Nursing Evidence-Based Practice Quiz

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Questions and Answers

What is a primary goal of evidence-based practice in nursing?

To improve patient outcomes (correct)

To reduce the cost of care

To increase the number of patients seen

To streamline administrative processes

Which of the following best defines patient- and family-centered care?

An approach focused only on patient health

A model limited to hospital settings

A strategy based on partnerships among patients, families, and providers (correct)

A method that excludes family input

Which factor is NOT typically considered a barrier to family-centered care?

Substance abuse

Childless family structure (correct)

Adolescent parenting

Poverty

How can nurses assist families in managing stress?

Assist families in developing strengths and utilizing resources Signup and view all the answers

What cultural aspect greatly influences pediatric nursing practices?

Cultural beliefs and practices Signup and view all the answers

What is the term for the first 28 days of life?

Neonate Signup and view all the answers

At what age should an infant's birth weight normally triple?

By 1 year Signup and view all the answers

Which of the following factors does NOT influence a child's development?

Astrological signs Signup and view all the answers

Which screening tool is specifically used to assess a child's gestational age?

Dubowitz/Ballard Examination Signup and view all the answers

Which area of development includes moral reasoning according to Kohlberg?

Moral development Signup and view all the answers

What is the greatest number of vaccines typically given at 2 months of age?

6 vaccines Signup and view all the answers

Which guideline is recommended for children's physical activity?

At least 1 hour of physical activity daily Signup and view all the answers

What dietary guideline is suggested for Americans aged 2 years and older?

Low in fat, saturated fat, and cholesterol Signup and view all the answers

What is a key characteristic of authoritarian parenting?

Parents set strict rules that children are expected to obey Signup and view all the answers

Which discipline technique is commonly used for toddlers and preschoolers?

Time out Signup and view all the answers

What is an important component of family-centered communication?

Family education and empowerment Signup and view all the answers

Which communication strategy is NOT appropriate for children with special needs?

Using complex medical terminology Signup and view all the answers

What is a primary factor in assessing the quality of a parent-child relationship?

Control Signup and view all the answers

Which method is effective for communicating with children of all ages?

Offering restricted choices Signup and view all the answers

What is a technique for effective communication that emphasizes understanding the child's perspective?

Listening actively Signup and view all the answers

Which of the following communication approaches is suitable based on a child's developmental abilities?

Simplified story explanations Signup and view all the answers

What is the minimum age at which tummy time should be initiated for an infant?

2 months Signup and view all the answers

What is a common clinical manifestation of colic in an infant?

Crying loudly and continuously Signup and view all the answers

At 6 months old, which milestone should an infant achieve?

Rolls over in both directions Signup and view all the answers

Which reflex is NOT present at birth?

Pincer grasp reflex Signup and view all the answers

What significant development occurs at 12 months of age concerning an infant’s weight?

Birth weight triples Signup and view all the answers

What emotional stage do infants need to achieve according to Erikson's theory?

Trust vs Mistrust Signup and view all the answers

At what age does an infant typically start to feed themselves finger foods?

9 months Signup and view all the answers

Which is a milestone achieved by a 4-month-old infant?

Laughs and squeals out loud Signup and view all the answers

Which developmental milestone is typically observed at 18 months?

No longer rotates the spoon Signup and view all the answers

What is the main focus of safety for toddlers according to the content?

Motor vehicle injuries Signup and view all the answers

At what age can a child typically begin to feed a doll, indicating imaginative play?

3 years Signup and view all the answers

During which developmental stage do children first begin to recognize themselves as separate individuals according to Erikson's theory?

Toddlerhood Signup and view all the answers

What is a significant indicator of separation anxiety in preschoolers?

Loss of control Signup and view all the answers

Which of the following is a common safety concern for school-aged children?

Bicycle injuries Signup and view all the answers

Which psychosocial development conflict do adolescents commonly face, according to Erikson?

Identity vs. role confusion Signup and view all the answers

What is typically the best way to manage temper tantrums in toddlers?

Ignore the tantrum Signup and view all the answers

What developmental milestone is associated with school-aged children aged 5 to 8 years?

Improved long-term memory Signup and view all the answers

At what age can children typically tie their shoelaces as part of their developmental milestones?

5 years Signup and view all the answers

Which of the following issues is commonly addressed in sex education for adolescents?

Body functions Signup and view all the answers

Which behavior is most characteristic of preschoolers aged 3 to 5 years?

Imaginative play Signup and view all the answers

What is a common emotional challenge faced by adolescents during development?

Emotional turmoil Signup and view all the answers

What developmental ability is typically expected in toddlers regarding stairs?

Going up and down stairs independently Signup and view all the answers

Study Notes

Evidence-Based Practice

Evidence-based practice enhances patient-centered care through recent research findings.
Research evidence is considered current if within five years.

Patient- and Family-Centered Health Care

This approach fosters partnerships between healthcare providers, patients, and families, applicable to all ages and settings.

Nurses' Role with Families

Nurses assist families in identifying strengths and developing resources to cope with stress.

Types of Families

Various family structures include childless, cohabitation, nuclear, multigenerational, single-parent, blended, foster/adoptive, and LGBT families.

Barriers to Family-Centered Care

Factors such as divorce, adolescent parenting, violence, substance abuse, poverty, homelessness, and chronic illness interfere with care.

Cultural Influences on Pediatric Nursing

Culture significantly impacts parenting styles, health beliefs, and perceptions of illness.

Parenting Styles

Authoritarian: Strict, with rules expected to be followed.
Authoritative: Control with room for child choices.
Permissive: Lack of control, children lead.

Parent-Child Relationships

Quality of parenting assessment includes emotional availability, control, psychiatric stability, knowledge, and commitment.

Types of Discipline

Infants: Distraction and comfort measures.
Toddlers/Preschoolers: Time-outs and redirection.
School-aged children: Reasoning and consequences; all ages benefit from offering choices and distraction.

Communicating with Children

Effective communication includes touch, appropriate environment, active listening, and timing.

Family-Centered Communication

Involves rapport building, openness to questions, family education, conflict management, and maintaining child-family connections.

Transcultural Communication

Understanding the family's cultural aspects is vital for effective nursing care, including decision-making and communication practices.

Communication Approaches for Different Ages

Tailor communication methods based on age and developmental stage, using play and storytelling.

Key Elements for Accurate Information

Prepare by learning procedures and providing sequential, sensory information to children and families.

Communicating with Children with Special Needs

Assess each child's abilities to determine effective communication methods.

Principles of Growth and Development

Growth and development are predictable, exhibiting cephalocaudal, proximodistal patterns, and moving from simple to complex skills.

Growth Patterns

Infants double birth weight by six months and triple it by one year; toddlers quadruple weight by 2.5 years.

Theories of Development

Erikson's psychosocial, Piaget's cognitive, and Kohlberg's moral development theories are foundational in understanding child development.

Screening Tools for Children

Tools like the Dubowitz/Ballard examination and Denver Developmental Screening Test II assess development.

Functions and Aspects of Play

Play serves as a crucial developmental function in childhood.

Childhood Immunizations

Largest number of vaccinations provided at 2 months (6 vaccines); pediatricians use handouts for parent education.

Nutrition and Obesity

Diets should be low in fat and cholesterol; obesity in children is a growing crisis and a target for Healthy People 2030.

Current Dietary Guidelines

Resources are available for various age groups from infants to adolescents to promote healthy eating.

Physical Activity Recommendations

Children should engage in at least one hour of daily physical activity, emphasizing aerobic exercises and making it enjoyable.

Nursing Care for Infants

Health promotion includes timely immunizations and doctor visits to track weight postpartum.

Reflexes Present at Birth

Includes Moro, tonic neck, gag, cough, blink, pupillary, grasp, rooting, and Babinski reflexes.

Critical Developmental Milestones

Notable milestones occur at 2, 4, 6, 8, 9, 10, and 12 months, highlighting social smiles, vocalizations, and motor skills.

Colic in Infants

Characterized by excessive crying around three months due to gas; identified by flushed face and tense abdomen.

Psychosocial Development of Infants

Erikson's stage for infants focuses on establishing trust through consistent care.

Infant Safety Considerations

Awareness of aspiration, suffocation, and unintentional injuries is vital for infant safety.

Infant in Hospital

Addressing separation anxiety and ensuring comfort is essential during hospital stays.

Toddler Developmental Milestones

Significant milestones include speech development, independence in feeding, and physical skills around 15-18 months.

Toddler Safety Concerns

Key safety issues include car seat safety, drowning, and poisoning.

Hospitalization Impact on Toddlers

Toddlers may experience separation anxiety and fear during hospital stays, necessitating supportive care.

Preschool Child Milestones

At ages 3 to 5, children display imaginative play, egocentrism, and improved physical coordination.

Safety for Preschoolers

Focus on educating about bicycles, community safety, and preventing poisoning.

School-Aged Child Developments

Ages 5-13 show improved memory, vocabulary, and social negotiation skills.

Safety for School-Aged Children

Motor vehicle crashes, bicycle accidents, and pedestrian safety are major concerns for this age group.

Adolescent Developmental Changes

Ages 13-18 observe emotional turmoil, interest in relationships, and abstract thinking development.

Health Promotion for Adolescents

Nutritional education, hygiene, dental care, and exercise are critical for adolescent health.

Selected Issues for Adolescents

Consider societal pressures like body image, body art, and risky health behaviors.

Cognitive Development in Adolescents

Teens develop the ability to think abstractly and use scientific reasoning.

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Description

Test your knowledge on the principles of evidence-based practice in nursing, focusing on patient- and family-centered care. This quiz also covers factors influencing pediatric nursing practices and how nurses can support families in managing stress. Ideal for nursing students and professionals alike.