FULL TEST BANK Applied Pathophysiology A Conceptual Approach 4th Edition by Judi Nath, Carie Braun

Burns' Pediatric Primary Care 7th Edition Test Bank

Chapter 1: Health Status of Children: Global and
National Perspectives

1. Which region globally has the highest infant mortality rate?
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A. Indonesia
B. Southern Asia 4


C. SubSaharan Africa Correct 4 4


D. Syria

2. The primary care pediatric nurse practitioner understands that, toa
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chieve the 4


greatest worldwide 4


reduction in child mortality from pneumonia and diarrhea, whichintervention
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is most effective?
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A. Antibiotics
B. Optimal nutrition 4


C. Vaccinations Correct 4


D. Water purification 4




3. Which is true about the health status of children in the UnitedSt
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ates?
.
13348413856
A. Globalism has relatively little impact on child health measures in theU
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.S.
B. Obesity rates among 2to5yearolds haves 4 4 4 4 4


hown a recent significant
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decrease. Correct 4


.
C. The rate of household poverty is lower than in othere
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conomically developed nations. 4 4


D. Young children who attend preschool or day care haveh
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igher food insecurity.
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4. The primary care pediatric nurse practitioner understands thata
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4major child 4


health outcome associated with worldwide climate change is
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A. cost of living.4 4


B. education.
C. nutrition. Correct 4


D. pollution.

5. When providing well child care for an infant in the first year oflif
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e, the primary
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care pediatric nurse practitioner is adhering to the most recentAmerican
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Academy of 4


PediatricsRecommendations for Preventive Pediatric Health Care 4 4 4 4 4


guidelines by 4


A. focusing less on development and more on illnessp 4 4 4 4 4 4 4 4


revention and nutrition. 4 4


B. following guidelines established by theBright Futures publication.
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C. scheduling wellbaby visits to coincide with keyd 4 4 4 4 4 4 4


evelopmental milestones. Correct 4 4


D. seeing the infant at ages 2, 4, 6, and 12 months wheni
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,2. Group therapy. 4


3. Personal interactions between patients and staff. 4 4 4 4 4


4. All of the above are
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correct. ANS: 4 4 4




2. A 16-year-old male has received a pink-
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slip from the police for inpatientpsychiatric treatment. The teen
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has been expressing thoughts of hanging himself because Life sucks.
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Thenursing staff should considerpl 4 4 4 4


acing the child: 4 4


1. With peers. 4


2. In an area where he can be watched one-on-one.
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3. With aroommate thatisexpressing the sameconcerns.
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4. In an area close to an external
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door. ANS: 2 4 4




3. Learning disabilities in children have scientifically been linked to:
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1. Poornutrition.
2. The environment in which the child lives.
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3. Genetics.
4. Watching more than four hours of television 4 4 4 4 4 4 4


a day. ANS: 3
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4. A mental health nurse has assessed a child and determined thatthe
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child exhibits behavioral challenges.
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When the school nurse explains this to a teacher, the best descriptionwoul
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dbe:



.
1. The child may exhibit physical outbursts.
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2. The child may exhibit violence toward others.
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3. The child may be defiant or have tantrums.
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4. The child will need special interventions forl
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earning. ANS: 3 4 4




5. A child that has not exhibited enuresis in four years hase
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xhibited this behavior pattern for the last week.
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The reason a child may revert back to this behavior pattern is becauseof:
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1. Hallucinations.
2. Behavioral challenges. 4


3. Delusions.
4. Stres
s. ANS:
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4

6. An 18-year-
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old male has called the crisis line for help. The crisis nurserecognizes the inte
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rvention needs 4


may consist of all of the following except:
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1. Discussing the individuals everyday activities. 4 4 4 4


2. Recognizing that the patient may be in a catharsis state. 4 4 4 4 4 4 4 4 4


3. Expressing empathy toward the caller. 4 4 4 4

,2. He states, I will be a good boy now.
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.
3. He starts headbutting the window.
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4. He complains that his parents will file al
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awsuit. ANS: 3 4 4




8. A child has been exhibiting the MacDonald Triad. These behaviorsinclude:
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1. Enuresis, pushing others, and pyromania. 4 4 4 4


2. Swinging a cat by the tail, bed- 4 4 4 4 4 4


wetting, and lighting paper onfire in the trash can.
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3. Playing with other children, laughing, and conversing with adults.
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4. Playing with a campfire, watching television, and seeking adulta
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ttention. ANS: 2 4 4




9. A teenager diagnosed with borderline personality disorder shouldh
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ave discharge planning instructions of:
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1. A consistent caregiver.
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2. Monitoring of media, such as the Internet, television, and videog 4 4 4 4 4 4 4 4 4 4


ames.
3. Obtaining support from family and friends. 4 4 4 4 4


4. Seeking medical attention when the teenager feelsg 4 4 4 4 4 4 4


ood. ANS: 3 4 4




10. A mental health nurse is teaching the mother of a child withexecutive
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4functioning issues ways to help 4 4 4 4


her child. Interventions the mother should use include:
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1. Placing visual aids on the bathroom mirror so that the child willfo
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llow the morning routine.
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2. Give the child a choice in foods to eat.
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3. Allowing the child to ask for help when needed. 4 4 4 4 4 4 4 4


4. Reminding the child to be nice to 4 4 4 4 4 4 4


others. ANS: 1 4 4




.
11. Ellie, a 9-year-
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old girl, was adopted by a family at the age of 4 afterseveral years of sev
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ere neglect by her birth family. The adoptive family hasbeen reporting t
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hat Ellie is angry a lot, manipulative with her teachers, and does not seek
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positive attention. The nurse working withElliewill need to:
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1. Provide education on decreasing stimuli in the homee 4 4 4 4 4 4 4 4


nvironment that triggers the anger. 4 4 4 4


2. Realize Ellie may have attachment issues related to her previoushi
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story and will need to encourage the
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family to be active in her care.
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3. Support the family in the decision- 4 4 4 4 4


making process of continuingto let Ellie live in the home.
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4. Discuss inpatient therapy to decrease Ellies manipulativeb
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ehavior patterns. 4


ANS: 2 4

, 13. A father reports that his adolescent daughter has gotten goodgrad
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es up until the last quarter of school.
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She has been hanging out by herself and does not want to talk tohimanym
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ore.
The mental health
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nurse should: 4


1. Realize that this is a natural part of growing up.
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2. Perform a mental health screening to check for depression.
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3. Attempt to get the adolescent to discuss why she does not likeh
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er father anymore.
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4. Let the adolescent talk when she isr
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eady. ANS: 2 4 4




14. Ateenshouldbechecked fordepression at
4 4 4 physician visit(s). 4


1. Every



.
2. One
3. Monthly
4. Bi-
yearly
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ANS:
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1

15. When using the SAD FACES depression screen, itis important toasse
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ss:
1. Anhedonia.
2. Suicidal ideations. 4


3. Sleep patterns. 4


4. All of the a 4 4 4


bove ANS: 4 4 4




16. A school nurse is giving an in-
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service to teachers on bullycide. Themain reason for the teaching is so
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that:
1. Teachers are aware bullying occurs. 4 4 4 4


2. Teachers are able to identify students who are risk. 4 4 4 4 4 4 4 4


3. Teachers can be aware of the fact that suicides can happen dueto 4 4 4 4 4 4 4 4 4 4 4 4


4bullying by others. 4 4


4. Teachers are aware of their role in causingb 4 4 4 4 4 4 4 4


ullycide. ANS: 3 4 4




17. An adolescent with a known history of bipolar disorder is in theschooln
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urses office because a teacher
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reported that she was talking fast and acting like she was God. Theschooln
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urse assesses the girl and notes
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that:
1. She is probably in a manic phase and needs to be treatedpr
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ofessionally.
2. She has had too much sleep and is now hyperactive.
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3. She forgot to take her medications today.
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