Chapter i1: iHealth iStatus iof iChildren: iGlobal iand iNationalPerspectives
1. Which iregion i globally ihas i the ihighest iinfant i mortality i rate?
A. Indonesia
B. Southern iAsia
C. Sub-Saharan iAfrica iCorrect
D. Syria
2. The iprimary icare ipediatric inurse ipractitioner iunderstands ithat, ito iachievethe
igreatest iworldwide
reduction iin ichild imortality ifrom ipneumonia iand idiarrhea, iwhich iinterventionis
imost ieffective?
A. Antibiotics
B. Optimal inutrition
C. Vaccinations i Correct
D. Water ipurification
3. Which iis itrue iabout ithe ihealth istatus iof ichildren iin ithe iUnited iStates?
. i13348413856
A. Globalism ihas irelatively ilittle iimpact ion ichild ihealth imeasures iin ithe iU.S.
B. Obesity irates iamong i2to5yearolds ihave ishown ia irecent
isignificant
decrease. iCorrect
.
C. The irate iof ihousehold ipoverty iis ilower ithan iin iother ieconomically
ideveloped inations.
D. Young ichildren iwho iattend ipreschool ior iday icare ihave ihigher ifood
iinsecurity.
4. The iprimary icare ipediatric inurse ipractitioner iunderstands ithat ia imajorchild
ihealth ioutcome iassociated iwith iworldwide iclimate ichange iis
A. cost i of i living.
B. education.
C. nutrition. i Correct
D. pollution.
5. When iproviding iwell ichild icare ifor ian iinfant iin ithe ifirst iyear iof ilife, itheprimary
icare ipediatric inurse ipractitioner iis iadhering ito ithe imost irecent iAmericanAcademy iof
iPediatricsRecommendations ifor iPreventive iPediatric iHealth iCare iguidelinesby
A. focusing iless ion idevelopment iand imore ion iillness iprevention iand
inutrition.
B. following iguidelines iestablished iby itheBright iFutures ipublication.
C. scheduling iwellbaby ivisits ito icoincide iwith ikey idevelopmental
imilestones. i Correct
D. seeing i the i infant i at i ages i 2, i 4, i 6, i and i12 imonths i when i immunizations i aredue.
Chapter i2. iUnique iIssues iin iPediatrics
1. A inurse iis iexplaining ithe itherapeutic imilieu ito ia inew inurse. iThe ibest
iexplanation iof ithis iterm iwould ibe:
1. The iplace iwhere ithe ichild iis ireceiving icare.
,2. Group itherapy.
3. Personal iinteractions ibetween ipatients iand istaff.
4. All iof ithe iabove iare icorrect.
iANS: i4
2. A i16-year-old imale ihas ireceived ia ipink-slip ifrom ithe ipolice ifor iinpatientpsychiatric
itreatment. iThe iteen
has ibeen iexpressing ithoughts iof ihanging ihimself ibecause iLife isucks. iThenursing istaff
ishould iconsider
placing ithe ichild:
1. With ipeers.
2. In ian iarea iwhere ihe ican ibe iwatched ione-on-one.
3. With ia iroommate ithat iis iexpressing ithe isame iconcerns.
4. In ian iarea iclose ito ian iexternal idoor.
iANS: i2
3. Learning idisabilities iin ichildren ihave iscientifically ibeen ilinked ito:
1. Poorinutrition.
2. The ienvironment iin iwhich ithe ichild ilives.
3. Genetics.
4. Watching imore ithan ifour ihours iof itelevision ia iday.ANS:
3
4. A imental ihealth inurse ihas iassessed ia ichild iand idetermined ithat ithe ichildexhibits
ibehavioral ichallenges.
When ithe ischool inurse iexplains i this ito ia iteacher, ithe ibest idescription iwouldbe:
.
1. The ichild imay iexhibit iphysical ioutbursts.
2. The ichild imay iexhibit iviolence itoward iothers.
3. The ichild imay ibe idefiant ior ihave itantrums.
4. The ichild iwill ineed ispecial iinterventions ifor ilearning.ANS:
3
5. A ichild ithat ihas inot iexhibited ienuresis iin ifour iyears ihas iexhibited ithisbehavior
ipattern ifor ithe ilast iweek.
The ireason ia ichild i may irevert iback ito ithis ibehavior ipattern iis ibecause iof:
1. Hallucinations.
2. Behavioral i challenges.
3. Delusions.
4. Stress.
ANS: i4
6. An i18-year-old imale ihas icalled ithe icrisis iline ifor ihelp. iThe icrisis inurserecognizes ithe
iintervention ineeds
may iconsist iof iall iof ithe ifollowing iexcept:
1. Discussing i the i individuals i everyday i activities.
2. Recognizing ithat ithe ipatient i may ibe iin ia icatharsis istate.
3. Expressing iempathy itoward ithe icaller.
4. Avoiding ientropy.
ANS: i1
7. An i8-year-old iboy iwith ia ihistory iof ihallucinations iand iviolent ibehavior ihasbeen iplace
, 2. He istates, iI iwill ibe ia igood iboy inow.
.
3. He istarts iheadbutting ithe iwindow.
4. He icomplains ithat ihis iparents iwill ifile ia ilawsuit.ANS:
3
8. A ichild ihas ibeen iexhibiting ithe iMacDonald iTriad. iThese ibehaviors iinclude:
1. Enuresis,ipushing iothers, iandipyromania.
2. Swinging ia icat iby ithe itail, ibed-wetting, iand ilighting ipaper ion ifire iin ithetrash ican.
3. Playing iwith iother ichildren, ilaughing, iand iconversing iwith iadults.
4. Playing iwith ia icampfire, iwatching itelevision, iand iseeking iadult iattention.ANS: i2
9. A iteenager idiagnosed iwith iborderline ipersonality idisorder ishould ihavedischarge
iplanning iinstructions iof:
1. A iconsistent icaregiver.
2. Monitoring iof imedia, isuch ias ithe iInternet, i television, iand ivideo igames.
3. Obtaining isupport ifrom ifamily iand ifriends.
4. Seeking i medical i attention i when i the i teenager i feels i good.ANS: i3
10. A imental ihealth inurse iis iteaching ithe imother iof ia ichild iwith iexecutivefunctioning
iissues iways ito ihelp
her ichild. iInterventions ithe imother ishould iuse iinclude:
1. Placing ivisual iaids ion ithe ibathroom imirror iso ithat ithe ichild iwill ifollow ithemorning
iroutine.
2. Give ithe ichild ia ichoice iin ifoods ito ieat.
3. Allowing ithe ichild ito iask ifor ihelp iwhen ineeded.
4. Reminding ithe ichild ito ibe inice ito iothers.
iANS: i1
.
11. Ellie, ia i9-year-old igirl, iwas iadopted iby ia ifamily iat ithe iage iof i4 iafter iseveral iyears
iof isevere ineglect iby iher ibirth ifamily. iThe iadoptive ifamily ihasbeen ireporting ithat iEllie
iis iangry ia ilot, imanipulative iwith iher
teachers, iand idoes inot iseek ipositive iattention. iThe inurse iworking iwith iElliewill ineed ito:
1. Provide ieducation ion idecreasing istimuli iin ithe ihome ienvironment ithattriggers
ithe ianger.
2. Realize iEllie imay ihave iattachment iissues irelated ito iher iprevious ihistoryand iwill
ineed ito iencourage ithe
family ito ibe iactive iin iher icare.
3. Support ithe ifamily iin ithe idecision-making iprocess iof icontinuing ito ilet iEllielive iin
ithe ihome.
4. Discuss iinpatient itherapy ito idecrease iEllies imanipulative ibehavior
ipatterns.
ANS: i2
12. An iinfant idisplays idepression iby:
1. Smiling i at i strangers.
2. Bonding ito isomeone iother ithan ithe iimmediate ifamily.
3. Crying imore ithan ian iaverage iinfant.