Test Bank - Burns Pediatric Primary Care, 7th Edition
6 6 6 6 6 6 6 6
II!
II!
II!
Newest with complete solution
II! I I! I I! II! II! II!
II!
II!
Burns'6Pediatric6Primary6Care67th6Edition6Test6Bank II!
II!
Chapter61:6Health6Status6of6Children:6Global6and6NationalPerspectives II!
, reduction6in6child6mortality6from6pneumonia6and6diarrhea,6which6interventionis6mo
st6effective? A. Antibiotics
II! II! II! II!
B. Optimal6nutrition II!
C. Vaccinations6Correct II!
II!
D. Water6purification II!
3. Which6is6true6about6the6health6status6of6children6in6the6United6States?
II! II!
.613348413856 II!
A. Globalism6has6relatively6little6impact6on6child6health6measures6in6the6U.S. B.
II! II!
Obesity6rates6among62to5yearolds6have6shown6a6recent6 significant
II! II! II!
decrease.6Correct II!
. II!
C. The6rate6of6household6poverty6is6lower6than6in6other6economically
6developed6nations.
II! II!
D. Young6children6who6attend6preschool6or6day6care6have6higher6food6 insecurity. II! II!
4. The6primary6care6pediatric6nurse6practitioner6understands6that6a6majorchild
II!
6health6outcome6associated6with6worldwide6climate6change6is A. cost6of6living.
II! II! II! II!
B. education. II!
C. nutrition.6Correct II!
II!
D. pollution. II!
5. When6providing6well6child6care6for6an6infant6in6the6first6year6of6life,6theprimary6c
II!
are6pediatric6nurse6practitioner6is6adhering6to6the6most6recent6AmericanAcademy6of6
II!
PediatricsRecommendations6for6Preventive6Pediatric6Health6Care6guidelinesby A. II!
focusing6less6on6development6and6more6on6illness6prevention6and6 nutrition.
II! II! II!
B. following6guidelines6established6by6theBright6Futures6publication. II!
C. scheduling6wellbaby6visits6to6coincide6with6key6developmental
6milestones. 6Correct II!
II!
D. seeing6the6infant6at6ages62,64,66,6and6126months6when6immunizations6aredue. II!
II!
Chapter62.6Unique6Issues6in6Pediatrics II!
1. A6nurse6is6explaining6the6therapeutic6milieu6to6a6new6nurse.6The6best
II!
6explanation6of6this6term6would6be:
II! II!
1. The6place6where6the6child6is6receiving6care. II!
2. Group6therapy. II!
3. Personal6interactions6between6patients6and6staff. II!
4. All6of6the6above6are6correct.
6ANS:64 II!
II!
2. A616-year-
II!
old6male6has6received6a6pinkslip6from6the6police6for6inpatientpsychiatric6treatment.6The6teen II!
has6been6expressing6thoughts6of6hanging6himself6because6Life6sucks.6Thenursing6staff
6should6consider placing6the6child: II! II!
1. With6peers. II!
2. In6an6area6where6he6can6be6watched6one-on-one. II!
3. With6a6roommate6that6is6expressing6the6same6concerns. II!
4. In6an6area6close6to6an6external6door.
6ANS:62 II!
II!
3. Learning6disabilities6in6children6have6scientifically6been6linked6to:
II! II!
1. Poor6nutrition. II!
2. The6environment6in6which6the6child6lives. II!
3. Genetics. II!
II!
4. Watching6more6than6four6hours6of6television6a6day.ANS: 3 II! II!
4. A6mental6health6nurse6has6assessed6a6child6and6determined6that6the6childexhibits6
II!
behavioral6challenges.
II! II!
II!
When6the6school6nurse6explains6this6to6a6teacher,6the6best6description6wouldbe: II!
II!
, 5. A6child6that6has6not6exhibited6enuresis6in6four6years6has6exhibited6thisbehavior6
pattern6for6the6last6week.
II! II!
The6reason6a6child6may6revert6back6to6this6behavior6pattern6is6because6of: II!
1. Hallucinations. II!
2. Behavioral6challenges. II!
3. Delusions. II!
II!
4. Stress. ANS:64 II! II!
6. An618-year-
II!
old6male6has6called6the6crisis6line6for6help.6The6crisis6nurserecognizes6the6intervention6n eeds II!
may6consist6of6all6of6the6following6except:
II! II!
1. Discussing6the6individuals6everyday6activities. II!
2. Recognizing6that6the6patient6may6be6in6a6catharsis6state. II!
3. Expressing6empathy6toward6the6caller. II!
4. Avoiding6entropy. II!
II!
ANS:61 II!
7. An68- II!
yearold6boy6with6a6history6of6hallucinations6and6violent6behavior6hasbeen6place6in6a6seclusio
n6room
II! II!
at6the6hospital6because6he6has6been6hurting6others.6The6nurse6checks6on6thepatient6and6re
alizes6she6must6take him6out6of6the6seclusion6room6when:
II! II! II!
1. He6is6crying6to6be6released. II!
II!
2. He6states,6I6will6be6a6good6boy6now. II!
II!
. II!
3. He6starts6headbutting6the6window. II!
II!
4. He6complains6that6his6parents6will6file6a6lawsuit.ANS: 3 II! II!
8. A6child6has6been6exhibiting6the6MacDonald6Triad.6These6behaviors6include:
II! II!
1. Enuresis,6pushing6others,6and6pyromania. II!
2. Swinging6a6cat6by6the6tail,6bed-wetting,6and6lighting6paper6on6fire6in6thetrash6can. II!
3. Playing6with6other6children,6laughing,6and6conversing6with6adults. II!
4. Playing6with6a6campfire,6watching6television,6and6seeking6adult6attention.ANS:62 II!
9. A6teenager6diagnosed6with6borderline6personality6disorder6should6havedischarge6
II!
planning6instructions6of:
II! II!
1. A6consistent6caregiver. II!
2. Monitoring6of6media,6such6as6the6Internet,6television,6and6video6games. II!
3. Obtaining6support6from6family6and6friends. II!
4. Seeking6medical6attention6when6the6teenager6feels6good.ANS:63 II!
10. A6mental6health6nurse6is6teaching6the6mother6of6a6child6with6executivefunctioning
II!
6issues6ways6to6help her6child.6Interventions6the6mother6should6use6include:
II! II! II!
1. Placing6visual6aids6on6the6bathroom6mirror6so6that6the6child6will6follow6themorning 6routine. II! II!
2. Give6the6child6a6choice6in6foods6to6eat. II!
3. Allowing6the6child6to6ask6for6help6when6needed. II!
4. Reminding6the6child6to6be6nice6to6others.
6ANS:61 II!
II!
II!
. II!
11. Ellie,6a69-year-
II!
old6girl,6was6adopted6by6a6family6at6the6age6of646after6several6years6of6severe6neglect6b
y6her6birth6family.6The6adoptive6family6hasbeen6reporting6that6Ellie6is6angry6a6lot,6man
II!
ipulative6with6her
II!
teachers,6and6does6not6seek6positive6attention.6The6nurse6working6with6Elliewill6need6to: 1.
II! II!
, 12. An6infant6displays6depression6by:
II! II!
1. Smiling6at6strangers. II!
2. Bonding6to6someone6other6than6the6immediate6family. II!
3. Crying6more6than6an6average6infant. II!
4. Looks6away6when6an6adult6attempts6to6play6with6the6infant.ANS:64 II!
13. A6father6reports6that6his6adolescent6daughter6has6gotten6good6grades6upuntil6the6last6
II!
quarter6of6school.
II! II!
She6has6been6hanging6out6by6herself6and6does6not6want6to6talk6to6himanymore.6The6
mental6health6nurse should:
II! II! II!
1. Realize6that6this6is6a6natural6part6of6growing6up. II!
2. Perform6a6mental6health6screening6to6check6for6depression. II!
3. Attempt6to6get6the6adolescent6to6discuss6why6she6does6not6like6her6fatheranymore. II!
II!
4. Let6the6adolescent6talk6when6she6is6ready.ANS: 2 II! II!
14. A6teen6should6be6checked6for6depression6at
II! physician6visit(s). II! II!
II!
1. Every II!
II!
. II!
2. One II!
3. Monthly II!
II!
4. Bi-yearly ANS:61 II! II!
15. When6using6the6SAD6FACES6depression6screen,6it6is6important6to6assess:
II! II!
1. Anhedonia. II!
2. Suicidal6ideations. II!
3. Sleep6patterns. II!
4. All6of6the6above 6ANS:64 II! II!
16. A6school6nurse6is6giving6an6in-
II!
service6to6teachers6on6bullycide.6The6mainreason6for6the6teaching6is6so that: II! II!
1. Teachers6are6aware6bullying6occurs. II!
2. Teachers6are6able6to6identify6students6who6are6risk. II!
3. Teachers6can6be6aware6of6the6fact6that6suicides6can6happen6due6to6bullyingby6others. II!
4. Teachers6are6aware6of6their6role6in6causing6bullycide.ANS: II!
3 II!
17. An6adolescent6with6a6known6history6of6bipolar6disorder6is6in6the6schoolnurses6office6
II!
because6a6teacher
II! II!
reported6that6she6was6talking6fast6and6acting6like6she6was6God.6The6schoolnurse6assesses
6the6girl6and6notes that: II! II!
1. She6is6probably6in6a6manic6phase6and6needs6to6be6treated6professionally. II!
2. She6has6had6too6much6sleep6and6is6now6hyperactive. II!
3. She6forgot6to6take6her6medications6today. II!
4. She6requires6some6food6and6rest6before6going6back6to6class.ANS:61 II!
II!
Chapter63.6Genetics6and6Child6HealthQuestions II!
1. What6is6true6about6haploid6cells?
II! II!
.613348407644 II!
C. Each6contains6236paired6chromosomes. II!
D. Each6one6contains6236chromosomes.6Correct II!
E. Replication6produces6two6identical6cells. II!
F. They6replicate6via6the6process6of6mitosis. II!
2. What6does6the6following6genetic6notation6symbol6mean647,XX,6q?
II! II!
.613348407650 II!
A. Male6with6deletion6of6chromosome66 II!
6 6 6 6 6 6 6 6
II!
II!
II!
Newest with complete solution
II! I I! I I! II! II! II!
II!
II!
Burns'6Pediatric6Primary6Care67th6Edition6Test6Bank II!
II!
Chapter61:6Health6Status6of6Children:6Global6and6NationalPerspectives II!
, reduction6in6child6mortality6from6pneumonia6and6diarrhea,6which6interventionis6mo
st6effective? A. Antibiotics
II! II! II! II!
B. Optimal6nutrition II!
C. Vaccinations6Correct II!
II!
D. Water6purification II!
3. Which6is6true6about6the6health6status6of6children6in6the6United6States?
II! II!
.613348413856 II!
A. Globalism6has6relatively6little6impact6on6child6health6measures6in6the6U.S. B.
II! II!
Obesity6rates6among62to5yearolds6have6shown6a6recent6 significant
II! II! II!
decrease.6Correct II!
. II!
C. The6rate6of6household6poverty6is6lower6than6in6other6economically
6developed6nations.
II! II!
D. Young6children6who6attend6preschool6or6day6care6have6higher6food6 insecurity. II! II!
4. The6primary6care6pediatric6nurse6practitioner6understands6that6a6majorchild
II!
6health6outcome6associated6with6worldwide6climate6change6is A. cost6of6living.
II! II! II! II!
B. education. II!
C. nutrition.6Correct II!
II!
D. pollution. II!
5. When6providing6well6child6care6for6an6infant6in6the6first6year6of6life,6theprimary6c
II!
are6pediatric6nurse6practitioner6is6adhering6to6the6most6recent6AmericanAcademy6of6
II!
PediatricsRecommendations6for6Preventive6Pediatric6Health6Care6guidelinesby A. II!
focusing6less6on6development6and6more6on6illness6prevention6and6 nutrition.
II! II! II!
B. following6guidelines6established6by6theBright6Futures6publication. II!
C. scheduling6wellbaby6visits6to6coincide6with6key6developmental
6milestones. 6Correct II!
II!
D. seeing6the6infant6at6ages62,64,66,6and6126months6when6immunizations6aredue. II!
II!
Chapter62.6Unique6Issues6in6Pediatrics II!
1. A6nurse6is6explaining6the6therapeutic6milieu6to6a6new6nurse.6The6best
II!
6explanation6of6this6term6would6be:
II! II!
1. The6place6where6the6child6is6receiving6care. II!
2. Group6therapy. II!
3. Personal6interactions6between6patients6and6staff. II!
4. All6of6the6above6are6correct.
6ANS:64 II!
II!
2. A616-year-
II!
old6male6has6received6a6pinkslip6from6the6police6for6inpatientpsychiatric6treatment.6The6teen II!
has6been6expressing6thoughts6of6hanging6himself6because6Life6sucks.6Thenursing6staff
6should6consider placing6the6child: II! II!
1. With6peers. II!
2. In6an6area6where6he6can6be6watched6one-on-one. II!
3. With6a6roommate6that6is6expressing6the6same6concerns. II!
4. In6an6area6close6to6an6external6door.
6ANS:62 II!
II!
3. Learning6disabilities6in6children6have6scientifically6been6linked6to:
II! II!
1. Poor6nutrition. II!
2. The6environment6in6which6the6child6lives. II!
3. Genetics. II!
II!
4. Watching6more6than6four6hours6of6television6a6day.ANS: 3 II! II!
4. A6mental6health6nurse6has6assessed6a6child6and6determined6that6the6childexhibits6
II!
behavioral6challenges.
II! II!
II!
When6the6school6nurse6explains6this6to6a6teacher,6the6best6description6wouldbe: II!
II!
, 5. A6child6that6has6not6exhibited6enuresis6in6four6years6has6exhibited6thisbehavior6
pattern6for6the6last6week.
II! II!
The6reason6a6child6may6revert6back6to6this6behavior6pattern6is6because6of: II!
1. Hallucinations. II!
2. Behavioral6challenges. II!
3. Delusions. II!
II!
4. Stress. ANS:64 II! II!
6. An618-year-
II!
old6male6has6called6the6crisis6line6for6help.6The6crisis6nurserecognizes6the6intervention6n eeds II!
may6consist6of6all6of6the6following6except:
II! II!
1. Discussing6the6individuals6everyday6activities. II!
2. Recognizing6that6the6patient6may6be6in6a6catharsis6state. II!
3. Expressing6empathy6toward6the6caller. II!
4. Avoiding6entropy. II!
II!
ANS:61 II!
7. An68- II!
yearold6boy6with6a6history6of6hallucinations6and6violent6behavior6hasbeen6place6in6a6seclusio
n6room
II! II!
at6the6hospital6because6he6has6been6hurting6others.6The6nurse6checks6on6thepatient6and6re
alizes6she6must6take him6out6of6the6seclusion6room6when:
II! II! II!
1. He6is6crying6to6be6released. II!
II!
2. He6states,6I6will6be6a6good6boy6now. II!
II!
. II!
3. He6starts6headbutting6the6window. II!
II!
4. He6complains6that6his6parents6will6file6a6lawsuit.ANS: 3 II! II!
8. A6child6has6been6exhibiting6the6MacDonald6Triad.6These6behaviors6include:
II! II!
1. Enuresis,6pushing6others,6and6pyromania. II!
2. Swinging6a6cat6by6the6tail,6bed-wetting,6and6lighting6paper6on6fire6in6thetrash6can. II!
3. Playing6with6other6children,6laughing,6and6conversing6with6adults. II!
4. Playing6with6a6campfire,6watching6television,6and6seeking6adult6attention.ANS:62 II!
9. A6teenager6diagnosed6with6borderline6personality6disorder6should6havedischarge6
II!
planning6instructions6of:
II! II!
1. A6consistent6caregiver. II!
2. Monitoring6of6media,6such6as6the6Internet,6television,6and6video6games. II!
3. Obtaining6support6from6family6and6friends. II!
4. Seeking6medical6attention6when6the6teenager6feels6good.ANS:63 II!
10. A6mental6health6nurse6is6teaching6the6mother6of6a6child6with6executivefunctioning
II!
6issues6ways6to6help her6child.6Interventions6the6mother6should6use6include:
II! II! II!
1. Placing6visual6aids6on6the6bathroom6mirror6so6that6the6child6will6follow6themorning 6routine. II! II!
2. Give6the6child6a6choice6in6foods6to6eat. II!
3. Allowing6the6child6to6ask6for6help6when6needed. II!
4. Reminding6the6child6to6be6nice6to6others.
6ANS:61 II!
II!
II!
. II!
11. Ellie,6a69-year-
II!
old6girl,6was6adopted6by6a6family6at6the6age6of646after6several6years6of6severe6neglect6b
y6her6birth6family.6The6adoptive6family6hasbeen6reporting6that6Ellie6is6angry6a6lot,6man
II!
ipulative6with6her
II!
teachers,6and6does6not6seek6positive6attention.6The6nurse6working6with6Elliewill6need6to: 1.
II! II!
, 12. An6infant6displays6depression6by:
II! II!
1. Smiling6at6strangers. II!
2. Bonding6to6someone6other6than6the6immediate6family. II!
3. Crying6more6than6an6average6infant. II!
4. Looks6away6when6an6adult6attempts6to6play6with6the6infant.ANS:64 II!
13. A6father6reports6that6his6adolescent6daughter6has6gotten6good6grades6upuntil6the6last6
II!
quarter6of6school.
II! II!
She6has6been6hanging6out6by6herself6and6does6not6want6to6talk6to6himanymore.6The6
mental6health6nurse should:
II! II! II!
1. Realize6that6this6is6a6natural6part6of6growing6up. II!
2. Perform6a6mental6health6screening6to6check6for6depression. II!
3. Attempt6to6get6the6adolescent6to6discuss6why6she6does6not6like6her6fatheranymore. II!
II!
4. Let6the6adolescent6talk6when6she6is6ready.ANS: 2 II! II!
14. A6teen6should6be6checked6for6depression6at
II! physician6visit(s). II! II!
II!
1. Every II!
II!
. II!
2. One II!
3. Monthly II!
II!
4. Bi-yearly ANS:61 II! II!
15. When6using6the6SAD6FACES6depression6screen,6it6is6important6to6assess:
II! II!
1. Anhedonia. II!
2. Suicidal6ideations. II!
3. Sleep6patterns. II!
4. All6of6the6above 6ANS:64 II! II!
16. A6school6nurse6is6giving6an6in-
II!
service6to6teachers6on6bullycide.6The6mainreason6for6the6teaching6is6so that: II! II!
1. Teachers6are6aware6bullying6occurs. II!
2. Teachers6are6able6to6identify6students6who6are6risk. II!
3. Teachers6can6be6aware6of6the6fact6that6suicides6can6happen6due6to6bullyingby6others. II!
4. Teachers6are6aware6of6their6role6in6causing6bullycide.ANS: II!
3 II!
17. An6adolescent6with6a6known6history6of6bipolar6disorder6is6in6the6schoolnurses6office6
II!
because6a6teacher
II! II!
reported6that6she6was6talking6fast6and6acting6like6she6was6God.6The6schoolnurse6assesses
6the6girl6and6notes that: II! II!
1. She6is6probably6in6a6manic6phase6and6needs6to6be6treated6professionally. II!
2. She6has6had6too6much6sleep6and6is6now6hyperactive. II!
3. She6forgot6to6take6her6medications6today. II!
4. She6requires6some6food6and6rest6before6going6back6to6class.ANS:61 II!
II!
Chapter63.6Genetics6and6Child6HealthQuestions II!
1. What6is6true6about6haploid6cells?
II! II!
.613348407644 II!
C. Each6contains6236paired6chromosomes. II!
D. Each6one6contains6236chromosomes.6Correct II!
E. Replication6produces6two6identical6cells. II!
F. They6replicate6via6the6process6of6mitosis. II!
2. What6does6the6following6genetic6notation6symbol6mean647,XX,6q?
II! II!
.613348407650 II!
A. Male6with6deletion6of6chromosome66 II!
