1 Copyright © 2017 Pearson Education, Inc. Principles of Pediatric Nursing: Caring for Children , 7e (Ball et al.) Chapter 9 Health Promotion and Maintenance for the School -Age Child and Adolescent 1) An adolescent female presents at a nurse practitioner's office and requests a signature for work ing papers. The nurse reviews her chart and notes that the last physical examination was two years ago. In addition to providing the signature for the working papers, what else should the nurse use this visit? 1. An opportunity to discuss birth -control me asures 2. A time to discuss exercise and sports participation 3. A health -supervision opportunity 4. A chance to discuss the importance of pursuing post -secondary education Answer: 3 Explanation: 1. All visits should be used as health -promotion and healt h-supervision visits. While discussing birth control, exercise, and future plans is important, these can be included in the overall health -supervision protocols. 2. All visits should be used as health -promotion and health -supervision visits. While discussi ng birth control, exercise, and future plans is important, these can be included in the overall health -
supervision protocols. 3. All visits should be used as health -promotion and health -supervision visits. While discussing birth control, exercise, and futu re plans is important, these can be included in the overall health -
supervision protocols. 4. All visits should be used as health -promotion and health -supervision visits. While discussing birth control, exercise, and future plans is important, these can be included in the overall health -
supervision protocols. Page Ref: 183 Cognitive Level: Applying Client Need &Sub: Health Promotion and Maintenance Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential II: Basic organ izational and systems leadership for quality care and patient safety | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health promotion Learning Outcome: LO 9.5 Synthesize data from history and examination of the school -age child and adolescent with knowledge of development to plan interventions appropriate during health supervision visits. MNL LO: Use the nursing process to provide developmentally appropriate care for the pediatric client. NURSINGTB.COM
PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
NURSINGTB.COM 2 Copyright © 2017 Pearson Education, Inc. 2) An adolescent is accompanied by the mother for an annual physical examination. The nurse is aware of privacy issues related to the adolescent. While the mother is in the room, the nurse should avoid which questions? Select all that apply. 1. Sexual act ivity 2. Cigarette smoking 3. School performance 4. Use of alcohol 5. Car seatbelt use Answer: 1, 2, 4 Explanation: 1. The nurse must maintain the nurse —client relationship, which is between the nurse and the adolescent, and the nurse must maintain confi dentiality. Therefore, the nurse cannot ask any personal questions while the mother is in the room, such as those related to sexual activity, drug and alcohol use, and smoking cigarettes. The nurse can ask general questions about seatbelt use and academic performance without breaching confidentiality. 2. The nurse must maintain the nurse —client relationship, which is between the nurse and the adolescent, and the nurse must maintain confidentiality. Therefore, the nurse cannot ask any personal questions whil e the mother is in the room, such as those related to sexual activity, drug and alcohol use, and smoking cigarettes. The nurse can ask general questions about seatbelt use and academic performance without breaching confidentiality. 3. The nurse must mainta in the nurse —client relationship, which is between the nurse and the adolescent, and the nurse must maintain confidentiality. Therefore, the nurse cannot ask any personal questions while the mother is in the room, such as those related to sexual activity, drug and alcohol use, and smoking cigarettes. The nurse can ask general questions about seatbelt use and academic performance without breaching confidentiality. 4. The nurse must maintain the nurse —client relationship, which is between the nurse and the adolescent, and the nurse must maintain confidentiality. Therefore, the nurse cannot ask any personal questions while the mother is in the room, such as those related to sexual activity, drug and alcohol use, and smoking cigarettes. The nurse can ask general questions about seatbelt use and academic performance without breaching confidentiality. 5. The nurse must maintain the nurse —client relationship, which is between the nurse and the adolescent, and the nurse must maintain confidentiality. Therefore, the n urse cannot ask any personal questions while the mother is in the room, such as those related to sexual activity, drug and alcohol use, and smoking cigarettes. The nurse can ask general questions about seatbelt use and academic performance without breachin g confidentiality. Page Ref: 184 Cognitive Level: Applying Client Need &Sub: Health Promotion and Maintenance Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential II: Basic organizational and systems leadership fo r quality care and patient safety | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Implementation/Health teaching and health promotion Learning Outcome: LO 9.3 Apply communication skills to interactions with school -age children, adolescents, and their families. MNL LO: Implement developmentally appropriate communication strategies for pediatric clients and families. NURSINGTB.COM
PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
NURSINGTB.COM 3 Copyright © 2017 Pearson Education, Inc. 3) The school nurse performs screenings on all students in the middle school. In addition, the nurse wi ll perform selected screenings on individual school -age children. When planning the screenings for the year, which screenings will the nurse include for all school -age children? Select all that apply. 1. Hearing 2. Height and weight 3. Blood -pressure meas urement 4. Hepatitis B profile serology 5. Chest x -ray Answer: 1, 2, 3 Explanation: 1. Routine screening for school -age children include hearing, checking for height and weight, and blood -pressure measurements. The hepatitis B profile is only needed once , prior to administration of hepatitis B vaccine; however, this is not a required screening for all school -
age children. A chest x -ray is not a routine screening test for school -age children. 2. Routine screening for school -age children include hearing, ch ecking for height and weight, and blood -pressure measurements. The hepatitis B profile is only needed once, prior to administration of hepatitis B vaccine; however, this is not a required screening for all school -age children. A chest x -ray is not a routin e screening test for school -age children. 3. Routine screening for school -age children include hearing, checking for height and weight, and blood -pressure measurements. The hepatitis B profile is only needed once, prior to administration of hepatitis B vac cine; however, this is not a required screening for all school -age children. A chest x -ray is not a routine screening test for school -age children. 4. Routine screening for school -age children include hearing, checking for height and weight, and blood -pressure measurements. The hepatitis B profile is only needed once, prior to administration of hepatitis B vaccine; however, this is not a required screening for all school -age children. A chest x -ray is not a routine screening test for school -age children. 5. Routine screening for school -age children include hearing, checking for height and weight, and blood -pressure measurements. The hepatitis B profile is only needed once, prior to administration of hepatitis B vaccine; however, this is not a required screen ing for all school -age children. A chest x -ray is not a routine screening test for school -age children. Page Ref: 185 Cognitive Level: Applying Client Need &Sub: Health Promotion and Maintenance Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential II: Basic organizational and systems leadership for quality care and patient safety | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health promotion Learn ing Outcome: LO 9.1 Identify the major health concerns of the school -age and adolescent years. MNL LO: Use the nursing process to provide developmentally appropriate care for the pediatric client. NURSINGTB.COM
PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
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