,Burns' Pediatric Primary Care 8th Edition Test Bank
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Chapter 1: Health Status of Children: Global and National Perspectiv
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es
1. Which region globally has the highest infant mortality rate?
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A. Indonesia
B. Southern Asia jo
C. SubSaharan Africa Correct jo jo
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achieve t
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he
greatest worldwide jo
reduction in child mortality from pneumonia and diarrhea, which interventionis mos
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t effective?
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A. Antibiotics
B. Optimal nutrition jo
C. Vaccinations Correct jo
D. Water purification jo
3. Which is true about the health status of children in the United States?
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.
13348413856
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
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josignificant
decrease. Correct jo
.
C. The rate of household poverty is lower than in other economically
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developed nations. jo
D. Young children who attend preschool or day care have higher food
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insecurity.
4. The primary care pediatric nurse practitioner understands that a major
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child
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 jo
D. pollution.
5. When providing well child care for an infant in the first year of life, th
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e primary
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care pediatric nurse practitioner is adhering to the most recent American Acad
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emy of jo
PediatricsRecommendations for Preventive Pediatric Health Care guidelines b jo jo jo jo jo jo jo
y
A. focusing less on development and more on illness prevention and
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nutrition.
B. following guidelines established by theBright Futures publication.
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C. scheduling wellbaby visits to coincide with key developmental jo jo jo jo jo jo jo jo
,2. Group therapy. jo
3. Personal interactions between patients and staff. j o j o j o j o j o
4. All of the above are correct.
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ANS: 4 jo
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 sta
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ff should consider
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placing the child: jo jo
1. With peers. jo
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.
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ANS: 2 jo
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. jo jo jo jo jo jo jo jo jo
ANS: 3 jo
4. A mental health nurse has assessed a child and determined that the child exhib
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its 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
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5. A child that has not exhibited enuresis in four years has exhibited this
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behavior pattern for the last week. jo jo jo jo jo
The reason a child may revert back to this behavior pattern is because of:
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1. Hallucinations.
2. Behavioral challenges. jo
3. Delusions.
4. Stress.
ANS: 4 jo
6. An 18-year- jo
old male has called the crisis line for help. The crisis nurse recognizes the
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intervention needs
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may consist of all of the following except:
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1. Discussing the individuals everyday activities. jo jo jo jo
2. Recognizing that the patient may be in a catharsis state. jo jo jo jo jo jo jo jo jo
3. Expressing empathy toward the caller. jo jo jo jo
4. Avoiding entropy. jo
ANS: 1 jo
, 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.
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ANS: 3 jo
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
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1. Enuresis, pushing others, and pyromania. jo jo jo jo
2. Swinging a cat by the tail, bed- jo jo jo jo jo jo
wetting, and lighting paper on fire in the trash can.
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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.
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ANS: 2 jo
9. A teenager diagnosed with borderline personality disorder should have
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discharge planning instructions of: jo jo jo
1. A consistent caregiver.
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2. Monitoring of media, such as the Internet, television, and video games. jo jo jo jo jo jo jo jo jo jo
3. Obtaining support from family and friends. jo jo jo jo jo
4. Seeking medical attention when the teenager feels good.
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ANS: 3
o jo
10. A mental health nurse is teaching the mother of a child with executive f
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unctioning issues ways to help jo jo jo jo
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
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morning routine. jo
2. Give the child a choice in foods to eat.
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3. Allowing the child to ask for help when needed. jo j o jo jo jo jo j o j o
4. Reminding the child to be nice to others. jo jo jo jo jo jo jo jo
ANS: 1 jo
.
11. Ellie, a 9-year- jo jo
old girl, was adopted by a family at the age of 4 after several years of severe neg
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lect by her birth family. The adoptive family hasbeen reporting that Ellie is a
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ngry a lot, manipulative with her
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teachers, and does not seek positive attention. The nurse working with EllieIwill nee
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d to:
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1. Provide education on decreasing stimuli in the home environment that
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triggers the anger. jo jo
2. Realize Ellie may have attachment issues related to her previous history
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oand will need to encourage the
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family to be active in her care.
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3. Support the family in the decision- jo jo jo jo jo
making process of continuing to let Ellie live in the home.
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4. Discuss inpatient therapy to decrease Ellies manipulative behavior
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patterns.
ANS:2 jo
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Chapter 1: Health Status of Children: Global and National Perspectiv
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es
1. Which region globally has the highest infant mortality rate?
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A. Indonesia
B. Southern Asia jo
C. SubSaharan Africa Correct jo jo
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achieve t
jo jo jo jo jo jo jo jo jo jo
he
greatest worldwide jo
reduction in child mortality from pneumonia and diarrhea, which interventionis mos
jo jo jo jo jo jo jo jo jo jo
t effective?
jo
A. Antibiotics
B. Optimal nutrition jo
C. Vaccinations Correct jo
D. Water purification jo
3. Which is true about the health status of children in the United States?
jo jo jo jo jo jo jo jo jo jo jo jo
.
13348413856
A. Globalism has relatively little impact on child health measures in the U.S.
j o j o j o j o j o j o j o j o j o jo j o
B. Obesity rates among 2to5yearolds have shown a recent
jo jo jo jo jo jo jo
josignificant
decrease. Correct jo
.
C. The rate of household poverty is lower than in other economically
jo jo jo jo jo jo jo jo jo jo jo
developed nations. jo
D. Young children who attend preschool or day care have higher food
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insecurity.
4. The primary care pediatric nurse practitioner understands that a major
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child
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 jo
D. pollution.
5. When providing well child care for an infant in the first year of life, th
jo jo jo jo jo jo jo jo jo jo jo jo jo jo
e primary
jo
care pediatric nurse practitioner is adhering to the most recent American Acad
jo jo jo jo jo jo jo jo jo jo jo
emy of jo
PediatricsRecommendations for Preventive Pediatric Health Care guidelines b jo jo jo jo jo jo jo
y
A. focusing less on development and more on illness prevention and
jo jo jo jo jo jo jo jo jo jo
nutrition.
B. following guidelines established by theBright Futures publication.
j o j o j o j o j o j o
C. scheduling wellbaby visits to coincide with key developmental jo jo jo jo jo jo jo jo
,2. Group therapy. jo
3. Personal interactions between patients and staff. j o j o j o j o j o
4. All of the above are correct.
jo jo jo jo jo jo
ANS: 4 jo
2. A 16-year-old male has received a pink-
jo jo jo jo jo jo
slip from the police for inpatient psychiatric treatment. The teen
jo jo jo jo jo jo jo jo jo
has been expressing thoughts of hanging himself because Life sucks. Thenursing sta
jo jo jo jo jo jo jo jo jo jo jo
ff should consider
jo jo
placing the child: jo jo
1. With peers. jo
2. In an area where he can be watched one-on-one.
jo jo jo jo jo jo jo jo
3. With aroommate thatisexpressing the sameconcerns.
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4. In an area close to an external door.
jo jo jo jo jo jo jo jo
ANS: 2 jo
3. Learning disabilities in children have scientifically been linked to:
jo j o jo j o j o j o j o j o
1. Poornutrition.
2. The environment in which the child lives.
j o j o j o j o j o j o
3. Genetics.
4. Watching more than four hours of television a day. jo jo jo jo jo jo jo jo jo
ANS: 3 jo
4. A mental health nurse has assessed a child and determined that the child exhib
jo jo jo jo jo jo jo jo jo jo jo jo jo jo
its behavioral challenges.
jo jo
When the school nurse explains this to a teacher, the best description wouldbe:
jo jo jo jo jo jo jo jo jo jo jo jo
.
1. The child may exhibit physical outbursts.
jo jo jo jo jo
2. The child may exhibit violence toward others.
j o j o j o j o j o j o
3. The child may be defiant or have tantrums.
jo jo jo jo jo jo jo
4. The child will need special interventions for learning
jo j o j o jo jo j o jo
. ANS: 3
jo jo
5. A child that has not exhibited enuresis in four years has exhibited this
jo jo jo jo jo jo jo jo jo jo jo jo jo
behavior pattern for the last week. jo jo jo jo jo
The reason a child may revert back to this behavior pattern is because of:
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1. Hallucinations.
2. Behavioral challenges. jo
3. Delusions.
4. Stress.
ANS: 4 jo
6. An 18-year- jo
old male has called the crisis line for help. The crisis nurse recognizes the
jo jo jo jo jo jo jo jo jo jo jo jo jo j
intervention needs
o jo
may consist of all of the following except:
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1. Discussing the individuals everyday activities. jo jo jo jo
2. Recognizing that the patient may be in a catharsis state. jo jo jo jo jo jo jo jo jo
3. Expressing empathy toward the caller. jo jo jo jo
4. Avoiding entropy. jo
ANS: 1 jo
, 2. He states, I will be a good boy now.
jo jo jo jo jo jo jo jo
.
3. He starts headbutting the window.
j o j o j o j o
4. He complains that his parents will file a lawsuit.
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ANS: 3 jo
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
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1. Enuresis, pushing others, and pyromania. jo jo jo jo
2. Swinging a cat by the tail, bed- jo jo jo jo jo jo
wetting, and lighting paper on fire in the trash can.
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3. Playing with other children, laughing, and conversing with adults.
j o j o j o j o j o j o j o j o
4. Playing with a campfire, watching television, and seeking adult attention.
jo jo jo jo jo jo jo jo jo jo
ANS: 2 jo
9. A teenager diagnosed with borderline personality disorder should have
jo jo jo jo jo jo jo jo jo
discharge planning instructions of: jo jo jo
1. A consistent caregiver.
j o j o
2. Monitoring of media, such as the Internet, television, and video games. jo jo jo jo jo jo jo jo jo jo
3. Obtaining support from family and friends. jo jo jo jo jo
4. Seeking medical attention when the teenager feels good.
jo jo jo jo jo jo jo j
ANS: 3
o jo
10. A mental health nurse is teaching the mother of a child with executive f
jo jo jo jo jo jo jo jo jo jo jo jo jo
unctioning issues ways to help jo jo jo jo
her child. Interventions the mother should use include:
jo jo jo jo jo jo jo
1. Placing visual aids on the bathroom mirror so that the child will follow the
jo jo jo jo jo jo jo jo jo jo jo jo jo jo
morning routine. jo
2. Give the child a choice in foods to eat.
jo jo jo jo jo jo jo jo
3. Allowing the child to ask for help when needed. jo j o jo jo jo jo j o j o
4. Reminding the child to be nice to others. jo jo jo jo jo jo jo jo
ANS: 1 jo
.
11. Ellie, a 9-year- jo jo
old girl, was adopted by a family at the age of 4 after several years of severe neg
jo jo jo jo jo jo jo jo jo jo jo jo jo jo jo jo jo
lect by her birth family. The adoptive family hasbeen reporting that Ellie is a
jo jo jo jo jo jo jo jo jo jo jo jo jo
ngry a lot, manipulative with her
jo jo jo jo jo
teachers, and does not seek positive attention. The nurse working with EllieIwill nee
jo jo jo jo jo jo jo jo jo jo jo jo
d to:
jo
1. Provide education on decreasing stimuli in the home environment that
jo jo jo jo jo jo jo jo jo jo
triggers the anger. jo jo
2. Realize Ellie may have attachment issues related to her previous history
jo jo jo jo jo jo jo jo jo jo j
oand will need to encourage the
jo jo jo jo jo
family to be active in her care.
jo jo jo jo jo jo
3. Support the family in the decision- jo jo jo jo jo
making process of continuing to let Ellie live in the home.
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4. Discuss inpatient therapy to decrease Ellies manipulative behavior
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patterns.
ANS:2 jo
