Question 1

What is the foundational basis of patient-and-family centered care (PFCC)?&#10;A) The family is to be considered when patient care is being planned&#10;B) The patient has ultimate control over health care decisions&#10;C) A family member acts as the patient's surrogate decision makes&#10;D) The patient is the focus of the primary care provider's attention

Accepted Answer

B

Question 2

Which theorist is responsible for presenting an alternative theory to those established theories that focus on how the pediatric patient thinks?&#10;A) Piaget&#10;B) Vygotsky&#10;C) Skinner&#10;D) Bandura

Accepted Answer

Vygotsky is responsible for presenting the sociocultural theory, which emphasizes the role of social interactions and cultural context in shaping a child's development, rather than just their individual cognitive processes. This provides an alternative perspective to the more individualistic approach of Piagetian theory. Skinner and Bandura both focus on behaviorism and learning through reinforcement and punishment, which is also different from Vygotsky's approach.

Question 3

Which assessment question best demonstrates the primary care provider's understanding of effectively dealing with the greatest challenge to providing dual patient care?&#10;A) To the parent: &#34;Do you feel comfortable providing in-home care for your child?&#34;&#10;B) To the child: &#34;When would you like your physical therapy sessions to be scheduled?&#34;&#10;C) To the parent: &#34;What are your feelings about going to family therapy to help with this transition?&#34;&#10;D) To the child: &#34;When did you first notice the pain in your knees?&#34;

Accepted Answer

B

Question 4

What is the strongest predictor of health regarding the pediatric patient?&#10;A) The early identification of existing health problems&#10;B) Health literacy of the parent(s) and/or caregiver(s)&#10;C) Assess to specialized healthcare professionals&#10;D) Past experience with same of similar health issues

Accepted Answer

Health literacy of the parent(s) and/or caregiver(s) is the strongest predictor of health regarding the pediatric patient as it affects their ability to understand and follow medical instructions, access appropriate healthcare, and provide a healthy environment for the child. Early identification of existing health problems, access to specialized healthcare professionals, and past experience with same or similar health issues are also important factors, but not as strong as health literacy of the caregiver(s).

Question 5

Which intervention best demonstrates a pediatric nurse primary care pediatric nurse practitioner's understanding of effective pain assessment?&#10;A) Providing instructions regarding the Faces pain assessment tool to parents of all newly admitted children&#10;B) Assisting in the development of a child-centered pain assessment scale&#10;C) Reviewing the documentation regarding the child's pain assessment 30 minutes after analgesic medication was administered&#10;D) Explaining to both the child and the parents why pain medication will be delivered intravenously

Accepted Answer

Assisting in the development of a child-centered pain assessment scale shows that the nurse practitioner understands the importance of tailoring pain assessments to the individual child and recognizing that children may express pain differently than adults. This intervention also demonstrates a commitment to ongoing assessment and improvement of pain assessment practices. The other options focus on specific pain assessment tools or documenting pain after medication administration, which may be important but do not necessarily reflect a comprehensive understanding of pain assessment.

Deck 2: Unique Issues in Pediatrics