BURNS PEDIATRIC UPDATED TEST PAPER
QUESTIONS AND ANSWERS SURE A+
✔✔1. 1. The mother of a 15-year-old female expresses concerns that her daughter may
be
sexually active because she's had a steady boyfriend for over a year. The primary care
pediatric nurse practitioner learns that the family is Catholic and that the mother had an
abortion when she was 16 years old. What will the nurse practitioner do initially?
a. a. Explore the mother's feelings about her own past experience.
b. b. Offer to prescribe contraception to prevent pregnancy.
c. c. Recommend that the mother discuss this with her daughter.
d. d. Suggest that the mother talk to a priest about her daughter. - ✔✔ANS: A
An initial step when assisting families to manage ethical and behavioral issues is to
assist
parents and children in values clarification. Before offering other suggestions, the PNP
should
help the mother to clarify her own feelings. The other options may be necessary after
values are
clarified.
✔✔1. 2. The primary care pediatric nurse practitioner sees a 6-year-old child after a
hospitalization for injuries sustained in a motor vehicle accident (MVA) in which the
child's
grandfather was killed. The parent states that it is difficult to get the child to stop talking
about the accident and is worried that the child will have permanent emotional scars.
What
will the nurse practitioner suggest?
a. a. Assure the child that he is safe and this won't happen again.
b. b. Encourage the child to express and examine feelings.
c. c. Reassure the child that his grandfather is in heaven.
d. d. Redirect these conversations to happier topics. - ✔✔ANS: B
Management goals when health crises occur should focus on helping children and
families
, make sense of the events and to better understand what is happening to help regain
control.
Helping the child to express and examine feelings will help him to put what happened in
perspective. Assuring the child that accidents won't happen again is false and can lead
to even
more distress in the future. Telling the child that the grandparent is in heaven doesn't
address
all his fears about the accident. Redirecting the conversation to happier topics
minimizes the
child's concerns.
✔✔1. 3. The primary care pediatric nurse is performing a well child examination on an
adolescent who was adopted as a toddler. The parent reports that the child had been
removed from an abusive home at age 3 years. What will the nurse practitioner evaluate
in
light of possible long-term effects of this early situation?
a. a. Cognitive and psychosocial development
b. b. Mental health and suicide risk
c. c. Moral development and conscience formation
d. d. Spirituality, faith, and religious affiliation - ✔✔ANS: B
Findings of early research suggest that epigenetic changes may mediate the effect of
prenatal
and infant environment on mental health and disease in older children and adults. Adult
suicide
victims who were abused as children show decreased levels of a genetic marker of a
stress
reduction gene, suggesting that child abuse may have an epigenetic effect leading to
prolonged
stress and mental disorders.
✔✔1. 4. During a well child examination of a school-age child from a family who recently
immigrated from Africa, the primary care pediatric nurse practitioner learns that the child
has
been involved in many arguments at school. The parents are concerned that their child
will
never fit in with classmates. How will the nurse practitioner address this situation?
a. a. Assess the conditions in the country of origin prior to immigration.
b. b. Recommend counseling to determine underlying causes of this behavior.
c. c. Stress that this may be a normal response to feeling different at school.
d. d. Suggest that the child may be responding to being bullied by others. - ✔✔ANS: A
Many children who exhibit signs of spiritual distress can express this by being angry or
withdrawn. Trauma or violence to the self or to others can contribute to spiritual distress.
The
PNP should evaluate conditions in the country of origin since it is likely that the family
may have
QUESTIONS AND ANSWERS SURE A+
✔✔1. 1. The mother of a 15-year-old female expresses concerns that her daughter may
be
sexually active because she's had a steady boyfriend for over a year. The primary care
pediatric nurse practitioner learns that the family is Catholic and that the mother had an
abortion when she was 16 years old. What will the nurse practitioner do initially?
a. a. Explore the mother's feelings about her own past experience.
b. b. Offer to prescribe contraception to prevent pregnancy.
c. c. Recommend that the mother discuss this with her daughter.
d. d. Suggest that the mother talk to a priest about her daughter. - ✔✔ANS: A
An initial step when assisting families to manage ethical and behavioral issues is to
assist
parents and children in values clarification. Before offering other suggestions, the PNP
should
help the mother to clarify her own feelings. The other options may be necessary after
values are
clarified.
✔✔1. 2. The primary care pediatric nurse practitioner sees a 6-year-old child after a
hospitalization for injuries sustained in a motor vehicle accident (MVA) in which the
child's
grandfather was killed. The parent states that it is difficult to get the child to stop talking
about the accident and is worried that the child will have permanent emotional scars.
What
will the nurse practitioner suggest?
a. a. Assure the child that he is safe and this won't happen again.
b. b. Encourage the child to express and examine feelings.
c. c. Reassure the child that his grandfather is in heaven.
d. d. Redirect these conversations to happier topics. - ✔✔ANS: B
Management goals when health crises occur should focus on helping children and
families
, make sense of the events and to better understand what is happening to help regain
control.
Helping the child to express and examine feelings will help him to put what happened in
perspective. Assuring the child that accidents won't happen again is false and can lead
to even
more distress in the future. Telling the child that the grandparent is in heaven doesn't
address
all his fears about the accident. Redirecting the conversation to happier topics
minimizes the
child's concerns.
✔✔1. 3. The primary care pediatric nurse is performing a well child examination on an
adolescent who was adopted as a toddler. The parent reports that the child had been
removed from an abusive home at age 3 years. What will the nurse practitioner evaluate
in
light of possible long-term effects of this early situation?
a. a. Cognitive and psychosocial development
b. b. Mental health and suicide risk
c. c. Moral development and conscience formation
d. d. Spirituality, faith, and religious affiliation - ✔✔ANS: B
Findings of early research suggest that epigenetic changes may mediate the effect of
prenatal
and infant environment on mental health and disease in older children and adults. Adult
suicide
victims who were abused as children show decreased levels of a genetic marker of a
stress
reduction gene, suggesting that child abuse may have an epigenetic effect leading to
prolonged
stress and mental disorders.
✔✔1. 4. During a well child examination of a school-age child from a family who recently
immigrated from Africa, the primary care pediatric nurse practitioner learns that the child
has
been involved in many arguments at school. The parents are concerned that their child
will
never fit in with classmates. How will the nurse practitioner address this situation?
a. a. Assess the conditions in the country of origin prior to immigration.
b. b. Recommend counseling to determine underlying causes of this behavior.
c. c. Stress that this may be a normal response to feeling different at school.
d. d. Suggest that the child may be responding to being bullied by others. - ✔✔ANS: A
Many children who exhibit signs of spiritual distress can express this by being angry or
withdrawn. Trauma or violence to the self or to others can contribute to spiritual distress.
The
PNP should evaluate conditions in the country of origin since it is likely that the family
may have
