Burns' Pediatric Primary Care 7th Edition Test Bank latest
l l l l l l l l
Burns'lPediatriclPrimarylCarel7thlEditionlTestlBank
Chapter 1: Health Status of Children: Global and Nation
l l l l l l l l
al Perspectives
l
1. Whichl regionl globallyl hasl thel highestl infantl mortalityl rate?
A. Indonesia
B. SouthernlAsia
C. SubSaharanl Africal Correct
D. Syria
2. Thelprimarylcarelpediatriclnurselpractitionerlunderstandslthat,ltolac
hievelthe
greatestlworldwide
reductionlinlchildlmortalitylfromlpneumonialandldiarrhea,lwhichl interventionislm
ostleffective?
A. Antibiotics
B. Optimallnutrition
C. VaccinationslCorrect
D. Waterlpurification
3. WhichlisltruelaboutlthelhealthlstatusloflchildrenlinlthelUnitedlStat
es?
.
13348413856
A. GlobalismlhaslrelativelyllittlelimpactlonlchildlhealthlmeasureslinlthelU.S.
B. Obesitylrateslamongl2to5yearoldslhavels
hownlalrecentlsignificant
decrease.l Correct
.
C. Thelrateloflhouseholdlpovertylisllowerlthanlinlotherleco
nomicallyldevelopedlnations.
D. Younglchildrenlwholattendlpreschoollorldaylcarelhavelhig
herlfoodlinsecurity.
4. Thelprimarylcarelpediatriclnurselpractitionerlunderstandslthatlalm
ajorlchild
healthloutcomel associatedlwithlworldwidelclimatelchangelis
A. costloflliving.
B. education.
C. nutrition.lCorrect
D. pollution.
5. Whenlprovidinglwelllchildlcarelforlanlinfantlinlthelfirstlyearlofllife,lt
helprimary
carelpediatriclnurselpractitionerlisladheringltolthelmostlrecentlAmericanlA
cademylof
PediatricsRecommendationsl forl Preventivel Pediatricl Healthl Care
guidelineslby
A. focusingllesslonldevelopmentlandlmorelonlillnesslpr
eventionlandlnutrition.
B. followingl guidelinesl establishedl byltheBrightlFutureslpublication.
C. schedulinglwellbabylvisitsltolcoincidelwithlkeylde
velopmentallmilestones.lCorrect
D. seeinglthelinfantlatlagesl2,l4,l6,landl12lmonthslwhenlimm
unizationslareldue.
,Burns' Pediatric Primary Care 7th Edition Test Bank latest
l l l l l l l l
2. Groupltherapy.
3. Personallinteractionsl betweenlpatientsl andlstaff.
4. Allloflthelabovelarelc
orrect.lANS:l4
2. Al16-year-oldlmalelhaslreceivedlalpink-
sliplfromlthelpolicelforlinpatientlpsychiatricltreatment.lThelteen
hasl beenl expressingl thoughtsl ofl hangingl himselflbecausel Lifel sucks.
Thenursinglstafflshouldlconsiderlplacin
glthelchild:
1. Withlpeers.
2. Inlanlarealwherelhelcanlbelwatchedlone-on-one.
3. Withl aroommatel thatisexpressingl thel sameconcerns.
4. Inlanlarealcloseltolanlexternalld
oor.lANS:l2
3. Learningldisabilitieslinlchildrenlhavelscientificallyl beenllinkedlto:
1. Poornutrition.
2. Thelenvironmentl inlwhichl thel childl lives.
3. Genetics.
4. Watchinglmorelthanlfourlhourslofltelevisionlald
ay.lANS:l3
4.lAlmentallhealthlnurselhaslassessedlalchildlandldeterminedlthatlthelc
hildlexhibitslbehaviorallchallenges.
Whenlthelschoollnurselexplainslthisltolalteacher,lthelbestldescriptionlwouldb
e:
.
1. Thelchildlmaylexhibitlphysicalloutbursts.
2. Thelchildl mayl exhibitl violencel towardl others.
3. Thelchildlmaylbeldefiantlorlhaveltantrums.
4. Thelchildlwilllneedlspeciallinterventionslforlle
arning.lANS:l3
5. Alchildlthatlhaslnotlexhibitedlenuresislinlfourlyearslhaslexhib
itedlthislbehaviorlpatternlforlthellastlweek.
Thelreasonlalchildlmaylrevertlbackltolthislbehaviorlpatternlislbecauselof:
1. Hallucinations.
2. Behaviorallchallenges.
3. Delusions.
4. Stres
s.lANS:
4
6. Anl18-year-
oldlmalelhaslcalledlthelcrisisllinelforlhelp.lThelcrisislnurselrecognizeslthelinter
ventionlneeds
maylconsistloflallloflthel followinglexcept:
1. Discussingl thel individualsl everydayl activities.
2. Recognizinglthatlthelpatientlmaylbelinlalcatharsislstate.
3. Expressinglempathyltowardlthelcaller.
4. Avoiding
,Burns' Pediatric Primary Care 7th Edition Test Bank latest
l l l l l l l l
2. Helstates,lIlwilllbelalgoodlboylnow.
.
3. Hel startsl headbuttingl thel window.
4. Helcomplainslthatlhislparentslwilllfilelalla
wsuit.lANS:l3
8. Al childl hasl beenl exhibitingl thel MacDonaldl Triad.l Thesel behaviorslincl
ude:
1. Enuresis,lpushinglothers,landlpyromania.
2. Swinginglalcatlbyltheltail,lbed-
wetting,landllightinglpaperlonlfirelinltheltrashlcan.
3. Playingl withl otherl children,l laughing,l andl conversingl withl adults.
4. Playinglwithlalcampfire,lwatchingltelevision,landlseekingladultlatte
ntion.lANS:l2
9. Alteenagerldiagnosedlwithlborderlinelpersonalityldisorderlshouldlha
veldischargelplanninglinstructionslof:
1. Alconsistentl caregiver.
2. Monitoringloflmedia,lsuchlaslthelInternet,ltelevision,landlvideolga
mes.
3. Obtainingl supportl froml familyl andl friends.
4. Seekinglmedicallattentionlwhenlthelteenagerlfeelslgo
od.lANS:l3
10. Al mentall healthl nursel isl teachingl thel motherl ofl al childl withlexec
utivelfunctioninglissueslwaysltolhelp
herl child.l Interventionsl thel motherl shouldl usel include:
1. Placinglvisuallaidslonlthelbathroomlmirrorlsolthatlthelchildlwilllfollo
wlthelmorninglroutine.
2. Givelthelchildlalchoicelinlfoodsltoleat.
3. Allowinglthel childl tolasklforl helpl whenl needed.
4. Remindinglthelchildltolbelniceltolot
hers.lANS:l1
.
11. Ellie,lal9-year-
oldlgirl,lwasladoptedlbylalfamilylatlthelagelofl4lafterlseverallyearsloflseverel
neglectlbylherlbirthlfamily.lTheladoptivelfamilylhasbeenlreportinglthatlElli
elislangrylallot,lmanipulativelwithlherlteachers,landldoeslnotlseeklpositivela
ttention.lThelnurselworkinglwithlElliewilllneedlto:
1. Provideleducationlonldecreasinglstimulilinlthelhomelen
vironmentlthatltriggerslthelanger.
2. RealizelEllielmaylhavelattachmentlissueslrelatedltolherlpreviouslhis
torylandlwilllneedltolencouragelthe
familyltolbelactivelinlherlcare.
3. Supportlthelfamilylinltheldecision-
makinglprocessloflcontinuingltolletlElliellivelinlthelhome.
4. DiscusslinpatientltherapyltoldecreaselEllieslmanipulativelbe
haviorlpatterns.
, Burns' Pediatric Primary Care 7th Edition Test Bank latest
l l l l l l l l
13. Alfatherlreportslthatlhisladolescentldaughterlhaslgottenlgoodlgra
deslupluntillthellastlquarterloflschool.
Shelhaslbeenlhangingloutlbylherselflandldoeslnotlwantltoltalkltolhimanymore.
Thelmentallhealthlnu
rselshould:
1. Realizelthatlthislislalnaturall partloflgrowinglup.
2. Performlalmentallhealthlscreeningltolchecklforldepression.
3. Attemptltolgetltheladolescentltoldiscusslwhylsheldoeslnotllikelherlf
atherlanymore.
4. Letltheladolescentltalklwhenlshelislre
ady.lANS:l2
14. Ateenshouldbecheckedl fordepressionl at physicianlvisit(s).
1. Every
.
2. One
3. Monthly
4. Bi-
yearlyl
ANS:l1
15. WhenlusinglthelSADlFACESldepressionlscreen,litislimportantltolass
ess:
1. Anhedonia.
2. Suicidall ideations.
3. Sleeplpatterns.
4. Allloflthelab
ovelANS:l4
16. Alschoollnurselislgivinglanlin-
serviceltolteacherslonlbullycide.lThelmainlreasonlforlthelteachinglislso
that:
1. Teacherslarelawarelbullyingloccurs.
2. Teacherslarelableltolidentifylstudentsl wholarelrisk.
3. Teacherslcanlbelawareloflthelfactlthatlsuicideslcanlhappenldueltolb
ullyinglbylothers.
4. Teacherslarelawarelofltheirlrolelinlcausinglbu
llycide.lANS:l3
17. Anladolescentlwithlalknownlhistoryloflbipolarldisorderlislinlthelsch
oolnurseslofficelbecauselalteacher
reportedlthatlshelwasltalkinglfastlandlactingllikelshelwaslGod.lThelschoolnur
selassesseslthelgirllandlnotes
that:
1. Shelislprobablylinlalmaniclphaselandlneedsltolbeltreatedlprof
essionally.
2. Shelhaslhadltoolmuchlsleeplandlislnowlhyperactive.
3. Shelforgotl toltakel herl medicationsl today.
4. Sherequireslsomefoodandrestbeforelgoingl
backtoclass.lANS:l1
l l l l l l l l
Burns'lPediatriclPrimarylCarel7thlEditionlTestlBank
Chapter 1: Health Status of Children: Global and Nation
l l l l l l l l
al Perspectives
l
1. Whichl regionl globallyl hasl thel highestl infantl mortalityl rate?
A. Indonesia
B. SouthernlAsia
C. SubSaharanl Africal Correct
D. Syria
2. Thelprimarylcarelpediatriclnurselpractitionerlunderstandslthat,ltolac
hievelthe
greatestlworldwide
reductionlinlchildlmortalitylfromlpneumonialandldiarrhea,lwhichl interventionislm
ostleffective?
A. Antibiotics
B. Optimallnutrition
C. VaccinationslCorrect
D. Waterlpurification
3. WhichlisltruelaboutlthelhealthlstatusloflchildrenlinlthelUnitedlStat
es?
.
13348413856
A. GlobalismlhaslrelativelyllittlelimpactlonlchildlhealthlmeasureslinlthelU.S.
B. Obesitylrateslamongl2to5yearoldslhavels
hownlalrecentlsignificant
decrease.l Correct
.
C. Thelrateloflhouseholdlpovertylisllowerlthanlinlotherleco
nomicallyldevelopedlnations.
D. Younglchildrenlwholattendlpreschoollorldaylcarelhavelhig
herlfoodlinsecurity.
4. Thelprimarylcarelpediatriclnurselpractitionerlunderstandslthatlalm
ajorlchild
healthloutcomel associatedlwithlworldwidelclimatelchangelis
A. costloflliving.
B. education.
C. nutrition.lCorrect
D. pollution.
5. Whenlprovidinglwelllchildlcarelforlanlinfantlinlthelfirstlyearlofllife,lt
helprimary
carelpediatriclnurselpractitionerlisladheringltolthelmostlrecentlAmericanlA
cademylof
PediatricsRecommendationsl forl Preventivel Pediatricl Healthl Care
guidelineslby
A. focusingllesslonldevelopmentlandlmorelonlillnesslpr
eventionlandlnutrition.
B. followingl guidelinesl establishedl byltheBrightlFutureslpublication.
C. schedulinglwellbabylvisitsltolcoincidelwithlkeylde
velopmentallmilestones.lCorrect
D. seeinglthelinfantlatlagesl2,l4,l6,landl12lmonthslwhenlimm
unizationslareldue.
,Burns' Pediatric Primary Care 7th Edition Test Bank latest
l l l l l l l l
2. Groupltherapy.
3. Personallinteractionsl betweenlpatientsl andlstaff.
4. Allloflthelabovelarelc
orrect.lANS:l4
2. Al16-year-oldlmalelhaslreceivedlalpink-
sliplfromlthelpolicelforlinpatientlpsychiatricltreatment.lThelteen
hasl beenl expressingl thoughtsl ofl hangingl himselflbecausel Lifel sucks.
Thenursinglstafflshouldlconsiderlplacin
glthelchild:
1. Withlpeers.
2. Inlanlarealwherelhelcanlbelwatchedlone-on-one.
3. Withl aroommatel thatisexpressingl thel sameconcerns.
4. Inlanlarealcloseltolanlexternalld
oor.lANS:l2
3. Learningldisabilitieslinlchildrenlhavelscientificallyl beenllinkedlto:
1. Poornutrition.
2. Thelenvironmentl inlwhichl thel childl lives.
3. Genetics.
4. Watchinglmorelthanlfourlhourslofltelevisionlald
ay.lANS:l3
4.lAlmentallhealthlnurselhaslassessedlalchildlandldeterminedlthatlthelc
hildlexhibitslbehaviorallchallenges.
Whenlthelschoollnurselexplainslthisltolalteacher,lthelbestldescriptionlwouldb
e:
.
1. Thelchildlmaylexhibitlphysicalloutbursts.
2. Thelchildl mayl exhibitl violencel towardl others.
3. Thelchildlmaylbeldefiantlorlhaveltantrums.
4. Thelchildlwilllneedlspeciallinterventionslforlle
arning.lANS:l3
5. Alchildlthatlhaslnotlexhibitedlenuresislinlfourlyearslhaslexhib
itedlthislbehaviorlpatternlforlthellastlweek.
Thelreasonlalchildlmaylrevertlbackltolthislbehaviorlpatternlislbecauselof:
1. Hallucinations.
2. Behaviorallchallenges.
3. Delusions.
4. Stres
s.lANS:
4
6. Anl18-year-
oldlmalelhaslcalledlthelcrisisllinelforlhelp.lThelcrisislnurselrecognizeslthelinter
ventionlneeds
maylconsistloflallloflthel followinglexcept:
1. Discussingl thel individualsl everydayl activities.
2. Recognizinglthatlthelpatientlmaylbelinlalcatharsislstate.
3. Expressinglempathyltowardlthelcaller.
4. Avoiding
,Burns' Pediatric Primary Care 7th Edition Test Bank latest
l l l l l l l l
2. Helstates,lIlwilllbelalgoodlboylnow.
.
3. Hel startsl headbuttingl thel window.
4. Helcomplainslthatlhislparentslwilllfilelalla
wsuit.lANS:l3
8. Al childl hasl beenl exhibitingl thel MacDonaldl Triad.l Thesel behaviorslincl
ude:
1. Enuresis,lpushinglothers,landlpyromania.
2. Swinginglalcatlbyltheltail,lbed-
wetting,landllightinglpaperlonlfirelinltheltrashlcan.
3. Playingl withl otherl children,l laughing,l andl conversingl withl adults.
4. Playinglwithlalcampfire,lwatchingltelevision,landlseekingladultlatte
ntion.lANS:l2
9. Alteenagerldiagnosedlwithlborderlinelpersonalityldisorderlshouldlha
veldischargelplanninglinstructionslof:
1. Alconsistentl caregiver.
2. Monitoringloflmedia,lsuchlaslthelInternet,ltelevision,landlvideolga
mes.
3. Obtainingl supportl froml familyl andl friends.
4. Seekinglmedicallattentionlwhenlthelteenagerlfeelslgo
od.lANS:l3
10. Al mentall healthl nursel isl teachingl thel motherl ofl al childl withlexec
utivelfunctioninglissueslwaysltolhelp
herl child.l Interventionsl thel motherl shouldl usel include:
1. Placinglvisuallaidslonlthelbathroomlmirrorlsolthatlthelchildlwilllfollo
wlthelmorninglroutine.
2. Givelthelchildlalchoicelinlfoodsltoleat.
3. Allowinglthel childl tolasklforl helpl whenl needed.
4. Remindinglthelchildltolbelniceltolot
hers.lANS:l1
.
11. Ellie,lal9-year-
oldlgirl,lwasladoptedlbylalfamilylatlthelagelofl4lafterlseverallyearsloflseverel
neglectlbylherlbirthlfamily.lTheladoptivelfamilylhasbeenlreportinglthatlElli
elislangrylallot,lmanipulativelwithlherlteachers,landldoeslnotlseeklpositivela
ttention.lThelnurselworkinglwithlElliewilllneedlto:
1. Provideleducationlonldecreasinglstimulilinlthelhomelen
vironmentlthatltriggerslthelanger.
2. RealizelEllielmaylhavelattachmentlissueslrelatedltolherlpreviouslhis
torylandlwilllneedltolencouragelthe
familyltolbelactivelinlherlcare.
3. Supportlthelfamilylinltheldecision-
makinglprocessloflcontinuingltolletlElliellivelinlthelhome.
4. DiscusslinpatientltherapyltoldecreaselEllieslmanipulativelbe
haviorlpatterns.
, Burns' Pediatric Primary Care 7th Edition Test Bank latest
l l l l l l l l
13. Alfatherlreportslthatlhisladolescentldaughterlhaslgottenlgoodlgra
deslupluntillthellastlquarterloflschool.
Shelhaslbeenlhangingloutlbylherselflandldoeslnotlwantltoltalkltolhimanymore.
Thelmentallhealthlnu
rselshould:
1. Realizelthatlthislislalnaturall partloflgrowinglup.
2. Performlalmentallhealthlscreeningltolchecklforldepression.
3. Attemptltolgetltheladolescentltoldiscusslwhylsheldoeslnotllikelherlf
atherlanymore.
4. Letltheladolescentltalklwhenlshelislre
ady.lANS:l2
14. Ateenshouldbecheckedl fordepressionl at physicianlvisit(s).
1. Every
.
2. One
3. Monthly
4. Bi-
yearlyl
ANS:l1
15. WhenlusinglthelSADlFACESldepressionlscreen,litislimportantltolass
ess:
1. Anhedonia.
2. Suicidall ideations.
3. Sleeplpatterns.
4. Allloflthelab
ovelANS:l4
16. Alschoollnurselislgivinglanlin-
serviceltolteacherslonlbullycide.lThelmainlreasonlforlthelteachinglislso
that:
1. Teacherslarelawarelbullyingloccurs.
2. Teacherslarelableltolidentifylstudentsl wholarelrisk.
3. Teacherslcanlbelawareloflthelfactlthatlsuicideslcanlhappenldueltolb
ullyinglbylothers.
4. Teacherslarelawarelofltheirlrolelinlcausinglbu
llycide.lANS:l3
17. Anladolescentlwithlalknownlhistoryloflbipolarldisorderlislinlthelsch
oolnurseslofficelbecauselalteacher
reportedlthatlshelwasltalkinglfastlandlactingllikelshelwaslGod.lThelschoolnur
selassesseslthelgirllandlnotes
that:
1. Shelislprobablylinlalmaniclphaselandlneedsltolbeltreatedlprof
essionally.
2. Shelhaslhadltoolmuchlsleeplandlislnowlhyperactive.
3. Shelforgotl toltakel herl medicationsl today.
4. Sherequireslsomefoodandrestbeforelgoingl
backtoclass.lANS:l1
