b
,Burns' Pediatric Primary Care 7th Edition Test Bank
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Chapter 1: Health Status of Children: Global and NationalPerspectives
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1. Which region globally has the highest infant mortality rate?
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A. Indonesia
B. Southern Asia b
C. Sub-Saharan Africa Correct b b
D. Syria
2. Theprimary care pediatric nurse practitioner understands that, to achievethe
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greatest worldwide
b b
reduction in child mortality from pneumonia and diarrhea, which interventionis most
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effective?
b
A. Antibiotics
B. Optimal nutrition b
C. Vaccinations Correct b
D. Waterpurification b
3. Which is true about the health status of children in the United States?
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. 13348413856
b
A. Globalism has relatively little impact on child health measures in the U.S. b b b b b b b b b b b
B. Obesity rates among 2to5yearolds have shown a recent b b b b b b b
significant
b
decrease. Correct b
.
C. The rate of household poverty is lower than in other economically
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developed nations.
b b
D. Young children who attend preschool or day care have higher food
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insecurity.
b
4. Theprimary care pediatric nurse practitioner understands that a majorchild
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health outcome associated with worldwide climate change is
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A. cost of living. b b
B. education.
C. nutrition. Correct b
D. pollution.
5. When providing well child care for an infant in the first year of life, theprimary care
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pediatric nurse practitioner is adhering to the most recent AmericanAcademy of
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PediatricsRecommendations for Preventive Pediatric Health Care guidelinesby
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A. focusing less on development and more on illness prevention and
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nutrition.
b
B. following guidelines established by theBright Futures publication. b b b b b b
C. scheduling wellbaby visits to coincide with key developmental b b b b b b b
milestones. Correct
b b
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations aredue.
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Chapter 2. Unique Issues in Pediatrics b b b b b
1. A nurse is explaining the therapeutic milieu to a new nurse. The best
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explanation of this term would be:
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1. Theplace where the child is receiving care.
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,2. Grouptherapy. b
3. Personalinteractions between patients and staff. b b b b b
4. Alloftheabovearecorrect. b b b b b
ANS: 4
b b
2. A 16-year-old male has received a pink-slip from the police for inpatientpsychiatric
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treatment. The teen
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has been expressing thoughtsofhanging himselfbecause Lifesucks. Thenursing staff
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should consider
b b
placing the child: b b
1. With peers. b
2. In an area where he can be watched one-on-one.
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3. With aroommatethatisexpressingthesameconcerns. b b b b b b b b
4. In an area close to an external door.
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ANS: 2
b b
3. Learningdisabilities inchildren havescientifically been linked to: b b b b b b b b
1. Poornutrition. b
2. Theenvironment in which the child lives.
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3. Genetics.
4. Watching more than four hours of television a day.ANS: b b b b b b b b
3
4. A mental health nurse has assessed a child and determined that the childexhibits
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behavioral challenges.
b b
When the school nurse explains this to a teacher, the best description wouldbe:
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.
1. The child may exhibit physical outbursts.
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2. Thechild may exhibit violence toward others.
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3. The child may be defiant or have tantrums.
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4. Thechildwillneedspecialinterventionsforlearning.ANS: 3
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5. A child that has not exhibited enuresis in four years has exhibited thisbehavior
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pattern for the last week.
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The reason a child may revert back to this behavior pattern is because of:
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1. Hallucinations.
2. Behavioral challenges. b
3. Delusions.
4. Stress.
ANS: 4 b
6. An 18-year-old male has called the crisis line for help. The crisis nurserecognizes the
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intervention needs
b b
may consist of all of the following except:
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1. Discussing the individuals everyday activities. b b b b
2. Recognizing that the patient may be in a catharsis state. b b b b b b b b b
3. Expressing empathy toward the caller. b b b b
4. Avoiding entropy. b
ANS: 1 b
7. An 8-year-old boy with a history of hallucinations and violent behavior hasbeen place
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, 2. Hestates, I will be a good boy now.
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.
3. Hestarts headbutting the window.
b b b b
4. Hecomplains that his parents will filea lawsuit.ANS:
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3
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
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1. Enuresis, pushing others, and pyromania. b b b b
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrash can. b b b b b b b b b b b b b b
3. Playing with other children, laughing, and conversing with adults.b b b b b b b b
4. Playingwith a campfire, watching television, and seeking adult attention.ANS: 2
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9. A teenager diagnosed with borderline personality disorder should havedischarge
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planning instructions of:
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1. A consistent caregiver.
b b
2. Monitoring of media, such as the Internet, television, and video games. b b b b b b b b b b
3. Obtaining support from family and friends. b b b b b
4. Seeking medical attention when the teenager feels good.ANS: 3 b b b b b b b b
10. A mental health nurse is teaching the mother of a child with executivefunctioning
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issues ways to help
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her child. Interventions the mother should use include:
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1. Placing visual aids on the bathroom mirror so that the child will follow themorning
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routine.
b
2. Give the child a choice in foods to eat. b b b b b b b b
3. Allowing the child to ask for help when needed. b b b b b b b b
4. Remindingthechild to be niceto others. b b b b b b b
ANS: 1
b b
.
11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years of
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severe neglect by her birth family. The adoptive family hasbeen reporting that Ellie is
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angry a lot, manipulative with her
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teachers, and does not seek positive attention. The nurse working with Elliewill need to:
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1. Provide education on decreasing stimuli in the home environment thattriggers the
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anger.
b
2. Realize Ellie may have attachment issues related to her previous historyand will
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need to encourage the
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family to beactive in her care. b b b b b b
3. Support the family in the decision-making process of continuing to let Ellielive in the
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home.
b
4. Discuss inpatient therapy to decrease Ellies manipulative behavior b b b b b b b
patterns.
b
ANS: 2 b
12. An infant displays depression by: b b b b
1. Smiling at strangers. b b
2. Bondingto someoDnowen ol o athd eedrb ty h: joasnepthhkm
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joisaetpe
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3. Cryingmorethananaverag e i n f a n t .
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n o f this document is illegal b b b b
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