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Exam (elaborations)

Burns Exam 1 test bank

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The primary care pediatric nurse practitioner is obtaining a medical history about a child. To integrate both nursing and medical aspects of primary care, which will be included in the medical history? - Speech and language development, beliefs about health and previous illness. when meeting with a new family, the primary care pediatric nurse practitioner develops a database that identifies family members and others living in the household, relationships with others outside the household, and significant behavioral and emotional problems. Which tool will the nurse practitioner use to record this information? - Genogram A child is in the clinic for evaluation of an asthma action plan. the primary care pediatric nurse practitioner notes that the child's last visit was for pre-kindergarten physical and observes that the child is extremely anxious. what will the nurse practitioner do initially? - review the purpose of the visit and anticipated procedures the primary care pediatric nurse practitioner cares for children from a native American family and learns that they used many herbs to treat and prevent illness. Which approach will the PNP use to promote optimum health in the children? - ask about the types of practices and when they were applied. the PNP works with families from a variety of cultures and socioeconomic classes. which is an example of cultural humility in practice? - receptivity to learning about the perspectives of other cultures the PNP in a community health center meets a family who has recently immigrated to the United States who speak only Karon. They arrive in the clinic with a church sponsor who translates for them. the PNP notices that the sponsor answers for the family without giving them time to speak. The PNP will implement what intervention to help with communication - use the telephone interpreter service to communicate with the family The PNP prescribes a twice daily inhaled corticosteroid for a 12 year old child. At a well child visit the child reports not using the medication on a regular basis. which response by the pediatric nurse practitioner demonstrates an understanding of client - asking the child to describe usual daily routines and schedules a primary care PNP working in a community health center wishes to develop a program to assist impoverished children and families to have access to healthy foods. Which strategy will the PNP employ to ensure the success of such a program? - asking community members to assist in researching and implementing a program the primary PNP is examining a child whose parents recently emigrated from a war torn country in the middle east. Which is a priority assessment when performing the patient history? - asking about physical, psyological, and emotional trauma a single mother of an infant worries that living in a household with only one parent will cause her child to be maladjusted. to help address the mothers concerns the PNP will suggest - developing daily routines for the child

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Burns Exam 1 test bank
The primary care pediatric nurse practitioner is obtaining a medical history about a child.
To integrate both nursing and medical aspects of primary care, which will be included in
the medical history? - Speech and language development, beliefs about health and
previous illness.

when meeting with a new family, the primary care pediatric nurse practitioner develops
a database that identifies family members and others living in the household,
relationships with others outside the household, and significant behavioral and
emotional problems. Which tool will the nurse practitioner use to record this
information? - Genogram

A child is in the clinic for evaluation of an asthma action plan. the primary care pediatric
nurse practitioner notes that the child's last visit was for pre-kindergarten physical and
observes that the child is extremely anxious. what will the nurse practitioner do initially?
- review the purpose of the visit and anticipated procedures

the primary care pediatric nurse practitioner cares for children from a native American
family and learns that they used many herbs to treat and prevent illness. Which
approach will the PNP use to promote optimum health in the children? - ask about the
types of practices and when they were applied.

the PNP works with families from a variety of cultures and socioeconomic classes.
which is an example of cultural humility in practice? - receptivity to learning about the
perspectives of other cultures

the PNP in a community health center meets a family who has recently immigrated to
the United States who speak only Karon. They arrive in the clinic with a church sponsor
who translates for them. the PNP notices that the sponsor answers for the family
without giving them time to speak. The PNP will implement what intervention to help
with communication - use the telephone interpreter service to communicate with the
family

The PNP prescribes a twice daily inhaled corticosteroid for a 12 year old child. At a well
child visit the child reports not using the medication on a regular basis. which response
by the pediatric nurse practitioner demonstrates an understanding of client - asking the
child to describe usual daily routines and schedules

a primary care PNP working in a community health center wishes to develop a program
to assist impoverished children and families to have access to healthy foods. Which
strategy will the PNP employ to ensure the success of such a program? - asking
community members to assist in researching and implementing a program

, the primary PNP is examining a child whose parents recently emigrated from a war torn
country in the middle east. Which is a priority assessment when performing the patient
history? - asking about physical, psyological, and emotional trauma

a single mother of an infant worries that living in a household with only one parent will
cause her child to be maladjusted. to help address the mothers concerns the PNP will
suggest - developing daily routines for the child

during a well child exam the PNP learns that the parents of a young child fight
frequently about money. the parents state that they do not fight in front of the child and
feel that the situation is temporary and related to the fathers job layoff. what will the
nurse practitioner do? - suggest counseling to learn ways to handle stress

the PNP is examining a newborn infant recently discharged from the neonatal intensive
care unit after premature birth. the parent is upset and expresses worry about whether
the infant will be normal. what will the nurse practitioner do in this situation? - point out
the tasks that the infant can perform while conducting the assessment

which interventions are recommendations suggested as preventative services for
neonates. - breastfeeding
screening

neonates for sickle hemoglobinopathies

newborns screened for PKU before being 24 hours old should be rescreened by 2
weeks old

screening for hip dysplasia

when providing post delivery information regarding her infant the nurse will confirm to
the mother that which fetal cardiac structures have no function after her child is born? -
foramen ovale

ductus arteriosus

the nurse will contribute which neonate characteristics noted in the first period of
reactivity to sympathetic system changes ? - transient rales

tachycardia

alertness

which assessment factors are included in a 5 minute apgar scoring? - heart rate

respiratory rate
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