Test Bank-Burns Pediatric Primary Care,7th Edition
j j j j j j j j
,Burns'jPediatricjPrimaryjCarej7thjEditionjTestjBank
Chapterj1:jHealthjStatusjofjChildren:jGlobaljandjNational Perspectives
1. Whichjregionj globallyjhasj thejhighestjinfantj mortalityj rate?
A. Indonesia
B. SouthernjAsia
C. Sub-SaharanjAfricajCorrect
D. Syria
2. Thejprimaryjcarejpediatricjnursejpractitionerjunderstandsjthat,jtojachievethejgre
atestjworldwide
reductionjinjchildjmortalityjfromjpneumoniajandjdiarrhea,jwhichjinterventionisjmostjef
fective?
A. Antibiotics
B. Optimaljnutrition
C. Vaccinationsj Correct
D. Waterjpurification
3. WhichjisjtruejaboutjthejhealthjstatusjofjchildrenjinjthejUnitedjStates?
.j13348413856
A. GlobalismjhasjrelativelyjlittlejimpactjonjchildjhealthjmeasuresjinjthejU.S.
B. Obesityjratesjamongj2to5yearoldsjhavejshownjajrecentjsi
gnificant
decrease.jCorrect
.
C. Thejratejofjhouseholdjpovertyjisjlowerjthanjinjotherjeconomicallyjde
velopedjnations.
D. Youngjchildrenjwhojattendjpreschooljorjdayjcarejhavejhigherjfoodjins
ecurity.
4. Thejprimaryjcarejpediatricjnursejpractitionerjunderstandsjthatjajmajorchildjhe
althjoutcomejassociatedjwithjworldwidejclimatejchangejis
A. costj ofj living.
B. education.
C. nutrition.j Correct
D. pollution.
5. Whenjprovidingjwelljchildjcarejforjanjinfantjinjthejfirstjyearjofjlife,jtheprimaryjcarejpe
diatricjnursejpractitionerjisjadheringjtojthejmostjrecentjAmericanAcademyjofjPediatrics
RecommendationsjforjPreventivejPediatricjHealthjCarejguidelinesby
A. focusingjlessjonjdevelopmentjandjmorejonjillnessjpreventionjandjnutr
ition.
B. followingjguidelinesjestablishedjbyjtheBrightjFuturesjpublication.
C. schedulingjwellbabyjvisitsjtojcoincidejwithjkeyjdevelopmentalj
milestones.jCorrect
D. seeingj thej infantj atj agesj 2,j 4,j 6,j andj12jmonthsj whenjimmunizationsj aredue.
Chapterj2.jUniquejIssuesjinjPediatrics
1. Ajnursejisjexplainingjthejtherapeuticjmilieujtojajnewjnurse.jThejbestjexpl
anationjofjthisjtermjwouldjbe:
1. Thejplacejwherejthejchildjisjreceivingjcare.
,2. Groupjtherapy.
3. Personaljinteractionsjbetweenjpatientsjandjstaff.
4. Alljofjthejabovejarejcorrect.j
ANS:j4
2. Aj16-year-oldjmalejhasjreceivedjajpink-
slipjfromjthejpolicejforjinpatientpsychiatricjtreatment.jThejteen
hasjbeenjexpressingjthoughtsjofjhangingjhimselfjbecausejLifejsucks.jThenursingjstaffjsho
uldjconsider
placingjthejchild:
1. Withjpeers.
2. Injanjareajwherejhejcanj bejwatchedjone-on-one.
3. Withjajroommatejthatjisjexpressingjthejsamejconcerns.
4. Injanjareajclosejtojanjexternaljdoor.jA
NS:j2
3. Learningjdisabilitiesjinjchildrenjhavejscientificallyjbeenjlinkedjto:
1. Poorjnutrition.
2. Thejenvironmentjinjwhichjthejchildjlives.
3. Genetics.
4. Watchingjmorejthanjfourjhoursjofjtelevisionjajday.ANS:
3
4. Ajmentaljhealthjnursejhasjassessedjajchildjandjdeterminedjthatjthejchildexhibitsjbeha
vioraljchallenges.
Whenjthejschooljnursejexplainsj thisjtojajteacher,j thejbestjdescriptionj wouldbe:
.
1. Thejchildjmayjexhibitjphysicaljoutbursts.
2. Thejchildjmayjexhibitjviolencejtowardjothers.
3. Thejchildjmayjbejdefiantjorjhavejtantrums.
4. Thejchildjwilljneedjspecialjinterventionsjforjlearning.ANS:
3
5. Ajchildjthatjhasjnotjexhibitedjenuresisjinjfourjyearsjhasjexhibitedjthisbehaviorjpatt
ernjforjthejlastjweek.
Thejreasonjajchildj mayjrevertjbackjtojthisjbehaviorjpatternjisjbecausejof:
1. Hallucinations.
2. Behavioralj challenges.
3. Delusions.
4. Stress.
ANS:j4
6. Anj18-year-
oldjmalejhasjcalledjthejcrisisjlinejforjhelp.jThejcrisisjnurserecognizesjthejinterventionjneeds
mayjconsistjofjalljofjthejfollowingjexcept:
1. Discussingj thej individualsj everydayj activities.
2. Recognizingjthatjthejpatientj mayjbejinjajcatharsisjstate.
3. Expressingjempathyjtowardjthejcaller.
4. Avoidingjentropy.
ANS:j1
7. Anj8-year-
, 2. Hejstates,jIjwilljbejajgoodjboyjnow.
.
3. Hejstartsjheadbuttingjthejwindow.
4. Hejcomplainsjthatjhisjparentsjwilljfilejajlawsuit.ANS:
3
8. AjchildjhasjbeenjexhibitingjthejMacDonaldjTriad.jThesejbehaviorsjinclude:
1. Enuresis,jpushingjothers,jandjpyromania.
2. Swingingjajcatjbyjthejtail,jbed-wetting,jandjlightingjpaperjonjfirejinjthetrashjcan.
3. Playingjwithjotherjchildren,jlaughing,jandjconversingjwithjadults.
4. Playingjwithjajcampfire,jwatchingjtelevision,jandjseekingjadultjattention.ANS:j2
9. Ajteenagerjdiagnosedjwithjborderlinejpersonalityjdisorderjshouldjhavedischargejpla
nningjinstructionsjof:
1. Ajconsistentjcaregiver.
2. Monitoringjofjmedia,jsuchjasjthejInternet,j television,jandjvideojgames.
3. Obtainingjsupportjfromjfamilyjandjfriends.
4. Seekingj medicalj attentionj whenjthej teenagerj feelsj good.ANS:j3
10. Ajmentaljhealthjnursejisjteachingjthejmotherjofjajchildjwithjexecutivefunctioningjissu
esjwaysjtojhelp
herjchild.jInterventionsjthejmotherjshouldjusejinclude:
1. Placingjvisualjaidsjonjthejbathroomjmirrorjsojthatjthejchildjwilljfollowjthemorningjrout
ine.
2. Givejthejchildjajchoicejinjfoodsjtojeat.
3. Allowingjthejchildjtojaskjforjhelpjwhenjneeded.
4. Remindingjthejchildjtojbejnicejtojothers.jA
NS:j1
.
11. Ellie,jaj9-year-
oldjgirl,jwasjadoptedjbyjajfamilyjatjthejagejofj4jafterjseveraljyearsjofjseverejneglectjbyjherjb
irthjfamily.jThejadoptivejfamilyjhasbeenjreportingjthatjElliejisjangryjajlot,jmanipulativejw
ithjher
teachers,jandjdoesjnotjseekjpositivejattention.jThejnursejworkingjwithjElliewilljneedjto:
1. Providejeducationjonjdecreasingjstimulijinjthejhomejenvironmentjthattriggersjthej
anger.
2. RealizejElliejmayjhavejattachmentjissuesjrelatedjtojherjpreviousjhistoryandjwilljnee
djtojencouragejthe
familyjtojbejactivejinjherjcare.
3. Supportjthejfamilyjinjthejdecision-
makingjprocessjofjcontinuingjtojletjEllielivejinjthejhome.
4. DiscussjinpatientjtherapyjtojdecreasejElliesjmanipulativejbehaviorjpat
terns.
ANS:j2
12. Anjinfantjdisplaysjdepressionjby:
1. Smilingj atj strangers.
2. Bondingjtojsomeonejotherjthanjthejimmediatejfamily.
j j j j j j j j
,Burns'jPediatricjPrimaryjCarej7thjEditionjTestjBank
Chapterj1:jHealthjStatusjofjChildren:jGlobaljandjNational Perspectives
1. Whichjregionj globallyjhasj thejhighestjinfantj mortalityj rate?
A. Indonesia
B. SouthernjAsia
C. Sub-SaharanjAfricajCorrect
D. Syria
2. Thejprimaryjcarejpediatricjnursejpractitionerjunderstandsjthat,jtojachievethejgre
atestjworldwide
reductionjinjchildjmortalityjfromjpneumoniajandjdiarrhea,jwhichjinterventionisjmostjef
fective?
A. Antibiotics
B. Optimaljnutrition
C. Vaccinationsj Correct
D. Waterjpurification
3. WhichjisjtruejaboutjthejhealthjstatusjofjchildrenjinjthejUnitedjStates?
.j13348413856
A. GlobalismjhasjrelativelyjlittlejimpactjonjchildjhealthjmeasuresjinjthejU.S.
B. Obesityjratesjamongj2to5yearoldsjhavejshownjajrecentjsi
gnificant
decrease.jCorrect
.
C. Thejratejofjhouseholdjpovertyjisjlowerjthanjinjotherjeconomicallyjde
velopedjnations.
D. Youngjchildrenjwhojattendjpreschooljorjdayjcarejhavejhigherjfoodjins
ecurity.
4. Thejprimaryjcarejpediatricjnursejpractitionerjunderstandsjthatjajmajorchildjhe
althjoutcomejassociatedjwithjworldwidejclimatejchangejis
A. costj ofj living.
B. education.
C. nutrition.j Correct
D. pollution.
5. Whenjprovidingjwelljchildjcarejforjanjinfantjinjthejfirstjyearjofjlife,jtheprimaryjcarejpe
diatricjnursejpractitionerjisjadheringjtojthejmostjrecentjAmericanAcademyjofjPediatrics
RecommendationsjforjPreventivejPediatricjHealthjCarejguidelinesby
A. focusingjlessjonjdevelopmentjandjmorejonjillnessjpreventionjandjnutr
ition.
B. followingjguidelinesjestablishedjbyjtheBrightjFuturesjpublication.
C. schedulingjwellbabyjvisitsjtojcoincidejwithjkeyjdevelopmentalj
milestones.jCorrect
D. seeingj thej infantj atj agesj 2,j 4,j 6,j andj12jmonthsj whenjimmunizationsj aredue.
Chapterj2.jUniquejIssuesjinjPediatrics
1. Ajnursejisjexplainingjthejtherapeuticjmilieujtojajnewjnurse.jThejbestjexpl
anationjofjthisjtermjwouldjbe:
1. Thejplacejwherejthejchildjisjreceivingjcare.
,2. Groupjtherapy.
3. Personaljinteractionsjbetweenjpatientsjandjstaff.
4. Alljofjthejabovejarejcorrect.j
ANS:j4
2. Aj16-year-oldjmalejhasjreceivedjajpink-
slipjfromjthejpolicejforjinpatientpsychiatricjtreatment.jThejteen
hasjbeenjexpressingjthoughtsjofjhangingjhimselfjbecausejLifejsucks.jThenursingjstaffjsho
uldjconsider
placingjthejchild:
1. Withjpeers.
2. Injanjareajwherejhejcanj bejwatchedjone-on-one.
3. Withjajroommatejthatjisjexpressingjthejsamejconcerns.
4. Injanjareajclosejtojanjexternaljdoor.jA
NS:j2
3. Learningjdisabilitiesjinjchildrenjhavejscientificallyjbeenjlinkedjto:
1. Poorjnutrition.
2. Thejenvironmentjinjwhichjthejchildjlives.
3. Genetics.
4. Watchingjmorejthanjfourjhoursjofjtelevisionjajday.ANS:
3
4. Ajmentaljhealthjnursejhasjassessedjajchildjandjdeterminedjthatjthejchildexhibitsjbeha
vioraljchallenges.
Whenjthejschooljnursejexplainsj thisjtojajteacher,j thejbestjdescriptionj wouldbe:
.
1. Thejchildjmayjexhibitjphysicaljoutbursts.
2. Thejchildjmayjexhibitjviolencejtowardjothers.
3. Thejchildjmayjbejdefiantjorjhavejtantrums.
4. Thejchildjwilljneedjspecialjinterventionsjforjlearning.ANS:
3
5. Ajchildjthatjhasjnotjexhibitedjenuresisjinjfourjyearsjhasjexhibitedjthisbehaviorjpatt
ernjforjthejlastjweek.
Thejreasonjajchildj mayjrevertjbackjtojthisjbehaviorjpatternjisjbecausejof:
1. Hallucinations.
2. Behavioralj challenges.
3. Delusions.
4. Stress.
ANS:j4
6. Anj18-year-
oldjmalejhasjcalledjthejcrisisjlinejforjhelp.jThejcrisisjnurserecognizesjthejinterventionjneeds
mayjconsistjofjalljofjthejfollowingjexcept:
1. Discussingj thej individualsj everydayj activities.
2. Recognizingjthatjthejpatientj mayjbejinjajcatharsisjstate.
3. Expressingjempathyjtowardjthejcaller.
4. Avoidingjentropy.
ANS:j1
7. Anj8-year-
, 2. Hejstates,jIjwilljbejajgoodjboyjnow.
.
3. Hejstartsjheadbuttingjthejwindow.
4. Hejcomplainsjthatjhisjparentsjwilljfilejajlawsuit.ANS:
3
8. AjchildjhasjbeenjexhibitingjthejMacDonaldjTriad.jThesejbehaviorsjinclude:
1. Enuresis,jpushingjothers,jandjpyromania.
2. Swingingjajcatjbyjthejtail,jbed-wetting,jandjlightingjpaperjonjfirejinjthetrashjcan.
3. Playingjwithjotherjchildren,jlaughing,jandjconversingjwithjadults.
4. Playingjwithjajcampfire,jwatchingjtelevision,jandjseekingjadultjattention.ANS:j2
9. Ajteenagerjdiagnosedjwithjborderlinejpersonalityjdisorderjshouldjhavedischargejpla
nningjinstructionsjof:
1. Ajconsistentjcaregiver.
2. Monitoringjofjmedia,jsuchjasjthejInternet,j television,jandjvideojgames.
3. Obtainingjsupportjfromjfamilyjandjfriends.
4. Seekingj medicalj attentionj whenjthej teenagerj feelsj good.ANS:j3
10. Ajmentaljhealthjnursejisjteachingjthejmotherjofjajchildjwithjexecutivefunctioningjissu
esjwaysjtojhelp
herjchild.jInterventionsjthejmotherjshouldjusejinclude:
1. Placingjvisualjaidsjonjthejbathroomjmirrorjsojthatjthejchildjwilljfollowjthemorningjrout
ine.
2. Givejthejchildjajchoicejinjfoodsjtojeat.
3. Allowingjthejchildjtojaskjforjhelpjwhenjneeded.
4. Remindingjthejchildjtojbejnicejtojothers.jA
NS:j1
.
11. Ellie,jaj9-year-
oldjgirl,jwasjadoptedjbyjajfamilyjatjthejagejofj4jafterjseveraljyearsjofjseverejneglectjbyjherjb
irthjfamily.jThejadoptivejfamilyjhasbeenjreportingjthatjElliejisjangryjajlot,jmanipulativejw
ithjher
teachers,jandjdoesjnotjseekjpositivejattention.jThejnursejworkingjwithjElliewilljneedjto:
1. Providejeducationjonjdecreasingjstimulijinjthejhomejenvironmentjthattriggersjthej
anger.
2. RealizejElliejmayjhavejattachmentjissuesjrelatedjtojherjpreviousjhistoryandjwilljnee
djtojencouragejthe
familyjtojbejactivejinjherjcare.
3. Supportjthejfamilyjinjthejdecision-
makingjprocessjofjcontinuingjtojletjEllielivejinjthejhome.
4. DiscussjinpatientjtherapyjtojdecreasejElliesjmanipulativejbehaviorjpat
terns.
ANS:j2
12. Anjinfantjdisplaysjdepressionjby:
1. Smilingj atj strangers.
2. Bondingjtojsomeonejotherjthanjthejimmediatejfamily.
