,Burns' Pediatric Primary Care 7th Edition Test Bank
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Chapter 1: Health Status of Children: Global and National Perspectiv
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es
1. Which region globally has the highest infant mortality rate?
Xt Xt Xt Xt Xt Xt Xt Xt
A. Indonesia
B. Southern Asia Xt
C. SubSaharan Africa Correct Xt Xt
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achieve
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
the
greatest worldwide Xt
reduction in child mortality from pneumonia and diarrhea, which interventionis mos
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
t effective?
Xt
A. Antibiotics
B. Optimal nutrition Xt
C. Vaccinations Correct Xt
D. Water purification Xt
3. Which is true about the health status of children in the United States?
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
.
13348413856
A. Globalism has relatively little impact on child health measures in the U.S.
X t X t X t X t X t X t X t X t X t Xt X t
B. Obesity rates among 2to5yearolds have shown a recen
Xt Xt Xt Xt Xt Xt Xt
t significant
Xt
decrease. Correct Xt
.
C. The rate of household poverty is lower than in other economically
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
developed nations. Xt
D. Young children who attend preschool or day care have higher food
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt X
insecurity.
t
4. The primary care pediatric nurse practitioner understands that a major
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
child
health outcome associated with worldwide climate change is
Xt Xt Xt Xt Xt Xt Xt
A. cost of living.
Xt Xt
B. education.
C. nutrition. Correct Xt
D. pollution.
5. When providing well child care for an infant in the first year of life, th
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
e primary
Xt
care pediatric nurse practitioner is adhering to the most recent American Acad
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
emy of Xt
PediatricsRecommendations for Preventive Pediatric Health Care guidelines b Xt Xt Xt Xt Xt Xt Xt
y
A. focusing less on development and more on illness prevention and
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
nutrition.
B. following guidelines established by theBright Futures publication.
X t X t X t X t X t X t
C. scheduling wellbaby visits to coincide with key developmental Xt Xt Xt Xt Xt Xt Xt Xt
milestones. Correct Xt
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
due.
Xt
,2. Group therapy. Xt
3. Personal interactions between patients and staff. X t X t X t X t X t
4. All of the above are correct.
Xt Xt Xt Xt Xt Xt
ANS: 4 Xt
2. A 16-year-old male has received a pink-
Xt Xt Xt Xt Xt Xt
slip from the police for inpatient psychiatric treatment. The teen
Xt Xt Xt Xt Xt Xt Xt Xt Xt
has been expressing thoughts of hanging himself because Life sucks. Thenursing st
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
aff should consider
Xt Xt
placing the child: Xt Xt
1. With peers. Xt
2. In an area where he can be watched one-on-one.
Xt Xt Xt Xt Xt Xt Xt Xt
3. With aroommate thatisexpressing the sameconcerns.
Xt Xt Xt Xt
4. In an area close to an external door.
Xt Xt Xt Xt Xt Xt Xt Xt
ANS: 2 Xt
3. Learning disabilities in children have scientifically been linked to:
Xt X t Xt X t X t X t X t X t
1. Poornutrition.
2. The environment in which the child lives.
X t X t X t X t X t X t
3. Genetics.
4. Watching more than four hours of television a day. Xt Xt Xt Xt Xt Xt Xt Xt Xt
ANS: 3 Xt
4. A mental health nurse has assessed a child and determined that the child exhi
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
bits behavioral challenges.
Xt Xt
When the school nurse explains this to a teacher, the best description wouldbe:
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
.
1. The child may exhibit physical outbursts.
Xt Xt Xt Xt Xt
2. The child may exhibit violence toward others.
X t X t X t X t X t X t
3. The child may be defiant or have tantrums.
Xt Xt Xt Xt Xt Xt Xt
4. The child will need special interventions for learnin
Xt X t X t Xt Xt X t Xt
g. Xt ANS: 3 Xt
5. A child that has not exhibited enuresis in four years has exhibited this
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
behavior pattern for the last week. Xt Xt Xt Xt Xt
The reason a child may revert back to this behavior pattern is because of:
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
1. Hallucinations.
2. Behavioral challenges. Xt
3. Delusions.
4. Stress.
ANS: 4 Xt
6. An 18-year- Xt
old male has called the crisis line for help. The crisis nurse recognizes the
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
intervention needs
Xt Xt
may consist of all of the following except:
Xt Xt Xt Xt Xt Xt Xt
1. Discussing the individuals everyday activities. Xt Xt Xt Xt
2. Recognizing that the patient may be in a catharsis state. Xt Xt Xt Xt Xt Xt Xt Xt Xt
3. Expressing empathy toward the caller. Xt Xt Xt Xt
4. Avoiding entropy. Xt
ANS: 1 Xt
, 2. He states, I will be a good boy now.
Xt Xt Xt Xt Xt Xt Xt Xt
.
3. He starts headbutting the window.
X t X t X t X t
4. He complains that his parents will file a lawsuit.
Xt X t Xt X t X t Xt Xt Xt X
ANS: 3
t Xt
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
1. Enuresis, pushing others, and pyromania. Xt Xt Xt Xt
2. Swinging a cat by the tail, bed- Xt Xt Xt Xt Xt Xt
wetting, and lighting paper on fire in the trash can.
Xt Xt Xt Xt Xt Xt Xt Xt Xt
3. Playing with other children, laughing, and conversing with adults.
X t X t X t X t X t X t X t X t
4. Playing with a campfire, watching television, and seeking adult attention.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ANS: 2 Xt
9. A teenager diagnosed with borderline personality disorder should have
Xt Xt Xt Xt Xt Xt Xt Xt X
discharge planning instructions of:
t Xt Xt Xt
1. A consistent caregiver.
X t X t
2. Monitoring of media, such as the Internet, television, and video games.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
3. Obtaining support from family and friends. Xt Xt Xt Xt Xt
4. Seeking medical attention when the teenager feels good.
Xt Xt Xt Xt Xt Xt Xt
ANS: 3
Xt Xt
10. A mental health nurse is teaching the mother of a child with executive
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
functioning issues ways to help Xt Xt Xt Xt
her child. Interventions the mother should use include:
Xt Xt Xt Xt Xt Xt Xt
1. Placing visual aids on the bathroom mirror so that the child will follow the
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
morning routine. Xt
2. Give the child a choice in foods to eat.
Xt Xt Xt Xt Xt Xt Xt Xt
3. Allowing the child to ask for help when needed. Xt X t Xt Xt Xt Xt X t X t
4. Reminding the child to be nice to others. Xt Xt Xt Xt Xt Xt Xt Xt
ANS: 1 Xt
.
11. Ellie, a 9-year- Xt Xt
old girl, was adopted by a family at the age of 4 after several years of severe ne
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
glect by her birth family. The adoptive family hasbeen reporting that Ellie is
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
angry a lot, manipulative with her
Xt Xt Xt Xt Xt
teachers, and does not seek positive attention. The nurse working with EllieIwill ne
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ed to:
Xt
1. Provide education on decreasing stimuli in the home environment that
Xt Xt Xt Xt Xt Xt Xt Xt Xt
triggers the anger.
Xt Xt Xt
2. Realize Ellie may have attachment issues related to her previous history
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
and will need to encourage the
Xt Xt Xt Xt Xt Xt
family to be active in her care.
Xt Xt Xt Xt Xt Xt
3. Support the family in the decision- Xt Xt Xt Xt Xt
making process of continuing to let Ellie live in the home.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
Xt Xt Xt Xt Xt Xt Xt Xt
patterns.
ANS:2 tX
Xt Xt Xt Xt Xt Xt Xt
Chapter 1: Health Status of Children: Global and National Perspectiv
Xt Xt Xt Xt Xt Xt Xt Xt Xt
es
1. Which region globally has the highest infant mortality rate?
Xt Xt Xt Xt Xt Xt Xt Xt
A. Indonesia
B. Southern Asia Xt
C. SubSaharan Africa Correct Xt Xt
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achieve
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
the
greatest worldwide Xt
reduction in child mortality from pneumonia and diarrhea, which interventionis mos
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
t effective?
Xt
A. Antibiotics
B. Optimal nutrition Xt
C. Vaccinations Correct Xt
D. Water purification Xt
3. Which is true about the health status of children in the United States?
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
.
13348413856
A. Globalism has relatively little impact on child health measures in the U.S.
X t X t X t X t X t X t X t X t X t Xt X t
B. Obesity rates among 2to5yearolds have shown a recen
Xt Xt Xt Xt Xt Xt Xt
t significant
Xt
decrease. Correct Xt
.
C. The rate of household poverty is lower than in other economically
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
developed nations. Xt
D. Young children who attend preschool or day care have higher food
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt X
insecurity.
t
4. The primary care pediatric nurse practitioner understands that a major
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
child
health outcome associated with worldwide climate change is
Xt Xt Xt Xt Xt Xt Xt
A. cost of living.
Xt Xt
B. education.
C. nutrition. Correct Xt
D. pollution.
5. When providing well child care for an infant in the first year of life, th
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
e primary
Xt
care pediatric nurse practitioner is adhering to the most recent American Acad
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
emy of Xt
PediatricsRecommendations for Preventive Pediatric Health Care guidelines b Xt Xt Xt Xt Xt Xt Xt
y
A. focusing less on development and more on illness prevention and
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
nutrition.
B. following guidelines established by theBright Futures publication.
X t X t X t X t X t X t
C. scheduling wellbaby visits to coincide with key developmental Xt Xt Xt Xt Xt Xt Xt Xt
milestones. Correct Xt
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
due.
Xt
,2. Group therapy. Xt
3. Personal interactions between patients and staff. X t X t X t X t X t
4. All of the above are correct.
Xt Xt Xt Xt Xt Xt
ANS: 4 Xt
2. A 16-year-old male has received a pink-
Xt Xt Xt Xt Xt Xt
slip from the police for inpatient psychiatric treatment. The teen
Xt Xt Xt Xt Xt Xt Xt Xt Xt
has been expressing thoughts of hanging himself because Life sucks. Thenursing st
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
aff should consider
Xt Xt
placing the child: Xt Xt
1. With peers. Xt
2. In an area where he can be watched one-on-one.
Xt Xt Xt Xt Xt Xt Xt Xt
3. With aroommate thatisexpressing the sameconcerns.
Xt Xt Xt Xt
4. In an area close to an external door.
Xt Xt Xt Xt Xt Xt Xt Xt
ANS: 2 Xt
3. Learning disabilities in children have scientifically been linked to:
Xt X t Xt X t X t X t X t X t
1. Poornutrition.
2. The environment in which the child lives.
X t X t X t X t X t X t
3. Genetics.
4. Watching more than four hours of television a day. Xt Xt Xt Xt Xt Xt Xt Xt Xt
ANS: 3 Xt
4. A mental health nurse has assessed a child and determined that the child exhi
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
bits behavioral challenges.
Xt Xt
When the school nurse explains this to a teacher, the best description wouldbe:
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
.
1. The child may exhibit physical outbursts.
Xt Xt Xt Xt Xt
2. The child may exhibit violence toward others.
X t X t X t X t X t X t
3. The child may be defiant or have tantrums.
Xt Xt Xt Xt Xt Xt Xt
4. The child will need special interventions for learnin
Xt X t X t Xt Xt X t Xt
g. Xt ANS: 3 Xt
5. A child that has not exhibited enuresis in four years has exhibited this
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
behavior pattern for the last week. Xt Xt Xt Xt Xt
The reason a child may revert back to this behavior pattern is because of:
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
1. Hallucinations.
2. Behavioral challenges. Xt
3. Delusions.
4. Stress.
ANS: 4 Xt
6. An 18-year- Xt
old male has called the crisis line for help. The crisis nurse recognizes the
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
intervention needs
Xt Xt
may consist of all of the following except:
Xt Xt Xt Xt Xt Xt Xt
1. Discussing the individuals everyday activities. Xt Xt Xt Xt
2. Recognizing that the patient may be in a catharsis state. Xt Xt Xt Xt Xt Xt Xt Xt Xt
3. Expressing empathy toward the caller. Xt Xt Xt Xt
4. Avoiding entropy. Xt
ANS: 1 Xt
, 2. He states, I will be a good boy now.
Xt Xt Xt Xt Xt Xt Xt Xt
.
3. He starts headbutting the window.
X t X t X t X t
4. He complains that his parents will file a lawsuit.
Xt X t Xt X t X t Xt Xt Xt X
ANS: 3
t Xt
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
1. Enuresis, pushing others, and pyromania. Xt Xt Xt Xt
2. Swinging a cat by the tail, bed- Xt Xt Xt Xt Xt Xt
wetting, and lighting paper on fire in the trash can.
Xt Xt Xt Xt Xt Xt Xt Xt Xt
3. Playing with other children, laughing, and conversing with adults.
X t X t X t X t X t X t X t X t
4. Playing with a campfire, watching television, and seeking adult attention.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ANS: 2 Xt
9. A teenager diagnosed with borderline personality disorder should have
Xt Xt Xt Xt Xt Xt Xt Xt X
discharge planning instructions of:
t Xt Xt Xt
1. A consistent caregiver.
X t X t
2. Monitoring of media, such as the Internet, television, and video games.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
3. Obtaining support from family and friends. Xt Xt Xt Xt Xt
4. Seeking medical attention when the teenager feels good.
Xt Xt Xt Xt Xt Xt Xt
ANS: 3
Xt Xt
10. A mental health nurse is teaching the mother of a child with executive
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
functioning issues ways to help Xt Xt Xt Xt
her child. Interventions the mother should use include:
Xt Xt Xt Xt Xt Xt Xt
1. Placing visual aids on the bathroom mirror so that the child will follow the
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
morning routine. Xt
2. Give the child a choice in foods to eat.
Xt Xt Xt Xt Xt Xt Xt Xt
3. Allowing the child to ask for help when needed. Xt X t Xt Xt Xt Xt X t X t
4. Reminding the child to be nice to others. Xt Xt Xt Xt Xt Xt Xt Xt
ANS: 1 Xt
.
11. Ellie, a 9-year- Xt Xt
old girl, was adopted by a family at the age of 4 after several years of severe ne
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
glect by her birth family. The adoptive family hasbeen reporting that Ellie is
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
angry a lot, manipulative with her
Xt Xt Xt Xt Xt
teachers, and does not seek positive attention. The nurse working with EllieIwill ne
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ed to:
Xt
1. Provide education on decreasing stimuli in the home environment that
Xt Xt Xt Xt Xt Xt Xt Xt Xt
triggers the anger.
Xt Xt Xt
2. Realize Ellie may have attachment issues related to her previous history
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
and will need to encourage the
Xt Xt Xt Xt Xt Xt
family to be active in her care.
Xt Xt Xt Xt Xt Xt
3. Support the family in the decision- Xt Xt Xt Xt Xt
making process of continuing to let Ellie live in the home.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
Xt Xt Xt Xt Xt Xt Xt Xt
patterns.
ANS:2 tX