Chapter 1: Health Status of Children: Global and National
Perspectives
1. Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. SubSaharan Africa Correct
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achieve
the
greatest worldwide
reduction in child mortality from pneumonia and diarrhea, which intervention
is
most effective?
A. Antibiotics
B. Optimal nutrition
C. Vaccinations Correct
D. Water purification
3. Which is true about the health status of children in the United States?
.
13348413856
A. Globalism has relatively little impact on child health measures in the U.S.
B. Obesity rates among 2to5yearolds have shown a recent
significant
decrease. Correct
.
C. The rate of household poverty is lower than in other economically
developed nations.
D. Young children who attend preschool or day care have higher food
insecurity.
4. The primary care pediatric nurse practitioner understands that a major
child
health outcome associated with worldwide climate change is
A. cost of living.
B. education.
C. nutrition. Correct
D. pollution.
5. When providing well child care for an infant in the first year of life, the
primary
care pediatric nurse practitioner is adhering to the most recent American
Academy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelines
by
A. focusing less on development and more on illness prevention and
nutrition.
,2. Group therapy.
3. Personal interactions between patients and staff.
4. All of the above are correct.
ANS: 4
2. A 16-year-old male has received a pink-slip from the police for inpatient
psychiatric treatment. The teen
has been expressing thoughts of hanging himself because Life sucks. The
nursing staff should consider
placing the child:
1. With peers.
2. In an area where he can be watched one-on-one.
3. With a roommate that is expressing the same concerns.
4. In an area close to an external door.
ANS: 2
3. Learning disabilities in children have scientifically been linked to:
1. Poor nutrition.
2. The environment in which the child lives.
3. Genetics.
4. Watching more than four hours of television a day.
ANS: 3
4. A mental health nurse has assessed a child and determined that the child
exhibits behavioral challenges.
When the school nurse explains this to a teacher, the best description would
be:
.
1. The child may exhibit physical outbursts.
2. The child may exhibit violence toward others.
3. The child may be defiant or have tantrums.
4. The child will need special interventions for learning.
ANS: 3
5. A child that has not exhibited enuresis in four years has exhibited this
behavior pattern for the last week.
The reason a child may revert back to this behavior pattern is because of:
1. Hallucinations.
2. Behavioral challenges.
3. Delusions.
4. Stress.
ANS: 4
6. An 18-year-old male has called the crisis line for help. The crisis nurse
recognizes the intervention needs
may consist of all of the following except:
1. Discussing the individuals everyday activities.
2. Recognizing that the patient may be in a catharsis state.
3. Expressing empathy toward the caller.
4. Avoiding entropy.
ANS: 1
,2. He states, I will be a good boy now.
.
3. He starts headbutting the window.
4. He complains that his parents will file a lawsuit.
ANS: 3
8. 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
9. A teenager diagnosed with borderline personality disorder should have
discharge planning instructions of:
1. A consistent caregiver.
2. Monitoring of media, such as the Internet, television, and video games.
3. Obtaining support from family and friends.
4. Seeking medical attention when the teenager feels good.
ANS: 3
10. 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. Give the child a choice in foods to eat.
3. Allowing the child to ask for help when needed.
4. Reminding the child to be nice to others.
ANS: 1
.
11. 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 has
been reporting that Ellie is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with Ellie
will need to:
1. Provide education on decreasing stimuli in the home environment that
triggers the anger.
2. Realize Ellie may have attachment issues related to her previous history
and will need to encourage the
family to be active in her care.
3. Support the family in the decision-making process of continuing to let Ellie
live in the home.
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2
, 13. A bfather breports bthat bhis badolescent bdaughter bhas bgotten bgood bgrades bup
b until b the b last b quarter b of bschool.
She bhas bbeen bhanging bout bby bherself band bdoes bnot bwant bto btalk bto bhim
banymore. b The b mental b health b nurse
should:
1. Realize bthat bthis bis ba bnatural bpart bof bgrowing bup.
2. Perform ba bmental bhealth bscreening bto bcheck bfor bdepression.
3. Attempt bto bget bthe badolescent bto bdiscuss bwhy bshe bdoes bnot blike bher
bfather banymore.
4. Let bthe badolescent btalk bwhen bshe bis
bready. b ANS: b 2
14. A b teen b should b be b checked b for b depression b at b bphysician b visit(s).
1. Every
.
2. One
3. Monthly
4. Bi-yearly
ANS: b1
15. When busing bthe bSAD bFACES bdepression bscreen, bit bis bimportant bto bassess:
1. Anhedonia.
2. Suicidal b ideations.
3. Sleep b patterns.
4. All bof bthe babove
b ANS: b4
16. A bschool bnurse bis bgiving ban bin-service bto bteachers bon bbullycide. bThe
b main b reason bfor b the b teaching bis b so
that:
1. Teachers bare baware bbullying boccurs.
2. Teachers bare bable bto bidentify bstudents bwho bare brisk.
3. Teachers bcan bbe baware bof bthe bfact bthat bsuicides bcan bhappen bdue bto
b bullying b by b others.
4. Teachers bare baware bof btheir brole bin bcausing
bbullycide. b ANS: b 3
17. An badolescent bwith ba bknown bhistory bof bbipolar bdisorder bis bin bthe
bschool b nurses b office b because ba bteacher
reported bthat bshe bwas btalking bfast band bacting blike bshe bwas bGod. bThe bschool
b nurse b assesses bthe b girl b and b notes
that:
1. She b is b probably b in b a b manic b phase b and b needs b to b be b treated b professionally.
2. She b has b had b too b much b sleep b and b is b now b hyperactive.
3. She bforgot bto btake bher bmedications btoday.
4. She brequires bsome bfood band brest bbefore bgoing bback bto bclass.
bANS: b 1
Chapter 3. Genetics and Child Health
b b b b b
Questions
b
Perspectives
1. Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. SubSaharan Africa Correct
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achieve
the
greatest worldwide
reduction in child mortality from pneumonia and diarrhea, which intervention
is
most effective?
A. Antibiotics
B. Optimal nutrition
C. Vaccinations Correct
D. Water purification
3. Which is true about the health status of children in the United States?
.
13348413856
A. Globalism has relatively little impact on child health measures in the U.S.
B. Obesity rates among 2to5yearolds have shown a recent
significant
decrease. Correct
.
C. The rate of household poverty is lower than in other economically
developed nations.
D. Young children who attend preschool or day care have higher food
insecurity.
4. The primary care pediatric nurse practitioner understands that a major
child
health outcome associated with worldwide climate change is
A. cost of living.
B. education.
C. nutrition. Correct
D. pollution.
5. When providing well child care for an infant in the first year of life, the
primary
care pediatric nurse practitioner is adhering to the most recent American
Academy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelines
by
A. focusing less on development and more on illness prevention and
nutrition.
,2. Group therapy.
3. Personal interactions between patients and staff.
4. All of the above are correct.
ANS: 4
2. A 16-year-old male has received a pink-slip from the police for inpatient
psychiatric treatment. The teen
has been expressing thoughts of hanging himself because Life sucks. The
nursing staff should consider
placing the child:
1. With peers.
2. In an area where he can be watched one-on-one.
3. With a roommate that is expressing the same concerns.
4. In an area close to an external door.
ANS: 2
3. Learning disabilities in children have scientifically been linked to:
1. Poor nutrition.
2. The environment in which the child lives.
3. Genetics.
4. Watching more than four hours of television a day.
ANS: 3
4. A mental health nurse has assessed a child and determined that the child
exhibits behavioral challenges.
When the school nurse explains this to a teacher, the best description would
be:
.
1. The child may exhibit physical outbursts.
2. The child may exhibit violence toward others.
3. The child may be defiant or have tantrums.
4. The child will need special interventions for learning.
ANS: 3
5. A child that has not exhibited enuresis in four years has exhibited this
behavior pattern for the last week.
The reason a child may revert back to this behavior pattern is because of:
1. Hallucinations.
2. Behavioral challenges.
3. Delusions.
4. Stress.
ANS: 4
6. An 18-year-old male has called the crisis line for help. The crisis nurse
recognizes the intervention needs
may consist of all of the following except:
1. Discussing the individuals everyday activities.
2. Recognizing that the patient may be in a catharsis state.
3. Expressing empathy toward the caller.
4. Avoiding entropy.
ANS: 1
,2. He states, I will be a good boy now.
.
3. He starts headbutting the window.
4. He complains that his parents will file a lawsuit.
ANS: 3
8. 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
9. A teenager diagnosed with borderline personality disorder should have
discharge planning instructions of:
1. A consistent caregiver.
2. Monitoring of media, such as the Internet, television, and video games.
3. Obtaining support from family and friends.
4. Seeking medical attention when the teenager feels good.
ANS: 3
10. 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. Give the child a choice in foods to eat.
3. Allowing the child to ask for help when needed.
4. Reminding the child to be nice to others.
ANS: 1
.
11. 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 has
been reporting that Ellie is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with Ellie
will need to:
1. Provide education on decreasing stimuli in the home environment that
triggers the anger.
2. Realize Ellie may have attachment issues related to her previous history
and will need to encourage the
family to be active in her care.
3. Support the family in the decision-making process of continuing to let Ellie
live in the home.
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2
, 13. A bfather breports bthat bhis badolescent bdaughter bhas bgotten bgood bgrades bup
b until b the b last b quarter b of bschool.
She bhas bbeen bhanging bout bby bherself band bdoes bnot bwant bto btalk bto bhim
banymore. b The b mental b health b nurse
should:
1. Realize bthat bthis bis ba bnatural bpart bof bgrowing bup.
2. Perform ba bmental bhealth bscreening bto bcheck bfor bdepression.
3. Attempt bto bget bthe badolescent bto bdiscuss bwhy bshe bdoes bnot blike bher
bfather banymore.
4. Let bthe badolescent btalk bwhen bshe bis
bready. b ANS: b 2
14. A b teen b should b be b checked b for b depression b at b bphysician b visit(s).
1. Every
.
2. One
3. Monthly
4. Bi-yearly
ANS: b1
15. When busing bthe bSAD bFACES bdepression bscreen, bit bis bimportant bto bassess:
1. Anhedonia.
2. Suicidal b ideations.
3. Sleep b patterns.
4. All bof bthe babove
b ANS: b4
16. A bschool bnurse bis bgiving ban bin-service bto bteachers bon bbullycide. bThe
b main b reason bfor b the b teaching bis b so
that:
1. Teachers bare baware bbullying boccurs.
2. Teachers bare bable bto bidentify bstudents bwho bare brisk.
3. Teachers bcan bbe baware bof bthe bfact bthat bsuicides bcan bhappen bdue bto
b bullying b by b others.
4. Teachers bare baware bof btheir brole bin bcausing
bbullycide. b ANS: b 3
17. An badolescent bwith ba bknown bhistory bof bbipolar bdisorder bis bin bthe
bschool b nurses b office b because ba bteacher
reported bthat bshe bwas btalking bfast band bacting blike bshe bwas bGod. bThe bschool
b nurse b assesses bthe b girl b and b notes
that:
1. She b is b probably b in b a b manic b phase b and b needs b to b be b treated b professionally.
2. She b has b had b too b much b sleep b and b is b now b hyperactive.
3. She bforgot bto btake bher bmedications btoday.
4. She brequires bsome bfood band brest bbefore bgoing bback bto bclass.
bANS: b 1
Chapter 3. Genetics and Child Health
b b b b b
Questions
b
