peds Burns- Chapter 15, 16, 17, 19 perception, sexuality, relationships, coping, values, stress.pdf 2026
peds - Chapter 15, 16, 17, 19 perception, sexuality, relationships, coping,
values, stress,
Study online at https://quizlet.com/_8ey3yx
1. During a well child assessment of a ANS: C
preschool-age child, the parent voices Providers can get a clearer picture of the situa-
concerns that, because the child has be- tion by taking the time to sit down and actively
havior problems at school, the child may listen to both the parent's and child's concerns
have a mental health disorder. Which ini- about the issue. It is important to remember
tial approach will provide the best infor- that many parents have been trying to cope with
mation? the problem for some time, so asking for vali-
a. Ask the parent whether other care- dation from others may be viewed as belittling.
givers have voiced similar concerns. School-age children and adolescents should be
b. Interview the child separately from interviewed separately to encourage sharing of
the parent to encourage sharing of feel- information. Validated screening tools may be
ings. used later, but allowing parents to voice con-
c. Take time to actively listen to the par- cerns without restricting the history is the initial
ent's and child's perceptions of the prob- focus.
lem.
d. Use a validated screening tool to en-
sure that all aspects of behaviors are
evaluated.
2. The parent of a 4-year-old child reports ANS: A
that the child seems to be having trouble Shyness is a pattern of social inhibition with
adjusting to a new day care and report- unfamiliar people, novel objects, or novel situ-
edly is always engaging in solitary play ations. If the child shows this pattern in other
when the parent arrives to pick up the situations, shyness is most likely the cause of
child. What will the primary care pedi- this behavior. Parallel play is common among
atric nurse practitioner do? toddlers and not preschoolers. Parent should
a. Ask the parent if the child is slow to be supportive and not push children to interact.
warm up to other new situations. Because this shyness is a common pattern in
b. Reassure the parent that parallel play this age child, it is not necessary to suggest
is common among preschool-age chil- that neglect is occurring, unless there are other
dren. signs.
Page 1
, peds Burns- Chapter 15, 16, 17, 19 perception, sexuality, relationships, coping, values, stress.pdf 2026
peds - Chapter 15, 16, 17, 19 perception, sexuality, relationships, coping,
values, stress,
Study online at https://quizlet.com/_8ey3yx
c. Recommend that the parent spend
time encouraging the child to play with
others.
d. Suggest that the day care center may
be neglecting the child.
3. During a well child examination on a ANS: B
4-month-old infant, the primary care pe- When parents respond promptly to their baby's
diatric nurse practitioner evaluates men- needs, infants develop the ability to wait for care
tal health issues. Which statement by and typically provide less intense distress sig-
the parent indicates a potential problem nals. Parents who are attentive to their babies'
with the parent-infant relationship? signals, preferences, and sensitivities are more
a. "I can sense a difference in my baby's in tune with their infants' needs.
cries."
b. "I let my baby cry a while to learn to be
patient."
c. "My baby prefers to nurse in a dark-
ened room."
d. "My baby seems very sensitive to loud
noises."
4. A newly divorced mother of a toddler ANS: A
reports that the child began having dif- The child exhibits signs of PTSD. Because the
ficulty sleeping and nightmares along parents are newly divorced, the PNP should
with exhibiting angry outbursts and evaluate the child's previous interactions with
tantrums 2 months prior. The primary the father to determine whether violence oc-
care pediatric nurse practitioner learns curred. If PTSD is likely, referral to social service
that the child refuses to play with usual agencies may be warranted. Pediatric mental
playmates and often spends time sitting health specialists may be involved once a diag-
quietly. What will the nurse practitioner nosis is established and may order medications.
do initially?
Page 2
, peds Burns- Chapter 15, 16, 17, 19 perception, sexuality, relationships, coping, values, stress.pdf 2026
peds - Chapter 15, 16, 17, 19 perception, sexuality, relationships, coping,
values, stress,
Study online at https://quizlet.com/_8ey3yx
a. Ask the mother about the child's rela-
tionship with the father.
b. Consult with a child psychiatrist to pre-
scribe medications.
c. Recommend cognitive behavioral or
psychodynamic therapy.
d. Refer the family to a child behavioral
specialist for counseling.
5. A 9-year-old child exhibits school re- ANS: A
fusal and a reluctance to attend sleep- This child shows symptoms of separation anxi-
overs with classmates. The parent is con- ety disorder. Environmental stress, parental dys-
cerned because the child has recent- function, and maternal depression are risk fac-
ly begun sleeping in the parents' bed. tors for this disorder. Assessing for traumatic
Which initial action by the primary care events is necessary if PTSD is suspected. Pe-
pediatric nurse practitioner is appropri- diatric autoimmune neuropsychiatric disorder
ate? manifests with OCD- and Tourette-like symp-
a. Assess for environmental stress, toms. If the child does have separation anxiety
parental dysfunction, and maternal de- disorder (SAD), treatment and not discipline is
pression. warranted.
b. Ask about recent traumatic events
that may have precipitated this behav-
ior.
c. Consider a possible pediatric autoim-
mune neuropsychiatric disorder cause.
d. Recommend firm insistence on school
and activity attendance.
6. An adolescent has recently begun do- ANS: C
ing poorly in school and has stopped Because this adolescent exhibits clear signs of
participating in sports and other ex- depression, the first goals of management are
Page 3
peds - Chapter 15, 16, 17, 19 perception, sexuality, relationships, coping,
values, stress,
Study online at https://quizlet.com/_8ey3yx
1. During a well child assessment of a ANS: C
preschool-age child, the parent voices Providers can get a clearer picture of the situa-
concerns that, because the child has be- tion by taking the time to sit down and actively
havior problems at school, the child may listen to both the parent's and child's concerns
have a mental health disorder. Which ini- about the issue. It is important to remember
tial approach will provide the best infor- that many parents have been trying to cope with
mation? the problem for some time, so asking for vali-
a. Ask the parent whether other care- dation from others may be viewed as belittling.
givers have voiced similar concerns. School-age children and adolescents should be
b. Interview the child separately from interviewed separately to encourage sharing of
the parent to encourage sharing of feel- information. Validated screening tools may be
ings. used later, but allowing parents to voice con-
c. Take time to actively listen to the par- cerns without restricting the history is the initial
ent's and child's perceptions of the prob- focus.
lem.
d. Use a validated screening tool to en-
sure that all aspects of behaviors are
evaluated.
2. The parent of a 4-year-old child reports ANS: A
that the child seems to be having trouble Shyness is a pattern of social inhibition with
adjusting to a new day care and report- unfamiliar people, novel objects, or novel situ-
edly is always engaging in solitary play ations. If the child shows this pattern in other
when the parent arrives to pick up the situations, shyness is most likely the cause of
child. What will the primary care pedi- this behavior. Parallel play is common among
atric nurse practitioner do? toddlers and not preschoolers. Parent should
a. Ask the parent if the child is slow to be supportive and not push children to interact.
warm up to other new situations. Because this shyness is a common pattern in
b. Reassure the parent that parallel play this age child, it is not necessary to suggest
is common among preschool-age chil- that neglect is occurring, unless there are other
dren. signs.
Page 1
, peds Burns- Chapter 15, 16, 17, 19 perception, sexuality, relationships, coping, values, stress.pdf 2026
peds - Chapter 15, 16, 17, 19 perception, sexuality, relationships, coping,
values, stress,
Study online at https://quizlet.com/_8ey3yx
c. Recommend that the parent spend
time encouraging the child to play with
others.
d. Suggest that the day care center may
be neglecting the child.
3. During a well child examination on a ANS: B
4-month-old infant, the primary care pe- When parents respond promptly to their baby's
diatric nurse practitioner evaluates men- needs, infants develop the ability to wait for care
tal health issues. Which statement by and typically provide less intense distress sig-
the parent indicates a potential problem nals. Parents who are attentive to their babies'
with the parent-infant relationship? signals, preferences, and sensitivities are more
a. "I can sense a difference in my baby's in tune with their infants' needs.
cries."
b. "I let my baby cry a while to learn to be
patient."
c. "My baby prefers to nurse in a dark-
ened room."
d. "My baby seems very sensitive to loud
noises."
4. A newly divorced mother of a toddler ANS: A
reports that the child began having dif- The child exhibits signs of PTSD. Because the
ficulty sleeping and nightmares along parents are newly divorced, the PNP should
with exhibiting angry outbursts and evaluate the child's previous interactions with
tantrums 2 months prior. The primary the father to determine whether violence oc-
care pediatric nurse practitioner learns curred. If PTSD is likely, referral to social service
that the child refuses to play with usual agencies may be warranted. Pediatric mental
playmates and often spends time sitting health specialists may be involved once a diag-
quietly. What will the nurse practitioner nosis is established and may order medications.
do initially?
Page 2
, peds Burns- Chapter 15, 16, 17, 19 perception, sexuality, relationships, coping, values, stress.pdf 2026
peds - Chapter 15, 16, 17, 19 perception, sexuality, relationships, coping,
values, stress,
Study online at https://quizlet.com/_8ey3yx
a. Ask the mother about the child's rela-
tionship with the father.
b. Consult with a child psychiatrist to pre-
scribe medications.
c. Recommend cognitive behavioral or
psychodynamic therapy.
d. Refer the family to a child behavioral
specialist for counseling.
5. A 9-year-old child exhibits school re- ANS: A
fusal and a reluctance to attend sleep- This child shows symptoms of separation anxi-
overs with classmates. The parent is con- ety disorder. Environmental stress, parental dys-
cerned because the child has recent- function, and maternal depression are risk fac-
ly begun sleeping in the parents' bed. tors for this disorder. Assessing for traumatic
Which initial action by the primary care events is necessary if PTSD is suspected. Pe-
pediatric nurse practitioner is appropri- diatric autoimmune neuropsychiatric disorder
ate? manifests with OCD- and Tourette-like symp-
a. Assess for environmental stress, toms. If the child does have separation anxiety
parental dysfunction, and maternal de- disorder (SAD), treatment and not discipline is
pression. warranted.
b. Ask about recent traumatic events
that may have precipitated this behav-
ior.
c. Consider a possible pediatric autoim-
mune neuropsychiatric disorder cause.
d. Recommend firm insistence on school
and activity attendance.
6. An adolescent has recently begun do- ANS: C
ing poorly in school and has stopped Because this adolescent exhibits clear signs of
participating in sports and other ex- depression, the first goals of management are
Page 3
