m
,Burns'm Pediatricm Primarym Carem 7thm Editionm Testm Bank
Chapterm1:mHealthmStatusmofmChildren:mGlobalmandmNationalPerspectives
1. Whichmregionmgloballymhasmthemhighestminfantm mortalitymrate?
A. Indonesia
B. SouthernmAsia
C. Sub-Saharanm Africam Correct
D. Syria
2. Themprimarymcarempediatricmnursempractitionermunderstandsmthat,mtomachievet
hemgreatestmworldwide
reductionminmchildmmortalitymfrommpneumoniamandmdiarrhea,mwhichminterventionismm
ostmeffective?
A. Antibiotics
B. Optimalmnutrition
C. Vaccinationsm Correct
D. Watermpurification
3. WhichmismtruemaboutmthemhealthmstatusmofmchildrenminmthemUnitedmStates?
.m13348413856
A. GlobalismmhasmrelativelymlittlemimpactmonmchildmhealthmmeasuresminmthemU.S.
B. Obesitymratesmamongm2to5yearoldsmhavemshownmamrece
ntmsignificant
decrease.mCorrect
.
C. Themratemofmhouseholdmpovertymismlowermthanminmothermeconomical
lymdevelopedmnations.
D. Youngmchildrenmwhomattendmpreschoolmormdaymcaremhavemhighermfo
odminsecurity.
4. Themprimarymcarempediatricmnursempractitionermunderstandsmthatmammajorchil
dmhealthmoutcomemassociatedmwithmworldwidemclimatemchangemis
A. costm ofm living.
B. education.
C. nutrition.mCorrect
D. pollution.
5. Whenmprovidingmwellmchildmcaremformanminfantminmthemfirstmyearmofmlife,mtheprimar
ymcarempediatricmnursempractitionermismadheringmtomthemmostmrecentmAmericanAcadem
ymofmPediatricsRecommendationsmformPreventivemPediatricmHealthmCaremguidelinesb
y
A. focusingmlessmonmdevelopmentmandmmoremonmillnessmpreventionma
ndmnutrition.
B. followingmguidelinesmestablishedmbymtheBrightmFuturesmpublication.
C. schedulingmwellbabymvisitsmtomcoincidemwithmkeymdevelopment
almmilestones.mCorrect
D. seeingmtheminfantm atm agesm 2,m 4,m 6,m andm12mmonthsm whenmimmunizationsm aredue.
Chapterm2.mUniquemIssuesminmPediatrics
1. Amnursemismexplainingmthemtherapeuticmmilieumtomamnewmnurse.mThemb
estmexplanationmofmthismtermmwouldmbe:
1. Themplacemwheremthemchildmismreceivingmcare.
,2. Groupmtherapy.
3. Personalminteractionsmbetweenmpatientsmandmstaff.
4. Allmofmthemabovemaremcorrec
t.mANS:m4
2. Am16-year-oldmmalemhasmreceivedmampink-
slipmfrommthempolicemforminpatientpsychiatricmtreatment.mThemteen
hasmbeenmexpressingmthoughtsmofmhangingmhimselfmbecausemLifemsucks.mThenursingmsta
ffmshouldmconsider
placingmthemchild:
1. Withmpeers.
2. Inmanm areamwheremhemcanmbemwatchedm one-on-one.
3. Withmamroommatemthatmismexpressingmthemsamemconcerns.
4. Inmanmareamclosemtomanmexternalmdoo
r.mANS:m2
3. Learningmdisabilitiesminmchildrenmhavemscientificallymbeenmlinkedmto:
1. Poormnutrition.
2. Themenvironmentminmwhichmthemchildmlives.
3. Genetics.
4. Watchingmmoremthanmfourmhoursmofmtelevisionm amday.ANS:
3
4.mAmmentalmhealthmnursemhasmassessedmamchildmandmdeterminedmthatmthemchildexhibi
tsmbehavioralmchallenges.
Whenmthemschoolmnursemexplainsm thismtomamteacher,mthembestm descriptionm wouldbe:
.
1. Themchildmmaymexhibitmphysicalmoutbursts.
2. Themchildmmaymexhibitmviolencemtowardmothers.
3. Themchildmmaymbemdefiantm ormhavemtantrums.
4. Themchildmwillmneedmspecialminterventionsmformlearning.AN
S:m3
5. Amchildmthatmhasmnotmexhibitedmenuresisminmfourmyearsmhasmexhibitedmthisbehavi
ormpatternmformthemlastmweek.
Themreasonm amchildmmaymrevertmbackmtomthismbehaviormpatternmismbecausemof:
1. Hallucinations.
2. Behavioralm challenges.
3. Delusions.
4. Stress.
ANS:m4
6. Anm18-year-
oldmmalemhasmcalledmthemcrisismlinemformhelp.mThemcrisismnurserecognizesmtheminterventio
nmneeds
maymconsistmofmallmofmthemfollowingmexcept:
1. Discussingm them individualsm everydaym activities.
2. Recognizingmthatmthempatientm maymbeminmamcatharsism state.
3. Expressingmempathymtowardmthemcaller.
4. Avoidingmentropy.
ANS:m1
, 2. Hemstates,mImwillmbemamgoodmboymnow.
.
3. Hemstartsmheadbuttingmthemwindow.
4. Hemcomplainsmthatmhismparentsmwillmfilemamlawsuit.ANS:
3
8. AmchildmhasmbeenmexhibitingmthemMacDonaldmTriad.mThesembehaviorsminclude:
1. Enuresis,mpushingmothers,mandmpyromania.
2. Swingingmamcatmbymthemtail,mbed-wetting,mandmlightingmpapermonmfireminmthetrashmcan.
3. Playingmwithmothermchildren,mlaughing,mandmconversingmwithmadults.
4. Playingmwithmamcampfire,mwatchingmtelevision,mandmseekingmadultmattention.ANS:m2
9. Amteenagermdiagnosedmwithmborderlinempersonalitymdisordermshouldmhavedischarg
emplanningminstructionsmof:
1. Amconsistentmcaregiver.
2. Monitoringmofmmedia,m suchmasmthemInternet,mtelevision,mandmvideomgames.
3. Obtainingmsupportmfrommfamilymandmfriends.
4. Seekingmmedicalm attentionm whenm themteenagerm feelsm good.ANS:m3
10. Ammentalmhealthmnursemismteachingmthemmothermofmamchildmwithmexecutivefunctioni
ngmissuesmwaysmtomhelp
hermchild.mInterventionsmthemmothermshouldmuseminclude:
1. Placingmvisualmaidsmonmthembathroommmirrormsomthatmthemchildmwillmfollowmthemorni
ngmroutine.
2. Givemthemchildmamchoiceminmfoodsmtomeat.
3. Allowingmthemchildmtomaskmformhelpmwhenmneeded.
4. Remindingmthemchildmtombemnicemtomother
s.mANS:m1
.
11. Ellie,mam9-year-
oldmgirl,mwasmadoptedmbymamfamilymatmthemagemofm4maftermseveralmyearsmofmseveremnegle
ctmbymhermbirthmfamily.mThemadoptivemfamilymhasbeenmreportingmthatmElliemismangrymaml
ot,mmanipulativemwithmher
teachers,mandmdoesmnotmseekmpositivemattention.mThemnursemworkingmwithmElliewillmneedmto:
1. Providemeducationmonmdecreasingmstimuliminmthemhomemenvironmentmthattrigge
rsmthemanger.
2. RealizemElliemmaymhavemattachmentmissuesmrelatedmtomhermpreviousmhistoryandmw
illmneedmtomencouragemthe
familymtombemactiveminmhermcare.
3. Supportmthemfamilyminmthemdecision-
makingmprocessmofmcontinuingmtomletmEllieliveminmthemhome.
4. DiscussminpatientmtherapymtomdecreasemElliesmmanipulativembehavi
ormpatterns.
ANS:m2
12. Anminfantmdisplaysmdepressionm by:
1. Smilingm atm strangers.
2. BondingmtomsomeoDnomwen ol o mathd eedrb ty h: m joasnepthhkm
e iriinm
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