BURNS’ PRIMARY CARE PEDIATRIC 7TH EDITION TEST BANK (CHAPTERS 1-46) Chapter 1: Health Status of Children: Global and National Perspectives o The primarycare pediatric nurse practitioner understandsthat, to achieve the greatest worldwide reductio

BURNS’ PRIMARY CARE PEDIATRIC 7TH EDITION TEST BANK (CHAPTERS 1-46) Chapter 1: Health Status of Children: Global and National Perspectives o The primarycare pediatric nurse practitioner understandsthat, to achieve the greatest worldwide reduction in child mortality from pneumonia and diarrhea, which interventionis most effective? A. Antibiotics B. Optimal nutrition C. Vaccinations Correct D. Water purification o The primarycare pediatric nurse practitioner understandsthat a major child health outcome associated with worldwideclimate changeis A.cost of living. B. education. C. nutrition. Correct D. pollution. o When providing well child carefor an infant in thefirst yearof life, the primary care pediatric nurse practitioner is adhering tothe most recent American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care guidelines by A. focusing less on development and more on illness prevention and nutrition. B. following guidelines established by the Bright Futures publication. C. scheduling well babyvisitstocoincide with key developmental milestones. Correct D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due. o Which region globally has the highest infant mortalityrate? A. Indonesia B. Southern Asia C. Sub Saharan Africa Correct D. Syria o Which istrue about the health statusofchildren in the United States? . A. Globalism has relatively little impact on child health measures in the U.S. B. Obesity rates among 2to5yearolds haveshown a recent significant decrease. Correct . C. Therateof household povertyis lower than in othereconomically developed nations. D. Young children who attend preschool or day care have higher food insecurity. Chapter 2. UniqueIssuesin Pediatrics • A nurse is explaining the therapeutic milieu to a new nurse. The best explanation of this term would be: 1. The place where the child is receiving care. Chapter 2. UniqueIssuesin Pediatrics • A nurse is explaining the therapeutic milieu to a new nurse. The best explanation of this term would be: 1. The place where the child is receiving care 2. Group therapy. 3. Personal interactions between patients and staff. 4.Allof the above arecorrect. ANS: 4 •A 16-year-old male has received a pink-slip from the police for inpatient psychiatric treatment. The teen has been expressing thoughtsof hanging himself becauseLifesucks. Thenursing staff should consider placing thechild: 1. With peers. 2. In an area where hecan be watched one-on-one. 3. With aroommate thatisexpressing the sameconcerns. 4. In an area close to an external door. ANS: 2 • Learning disabilities in children have scientifically been linked to: i. Poornutrition. ii. The environment in which the child lives. iii. Genetics. iv.Watching morethan four hoursof television a day. ANS:3 • A mental health nurse has assessed a child and determined that the child exhibits behavioral challenges. When theschool nurseexplainsthisto a teacher, the best description wouldbe: . 1. Thechild mayexhibit physicaloutbursts. 2. The child may exhibit violence toward others. 3. Thechild may be defiantor havetantrums. 4. The child will need special interventions for learning. ANS: 3 • A child that has not exhibited enuresis in four years has exhibited this behavior pattern for the last week. Thereason a child mayrevert back tothis behavior pattern is becauseof: 1. Hallucinations. 2. Behavioral challenges. 3. Delusions. 4. Stress. ANS: 4 • An 18-year-old male has called the crisis line for help. The crisis nurse recognizes the intervention needs mayconsist of all of the following except: 1. Discussing the individuals everyday activities. 2. Recognizing that the patient may bein a catharsis state. 3. Expressing empathy toward the caller. 4. Avoiding entropy. ANS: 1 • An 8-year-old boy with a history of hallucinations and violent behavior has been place in a seclusion room at the hospital because he has been hurting others. The nurse checks on the patient and realizes she must take him outof theseclusion room when: 1. Heiscrying to bereleased. 2. He states, I will be a good boy now. 3. He starts headbutting the window. 4. Hecomplains that his parents will file a lawsuit. ANS: 3 • A child has been exhibiting the MacDonald Triad. These behaviors include: 1. Enuresis, pushing others, and pyromania. 2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in the trash can. 3. Playing with other children, laughing, and conversing with adults. 4. Playing with a campfire, watching television, and seeking adult attention. ANS: 2 • A teenager diagnosed with borderline personality disorder should have discharge planning instructions of: 1. A consistent caregiver. 2. Monitoring of media,such astheInternet, television, and video games. 3. Obtaining support from family and friends. 4. Seeking medical attention when the teenager feels good. ANS:3 • A mental health nurse is teaching the mother of a child with executive functioning issues ways to help her child. Interventions the mother should use include: 1. Placing visual aids on the bathroom mirror so that the child will follow the morning routine. 2. Givethe child a choicein foods toeat. 3. Allowing the child to ask for help when needed. 4. Reminding thechild to be nicetoothers. ANS: 1 • Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years of severe neglect by her birth family. The adoptive family hasbeen reporting that Ellie is angry a lot, manipulative with her teachers, and does not seek positive attention. The nurse working with EllieIwill need to: 1. Provideeducation on decreasing stimuli in the homeenvironment that triggers the anger. 2. Realize Ellie may have attachment issues related to her previous history and will need to encourage the familyto be activein hercare. 3. Support thefamilyin the decision-making process ofcontinuing toletEllie live in the home. 4. Discuss inpatient therapy to decrease Ellies manipulative behavior patterns. ANS: 2 • An infant displays depression by: 1. Smiling at strangers. 2. Bonding to someone other than the immediate family. 3. Crying more than anaverage infant. 4. Looks away when an adult attemptsto play with theinfant. ANS: 4