Test bankPrimary
Pediatric forBurns'
Care
7th Edition complete
guide A+ level
Chapter 1: Health Status of Children: Global and
National Perspectives
Chapter 1. Unique Issues in Pediatrics
• A nurse is explaining the therapeutic milieu to a new nurse. The
best explanation of this term would be:
• The place where the child is receiving care.
• Group therapy.
• Personal interactions between patients and staff.
• All of the above are correct.
ANS: 4
• A 16-year-old male has received a pink-slip from the police for inpatient
psychiatric treatment. The teen
has been expressing thoughts of hanging himself because Life sucks. The
nursing staff should consider
placing the child:
• With peers.
• In an area where he can be watched one-on-one.
• With a roommate that is expressing the same concerns.
• In an area close to an external
door. ANS: 2
• Learning disabilities in children have scientifically been linked to:
• Poor nutrition.
• The environment in which the child lives.
• Genetics.
• Watching more than four hours of television a
day. ANS: 3
4. A mental health nurse has assessed a child and determined that the child
exhibits behavioral challenges.
When the school nurse explains this to a teacher, the best description would
be
• The child may exhibit physical outbursts.
• The child may exhibit violence toward others.
• The child may be defiant or have tantrums.
• The child will need special interventions for learning.
ANS: 3
• A child that has not exhibited enuresis in four years has exhibited
this behavior pattern for the last week.
,The reason a child may revert back to this behavior pattern is because of:
• Hallucinations.
• Behavioral challenges.
• Delusions.
• Stress.
ANS: 4
• An 18-year-old male has called the crisis line for help. The crisis
nurse recognizes the intervention needs
may consist of all of the following except:
• Discussing the individuals everyday activities.
• Recognizing that the patient may be in a catharsis state.
• Expressing empathy toward the caller.
• Avoiding entropy.
ANS: 1
• A teenager diagnosed with borderline personality disorder should
have discharge planning instructions of:
• A consistent caregiver.
• Monitoring of media, such as the Internet, television, and video games.
• Obtaining support from family and friends.
• Seeking medical attention when the teenager feels
good. ANS: 3
• A mental health nurse is teaching the mother of a child with
executive functioning issues ways to help
her child. Interventions the mother should use include:
• Placing visual aids on the bathroom mirror so that the child will follow the
morning routine.
• Give the child a choice in foods to eat.
• Allowing the child to ask for help when needed.
• Reminding the child to be nice to others.
ANS: 1
.
• Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after
several years of severe neglect by her birth family. The adoptive family
has been reporting that Ellie is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with Ellie
will need to:
• Provide education on decreasing stimuli in the home environment
that triggers the anger.
• Realize Ellie may have attachment issues related to her previous
history and will need to encourage the
family to be active in her care.
• Support the family in the decision-making process of continuing to let
Ellie live in the home.
,• Discuss inpatient therapy to decrease Ellies manipulative
behavior patterns.
ANS: 2
• An infant displays depression by:
• Smiling at strangers.
• Bonding to someone other than the immediate family.
• Crying more than an average infant.
• Looks away when an adult attempts to play with the infant.
ANS: 4
• A father reports that his adolescent daughter has gotten good grades up
until the last quarter of school.
She has been hanging out by herself and does not want to talk to him
anymore. The mental health nurse
should:
• Realize that this is a natural part of growing up.
• Perform a mental health screening to check for depression.
• Attempt to get the adolescent to discuss why she does not like her father
anymore.
• Let the adolescent talk when she is ready.
ANS: 2
• When using the SAD FACES depression screen, it is important to assess:
• Anhedonia.
• Suicidal ideations.
• Sleep patterns.
• All of the above
ANS: 4
• A school nurse is giving an in-service to teachers on bullycide. The main
reason for the teaching is so
that:
• Teachers are aware bullying occurs.
• Teachers are able to identify students who are risk.
• Teachers can be aware of the fact that suicides can happen due to
bullying by others.
• Teachers are aware of their role in causing bullycide.
ANS: 3
• An adolescent with a known history of bipolar disorder is in the school
nurses office because a teacher
reported that she was talking fast and acting like she was God. The school
nurse assesses the girl and notes
that:
• She is probably in a manic phase and needs to be treated professionally.
• She has had too much sleep and is now hyperactive.
• She forgot to take her medications today.
• She requires some food and rest before going back to
class. ANS: 1
, Chapter 3. Genetics and Child Health
Questions
• What is true about haploid cells?
.
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• Each contains 23 paired chromosomes.
• Each one contains 23 chromosomes. Correct
• Replication produces two identical cells.
• They replicate via the process of mitosis.
• What does the following genetic notation symbol mean 47,XX,6q?
.
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0
• Male with deletion of chromosome 6
• Female with deletion of chromosome 6
• Male with deletion on the long arm of chromosome 6
• Female with deletion on the long arm of chromosome 6
Correct
• A child has a recessive genetic disorder that is homozygous for
that mutation.
.
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What is most likely about this child’s parents?
• Neither parent has a copy of that gene mutation.
• Only the mother has a copy of that gene mutation.
• Only the father has a copy of that gene mutation.
• Each parent has one copy of that gene mutation. Correct
• Which type of mutation is responsible for many
singlegene genetic disorders?
.
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6
• Copy number variations
• Nucleotide repeat expansions
• Point mutations Correct
• Single nucleotide polymorphisms (SNP)
.
• Cystic fibrosis is a recessive disease requiring the presence of a gene
mutation
.
1334840763
Pediatric forBurns'
Care
7th Edition complete
guide A+ level
Chapter 1: Health Status of Children: Global and
National Perspectives
Chapter 1. Unique Issues in Pediatrics
• A nurse is explaining the therapeutic milieu to a new nurse. The
best explanation of this term would be:
• The place where the child is receiving care.
• Group therapy.
• Personal interactions between patients and staff.
• All of the above are correct.
ANS: 4
• A 16-year-old male has received a pink-slip from the police for inpatient
psychiatric treatment. The teen
has been expressing thoughts of hanging himself because Life sucks. The
nursing staff should consider
placing the child:
• With peers.
• In an area where he can be watched one-on-one.
• With a roommate that is expressing the same concerns.
• In an area close to an external
door. ANS: 2
• Learning disabilities in children have scientifically been linked to:
• Poor nutrition.
• The environment in which the child lives.
• Genetics.
• Watching more than four hours of television a
day. ANS: 3
4. A mental health nurse has assessed a child and determined that the child
exhibits behavioral challenges.
When the school nurse explains this to a teacher, the best description would
be
• The child may exhibit physical outbursts.
• The child may exhibit violence toward others.
• The child may be defiant or have tantrums.
• The child will need special interventions for learning.
ANS: 3
• A child that has not exhibited enuresis in four years has exhibited
this behavior pattern for the last week.
,The reason a child may revert back to this behavior pattern is because of:
• Hallucinations.
• Behavioral challenges.
• Delusions.
• Stress.
ANS: 4
• An 18-year-old male has called the crisis line for help. The crisis
nurse recognizes the intervention needs
may consist of all of the following except:
• Discussing the individuals everyday activities.
• Recognizing that the patient may be in a catharsis state.
• Expressing empathy toward the caller.
• Avoiding entropy.
ANS: 1
• A teenager diagnosed with borderline personality disorder should
have discharge planning instructions of:
• A consistent caregiver.
• Monitoring of media, such as the Internet, television, and video games.
• Obtaining support from family and friends.
• Seeking medical attention when the teenager feels
good. ANS: 3
• A mental health nurse is teaching the mother of a child with
executive functioning issues ways to help
her child. Interventions the mother should use include:
• Placing visual aids on the bathroom mirror so that the child will follow the
morning routine.
• Give the child a choice in foods to eat.
• Allowing the child to ask for help when needed.
• Reminding the child to be nice to others.
ANS: 1
.
• Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after
several years of severe neglect by her birth family. The adoptive family
has been reporting that Ellie is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with Ellie
will need to:
• Provide education on decreasing stimuli in the home environment
that triggers the anger.
• Realize Ellie may have attachment issues related to her previous
history and will need to encourage the
family to be active in her care.
• Support the family in the decision-making process of continuing to let
Ellie live in the home.
,• Discuss inpatient therapy to decrease Ellies manipulative
behavior patterns.
ANS: 2
• An infant displays depression by:
• Smiling at strangers.
• Bonding to someone other than the immediate family.
• Crying more than an average infant.
• Looks away when an adult attempts to play with the infant.
ANS: 4
• A father reports that his adolescent daughter has gotten good grades up
until the last quarter of school.
She has been hanging out by herself and does not want to talk to him
anymore. The mental health nurse
should:
• Realize that this is a natural part of growing up.
• Perform a mental health screening to check for depression.
• Attempt to get the adolescent to discuss why she does not like her father
anymore.
• Let the adolescent talk when she is ready.
ANS: 2
• When using the SAD FACES depression screen, it is important to assess:
• Anhedonia.
• Suicidal ideations.
• Sleep patterns.
• All of the above
ANS: 4
• A school nurse is giving an in-service to teachers on bullycide. The main
reason for the teaching is so
that:
• Teachers are aware bullying occurs.
• Teachers are able to identify students who are risk.
• Teachers can be aware of the fact that suicides can happen due to
bullying by others.
• Teachers are aware of their role in causing bullycide.
ANS: 3
• An adolescent with a known history of bipolar disorder is in the school
nurses office because a teacher
reported that she was talking fast and acting like she was God. The school
nurse assesses the girl and notes
that:
• She is probably in a manic phase and needs to be treated professionally.
• She has had too much sleep and is now hyperactive.
• She forgot to take her medications today.
• She requires some food and rest before going back to
class. ANS: 1
, Chapter 3. Genetics and Child Health
Questions
• What is true about haploid cells?
.
1334840764
4
• Each contains 23 paired chromosomes.
• Each one contains 23 chromosomes. Correct
• Replication produces two identical cells.
• They replicate via the process of mitosis.
• What does the following genetic notation symbol mean 47,XX,6q?
.
1334840765
0
• Male with deletion of chromosome 6
• Female with deletion of chromosome 6
• Male with deletion on the long arm of chromosome 6
• Female with deletion on the long arm of chromosome 6
Correct
• A child has a recessive genetic disorder that is homozygous for
that mutation.
.
1334840764
6
What is most likely about this child’s parents?
• Neither parent has a copy of that gene mutation.
• Only the mother has a copy of that gene mutation.
• Only the father has a copy of that gene mutation.
• Each parent has one copy of that gene mutation. Correct
• Which type of mutation is responsible for many
singlegene genetic disorders?
.
1334840763
6
• Copy number variations
• Nucleotide repeat expansions
• Point mutations Correct
• Single nucleotide polymorphisms (SNP)
.
• Cystic fibrosis is a recessive disease requiring the presence of a gene
mutation
.
1334840763
