NURS 642 Exam 1 UPDATED Exam
Questions and CORRECT Answers
3 leading causes of death globally in children younger than 5? - CORRECT ANSWER -
pneumonia (mainly from strep), diarrhea (mainly from rotavirus), and malaria
What 3 things contribute to childhood mortality rates globally? - CORRECT ANSWER -
Undernutrition, low rates of breastfeeding, and zinc deficiency
What are 3 things that are affecting the overall health status of children the United States? -
CORRECT ANSWER - Greater number of children in poverty, obesity, and food
insecurity
5 facts about the greater number of children in poverty - CORRECT ANSWER - Chronic
physical/mental health conditions, exposure to intimate partner violence, and abuse. 1 in 5
children is below FPL, rates are higher in latino and african-american families
What percentage of 2-19 year old are obese and what does this cause them to be at risk for? -
CORRECT ANSWER - 17% of children between 2-19. At risk for heart disease, type 2
diabetes, stroke, osteoarthritis
How many children live in food insecurity and what are 3 ways to combat this? - CORRECT
ANSWER - 1 in 5 children live in food insecure households. SNAP, WIC, SBP help to
combat this
What is dual-patient care? - CORRECT ANSWER - In a way, you have two pts, the child
& the family member
§ Children's voices tend to get overridden in pediatric care, the child's voice still needs to be
heard and they should participate in care while the parent is ultimately the main decision maker.
These things need to be balanced
,What is family-centered care? - CORRECT ANSWER - § acknowledge the patient's
ultimate control over health-related decisions, while at the same time acknowledging that these
decisions are contextualized within each patient's broader life experiences and family
§ Challenge of using a pure PFCC model in pediatric primary care is that there is not one patient,
but two, and while the child is the focus, the parent is considered the authority in terms of
decisions
What is the strongest impact on health for pediatric patients? - CORRECT ANSWER -o
Lack of health insurance is single strongest predictor of quality of care for U.S children
3 tools available for child and family assessment? - CORRECT ANSWER - Family
ecomap, family APGAR, SCREEM
Family ecomap - CORRECT ANSWER - A graphic portrayal of the type, number, and
quality of relationships or connections individuals have within their family and their community
Family APGAR - CORRECT ANSWER - Used to assess a family's Adaption, Partnership,
Growth, Affection, and Resolve. It consist of 5 questions
SCREEM tool - CORRECT ANSWER - Used to identify a families Social, Cultural,
Religious, Economic, Education, and Medical resources, as well as their absence.
Health supervision schedule - CORRECT ANSWER - Newborn, 3-5 days, 1 month, 2
month, 4 month, 6 month, 9 month, 12 month, 15 month, 18 month, 24 month, 30 month, 3 yrs
then yearly
Bright futures - CORRECT ANSWER - § Prevention-based, developmentally oriented
care
§ Parent tools to empower families to be active partners
§ national health promotion and prevention initiative
§ built around the understanding that children and families are affected by a variety of biological
(nature) and ecological (nurture) exposures
, § Goal: support a child's life course in which strengths and protective factors outweigh risk
factors
Things that need to be done at every well visit - CORRECT ANSWER - Hx, length/height
& weight, developmental surveillance, behavior/social/emotional screening, PE, immunizations,
& anticipatory guidance
Surveillance - CORRECT ANSWER - Systematic collection, analysis, and interpretation
of data for the purpose of prevention, because findings from health surveillance guide primary
prevention measures.
Screenings - CORRECT ANSWER - Are targeted systematic actions at a single point in
time that are designed to identify a preclinical condition or disease in individuals suspected of
having or being at risk for the specific health impairment
Role of primary care PNP - CORRECT ANSWER - o Primary care CNPs focus on
comprehensive, continuous care characterized by a long term relationship between the patient
and primary care CNP. The primary care CNP provides care for most health needs and
coordinates additional health care services beyond the primary care CNP's area of expertise.
What is the best practice model? - CORRECT ANSWER - Patient-family-centered
community based primary care is the best practice model
What are 3 things that are needed to work effectively with diversity individuals? - CORRECT
ANSWER - Interested in other cultures
Sensitive enough to notice cultural differences
Willing to modify our own attitudes and behavior
What practices might asia/middle east/china families use? - CORRECT ANSWER -
Acupuncture, moxibustion, coin rubbing, cupping, yin & yang, Qi, "toxic wind"
Questions and CORRECT Answers
3 leading causes of death globally in children younger than 5? - CORRECT ANSWER -
pneumonia (mainly from strep), diarrhea (mainly from rotavirus), and malaria
What 3 things contribute to childhood mortality rates globally? - CORRECT ANSWER -
Undernutrition, low rates of breastfeeding, and zinc deficiency
What are 3 things that are affecting the overall health status of children the United States? -
CORRECT ANSWER - Greater number of children in poverty, obesity, and food
insecurity
5 facts about the greater number of children in poverty - CORRECT ANSWER - Chronic
physical/mental health conditions, exposure to intimate partner violence, and abuse. 1 in 5
children is below FPL, rates are higher in latino and african-american families
What percentage of 2-19 year old are obese and what does this cause them to be at risk for? -
CORRECT ANSWER - 17% of children between 2-19. At risk for heart disease, type 2
diabetes, stroke, osteoarthritis
How many children live in food insecurity and what are 3 ways to combat this? - CORRECT
ANSWER - 1 in 5 children live in food insecure households. SNAP, WIC, SBP help to
combat this
What is dual-patient care? - CORRECT ANSWER - In a way, you have two pts, the child
& the family member
§ Children's voices tend to get overridden in pediatric care, the child's voice still needs to be
heard and they should participate in care while the parent is ultimately the main decision maker.
These things need to be balanced
,What is family-centered care? - CORRECT ANSWER - § acknowledge the patient's
ultimate control over health-related decisions, while at the same time acknowledging that these
decisions are contextualized within each patient's broader life experiences and family
§ Challenge of using a pure PFCC model in pediatric primary care is that there is not one patient,
but two, and while the child is the focus, the parent is considered the authority in terms of
decisions
What is the strongest impact on health for pediatric patients? - CORRECT ANSWER -o
Lack of health insurance is single strongest predictor of quality of care for U.S children
3 tools available for child and family assessment? - CORRECT ANSWER - Family
ecomap, family APGAR, SCREEM
Family ecomap - CORRECT ANSWER - A graphic portrayal of the type, number, and
quality of relationships or connections individuals have within their family and their community
Family APGAR - CORRECT ANSWER - Used to assess a family's Adaption, Partnership,
Growth, Affection, and Resolve. It consist of 5 questions
SCREEM tool - CORRECT ANSWER - Used to identify a families Social, Cultural,
Religious, Economic, Education, and Medical resources, as well as their absence.
Health supervision schedule - CORRECT ANSWER - Newborn, 3-5 days, 1 month, 2
month, 4 month, 6 month, 9 month, 12 month, 15 month, 18 month, 24 month, 30 month, 3 yrs
then yearly
Bright futures - CORRECT ANSWER - § Prevention-based, developmentally oriented
care
§ Parent tools to empower families to be active partners
§ national health promotion and prevention initiative
§ built around the understanding that children and families are affected by a variety of biological
(nature) and ecological (nurture) exposures
, § Goal: support a child's life course in which strengths and protective factors outweigh risk
factors
Things that need to be done at every well visit - CORRECT ANSWER - Hx, length/height
& weight, developmental surveillance, behavior/social/emotional screening, PE, immunizations,
& anticipatory guidance
Surveillance - CORRECT ANSWER - Systematic collection, analysis, and interpretation
of data for the purpose of prevention, because findings from health surveillance guide primary
prevention measures.
Screenings - CORRECT ANSWER - Are targeted systematic actions at a single point in
time that are designed to identify a preclinical condition or disease in individuals suspected of
having or being at risk for the specific health impairment
Role of primary care PNP - CORRECT ANSWER - o Primary care CNPs focus on
comprehensive, continuous care characterized by a long term relationship between the patient
and primary care CNP. The primary care CNP provides care for most health needs and
coordinates additional health care services beyond the primary care CNP's area of expertise.
What is the best practice model? - CORRECT ANSWER - Patient-family-centered
community based primary care is the best practice model
What are 3 things that are needed to work effectively with diversity individuals? - CORRECT
ANSWER - Interested in other cultures
Sensitive enough to notice cultural differences
Willing to modify our own attitudes and behavior
What practices might asia/middle east/china families use? - CORRECT ANSWER -
Acupuncture, moxibustion, coin rubbing, cupping, yin & yang, Qi, "toxic wind"
