Burns pediatric chapter 5 Child and Family Assessment and chapter 8
developmental principles and theories
1. THE PRIMARY CARE PEDIATRIC ARNP CORRECT ANSWER C. MEDICATION CURRENTLY TAK-
IS OBTAINING A MEDICAL HISTO- ING, ALLERGY INFORMATION, AND FAMILY MEDICAL
RY ABOUT A CHILD. TO INTEGRATE HISTORY
BOTH NURSING AND MEDICAL AS-
PECTS OF PRIMARY CARE, WHICH RATIONALE: A COMPREHENSIVE MEDICAL HISTORY
WILL BE INCLUDED IN THE MEDICAL INCLUDES ESSENTIAL INFORMATION RELATED TO
HISTORY? THE CHILD'S CURRENT HEALTH STATUS. THIS IN-
CLUDES MEDICATIONS THE CHILD IS CURRENTLY
A. COMPLEMENTARY MEDICATIONS, TAKING, ANY ALLERGIES, AND FAMILY MEDICAL HIS-
ALTERNATIVE HEALTH PRACTICES, TORY. THESE ELEMENTS HELP ASSESS THE CHILD'S
AND CHIEF COMPLAINT OVERALL HEALTH AND PROVIDE A BASIS FOR PLAN-
NING CARE. WHILE DEVELOPMENTAL DELAYS AND
B. DEVELOPMENTAL DELAYS, NU- GROWTH PATTERNS ARE IMPORTANT, THEY ARE USU-
TRITIONAL STATUS, AND LINEAR ALLY ADDRESSED SEPARATELY DURING DEVELOP-
GROWTH PATTERNS MENTAL ASSESSMENTS.
C. MEDICATION CURRENTLY TAKING,
ALLERGY INFORMATION, AND FAMI-
LY MEDICAL HISTORY
D. SPEECH AND LANGUAGE DEVEL-
OPMENT, BELIEFS ABOUT HEALTH,
AND PREVIOUS ILLNESSES
2. WHEN FORMULATING DEVELOP- CORRECT ANSWER A. DC: 03R
MENTAL DIAGNOSES FOR PEDIATRIC
PATIENTS, THE PRIMARY CARE PE-
RATIONALE: THE DC: 03R (DIAGNOSTIC CLASSIFICA-
DIATRIC ARNP MAY USE WHICH RE-
TION OF MENTAL HEALTH AND DEVELOPMENTAL DIS-
SOURCE?
ORDERS OF
A. DC: 03R INFANCY AND EARLY CHILDHOOD) IS USED FOR FOR-
B. ICD10CM MULATING DEVELOPMENTAL DIAGNOSES IN PEDI-
,Burns pediatric chapter 5 Child and Family Assessment and chapter 8
developmental principles and theories
C. ICSD3 ATRIC PATIENTS, PARTICULARLY FOCUSING ON MEN-
D. NANDA INTERNATIONAL TAL HEALTH AND DEVELOPMENTAL DISORDERS IN
YOUNG CHILDREN. THE ICD10 CM IS USED FOR GEN-
ERAL MEDICAL DIAGNOSES, AND NANDA IS USED
FOR NURSING DIAGNOSES, NOT SPECIFICALLY DE-
VELOPMENTAL ISSUES.
3. THE PRIMARY CARE PEDIATRIC ARNP CORRECT ANSWER C. ENCOPRESIS
SEES A 3-YEAR-OLD CHILD WHO
CHRONICALLY WITHHOLDS STOOLS, RATIONALE: ENCOPRESIS REFERS TO THE INVOLUN-
IN SPITE OF THE PARENTS' AT- TARY OR VOLUNTARY PASSAGE OF STOOL IN INAP-
TEMPTS TO STOP THE BEHAV- PROPRIATE PLACES IN CHILDREN, TYPICALLY ASSOCI-
IOR, REQUIRING FREQUENT TREAT- ATED WITH WITHHOLDING STOOLS. THIS CONDITION
MENTS WITH LAXATIVE MEDICA- IS MORE THAN JUST A PATTERN OF ALTERED ELIMI-
TIONS. WHICH DIAGNOSIS WILL THE NATION AND IS TYPICALLY THE TERM USED FOR DI-
ARNP USE TO FACILITATE THIRD-PAR- AGNOSTIC PURPOSES, ESPECIALLY IN FACILITATING
TY REIMBURSEMENT? THIRD-PARTY REIMBURSEMENT FOR TREATMENT.
A. ALTERED ELIMINATION PATTERN
B. ELIMINATION DISORDER
C. ENCOPRESIS
D. PARENTING ALTERATION
4. THE PRIMARY CARE PEDIATRIC ARNP CORRECT ANSWER C. NUTRITION ALTERATION - LESS
IS ASSESSING A TODDLER WHOSE THAN REQUIRED
WEIGHT AND BODY MASS INDEX
(BMI) ARE BELOW THE 3RD PER- RATIONALE: THIS DIAGNOSIS IS APPROPRIATE FOR
CENTILE FOR AGE. THE ARNP LEARNS A CHILD WHO HAS INADEQUATE NUTRITION DUE
THAT THE CHILD DOES NOT HAVE TO POOR MEAL PATTERNS AND IRREGULAR EAT-
REGULAR MEALTIMES AND IS AL- ING HABITS. THE DIAGNOSIS "NUTRITION ALTER-
LOWED TO CARRY A BOTTLE OF JUICE ATION - LESS THAN REQUIRED" DIRECTLY ADDRESS-
ES THE ISSUE OF INADEQUATE NUTRITION. "FAILURE
, Burns pediatric chapter 5 Child and Family Assessment and chapter 8
developmental principles and theories
AROUND AT ALL TIMES. THE ARNP TO THRIVE" TYPICALLY REFERS TO A MORE SEVERE
PLANS TO WORK WITH THIS FAMILY CONDITION WHERE GROWTH IS SIGNIFICANTLY IM-
TO DEVELOP IMPROVED MEAL PAT- PAIRED, WHILE "PARENTING ALTERATION" RELATES
TERNS. WHICH DIAGNOSIS WILL THE MORE TO ISSUES IN PARENTING PRACTICES THAT DO
ARNP USE FOR THIS PROBLEM? NOT DIRECTLY INVOLVE NUTRITIONAL INTAKE.
A. FAILURE TO THRIVE
B. HOME CARE RESOURCES INADE-
QUATE
C. NUTRITION ALTERATION - LESS
THAN REQUIRED
D. PARENTING ALTERATION
5. THE PRIMARY CARE PEDIATRIC ARNP CORRECT ANSWER (A) PERFORM AN IN-DEPTH DE-
IS PERFORMING A WELL CHILD VELOPMENTAL ASSESSMENT SCREEN AT THIS VISIT
CHECK-UP ON A 20-MONTH-OLD TO EVALUATE THIS CHILD.
CHILD. THE CHILD WAS 4 WEEKS
PREMATURE AND, ACCORDING TO RATIONALE: SINCE THE CHILD WAS PREMATURE AND
A PARENT-COMPLETED DEVELOP- DEVELOPMENTAL MILESTONES ARE LAGGING BE-
MENTAL QUESTIONNAIRE, HAS HIND THE EXPECTED AGE, AN IN-DEPTH DEVELOP-
ACHIEVED MILESTONES FOR A MENTAL ASSESSMENT IS CRUCIAL TO EVALUATE ANY
15-MONTH-OLD INFANT. WHICH AC- DELAYS. ALTHOUGH MANY CHILDREN CATCH UP BY
TION IS CORRECT? AGE 2, EARLY IDENTIFICATION OF ANY ISSUES CAN
GUIDE EARLY INTERVENTION, WHICH IS ESSENTIAL
A. PERFORM AN IN-DEPTH DEVEL- FOR SUPPORTING OPTIMAL DEVELOPMENT.
OPMENTAL ASSESSMENT SCREEN
AT THIS VISIT TO EVALUATE THIS
CHILD.
B. REASSURE THE PARENT THAT THE
CHILD WILL CATCH UP TO NORMAL
DEVELOPMENT BY AGE 2 YEARS.
developmental principles and theories
1. THE PRIMARY CARE PEDIATRIC ARNP CORRECT ANSWER C. MEDICATION CURRENTLY TAK-
IS OBTAINING A MEDICAL HISTO- ING, ALLERGY INFORMATION, AND FAMILY MEDICAL
RY ABOUT A CHILD. TO INTEGRATE HISTORY
BOTH NURSING AND MEDICAL AS-
PECTS OF PRIMARY CARE, WHICH RATIONALE: A COMPREHENSIVE MEDICAL HISTORY
WILL BE INCLUDED IN THE MEDICAL INCLUDES ESSENTIAL INFORMATION RELATED TO
HISTORY? THE CHILD'S CURRENT HEALTH STATUS. THIS IN-
CLUDES MEDICATIONS THE CHILD IS CURRENTLY
A. COMPLEMENTARY MEDICATIONS, TAKING, ANY ALLERGIES, AND FAMILY MEDICAL HIS-
ALTERNATIVE HEALTH PRACTICES, TORY. THESE ELEMENTS HELP ASSESS THE CHILD'S
AND CHIEF COMPLAINT OVERALL HEALTH AND PROVIDE A BASIS FOR PLAN-
NING CARE. WHILE DEVELOPMENTAL DELAYS AND
B. DEVELOPMENTAL DELAYS, NU- GROWTH PATTERNS ARE IMPORTANT, THEY ARE USU-
TRITIONAL STATUS, AND LINEAR ALLY ADDRESSED SEPARATELY DURING DEVELOP-
GROWTH PATTERNS MENTAL ASSESSMENTS.
C. MEDICATION CURRENTLY TAKING,
ALLERGY INFORMATION, AND FAMI-
LY MEDICAL HISTORY
D. SPEECH AND LANGUAGE DEVEL-
OPMENT, BELIEFS ABOUT HEALTH,
AND PREVIOUS ILLNESSES
2. WHEN FORMULATING DEVELOP- CORRECT ANSWER A. DC: 03R
MENTAL DIAGNOSES FOR PEDIATRIC
PATIENTS, THE PRIMARY CARE PE-
RATIONALE: THE DC: 03R (DIAGNOSTIC CLASSIFICA-
DIATRIC ARNP MAY USE WHICH RE-
TION OF MENTAL HEALTH AND DEVELOPMENTAL DIS-
SOURCE?
ORDERS OF
A. DC: 03R INFANCY AND EARLY CHILDHOOD) IS USED FOR FOR-
B. ICD10CM MULATING DEVELOPMENTAL DIAGNOSES IN PEDI-
,Burns pediatric chapter 5 Child and Family Assessment and chapter 8
developmental principles and theories
C. ICSD3 ATRIC PATIENTS, PARTICULARLY FOCUSING ON MEN-
D. NANDA INTERNATIONAL TAL HEALTH AND DEVELOPMENTAL DISORDERS IN
YOUNG CHILDREN. THE ICD10 CM IS USED FOR GEN-
ERAL MEDICAL DIAGNOSES, AND NANDA IS USED
FOR NURSING DIAGNOSES, NOT SPECIFICALLY DE-
VELOPMENTAL ISSUES.
3. THE PRIMARY CARE PEDIATRIC ARNP CORRECT ANSWER C. ENCOPRESIS
SEES A 3-YEAR-OLD CHILD WHO
CHRONICALLY WITHHOLDS STOOLS, RATIONALE: ENCOPRESIS REFERS TO THE INVOLUN-
IN SPITE OF THE PARENTS' AT- TARY OR VOLUNTARY PASSAGE OF STOOL IN INAP-
TEMPTS TO STOP THE BEHAV- PROPRIATE PLACES IN CHILDREN, TYPICALLY ASSOCI-
IOR, REQUIRING FREQUENT TREAT- ATED WITH WITHHOLDING STOOLS. THIS CONDITION
MENTS WITH LAXATIVE MEDICA- IS MORE THAN JUST A PATTERN OF ALTERED ELIMI-
TIONS. WHICH DIAGNOSIS WILL THE NATION AND IS TYPICALLY THE TERM USED FOR DI-
ARNP USE TO FACILITATE THIRD-PAR- AGNOSTIC PURPOSES, ESPECIALLY IN FACILITATING
TY REIMBURSEMENT? THIRD-PARTY REIMBURSEMENT FOR TREATMENT.
A. ALTERED ELIMINATION PATTERN
B. ELIMINATION DISORDER
C. ENCOPRESIS
D. PARENTING ALTERATION
4. THE PRIMARY CARE PEDIATRIC ARNP CORRECT ANSWER C. NUTRITION ALTERATION - LESS
IS ASSESSING A TODDLER WHOSE THAN REQUIRED
WEIGHT AND BODY MASS INDEX
(BMI) ARE BELOW THE 3RD PER- RATIONALE: THIS DIAGNOSIS IS APPROPRIATE FOR
CENTILE FOR AGE. THE ARNP LEARNS A CHILD WHO HAS INADEQUATE NUTRITION DUE
THAT THE CHILD DOES NOT HAVE TO POOR MEAL PATTERNS AND IRREGULAR EAT-
REGULAR MEALTIMES AND IS AL- ING HABITS. THE DIAGNOSIS "NUTRITION ALTER-
LOWED TO CARRY A BOTTLE OF JUICE ATION - LESS THAN REQUIRED" DIRECTLY ADDRESS-
ES THE ISSUE OF INADEQUATE NUTRITION. "FAILURE
, Burns pediatric chapter 5 Child and Family Assessment and chapter 8
developmental principles and theories
AROUND AT ALL TIMES. THE ARNP TO THRIVE" TYPICALLY REFERS TO A MORE SEVERE
PLANS TO WORK WITH THIS FAMILY CONDITION WHERE GROWTH IS SIGNIFICANTLY IM-
TO DEVELOP IMPROVED MEAL PAT- PAIRED, WHILE "PARENTING ALTERATION" RELATES
TERNS. WHICH DIAGNOSIS WILL THE MORE TO ISSUES IN PARENTING PRACTICES THAT DO
ARNP USE FOR THIS PROBLEM? NOT DIRECTLY INVOLVE NUTRITIONAL INTAKE.
A. FAILURE TO THRIVE
B. HOME CARE RESOURCES INADE-
QUATE
C. NUTRITION ALTERATION - LESS
THAN REQUIRED
D. PARENTING ALTERATION
5. THE PRIMARY CARE PEDIATRIC ARNP CORRECT ANSWER (A) PERFORM AN IN-DEPTH DE-
IS PERFORMING A WELL CHILD VELOPMENTAL ASSESSMENT SCREEN AT THIS VISIT
CHECK-UP ON A 20-MONTH-OLD TO EVALUATE THIS CHILD.
CHILD. THE CHILD WAS 4 WEEKS
PREMATURE AND, ACCORDING TO RATIONALE: SINCE THE CHILD WAS PREMATURE AND
A PARENT-COMPLETED DEVELOP- DEVELOPMENTAL MILESTONES ARE LAGGING BE-
MENTAL QUESTIONNAIRE, HAS HIND THE EXPECTED AGE, AN IN-DEPTH DEVELOP-
ACHIEVED MILESTONES FOR A MENTAL ASSESSMENT IS CRUCIAL TO EVALUATE ANY
15-MONTH-OLD INFANT. WHICH AC- DELAYS. ALTHOUGH MANY CHILDREN CATCH UP BY
TION IS CORRECT? AGE 2, EARLY IDENTIFICATION OF ANY ISSUES CAN
GUIDE EARLY INTERVENTION, WHICH IS ESSENTIAL
A. PERFORM AN IN-DEPTH DEVEL- FOR SUPPORTING OPTIMAL DEVELOPMENT.
OPMENTAL ASSESSMENT SCREEN
AT THIS VISIT TO EVALUATE THIS
CHILD.
B. REASSURE THE PARENT THAT THE
CHILD WILL CATCH UP TO NORMAL
DEVELOPMENT BY AGE 2 YEARS.
