NURSING 465; ped 2 Origin: Chapter 2, 1

1. The nurse is teaching an athletic father how to stimulate his 7-year-old son who has a 'slow-to-warm-up' temperament. Which guidance will be most successful? A) Telling him to read stories to the child about famous athletes B) Suggesting he take the child to watch him play softball C) Urging him to sign the child up for little league football D) Proposing wrestling with the child and letting him win Ans: A Feedback: Reading stories to the child would be less active and more acceptable to the child's temperament. Proposing to wrestle with the child and letting him win or signing the child up for little league football would put the child in an uncomfortable situation, as would attending his father's adult activities. Origin: Chapter 2, 2 2. The nurse is performing a health assessment of a school-age child. Based on the child's developmental level, on which problem would the nurse focus more attention? A) Infections B) Poisonings C) Risk-taking behaviors D) Accidents and injuries Ans: D Feedback: Developmental level has a major impact on the health status of children. The physiologic immaturity of an infant's body systems increases the risk for infection. Ingestion of toxic substances and risk of poisoning are major health concerns for toddlers as they become more mobile and inquisitive. Because preschool- and school-age children are, generally, very active, they are more prone to injury and accidents. Adolescents are establishing their identity, which may lead them to separate from the family values and traditions for a period of time and attempt to conform to their peers. This journey may lead to risk-taking behaviors, resulting in injuries or other situations that may impair their health. Origin: Chapter 2, 3 3. The nurse is caring for a 2-year-old girl who is wheezing and has difficulty breathing. Which interview question would provide the most useful information related to the symptoms of the child? A) Inquiring about child safety in the home B) Asking about the temperament of the child C) Asking about the child's diet D) Asking the parents if they smoke in the home Ans: D Feedback: Asking the parents if they smoke in the home would provide the most useful information related to the health condition of the child. If they smoke, the nurse could explain that they are affecting their child's health and urge them to stop for her sake. Asking about the temperament of the child and inquiring about home safety or diet would not reveal any useful information related to the respiratory alteration. Origin: Chapter 2, 4 4. The nurse is assessing the 'resilience' of a 16-year-old boy. Which exemplifies an external protective factor that may help to promote resiliency in this child? A) His ability to take control of his own decisions B) His ability to accept his own limitations C) His caring relationship with members of his family D) His knowledge of when to continue or stop with goal achievement Ans: C Feedback: The term resilience refers to the qualities that enable an individual to cope with significant adverse events or stresses and still function competently (Lietz, 2007). Various internal and external protective factors promote resiliency. External factors include caring relationships with a family member; a positive, safe learning environment at school (including clubs and social organizations); and positive influences in the community. Internal factors include the person's ability to take control and be proactive, to be responsible for his or her own decisions, to understand and accept his or her own limits and abilities, and to be goal directed, knowing when to continue or when to stop. Origin: Chapter 2, 5 5. The nurse is assessing a family to determine if they have access to adequate health care. Which statement accurately describes how certain families are affected by common barriers to health care? A) After a decade of escalation, the percentage of children living in low-income families has been on the decline since 2000. B) White, non-Hispanic children overall are more likely than African American and Hispanic children to be in very good or excellent health. C) The proportion of children between the ages of 6 and 18 who are overweight is decreasing, but a large increase is occurring in African American females. D) The overall health care plan of working families may improve access to specialty care but limit access to preventive services. Ans: B Feedback: White, non-Hispanic children overall are more likely than African American and Hispanic children to be in very good or excellent health. After a decade of decline, the percentage of children living in low-income families has been on the rise since 2000. In 2005, 39% of children were living in low-income families and 18% were living in poor families (Douglas-Hall & Chau, 2008). The proportion of children between the ages of 6 and 18 who are overweight is increasing, but the largest increase is occurring in African American females (ChildS Forum on Child and Family Statistics, 2010). The overall plan may improve access to preventive services but may limit the access to specialty care, which has a major impact on children with chronic or long-term illnesses.