peds concepts, roles, and issues (1)

Question 1

what are the roles of the pediatric nurse?

Answer 1

• direct care provider
• patient/family educator
• patient advocate

Question 2

what peds nurse role…
* enables family/child to deal with changes in health in their own way
* awareness of family’s needs and resources
* assist in making informed choices

Answer 2

patient advocate

Question 3

what experience do nurses need to do case management

Answer 3

experienced peds nurses / APRNs

Question 4

what role of nursing includes discharge planning?

Answer 4

case management

Question 5

what is creating a disciplinary team to address significant health problems in a child (like setting up a home nurse for IV meds)

Answer 5

case management

Question 6

what needs does case management cover?

Answer 6

• medical and nursing needs
• developmental needs
• educational needs
• psychological needs

Question 7

briefly describe the evolution of pediatric care

Answer 7

Before…
* limited visiting
* extended stays
* children treated same as adults
Now…
* parents stay at bedside
* shorter stay, procedures outpatient
* recognition of needs (private room)

Question 8

what is clinical reasoning?

Answer 8

utilizing the nursing process

Question 9

what is the reasoning process used to problem solve

Answer 9

critical thinking

Question 10

what describes sequence and timing of interventions that should result in expected patient outcome

Answer 10

clinical practice guidelines

Question 11

what are clinical practice guidelines?

Answer 11

intedisciplinary care plans for specific conditions

Question 12

what are examples of conditions that have clinical practice guidelines?

Answer 12

• DM1
• TBI
• some cancers

Question 13

describe family centered care?

Answer 13

• recognize importance of family presence and involvement involving recovery
• families are care partners

Question 14

what is the #1 cause of death in neonates

Answer 14

congenital malformation

Question 15

top 5 injuries in infants

Answer 15

1. suffocation
2. homicide
3. vehicle accidents
4. undetermined suffocation
5. drowning

Question 16

what is the leading cause of death in children 1-19 years old

Answer 16

injury

Question 17

what is important for parents involving childhood injury

Answer 17

education

Question 18

what is an illness that limits activity, requires medical attention or hospitalization, or results in a chrinic condition

Answer 18

child morbidity

Question 19

What is CHIP?

Answer 19

• Child’s health insurance program, for families who make too much money for Medicare, but not enough for private insurance.
• Coverage is based on income

Question 20

Out of CHIP, Medicaid, and private insurance, which ones are public and which are private

Answer 20

CHIP is public
Medicaid is public
Private insurance is private

Question 21

What is …
* Regulated by each state
* defines legal roles and responsibilities of nurses

Answer 21

Nurse practice act

Question 22

what organizations were the standards of clinical practice developed by?

Answer 22

ANA, SPN, NAPNAP

Question 23

What defines standards for nursing care and performance, patient safety is number one priority

Answer 23

standards of clinical practice

Question 24

What is formal pre authorization for an invasive procedure, signed and witnessed

Answer 24

Informed consent

Question 25

What procedures require informed consent????!!!!! (Blank, check)

Answer 25

Surgery, procedural sedation, bone marrow transplant, photos, blood products, and anesthesia

Question 26

is informed consent needed to participate in research?

Answer 26

Yes

Question 27

what information must be provided in order to obtain informed consent?
1. explanation of condition
2. Detailed description of treatment
3. Risks and benefits of treatment
4. Possible alternative treatments
5. Right to refuse treatment for child
6. All of the above

Answer 27

All of the above

Question 28

Who is legally responsible for obtaining informed consent?
1. RN
2. physician
3. LPN
4. nurse practitioner

Answer 28

Physician

Question 29

When parents are divorced, who is eligible to consent to medical treatment of the child?
* Only the parent with legal authority may give consent
* both parents must consent
* either parent may consent

Answer 29

only the parent with legal authority may give consent

Question 30

when can a child under 18 years old give informed consent

Answer 30

• if they are a parent or if they are pregnant
• If they are an emancipated minor
• If they are seeking birth control, mental health, or substance abuse treatment

Question 31

What classifies an emancipated minor

Answer 31

finished high school and 18 years old, married, or joining the military

Question 32

When does a parent not have legal authority about health care choices for their children

Answer 32

• the choice doesn’t permit lifesaving treatment for the child, like a blood infusion
• There is potential conflict of interest between child and the parent, such as abuse or neglect

Question 33

What is the concept of the information discussed during care will not be shared without patient permission

Answer 33

Confidentiality

Question 34

What are exceptions to confidentiality?

Answer 34

• Adolescent with a reportable disease
• suspected child abuse
• suicide risk

Question 35

What act makes sure that patients are informed of their rights about preferences and treatment options and making advanced directives

Answer 35

patient self determination act

Question 36

When is the patient self determination act especially important

Answer 36

for adolescents with life threatening conditions

Question 37

what is another term for DNR

Answer 37

AND