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1) A nurse in the pediatric acute care unit is assigned the following tasks. Based on recognizing that the action defined requires training beyond the preparation of a registered nurse, the nurse would refuse to: 1. diagnose a six-year-old with diversional activity deficit related to placement in isolation. 2. listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery. 3. diagnose an eight-year-old with acute otitis media, and prescribe an antibiotic. 4. provide information to a mother of a newly diagnosed four-year-old diabetic about local support group options. Answer: 3 Explanation: 1. Nursing diagnoses are a responsibility of the nurse in an acute care unit. 2. Listening to concerns is within the expectations of a nurse in an acute care unit. 3. Advanced practice nurse practitioners perform assessment, diagnosis, and management of health conditions. The role of the pediatric nurse includes providing nursing assessment, direct nursing care interventions, client and family education at developmentally appropriate levels, client advocacy, case management, minimization of distress, and coping enhancement. 4. Providing information about support groups is within the expectations of the nurse in an acute care unit. Page Ref: 4, 5 Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care Nurs/Int Con: Nursing Process: Implementation Learning Outcome: 1-1 2) Despite the availability of Children's Health Insurance Programs (CHIP), many eligible children are not enrolled. The nursing intervention that best helps eligible children to become enrolled is: 1. educating the family about the need for keeping regular well-child visit appointments. 2. assessing details of the family's income and expenditures. 3. limiting costly, unnecessary duplication of services through case management. 4. advocating for the child by encouraging the family to investigate CHIP eligibility. Answer: 4 Explanation: 1. While it is the nurse's responsibility to educate the family, this intervention is
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