NR 328 Exam #1
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1. Which topics should the nurse discuss with the par- Answer: B
ents of a young child to promote health in their child? Rationale: Immunizations
a. Dental care needs to be started by age 7. have made a major im-
b. Immunization schedule and the importance of im- pact in the prevention
munizations. of disease in children.
c. Human milk or iron fortified formula for the first 4 The nurse should re-
months of life. view individual immuniza-
d. Positioning the car seat in the front passenger seat. tion records at every clin-
ic visit, avoid missing op-
portunities to vaccinate,
and encourage parents
to keep immunizations
current. Dental caries is
the single most common
chronic disease of child-
hood and may begin be-
fore the first birthday. Hu-
man milk or iron fortified
formula for should be giv-
en for the first year of life
to prevent Iron Deficiency
anemia. Children younger
than 1 year of age have the
highest rate of death from
motor vehicle accidents,
primarily from a failure to
properly use car restraints.
2. What is the leading cause of death in children older Answer(s): C
than the age of 1 year? Rationale: a. Drowning is
a. Drowning the second leading cause
b. Burns of death in children older
, NR 328 Exam #1
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c. Motor vehicle accidents than the age of 1 year. b.
d. Cancer Burns cause fewer deaths
than motor vehicle acci-
dents in children older
than the age of 1 year.
c. Motor vehicle accidents
are the leading cause of
death in children older
than the age of 1 year.
d. Cancer causes fewer
deaths than motor vehicle
accidents in children older
than the age of 1 year.
3. The nurse makes sure that a toddler has a teddy bear Answer(s): A
and that a nightlight is on in the hospital room at Rationale: A. Atraumatic
bedtime. What concept would these nursing actions care is the provision of
demonstrate? therapeutic care in set-
a. Atraumatic care tings, by personnel, and
b. Nonmaleficence through the use of in-
c. Justice terventions that eliminate
d. Advocacy or minimize the psycho-
logical and physical dis-
tress experienced by chil-
dren and their families in
the health care system. In
this case, it is making sure
that the toddler has a ted-
dy bear and that a night
light is on to prevent a
dark environment. B. Non-
maleficence is the obliga-
, NR 328 Exam #1
Study online at https://quizlet.com/_9ubwj3
tion to minimize or prevent
harm; there is no situation
present that would re-
quire this. C. Justice is the
concept of fairness and
is not applicable to this
situation. D. Advocacy in-
volves ensuring that fam-
ilies are aware of all avail-
able health services, ade-
quately informed of treat-
ments and procedures,
involved in the child's
care, and encouraged to
change or support exist-
ing health care practices.
4. True or False: Open ended questions are most likely to True
encourage parents to talk about their feelings r/t their
child's illness.
5. When the nurse interviews an adolescent, what is im- Answer: D.
portant to help establish a relationship? Rationale: Display a gen-
a. Use the same type of language as the adolescent. uine interest in the ado-
b. Emphasize that confidentiality will always be main- lescent.Adolescents ac-
tained. cept anyone who shows a
c. Focus the discussion on the peer group. genuine interest in them.
d. Display a genuine interest in the adolescent. Although peers are im-
portant to this age-group,
the focus of the interview
should be on the ado-
lescent. The nurse should
, NR 328 Exam #1
Study online at https://quizlet.com/_9ubwj3
clarify which information
will be shared with oth-
er members of the health
care team and any limits to
confidentiality. The nurse
should maintain a pro-
fessional relationship with
adolescents. To avoid mis-
interpretation of words
and phrases that the ado-
lescent may use, the nurse
should clarify terms fre-
quently.
6. What approach is the most appropriate when per- Answer: C.
forming a physical assessment on a toddler? Rationale: Parents can re-
a. Demonstrate use of equipment. move clothing, and the
b. Perform traumatic procedures first. child can remain on
c. Use minimum physical contact initially. the parent's lap. The
d. Always proceed in a head-to-toe direction. nurse should use mini-
mum physical contact ini-
tially to gain the co-
operation of the child.
The nurse should in-
troduce the equipment
slowly. The child can
inspect the equipment,
but demonstrations are
usually too complex for
this age-group. Traumatic
procedures should always
be performed last. These
Study online at https://quizlet.com/_9ubwj3
1. Which topics should the nurse discuss with the par- Answer: B
ents of a young child to promote health in their child? Rationale: Immunizations
a. Dental care needs to be started by age 7. have made a major im-
b. Immunization schedule and the importance of im- pact in the prevention
munizations. of disease in children.
c. Human milk or iron fortified formula for the first 4 The nurse should re-
months of life. view individual immuniza-
d. Positioning the car seat in the front passenger seat. tion records at every clin-
ic visit, avoid missing op-
portunities to vaccinate,
and encourage parents
to keep immunizations
current. Dental caries is
the single most common
chronic disease of child-
hood and may begin be-
fore the first birthday. Hu-
man milk or iron fortified
formula for should be giv-
en for the first year of life
to prevent Iron Deficiency
anemia. Children younger
than 1 year of age have the
highest rate of death from
motor vehicle accidents,
primarily from a failure to
properly use car restraints.
2. What is the leading cause of death in children older Answer(s): C
than the age of 1 year? Rationale: a. Drowning is
a. Drowning the second leading cause
b. Burns of death in children older
, NR 328 Exam #1
Study online at https://quizlet.com/_9ubwj3
c. Motor vehicle accidents than the age of 1 year. b.
d. Cancer Burns cause fewer deaths
than motor vehicle acci-
dents in children older
than the age of 1 year.
c. Motor vehicle accidents
are the leading cause of
death in children older
than the age of 1 year.
d. Cancer causes fewer
deaths than motor vehicle
accidents in children older
than the age of 1 year.
3. The nurse makes sure that a toddler has a teddy bear Answer(s): A
and that a nightlight is on in the hospital room at Rationale: A. Atraumatic
bedtime. What concept would these nursing actions care is the provision of
demonstrate? therapeutic care in set-
a. Atraumatic care tings, by personnel, and
b. Nonmaleficence through the use of in-
c. Justice terventions that eliminate
d. Advocacy or minimize the psycho-
logical and physical dis-
tress experienced by chil-
dren and their families in
the health care system. In
this case, it is making sure
that the toddler has a ted-
dy bear and that a night
light is on to prevent a
dark environment. B. Non-
maleficence is the obliga-
, NR 328 Exam #1
Study online at https://quizlet.com/_9ubwj3
tion to minimize or prevent
harm; there is no situation
present that would re-
quire this. C. Justice is the
concept of fairness and
is not applicable to this
situation. D. Advocacy in-
volves ensuring that fam-
ilies are aware of all avail-
able health services, ade-
quately informed of treat-
ments and procedures,
involved in the child's
care, and encouraged to
change or support exist-
ing health care practices.
4. True or False: Open ended questions are most likely to True
encourage parents to talk about their feelings r/t their
child's illness.
5. When the nurse interviews an adolescent, what is im- Answer: D.
portant to help establish a relationship? Rationale: Display a gen-
a. Use the same type of language as the adolescent. uine interest in the ado-
b. Emphasize that confidentiality will always be main- lescent.Adolescents ac-
tained. cept anyone who shows a
c. Focus the discussion on the peer group. genuine interest in them.
d. Display a genuine interest in the adolescent. Although peers are im-
portant to this age-group,
the focus of the interview
should be on the ado-
lescent. The nurse should
, NR 328 Exam #1
Study online at https://quizlet.com/_9ubwj3
clarify which information
will be shared with oth-
er members of the health
care team and any limits to
confidentiality. The nurse
should maintain a pro-
fessional relationship with
adolescents. To avoid mis-
interpretation of words
and phrases that the ado-
lescent may use, the nurse
should clarify terms fre-
quently.
6. What approach is the most appropriate when per- Answer: C.
forming a physical assessment on a toddler? Rationale: Parents can re-
a. Demonstrate use of equipment. move clothing, and the
b. Perform traumatic procedures first. child can remain on
c. Use minimum physical contact initially. the parent's lap. The
d. Always proceed in a head-to-toe direction. nurse should use mini-
mum physical contact ini-
tially to gain the co-
operation of the child.
The nurse should in-
troduce the equipment
slowly. The child can
inspect the equipment,
but demonstrations are
usually too complex for
this age-group. Traumatic
procedures should always
be performed last. These
