Test Bank for Burns' Pediatric Primary Care 8th Edition by Dawn Lee Garzon, Mary Dirks, Martha Driessnack, Karen G. Duderstadt, and Nan M. Gaylord

Test Bank for Burns' Pediatric
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Primary Care 8th Edition by Dawn
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rLee Garzon, Mary Dirks, Martha
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,Burns'PediatricPrimaryCare8thEditionTestBank r r r r r r r




Chapter 1: Health Status of Children: Global and NationalPerspectives
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1. Which region globally has the highest infant mortality rate?
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A. Indonesia
B. Southern Asia r


C. SubSaharan Africa Correct r r


D. Syria

2. The primary care pediatric nurse practitioner understands that, to achievethe
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greatest worldwide
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reduction in child mortality from pneumonia and diarrhea, which interventionis
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most effective?
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A. Antibiotics
B. Optimalnutrition
C. Vaccinations Correct r


D. Waterpurification

3. Which is true about the health status of children in the United States?
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. 13348413856
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A. Globalism has relatively little impact on child health measures in the U.S.
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B. Obesity rates among 2to5yearolds have shown a recent r r r r r r r


significant
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decrease. Correct r


.
C. The rate of household poverty is lower than in other economically
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developednations.
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D. Young children who attend preschool or day care have higher food
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insecurity.
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4. The primary care pediatric nurse practitioner understands that a majorchild
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health outcome associated with worldwide climate change is
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A. cost of living. r r


B. education.
C. nutrition. Correct r


D. pollution.

5. Whenprovidingwell childcarefor aninfant in the first year of life, theprimary r r r r r r r r r


care pediatric nurse practitioner is adhering to the most recent AmericanAcademy of
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Pediatrics Recommendations for Preventive Pediatric Health Care guidelinesby
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A. focusing less on development and more on illness prevention
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randnutrition.
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B. following guidelines established by theBright Futures publication.
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C. scheduling wellbaby visits to coincide with key developmental r r r r r r r


milestones. Correct
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D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due.
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Chapter 2. Unique Issues in Pediatrics r r r r r




1. A nurse is explaining the therapeutic milieu to a new nurse. The best
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explanation of this term wouldbe:
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1. The place where the child is receiving care.
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,2. Grouptherapy.
3. Personal interactions between patients and staff. r r r r r


4. Alloftheabovearecorrect.ANS:
4

2. A 16-year-old male has received a pink-slip from the police for inpatientpsychiatric
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treatment.The teen
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hasbeenexpressingthoughtsofhanginghimselfbecauseLifesucks.Thenursing staff r


should consider
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placingthechild:
1. Withpeers.
2. In an area where he can be watched one-on-one.
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3. Witharoommatethatisexpressingthesameconcerns.
4. In an area close to an external door.ANS:
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2

3.Learning disabilities inchildren have scientifically been linked to:
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1. Poornutrition.
2. The environment in which the child lives.
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3. Genetics.
4. Watching more than four hours of television a r r r r r r r


day.ANS:3
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4. A mental health nurse has assessed a child and determined that the childexhibits
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behavioral challenges.
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When the school nurse explains this to a teacher, the best description wouldbe:
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1. The child may exhibit physical outbursts.
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2. The child may exhibit violence toward others.
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3. The child may be defiant or have tantrums.
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4. Thechild will need special interventions for learning.ANS: 3 r r r r r r r




5. A child that has not exhibited enuresis in four years has exhibited thisbehavior
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patternfor the last week.
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The reason a child may revert back to this behavior pattern is because of:
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1. Hallucinations.
2. Behavioral challenges. r


3. Delusions.
4. Stress.
ANS: 4
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6. An 18-year-old male has called the crisis line for help. The crisis nurserecognizes the
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intervention needs
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mayconsist of allof the following except:
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1. Discussing the individuals everyday activities. r r r r


2. Recognizing that the patient may be in a catharsis state. r r r r r r r r r


3. Expressing empathy toward the caller. r r r r


4. Avoidingentropy.
ANS:1
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7. An 8-year-old boy with a history of hallucinations and violent behavior hasbeenplacein
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a seclusion room
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at the hospital because he has been hurting others. The nurse checks on thepatient
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and realizes she must take
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, 2. He states, I will be a good boy now.
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.
3. He starts headbutting the window.
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4. He complains that his parents will file a lawsuit.ANS: 3
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8. A child has been exhibiting the MacDonald Triad. These behaviors include:
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1. Enuresis,pushingothers,andpyromania.
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrash can.
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3. Playing with other children, laughing, and conversing with adults.
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4. Playing with a campfire, watching television, and seeking adult attention.ANS: 2
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9. A teenager diagnosed with borderline personality disorder should havedischarge
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planning instructions of:
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1. A consistent caregiver.
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2. Monitoring of media, such as the Internet, television, and video games. r r r r r r r r r r


3. Obtaining support from family and friends. r r r r r


4. Seeking medical attention when the teenager feels good.ANS: 3 r r r r r r r r




10. A mental health nurse is teaching the mother of a child with executivefunctioning
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issues ways to help
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her child. Interventions the mother should use include:
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1. Placing visual aids on the bathroom mirror so that the child will follow
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rthemorningroutine. r


2. Give the child a choice in foods to eat. r r r r r r r r


3. Allowing the child to ask for help when needed. r r r r r r r r


4. Reminding the child to be nice to others.ANS: r r r r r r r


1



.
11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years of
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severe neglect by her birth family. The adoptive family hasbeen reporting that Ellie is
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rangry a lot, manipulative with her
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teachers, and does not seek positive attention. The nurse working with Elliewill need to:
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1. Provide education on decreasing stimuli in the home environment thattriggers
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theanger.
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2. Realize Ellie may have attachment issues related to her previous historyand
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rwillneed toencourage the
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family to be active in her care.r r r r r r


3. Support the family in the decision-making process of continuing to let Ellielive in the
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home.
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4. Discuss inpatient therapy to decrease Ellies manipulative r r r r r r


rbehaviorpatterns. r


ANS:2

12. An infant displays depression by:
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1. Smiling at strangers. r r




2. Bonding to someone other than the immediate family. r r r r r r r