Burns' Pediatric Edition Primary Test Bank Q&A Chapter 1: Health Status of Children: Global and National Perspectives/////Burns' Pediatric Edition Primary Test Bank Q&A Chapter 1: Health Status of Children: Global and National

Burns' Pediatric Edition Primary Test Bank Q&A 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 CLASSROOM Care 7th 2. The primary care pediatric nurse practitioner understands that, 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 3. Which is true about the health status of children in the United States? . 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. B. following guidelines established by theBright Futures publication. C. scheduling wellbaby visits to coincide with key developmental milestones. Correct D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due. Chapter 2. Unique Issues in Pediatrics 1. 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. CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM 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 CLASSROOM has been expressing thoughts of hanging himself because Life sucks. Thenursing staff should consider placing the child: 1. With peers. 2. In an area where he can be watched one-on-one. 3. With aroommate thatisexpressing the sameconcerns. 4. In an area close to an external door. ANS: 2 3. Learning disabilities in children have scientifically been linked to: 1. Poornutrition. 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 wouldbe: . 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 7. 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 out of the seclusion room when: 1. He is crying to be released. CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM 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 CLASSROOM 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 f ire 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 hasbeen reporting that Ellie is angry a lot, manipulative with her EllieI teachers, and does not seek positive attention. The nurse working with 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 12. 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 attempts to play with the infant. ANS: 4 CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM 13. A father reports that his adolescent daughter has gotten good grades up until the last quarter of school. She has been hanging out by herself and does not want to talk to himanymore. The mental health nurse should: 1. Realize that this is a natural part of growing up. 2. Perform a mental health screening to check for depression. 3. Attempt to get the adolescent to discuss why she does not like her father anymore. 4. Let the adolescent talk when she is ready. ANS: 2 14.Ateenshouldbechecked fordepression at CLASSROOM physician visit(s). 1. Every . 2. One 3. Monthly 4. Bi-yearly ANS: 1 15.When using the SAD FACES depression screen, it is important to assess: 1. Anhedonia. 2. Suicidal ideations. 3. Sleep patterns. 4. All of the above ANS: 4 16. A school nurse is giving an in-service to teachers on bullycide. The main reason for the teaching is so that: 1. Teachers are aware bullying occurs. 2. Teachers are able to identify students who are risk. 3. Teachers can be aware of the fact that suicides can happen due to bullying by others. 4. Teachers are aware of their role in causing bullycide. ANS: 3 17. An adolescent with a known history of bipolar disorder is in the schoolnurses office because a teacher reported that she was talking fast and acting like she was God. The schoolnurse assesses the girl and notes that: 1. She is probably in a manic phase and needs to be treated professionally. 2. She has had too much sleep and is now hyperactive. 3. She forgot to take her medications today. 4. She requires somefoodandrest beforegoing backtoclass. ANS: 1 Chapter 3. Genetics and Child Health Questions 1. What is true about haploid cells? . C. Each contains 23 paired chromosomes. D.Each one contains 23 chromosomes. Correct CLASSROOM E. Replication produces two identical cells. CLASSROOM CLASSROOM CLASSROOM CLASSROOM F.They replicate via the process of mitosis. CLASSROOM 2. What does the following genetic notation symbol mean 47,XX,6q? . A. Male with deletion of chromosome 6 B. Female with deletion of chromosome 6 C. Male with deletion onthelongarmofchromosome 6 D. Female with deletion on the long arm of chromosome 6 Correct 3. A child has a recessive genetic disorder that is homozygous for that mutation. . What ismostlikely about this child’s parents? A. Neither parent has a copy of that gene mutation. B. Only the mother has a copy of that gene mutation. C. Only the father has a copy of that gene mutation. D.Each parent has one copy of that gene mutation. Correct 4. Which type of mutation isresponsible formany singlegene genetic disorders? . A. Copynumbervariations B. Nucleotide repeat expansions C. Point mutations Correct D. Single nucleotide polymorphisms (SNP) . 5. Cystic fibrosis isarecessive disease requiring the presence ofagene mutation . on both alleles inherited from the parents. Which type of genetic disorder isthis? A. Chromosome B. Mitochondrial C. Monogenetic Correct D. Multifactorial . 6. The primary care pediatric nurse practitioner is counseling a couple about genetic risks and learns that one parent has neurofibromatosis, an autosomal dominant disorder, and the other parent does not. What will the nurse practitioner include when discussingthis disorder and its transmission? C. Children must inherit a gene from both parents to develop the disease. D. Each child born to this couple will have a 50% risk of having the disease. Correct E. This type of disorder characteristically skips generations. F.Unaffected offspring may still pass on the disease to their offspring. 7. A family medical history conducted during a well baby exam for a newborn girl reveals that hemophilia A, an Xlinked CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM recessive disorder, is present in males in three previous generations in the mother’s family, whose father had the disease. What will the primary care pediatric nurse practitioner tell the parents about the risk of this disease intheir children? E. All of their sons will be affected by the disease. F.Any sons they have will not be affected by the disease. G. Daughters havea 50% chanceofbeing carriers ofthe disease. Correct H. Their daughter has a 25% chance of having the disease. 8. What is an important responsibility of the primary care pediatric nurse practitioner . to help determine genetic risk factors in families? E. Assessing physical characteristics of genetic disorders F.Knowing which genetic screening tests to perform G. Making appropriate referrals to pediatric geneticists D. Obtaining a threegeneration pedigree for each family Correct 9. Which diagnostic study may be ordered when the provider wishes to detect the . presence ofadditional genetic material ona chromosome? A. Chromosomal microarray B. FISH Correct D. Karyotype E. Molecular testing 10. Which type of testing will the primary care pediatric nurse practitioner recommend . for a couple concerned about the potential for having children with cystic fibrosis? A. Biochemical testing B. Carrier testing Correct C. FISH testing D. Karyotype testing Chapter 4. Environmental Issues Questions 1. What has been the result of passage of the Toxic Substances Control Act. (TSCA) of 1976? G. A mandate for corporations to disclose known toxic chemicals CLASSROOM H. A requirement that all manufactured chemicals undergo toxicity testing I. Authorization of the EPA to require testing and reporting of some chemicals Correct J. Development of a mechanism to report reactions to toxic chemicals 2. Many European nations use the “precautionary principle” to help regulate potentially toxic chemicals. What does this mean? G. Chemicals must be proven to be safe before being introduced into theBurns' Pediatric Edition Primary Test Bank Q&A 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 CLASSROOM Care 7th 2. The primary care pediatric nurse practitioner understands that, 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 3. Which is true about the health status of children in the United States? . 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. B. following guidelines established by theBright Futures publication. C. scheduling wellbaby visits to coincide with key developmental milestones. Correct D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due. Chapter 2. Unique Issues in Pediatrics 1. 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. CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM 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 CLASSROOM has been expressing thoughts of hanging himself because Life sucks. Thenursing staff should consider placing the child: 1. With peers. 2. In an area where he can be watched one-on-one. 3. With aroommate thatisexpressing the sameconcerns. 4. In an area close to an external door. ANS: 2 3. Learning disabilities in children have scientifically been linked to: 1. Poornutrition. 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 wouldbe: . 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 7. 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 out of the seclusion room when: 1. He is crying to be released. CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM 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 CLASSROOM 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 f ire 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 hasbeen reporting that Ellie is angry a lot, manipulative with her EllieI teachers, and does not seek positive attention. The nurse working with 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 12. 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 attempts to play with the infant. ANS: 4 CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM 13. A father reports that his adolescent daughter has gotten good grades up until the last quarter of school. She has been hanging out by herself and does not want to talk to himanymore. The mental health nurse should: 1. Realize that this is a natural part of growing up. 2. Perform a mental health screening to check for depression. 3. Attempt to get the adolescent to discuss why she does not like her father anymore. 4. Let the adolescent talk when she is ready. ANS: 2 14.Ateenshouldbechecked fordepression at CLASSROOM physician visit(s). 1. Every . 2. One 3. Monthly 4. Bi-yearly ANS: 1 15.When using the SAD FACES depression screen, it is important to assess: 1. Anhedonia. 2. Suicidal ideations. 3. Sleep patterns. 4. All of the above ANS: 4 16. A school nurse is giving an in-service to teachers on bullycide. The main reason for the teaching is so that: 1. Teachers are aware bullying occurs. 2. Teachers are able to identify students who are risk. 3. Teachers can be aware of the fact that suicides can happen due to bullying by others. 4. Teachers are aware of their role in causing bullycide. ANS: 3 17. An adolescent with a known history of bipolar disorder is in the schoolnurses office because a teacher reported that she was talking fast and acting like she was God. The schoolnurse assesses the girl and notes that: 1. She is probably in a manic phase and needs to be treated professionally. 2. She has had too much sleep and is now hyperactive. 3. She forgot to take her medications today. 4. She requires somefoodandrest beforegoing backtoclass. ANS: 1 Chapter 3. Genetics and Child Health Questions 1. What is true about haploid cells? . C. Each contains 23 paired chromosomes. D.Each one contains 23 chromosomes. Correct CLASSROOM E. Replication produces two identical cells. CLASSROOM CLASSROOM CLASSROOM CLASSROOM F.They replicate via the process of mitosis. CLASSROOM 2. What does the following genetic notation symbol mean 47,XX,6q? . A. Male with deletion of chromosome 6 B. Female with deletion of chromosome 6 C. Male with deletion onthelongarmofchromosome 6 D. Female with deletion on the long arm of chromosome 6 Correct 3. A child has a recessive genetic disorder that is homozygous for that mutation. . What ismostlikely about this child’s parents? A. Neither parent has a copy of that gene mutation. B. Only the mother has a copy of that gene mutation. C. Only the father has a copy of that gene mutation. D.Each parent has one copy of that gene mutation. Correct 4. Which type of mutation isresponsible formany singlegene genetic disorders? . A. Copynumbervariations B. Nucleotide repeat expansions C. Point mutations Correct D. Single nucleotide polymorphisms (SNP) . 5. Cystic fibrosis isarecessive disease requiring the presence ofagene mutation . on both alleles inherited from the parents. Which type of genetic disorder isthis? A. Chromosome B. Mitochondrial C. Monogenetic Correct D. Multifactorial . 6. The primary care pediatric nurse practitioner is counseling a couple about genetic risks and learns that one parent has neurofibromatosis, an autosomal dominant disorder, and the other parent does not. What will the nurse practitioner include when discussingthis disorder and its transmission? C. Children must inherit a gene from both parents to develop the disease. D. Each child born to this couple will have a 50% risk of having the disease. Correct E. This type of disorder characteristically skips generations. F.Unaffected offspring may still pass on the disease to their offspring. 7. A family medical history conducted during a well baby exam for a newborn girl reveals that hemophilia A, an Xlinked CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM recessive disorder, is present in males in three previous generations in the mother’s family, whose father had the disease. What will the primary care pediatric nurse practitioner tell the parents about the risk of this disease intheir children? E. All of their sons will be affected by the disease. F.Any sons they have will not be affected by the disease. G. Daughters havea 50% chanceofbeing carriers ofthe disease. Correct H. Their daughter has a 25% chance of having the disease. 8. What is an important responsibility of the primary care pediatric nurse practitioner . to help determine genetic risk factors in families? E. Assessing physical characteristics of genetic disorders F.Knowing which genetic screening tests to perform G. Making appropriate referrals to pediatric geneticists D. Obtaining a threegeneration pedigree for each family Correct 9. Which diagnostic study may be ordered when the provider wishes to detect the . presence ofadditional genetic material ona chromosome? A. Chromosomal microarray B. FISH Correct D. Karyotype E. Molecular testing 10. Which type of testing will the primary care pediatric nurse practitioner recommend . for a couple concerned about the potential for having children with cystic fibrosis? A. Biochemical testing B. Carrier testing Correct C. FISH testing D. Karyotype testing Chapter 4. Environmental Issues Questions 1. What has been the result of passage of the Toxic Substances Control Act. (TSCA) of 1976? G. A mandate for corporations to disclose known toxic chemicals CLASSROOM H. A requirement that all manufactured chemicals undergo toxicity testing I. Authorization of the EPA to require testing and reporting of some chemicals Correct J. Development of a mechanism to report reactions to toxic chemicals 2. Many European nations use the “precautionary principle” to help regulate potentially toxic chemicals. What does this mean? G. Chemicals must be proven to be safe before being introduced into theBurns' Pediatric Edition Primary Test Bank Q&A 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 CLASSROOM Care 7th 2. The primary care pediatric nurse practitioner understands that, 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 3. Which is true about the health status of children in the United States? . 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. B. following guidelines established by theBright Futures publication. C. scheduling wellbaby visits to coincide with key developmental milestones. Correct D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due. Chapter 2. Unique Issues in Pediatrics 1. 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. CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM 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 CLASSROOM has been expressing thoughts of hanging himself because Life sucks. Thenursing staff should consider placing the child: 1. With peers. 2. In an area where he can be watched one-on-one. 3. With aroommate thatisexpressing the sameconcerns. 4. In an area close to an external door. ANS: 2 3. Learning disabilities in children have scientifically been linked to: 1. Poornutrition. 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 wouldbe: . 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 7. 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 out of the seclusion room when: 1. He is crying to be released. CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM 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 CLASSROOM 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 f ire 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 hasbeen reporting that Ellie is angry a lot, manipulative with her EllieI teachers, and does not seek positive attention. The nurse working with 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 12. 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 attempts to play with the infant. ANS: 4 CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM 13. A father reports that his adolescent daughter has gotten good grades up until the last quarter of school. She has been hanging out by herself and does not want to talk to himanymore. The mental health nurse should: 1. Realize that this is a natural part of growing up. 2. Perform a mental health screening to check for depression. 3. Attempt to get the adolescent to discuss why she does not like her father anymore. 4. Let the adolescent talk when she is ready. ANS: 2 14.Ateenshouldbechecked fordepression at CLASSROOM physician visit(s). 1. Every . 2. One 3. Monthly 4. Bi-yearly ANS: 1 15.When using the SAD FACES depression screen, it is important to assess: 1. Anhedonia. 2. Suicidal ideations. 3. Sleep patterns. 4. All of the above ANS: 4 16. A school nurse is giving an in-service to teachers on bullycide. The main reason for the teaching is so that: 1. Teachers are aware bullying occurs. 2. Teachers are able to identify students who are risk. 3. Teachers can be aware of the fact that suicides can happen due to bullying by others. 4. Teachers are aware of their role in causing bullycide. ANS: 3 17. An adolescent with a known history of bipolar disorder is in the schoolnurses office because a teacher reported that she was talking fast and acting like she was God. The schoolnurse assesses the girl and notes that: 1. She is probably in a manic phase and needs to be treated professionally. 2. She has had too much sleep and is now hyperactive. 3. She forgot to take her medications today. 4. She requires somefoodandrest beforegoing backtoclass. ANS: 1 Chapter 3. Genetics and Child Health Questions 1. What is true about haploid cells? . C. Each contains 23 paired chromosomes. D.Each one contains 23 chromosomes. Correct CLASSROOM E. Replication produces two identical cells. CLASSROOM CLASSROOM CLASSROOM CLASSROOM F.They replicate via the process of mitosis. CLASSROOM 2. What does the following genetic notation symbol mean 47,XX,6q? . A. Male with deletion of chromosome 6 B. Female with deletion of chromosome 6 C. Male with deletion onthelongarmofchromosome 6 D. Female with deletion on the long arm of chromosome 6 Correct 3. A child has a recessive genetic disorder that is homozygous for that mutation. . What ismostlikely about this child’s parents? A. Neither parent has a copy of that gene mutation. B. Only the mother has a copy of that gene mutation. C. Only the father has a copy of that gene mutation. D.Each parent has one copy of that gene mutation. Correct 4. Which type of mutation isresponsible formany singlegene genetic disorders? . A. Copynumbervariations B. Nucleotide repeat expansions C. Point mutations Correct D. Single nucleotide polymorphisms (SNP) . 5. Cystic fibrosis isarecessive disease requiring the presence ofagene mutation . on both alleles inherited from the parents. Which type of genetic disorder isthis? A. Chromosome B. Mitochondrial C. Monogenetic Correct D. Multifactorial . 6. The primary care pediatric nurse practitioner is counseling a couple about genetic risks and learns that one parent has neurofibromatosis, an autosomal dominant disorder, and the other parent does not. What will the nurse practitioner include when discussingthis disorder and its transmission? C. Children must inherit a gene from both parents to develop the disease. D. Each child born to this couple will have a 50% risk of having the disease. Correct E. This type of disorder characteristically skips generations. F.Unaffected offspring may still pass on the disease to their offspring. 7. A family medical history conducted during a well baby exam for a newborn girl reveals that hemophilia A, an Xlinked CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM recessive disorder, is present in males in three previous generations in the mother’s family, whose father had the disease. What will the primary care pediatric nurse practitioner tell the parents about the risk of this disease intheir children? E. All of their sons will be affected by the disease. F.Any sons they have will not be affected by the disease. G. Daughters havea 50% chanceofbeing carriers ofthe disease. Correct H. Their daughter has a 25% chance of having the disease. 8. What is an important responsibility of the primary care pediatric nurse practitioner . to help determine genetic risk factors in families? E. Assessing physical characteristics of genetic disorders F.Knowing which genetic screening tests to perform G. Making appropriate referrals to pediatric geneticists D. Obtaining a threegeneration pedigree for each family Correct 9. Which diagnostic study may be ordered when the provider wishes to detect the . presence ofadditional genetic material ona chromosome? A. Chromosomal microarray B. FISH Correct D. Karyotype E. Molecular testing 10. Which type of testing will the primary care pediatric nurse practitioner recommend . for a couple concerned about the potential for having children with cystic fibrosis? A. Biochemical testing B. Carrier testing Correct C. FISH testing D. Karyotype testing Chapter 4. Environmental Issues Questions 1. What has been the result of passage of the Toxic Substances Control Act. (TSCA) of 1976? G. A mandate for corporations to disclose known toxic chemicals CLASSROOM H. A requirement that all manufactured chemicals undergo toxicity testing I. Authorization of the EPA to require testing and reporting of some chemicals Correct J. Development of a mechanism to report reactions to toxic chemicals 2. Many European nations use the “precautionary principle” to help regulate potentially toxic chemicals. What does this mean? G. Chemicals must be proven to be safe before being introduced into the