Burns Pediatric Primary Care 7th Edition All Chapters Complete Test Bank

TestBank
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,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
b b b b b b b b b b




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
b b b b b b b b b




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.
b b b b b b b

,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
b b b




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.
b b b b b b




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.
b b b b b b b b




.

3. Hestarts headbutting the window.
b b b b




4. Hecomplains that his parents will filea lawsuit.ANS:
b b b b b b b b




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:
b b b




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
b b b b




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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3. Cryingmorethananaverag e i n f a n t .
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