ex of the need to determine the ____ before est. a screening program b/c screening for dz must be carefully planned to ensure the ___ of screening exceed the risks | evidence; benefits |
| Evaluation of a school-based hep B vaccination program is an ex of an _____evaluation, which provides ____ ____ to est. the value of a program to the community. | economic; objective information |
| In community nursing the focus of the nursing process shifts from the individual child and family to the ___ or target population | community |
| A community needs assessment requires the collection of both ___ and ____ information about a communtity | subjective; objective |
| Subjective information includes community memebers’ _____ of their most important needs through questionaires or interviews. | statements |
| A windshield tour is a method for collecting ___ data by direct observation | objective |
| Based on an analysis of the community assessment, the nurse formulates a ___ ____ | community health diagnosis |
| In the planning phase of the community nursing process, the nurse collaborates with ___ to develop a ___ to address the needs and problems of the target population | community members; plan |
| Community interventions often are offered in the form of ___ ____, which are based on the ___ levels of prevention | health programs; three |
| Evaluation identifes whether the ___ and ___ ____ were met | goals; program objectives |
| Prevention type: evaluating immunization status of children entering 1st grade and encouraging compliance | primary |
| Prevention type: teaching 3rd grade about the importance of safety around water | primary |
| Prevention type: assisting 4th grade in complying with meds schedule with type 1 diabetes | teritary |
| Prevention type: consulting with teacher about health education to child with asthma | teritary |
| Prevention type: orgraninzing/conducting a support group for chronically ill children of single parents | secondary |
| Prevention type: screening at risk children for lead poisoning | secondary |
Created by:
Godzwmn
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