Primary37Care377th37Edition372022-
2023
Chapter371:37Health37Status37of37Children:37Global37and37Nationa
l37Perspectives
1. Which37region37globally37has37the37highest37infant37mortality37rate?
A. Indonesia
B. Southern3 7 Asia
C. SubSaharan37 Africa37Correct
D. Syria
2. The37primary37care37pediatric37nurse37practitioner37understands37that,37to37
achieve37the
greatest37worldwide
reduction37in37child37mortality37from37pneumonia37and37diarrhea,37which37inter
vention37is
most37effective?
A. Antibiotics
B. Optimal3 7 nutrition
C. Vaccinations3 7 Correct
D. Water37purification
3. Which37is37true37about37the37health37status37of37children37in37the37United37Sta
tes?
.3 7 13348413
856
A. Globalism37has37relatively37little37impact37on37child37health37measures37in37th
e37U.S.
B. Obesity37rates37among372to5yearolds37have37shown37a3
7recent37significant
decrease.37 Correct
.
C. The37rate37of37household37poverty37is37lower37than37in37other37econ
omically37developed37nations.
D. Young37children37who37attend37preschool37or37day37care37have37hig
her37food37insecurity.
4. The37primary37care37pediatric37nurse37practitioner37understands37that37a
37major37child
,nes37by
A. focusing37less37on37development37and37more37on37illness37preventi
on37and37nutrition.
B. following37guidelines37established37by37theBright37Futures37publication.
C. scheduling37wellbaby37visits37to37coincide37with37key37develop
mental37milestones.37Correct
D. seeing37the37infant37at37ages372,374,376,37and371237months37when37immuniz
ations37are37due.
Chapter372.37Unique37Issues37in37Pediatrics
1. A37nurse37is37explaining37the37therapeutic37milieu37to37a37new37nurse.3
7The37best37explanation37of37this37term37would37be:
1. The37place37where37the37child37is37receiving37care.
,2. Group37therapy.
3. Personal37interactions37between37patients37and37staff.
4. All37of37the37above37are37corr
ect.37ANS:374
2. A3716-year-old37male37has37received37a37pink-
slip37from37the37police37for37inpatient37psychiatric37treatment.37The37teen
has37been37expressing37thoughts37of37hanging37himself37because37Life37sucks.37
The37nursing37staff37should37consider
placing37the37child:
1. With37peers.
2. In37an37area37where37he37can37be37watched37one-on-one.
3. With37a37roommate37 that37is37expressing37the37 same37concerns.
4. In37an37area37close37to37an37external3
7door.37ANS:372
3. Learning37disabilities37in37children37have37scientifically37been37linked37to:
1. Poor37nutrition.
2. The37environment37in37which37the37child37lives.
3. Genetics.
4. Watching37more37than37four37hours37of37television37
a37day.37ANS:373
4.37A37mental37health37nurse37has37assessed37a37child37and37determined37that37t
he37child37exhibits37behavioral37challenges.
When37the37school37nurse37explains37this37to37a37teacher,37the37best37descripti
on37would37be:
.
1. The37child37may37exhibit37physical37outbursts.
2. The37child37may37exhibit37violence37toward37others.
3. The37child37may37be37defiant37or37have37tantrums.
4. The37child37will37need37special37interventions37for37lea
rning.37ANS:373
5. A37child37that37has37not37exhibited37enuresis37in37four37years37has37exhi
bited37this37behavior37pattern37for37the37last37week.
The37reason37a37child37may37revert37back37to37this37behavior37pattern37is37becau
se37of:
1. Hallucinations.
2. Behavioral37 challenges.
3. Delusions.
4. Stress.
ANS:374
6. An3718-year-
old37male37has37called37the37crisis37line37for37help.37The37crisis37nurse37rec
ognizes37the37intervention37needs
may37consist37of37all37of37the37following37except:
1. Discussing37the37 individuals37 everyday37 activities.
2. Recognizing37that37the37patient37may37be37in37a37catharsis37state.
3. Expressing37empathy37toward37the37caller.
, 2. He37states,37I37will37be37a37good37boy37now.
.
3. He37starts37headbutting37the37window.
4. He37complains37that37his37parents37will37file37a37la
wsuit.37ANS:373
8. A37child37has37been37exhibiting37the37MacDonald37Triad.37These37behaviors37in
clude:
1. Enuresis,37pushing37 others,37 and37pyromania.
2. Swinging37a37cat37by37the37tail,37bed-
wetting,37and37lighting37paper37on37fire37in37the37trash37can.
3. Playing37with37other37children,37laughing,37and37conversing37with37adults.
4. Playing37with37a37campfire,37watching37television,37and37seeking37adult37att
ention.37ANS:372
9. A37teenager37diagnosed37with37borderline37personality37disorder37should
37have37discharge37planning37instructions37of:
1. A37consistent37caregiver.
2. Monitoring37of37media,37such37as37the37Internet,37television,37and37video37ga
mes.
3. Obtaining37support37from37family37and37friends.
4. Seeking37medical37attention37when37the37teenager37feels37
good.37ANS:373
10. A37mental37health37nurse37is37teaching37the37mother37of37a37child37with3
7executive37functioning37issues37ways37to37help
her37child.37Interventions37the37mother37should37use37include:
1. Placing37visual37aids37on37the37bathroom37mirror37so37that37the37child37will37
follow37the37morning37routine.
2. Give37the37child37a37choice37in37foods37to37eat.
3. Allowing37the37child37to37ask37for37help37when37needed.
4. Reminding37the37child37to37be37nice37to37o
thers.37ANS:371
.
11. Ellie,37a379-year-
old37girl,37was37adopted37by37a37family37at37the37age37of37437after37several37y
ears37of37severe37neglect37by37her37birth37family.37The37adoptive37family37ha
s37been37reporting37that37Ellie37is37angry37a37lot,37manipulative37with37her
teachers,37and37does37not37seek37positive37attention.37The37nurse37working37wi
th37Ellie37will37need37to:
1. Provide37education37on37decreasing37stimuli37in37the37home37environme
nt37that37triggers37the37anger.
2. Realize37Ellie37may37have37attachment37issues37related37to37her37previous
37history37and37will37need37to37encourage 37the
family37to37be37active37in37her37care.
3. Support37the37family37in37the37decision-
making37process37of37continuing37to37let37Ellie37live37in37the37home.
4. Discuss37inpatient37therapy37to37decrease37Ellies37manipulative37be