NR 602 MIDTERM TEST BANK QUESTIONS
1. the primary care pediatric nurse practitioner is performing a focused problem
assessment on a child who has asthma and learns that one of the child's
parents smokes around the child in spite of being advised against this. The
nurse practitioner recognizes this as a possible alteration in which functional
health pattern?- Answer - Health Perception
2. The primary care pediatric nurse practitioner examines an infant whose
weight is below the 3rd percentile and whose mother does not comply with the
feeding regimen. When attempting to enlist the help of the infant's grandmoth-
er, the grandmother says, "My daughter was like this when she was a baby,
and she turned out all right." Which approach will the nurse practitioner take
to improve the outcome for this infant?- Answer - Ask the grandmother about her daughter's
health during childhood.
3. The primary care pediatric nurse practitioner provides patient teaching for
children newly diagnosed with irritable bowel syndrome (IBS). At which stage
of development will children be able to understand the link between stress and
the symptoms of the disease?- Answer - Formal operational stage
4. The primary care pediatric nurse practitioner is counseling an obese adoles-
cent whose parents both have type 2 diabetes mellitus. Which health behav-
ior prediction model is useful when the nurse practitioner discusses lifestyle
changes with this client?- Answer - . Health belief model
5. The primary care pediatric nurse practitioner is counseling a school-age child
about asthma management strategies. The child states that it is "too much
trouble" to remember to use an inhaled corticosteroid medication twice daily
and reports feeling fine in spite of exhibiting expiratory wheezes. Which action
uses the health belief and self-efficacy model to teach this child about asthma
,management?- Answer - Obtaining pre and post-treatment spirometry testing
6. An adolescent who is overweight expresses a desire to lose weight in order
to participate in sports but tells the primary care pediatric nurse practitioner
that he doesn't want to give up sweets and soft drinks because he enjoys
them too much. Which stage of change does this represent?- Answer -
Contemplation
7. The primary care pediatric nurse practitioner sees a 17-year-old client who
quit smoking almost a year prior but who reports having renewed cravings
,when around friends who smoke. Using knowledge of the maintenance stage
of change, the primary care pediatric nurse practitioner will- Answer - suggest that
the teen consider taking up a sport or other physical activity
8. The primary care pediatric nurse practitioner is working with a 12-year-old
female who has poor diabetes control. The child tells the nurse practitioner
that the parent forgets to remind her to check her blood sugars. Which action
is correct?- Answer - Help the child develop a strategy to remember without parental prompts.
9. The primary care pediatric nurse practitioner is counseling an obese 16
year-old client about weight management. The adolescent says, "I know I
need to lose weight, but I don't want to give up all my favorite foods." When
using motivational interviewing techniques, how will the nurse practitioner
respond?- Answer - "Do you think there are any foods you could limit or do without for a while?"
10. The parent of a newborn has quit smoking cigarettes within the past month
and reports feeling fidgety. Using a "reframing" technique, how will the primary
care pediatric nurse practitioner respond?- Answer - . Explore ways that the parent can use this
extra energy to do things for the baby.
11. The primary care pediatric nurse practitioner is assessing the health literacy
of the parent of a toddler. Which tool will the nurse practitioner use to estimate
reading level?- Answer - SMOG
12. The pediatric nurse practitioner provides primary care for a special needs
infant whose parent takes an active role in the infant's care. The parent has
a high school diploma and asks many questions about her infant's treatments.
Which approach will the nurse practitioner take to ensure health literacy for
this parent?- Answer - Ask the parent to read back all information given
13. The primary care pediatric nurse practitioner is performing a well child
examination on a 4-year-old child. The parent reports that the child snores
frequently, often awakens during the night, and seems cranky during the day.
, What will the nurse practitioner tell this parent?- Answer - Sleep disorders at this age can have
long-term impacts on learning
14. The parent of a school age child who is overweight tells the primary care
pediatric nurse practitioner that the child seems to crave high calorie, high
carbohydrate foods, even when full. The nurse practitioner learns that the child
1. the primary care pediatric nurse practitioner is performing a focused problem
assessment on a child who has asthma and learns that one of the child's
parents smokes around the child in spite of being advised against this. The
nurse practitioner recognizes this as a possible alteration in which functional
health pattern?- Answer - Health Perception
2. The primary care pediatric nurse practitioner examines an infant whose
weight is below the 3rd percentile and whose mother does not comply with the
feeding regimen. When attempting to enlist the help of the infant's grandmoth-
er, the grandmother says, "My daughter was like this when she was a baby,
and she turned out all right." Which approach will the nurse practitioner take
to improve the outcome for this infant?- Answer - Ask the grandmother about her daughter's
health during childhood.
3. The primary care pediatric nurse practitioner provides patient teaching for
children newly diagnosed with irritable bowel syndrome (IBS). At which stage
of development will children be able to understand the link between stress and
the symptoms of the disease?- Answer - Formal operational stage
4. The primary care pediatric nurse practitioner is counseling an obese adoles-
cent whose parents both have type 2 diabetes mellitus. Which health behav-
ior prediction model is useful when the nurse practitioner discusses lifestyle
changes with this client?- Answer - . Health belief model
5. The primary care pediatric nurse practitioner is counseling a school-age child
about asthma management strategies. The child states that it is "too much
trouble" to remember to use an inhaled corticosteroid medication twice daily
and reports feeling fine in spite of exhibiting expiratory wheezes. Which action
uses the health belief and self-efficacy model to teach this child about asthma
,management?- Answer - Obtaining pre and post-treatment spirometry testing
6. An adolescent who is overweight expresses a desire to lose weight in order
to participate in sports but tells the primary care pediatric nurse practitioner
that he doesn't want to give up sweets and soft drinks because he enjoys
them too much. Which stage of change does this represent?- Answer -
Contemplation
7. The primary care pediatric nurse practitioner sees a 17-year-old client who
quit smoking almost a year prior but who reports having renewed cravings
,when around friends who smoke. Using knowledge of the maintenance stage
of change, the primary care pediatric nurse practitioner will- Answer - suggest that
the teen consider taking up a sport or other physical activity
8. The primary care pediatric nurse practitioner is working with a 12-year-old
female who has poor diabetes control. The child tells the nurse practitioner
that the parent forgets to remind her to check her blood sugars. Which action
is correct?- Answer - Help the child develop a strategy to remember without parental prompts.
9. The primary care pediatric nurse practitioner is counseling an obese 16
year-old client about weight management. The adolescent says, "I know I
need to lose weight, but I don't want to give up all my favorite foods." When
using motivational interviewing techniques, how will the nurse practitioner
respond?- Answer - "Do you think there are any foods you could limit or do without for a while?"
10. The parent of a newborn has quit smoking cigarettes within the past month
and reports feeling fidgety. Using a "reframing" technique, how will the primary
care pediatric nurse practitioner respond?- Answer - . Explore ways that the parent can use this
extra energy to do things for the baby.
11. The primary care pediatric nurse practitioner is assessing the health literacy
of the parent of a toddler. Which tool will the nurse practitioner use to estimate
reading level?- Answer - SMOG
12. The pediatric nurse practitioner provides primary care for a special needs
infant whose parent takes an active role in the infant's care. The parent has
a high school diploma and asks many questions about her infant's treatments.
Which approach will the nurse practitioner take to ensure health literacy for
this parent?- Answer - Ask the parent to read back all information given
13. The primary care pediatric nurse practitioner is performing a well child
examination on a 4-year-old child. The parent reports that the child snores
frequently, often awakens during the night, and seems cranky during the day.
, What will the nurse practitioner tell this parent?- Answer - Sleep disorders at this age can have
long-term impacts on learning
14. The parent of a school age child who is overweight tells the primary care
pediatric nurse practitioner that the child seems to crave high calorie, high
carbohydrate foods, even when full. The nurse practitioner learns that the child
