Burns' Pediatric Primary Care 7th Edition Test Bank | Complete Guide

,Burns' Pediatric Primary Care 7th Edition Test Bank
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Chapter 1: Health Status of Children: Global and National Perspective
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s

1. Which region globally has the highest infant mortality rate?
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A. Indonesia
B. Southern Asia ir


C. SubSaharan Africa Correct ir ir


D. Syria

2. The primary care pediatric nurse practitioner understands that, to achieve th
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e
greatest worldwide ir


reduction in child mortality from pneumonia and diarrhea, which interventionis most
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effective?
A. Antibiotics
B. Optimal nutrition ir


C. Vaccinations Correct ir


D. Waterpurification ri




3. Which is true about the health status of children in the United States?
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.
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A. Globalism has relatively little impact on child health measures in the U.S.
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B. Obesity rates among 2to5yearolds have shown a recent ir ir ir ir ir ir ir ir


significant
decrease. Correct ir


.
C. The rate of household poverty is lower than in other economically de
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veloped nations. ir


D. Young children who attend preschool or day care have higher food in
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security.
4. The primary care pediatric nurse practitioner understands that a major ch
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ild
health outcome associated with worldwide climate change is
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A. cost of living.
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B. education.
C. nutrition. Correct ir


D. pollution.

5. When providing well child care for an infant in the first year of life, the
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primary
care pediatric nurse practitioner is adhering to the most recent American Acade
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my ofir


PediatricsRecommendations for Preventive Pediatric Health Care guidelines by ir ir ir ir ir ir ir


A. focusing less on development and more on illness prevention and nu
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trition.
B. following guidelines established by theBright Futures publication.
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C. scheduling wellbaby visits to coincide with key developmental ir ir ir ir ir ir ir ir


milestones. Correct ir


D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are du
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e.

Chapter 2. Unique Issues in Pediatrics ir ir ir ir ir

,2. Group therapy. ir


3. Personal interactions between patients and staff. i r i r i r i r i r


4. All of the above are correct. A
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NS: 4 ir




2. A 16-year-old male has received a pink-
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slip from the police for inpatient psychiatric treatment. The teen
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has been expressing thoughts of hanging himself because Life sucks. Thenursing staff
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rshould consider ir


placing the child: ir ir


1. With peers. ir


2. In an area where he can be watched one-on-one.
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3. With aroommate thatisexpressing the sameconcerns.
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4. In an area close to an external door. A
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NS: 2 ir




3. Learning disabilities in children have scientifically been linked to:
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1. Poornutrition.
2. The environment in which the child lives.
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3. Genetics.
4. Watching more than four hours of television a day. A ir ir ir ir ir ir ir ir ir


NS: 3 ir




4. A mental health nurse has assessed a child and determined that the child exhibits
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behavioral challenges.
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When the school nurse explains this to a teacher, the best description wouldbe:
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.
1. The child may exhibit physical outbursts.
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2. The child may exhibit violence toward others.
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3. The child may be defiant or have tantrums.
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4. The child will need special interventions for learning.
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ANS: 3 ir




5. A child that has not exhibited enuresis in four years has exhibited this be
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havior pattern for the last week. ir ir ir ir ir


The reason a child may revert back to this behavior pattern is because of:
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1. Hallucinations.
2. Behavioral challenges. ir


3. Delusions.
4. Stress.
ANS: 4 ir




6. An 18-year- ir


old male has called the crisis line for help. The crisis nurse recognizes the in
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tervention needs ir


may consist of all of the following except:
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1. Discussing the individuals everyday activities. ir ir ir ir


2. Recognizing that the patient may be in a catharsis state. ir ir ir ir ir ir ir ir ir


3. Expressing empathy toward the caller. ir ir ir ir


4. Avoiding entropy. ir


ANS: 1 ir

, 2. He states, I will be a good boy now.
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.
3. He starts headbutting the window.
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4. He complains that his parents will file a lawsuit. A
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NS: 3 ir




8. A child has been exhibiting the MacDonald Triad. These behaviors include:
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1. Enuresis, pushing others, andpyromania. ir ri ri ri


2. Swinging a cat by the tail, bed- ir ir ir ir ir ir


wetting, and lighting paper on fire in the trash can. ir ir ir ir ir ir ir ir ir


3. Playing with other children, laughing, and conversing with adults.
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4. Playing with a campfire, watching television, and seeking adult attention. AN
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S: 2 ir




9. A teenager diagnosed with borderline personality disorder should have d
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ischarge planning instructions of: ir ir ir


1. A consistent caregiver.
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2. Monitoring of media, such as the Internet, television, and video games. ir ir ir ir ir ir ir ir ir ir


3. Obtaining support from family and friends. ir ir ir ir ir


4. Seeking medical attention when the teenager feels good. ir ir ir ir ir ir ir ir


ANS: 3 ir




10. A mental health nurse is teaching the mother of a child with executive fun
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ctioning issues ways to help ir ir ir ir


her child. Interventions the mother should use include:
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1. Placing visual aids on the bathroom mirror so that the child will follow the mor
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ning routine. ir


2. Give the child a choice in foods to eat.
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3. Allowing the child to ask for help when needed. ir i r ir ir ir ir i r i r


4. Reminding the child to be nice to others. A ir ir ir ir ir ir ir ir


NS: 1 ir




.
11. Ellie, a 9-year- ir ir


old girl, was adopted by a family at the age of 4 after several years of severe neglec
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t by her birth family. The adoptive family hasbeen reporting that Ellie is angry a
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lot, manipulative with her
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teachers, and does not seek positive attention. The nurse working with EllieIwill need
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to:
1. Provide education on decreasing stimuli in the home environment that t ir ir ir ir ir ir ir ir ir ir


riggers the anger. ir ir


2. Realize Ellie may have attachment issues related to her previous history a
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nd will need to encourage the
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family to be active in her care. ir ir ir ir ir ir


3. Support the family in the decision- ir ir ir ir ir


making process of continuing to let Ellie live in the home.
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4. Discuss inpatient therapy to decrease Ellies manipulative behavior p
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atterns.

ANS:2 ri