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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 N
C. Sub-Saharan Africa Correct N N
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achievethe
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greatest worldwide
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reduction in child mortality from pneumonia and diarrhea, which interventionis most
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effective?
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A. Antibiotics
B. Optimal nutrition N
C. Vaccinations Correct N
D. Water purification N
3. Which is true about the health status of children in the United States?
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A. Globalism has relatively little impact on child health measures in the U.S.
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B. Obesity rates among 2to5yearolds have shown a recent N N N N N N N
Nsignificant
decrease. Correct N
.
C. The rate of household poverty is lower than in other economically
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developed nations.
N N
D. Young children who attend preschool or day care have higher food
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insecurity.
N
4. The primary 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.
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B. education.
C. nutrition. Correct N
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.
N
B. following guidelines established by theBright Futures publication.
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C. scheduling wellbaby visits to coincide with key developmental N N N N N N N
milestones. Correct
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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
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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. The place where the child is receiving care.
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,2. Group therapy. N
3. Personal interactions between patients and staff. N N N N N
4. All of the above are correct. N N N N N
ANS: 4
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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 thoughts of hanging himself because Life sucks. Thenursing staff
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should consider
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placing the child: N N
1. With peers. N
2. In an area where he can be watched one-on-one.
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3. With aroommate that is expressing the same concerns.
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4. In an area close to an external door.
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ANS: 2
N N
3. Learning disabilities in children have scientifically been linked to:
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1. Poor nutrition. N
2. The environment in which the child lives.
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3. Genetics.
4. Watching more than four hours of television a day.ANS: N N N N N N N N
3
4. A mental health nurse has assessed a child and determined that the childexhibits
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behavioral challenges.
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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. The child may exhibit violence toward others.
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3. The child may be defiant or have tantrums.
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4. The child will need special interventions for learning.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. N
3. Delusions.
4. Stress.
ANS: 4 N
6. An 18-year-old male has called the crisis line for help. The crisis nurserecognizes the
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intervention needs
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may consist of all of the following except:
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1. Discussing the individuals everyday activities. N N N N
2. Recognizing that the patient may be in a catharsis state. N N N N N N N N N
3. Expressing empathy toward the caller. N N N N
4. Avoiding entropy. N
ANS: 1 N
7. An 8-year-old boy with a history of hallucinations and violent behavior hasbeen place
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, 2. He states, I will be a good boy now.
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.
3. He starts headbutting the window.
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4. He complains that his parents will file a 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. N N N N
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrash can.
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3. Playing with other children, laughing, and conversing with adults.
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4. Playing with 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.
N N
2. Monitoring of media, such as the Internet, television, and video games. N N N N N N N N N N
3. Obtaining support from family and friends. N N N N N
4. Seeking medical attention when the teenager feels good.ANS: 3
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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.
N
2. Give the child a choice in foods to eat.
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3. Allowing the child to ask for help when needed. N N N N N N N N
4. Reminding the child to be nice to others. N N N N N N N
ANS: 1
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.
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
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the anger.
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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 be active in her care.
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3. Support the family in the decision-making process of continuing to let Ellielive in the
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home.
N
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
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patterns.
N
ANS: 2 N
12. An infant displays depression by:
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1. Smiling at strangers. N N
2. Bonding to someoDnowen ol o athd eedrb ty h: joasnepthhkm
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3. Cryingmorethan an averag e i n f a n t .
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