The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should the nurse include in the session with regard to deaths caused by injuries?

Correct Answer: A

Rationale: The correct answer is A) More deaths occur in males. This information is crucial to include in the teaching session to adolescents about deaths caused by unintentional injuries. It is important for adolescents to understand the epidemiology of unintentional injuries to raise awareness and promote preventive measures. By knowing that more deaths occur in males, adolescents can be educated on specific risk factors that may affect males more than females, such as engaging in riskier behaviors or participating in activities that pose a higher risk of injury. Option B) More deaths occur in females is incorrect because statistically, more deaths from unintentional injuries occur in males. Providing accurate information to adolescents is essential for them to make informed decisions and take necessary precautions to protect themselves. Option C) The pattern of deaths does not vary according to age and sex is incorrect as research has shown that there are variations in the patterns of deaths caused by unintentional injuries across different age groups and between males and females. Adolescents need to be aware of these variations to understand their own risk factors and vulnerabilities. Option D) The pattern of deaths does not vary widely among different ethnic groups is incorrect because studies have shown that there can be disparities in unintentional injury deaths among different ethnic groups. Recognizing these disparities is key to implementing targeted interventions and strategies to reduce the incidence of unintentional injuries within specific ethnic communities. In an educational context, providing adolescents with accurate and relevant information about unintentional injuries and their impact can empower them to make safer choices and advocate for injury prevention measures within their communities. Understanding the epidemiology of unintentional injuries can help adolescents become proactive in promoting safety and well-being among themselves and their peers.

Correct Answer: D

Rationale: In this question, the correct answer is D) Late school age and adolescents. Suicide is indeed the third leading cause of death in this age group. Preschoolers (Option A) are typically not developmentally capable of understanding the concept of suicide ideation. Young school-age children (Option B) may experience stress but are less likely to have the cognitive ability to plan and carry out suicide. Middle school-age children (Option C) may start to experience stress and emotional issues, but suicide ideation is more common in late school age and adolescents due to increased psychological and social pressures during this developmental stage. Educationally, understanding the prevalence of suicide ideation in different age groups is crucial for nurses working with children and adolescents. By recognizing the age group most at risk, nurses can implement appropriate assessment tools, interventions, and support systems to address and prevent suicide in this vulnerable population.

Correct Answer: C

Rationale: In the context of nursing care for children, family-centered care is a crucial concept that places the family at the core of decision-making and care provision. The correct answer, option C, states that family-centered care recognizes that the family is the constant in a child's life. This is accurate because involving the family in the child's care acknowledges their importance and understanding of the child's needs, preferences, and overall well-being. Option A is incorrect because family-centered care actually embraces and respects cultural diversity, rather than reducing its effect. Understanding and incorporating cultural beliefs and practices is essential in providing holistic care to children. Option B is incorrect as family-centered care aims to empower families and promote their independence in caring for their child. It does not encourage dependence on the healthcare system but rather fosters collaboration and support between healthcare professionals and families. Option D is incorrect as family-centered care actively involves families in the decision-making process regarding their child's care. It recognizes that families possess valuable insights into their child's needs and preferences, and their input is crucial for providing individualized and effective care. Educationally, understanding the principles of family-centered care is vital for nursing students as it highlights the significance of collaboration with families in pediatric healthcare. By engaging families in care decisions and respecting their role as advocates for their children, nurses can enhance the quality of care and promote positive outcomes for pediatric patients.

Correct Answer: A

Rationale: In the context of nursing care, clinical reasoning is a critical skill that nurses must possess to provide safe and effective patient care. Option A, "Purposeful and goal-directed," is the most descriptive of clinical reasoning because it highlights the systematic and logical process through which healthcare providers collect cues, process information, come to an understanding of a patient's needs, plan and implement interventions, and evaluate outcomes. Option B, "A simple developmental process," is incorrect as clinical reasoning is a complex and multifaceted skill that develops over time with experience and ongoing learning. Option C, "Based on deliberate and irrational thought," is incorrect as clinical reasoning is based on deliberate and rational thinking, not irrational thought. Option D, "Assists individuals in guessing what is most appropriate," is incorrect as clinical reasoning involves making informed decisions based on evidence, knowledge, and critical thinking skills rather than guessing. In an educational context, understanding clinical reasoning is essential for nursing students as it forms the foundation of their clinical practice. By developing this skill, students can enhance their ability to assess, analyze, and make decisions in various patient care situations. Emphasizing the purposeful and goal-directed nature of clinical reasoning helps students appreciate the importance of systematic and logical thinking in providing high-quality nursing care.

Correct Answer: D

Rationale: The correct answer is D) Gathering all evidence that applies to the child's health and family situation. Evidence-based practice (EBP) involves integrating the best available research evidence with clinical expertise and patient values to make informed healthcare decisions. This option emphasizes the importance of considering all relevant evidence specific to the child's health and family circumstances to provide optimal care. Option A is incorrect because EBP goes beyond relying solely on information from textbooks; it involves using current research evidence. Option B is incorrect because while clinical experience is valuable, EBP requires more than just intuition—it requires a systematic approach to decision-making. Option C is incorrect as using a professional code of ethics is important but is not the primary focus of EBP, which centers on integrating evidence, expertise, and patient values. In an educational context, understanding EBP is crucial for nursing students as it ensures that they provide high-quality, effective, and patient-centered care. By teaching students to gather and critically evaluate evidence, educators are preparing them to make informed decisions that align with best practices and improve patient outcomes. This rationale underscores the significance of EBP in nursing practice and highlights the importance of evidence-based decision-making in delivering quality care to children.