Primary34Care347th34Edition342022-
2023
Chapter341:34Health34Status34of34Children:34Global34and34Nationa
l34Perspectives
1. Which34region34globally34has34the34highest34infant34mortality34rate?
A. Indonesia
B. Southern3 4 Asia
C. SubSaharan34 Africa34Correct
D. Syria
2. The34primary34care34pediatric34nurse34practitioner34understands34that,34to34
achieve34the
greatest34worldwide
reduction34in34child34mortality34from34pneumonia34and34diarrhea,34which34inter
vention34is
most34effective?
A. Antibiotics
B. Optimal3 4 nutrition
C. Vaccinations3 4 Correct
D. Water34purification
3. Which34is34true34about34the34health34status34of34children34in34the34United34Sta
tes?
.3 4 13348413
856
A. Globalism34has34relatively34little34impact34on34child34health34measures34in34th
e34U.S.
B. Obesity34rates34among342to5yearolds34have34shown34a3
4recent34significant
decrease.34 Correct
.
C. The34rate34of34household34poverty34is34lower34than34in34other34econ
omically34developed34nations.
D. Young34children34who34attend34preschool34or34day34care34have34hig
her34food34insecurity.
4. The34primary34care34pediatric34nurse34practitioner34understands34that34a
34major34child
,nes34by
A. focusing34less34on34development34and34more34on34illness34preventi
on34and34nutrition.
B. following34guidelines34established34by34theBright34Futures34publication.
C. scheduling34wellbaby34visits34to34coincide34with34key34develop
mental34milestones.34Correct
D. seeing34the34infant34at34ages342,344,346,34and341234months34when34immuniz
ations34are34due.
Chapter342.34Unique34Issues34in34Pediatrics
1. A34nurse34is34explaining34the34therapeutic34milieu34to34a34new34nurse.3
4The34best34explanation34of34this34term34would34be:
1. The34place34where34the34child34is34receiving34care.
,2. Group34therapy.
3. Personal34interactions34between34patients34and34staff.
4. All34of34the34above34are34corr
ect.34ANS:344
2. A3416-year-old34male34has34received34a34pink-
slip34from34the34police34for34inpatient34psychiatric34treatment.34The34teen
has34been34expressing34thoughts34of34hanging34himself34because34Life34sucks.34
The34nursing34staff34should34consider
placing34the34child:
1. With34peers.
2. In34an34area34where34he34can34be34watched34one-on-one.
3. With34a34roommate34 that34is34expressing34the34 same34concerns.
4. In34an34area34close34to34an34external3
4door.34ANS:342
3. Learning34disabilities34in34children34have34scientifically34been34linked34to:
1. Poor34nutrition.
2. The34environment34in34which34the34child34lives.
3. Genetics.
4. Watching34more34than34four34hours34of34television34
a34day.34ANS:343
4.34A34mental34health34nurse34has34assessed34a34child34and34determined34that34t
he34child34exhibits34behavioral34challenges.
When34the34school34nurse34explains34this34to34a34teacher,34the34best34descripti
on34would34be:
.
1. The34child34may34exhibit34physical34outbursts.
2. The34child34may34exhibit34violence34toward34others.
3. The34child34may34be34defiant34or34have34tantrums.
4. The34child34will34need34special34interventions34for34lea
rning.34ANS:343
5. A34child34that34has34not34exhibited34enuresis34in34four34years34has34exhi
bited34this34behavior34pattern34for34the34last34week.
The34reason34a34child34may34revert34back34to34this34behavior34pattern34is34becau
se34of:
1. Hallucinations.
2. Behavioral34 challenges.
3. Delusions.
4. Stress.
ANS:344
6. An3418-year-
old34male34has34called34the34crisis34line34for34help.34The34crisis34nurse34rec
ognizes34the34intervention34needs
may34consist34of34all34of34the34following34except:
1. Discussing34the34 individuals34 everyday34 activities.
2. Recognizing34that34the34patient34may34be34in34a34catharsis34state.
3. Expressing34empathy34toward34the34caller.
, 2. He34states,34I34will34be34a34good34boy34now.
.
3. He34starts34headbutting34the34window.
4. He34complains34that34his34parents34will34file34a34la
wsuit.34ANS:343
8. A34child34has34been34exhibiting34the34MacDonald34Triad.34These34behaviors34in
clude:
1. Enuresis,34pushing34 others,34 and34pyromania.
2. Swinging34a34cat34by34the34tail,34bed-
wetting,34and34lighting34paper34on34fire34in34the34trash34can.
3. Playing34with34other34children,34laughing,34and34conversing34with34adults.
4. Playing34with34a34campfire,34watching34television,34and34seeking34adult34att
ention.34ANS:342
9. A34teenager34diagnosed34with34borderline34personality34disorder34should
34have34discharge34planning34instructions34of:
1. A34consistent34caregiver.
2. Monitoring34of34media,34such34as34the34Internet,34television,34and34video34ga
mes.
3. Obtaining34support34from34family34and34friends.
4. Seeking34medical34attention34when34the34teenager34feels34
good.34ANS:343
10. A34mental34health34nurse34is34teaching34the34mother34of34a34child34with3
4executive34functioning34issues34ways34to34help
her34child.34Interventions34the34mother34should34use34include:
1. Placing34visual34aids34on34the34bathroom34mirror34so34that34the34child34will34
follow34the34morning34routine.
2. Give34the34child34a34choice34in34foods34to34eat.
3. Allowing34the34child34to34ask34for34help34when34needed.
4. Reminding34the34child34to34be34nice34to34o
thers.34ANS:341
.
11. Ellie,34a349-year-
old34girl,34was34adopted34by34a34family34at34the34age34of34434after34several34y
ears34of34severe34neglect34by34her34birth34family.34The34adoptive34family34ha
s34been34reporting34that34Ellie34is34angry34a34lot,34manipulative34with34her
teachers,34and34does34not34seek34positive34attention.34The34nurse34working34wi
th34Ellie34will34need34to:
1. Provide34education34on34decreasing34stimuli34in34the34home34environme
nt34that34triggers34the34anger.
2. Realize34Ellie34may34have34attachment34issues34related34to34her34previous
34history34and34will34need34to34encourage 34the
family34to34be34active34in34her34care.
3. Support34the34family34in34the34decision-
making34process34of34continuing34to34let34Ellie34live34in34the34home.
4. Discuss34inpatient34therapy34to34decrease34Ellies34manipulative34be