Burns' Pediatric Primary Care 8th Edition by Dawn Lee Garzon, Mary Dirks, Martha Driessnack, Karen
G. Duderstadt, and Nan M. Gaylord
Test Bank Complete_
Burns' Pediatric Primary Care 8th Edition,
Dawn Lee Garzon, Mary Dirks, Martha Driessnack, Karen G. Duderstadt, and
Nan M. Gaylord
8TH EDITION
,Burns' Pediatric Primary Care 8th Edition by Dawn Lee Garzon, Mary Dirks, Martha Driessnack, Karen
G. Duderstadt, and Nan M. Gaylord
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. Sub-Saharan Africa (Correct)
D. Syria
Feedback:
Sub-Saharan Africa Has The Highest Infant Mortality Rate Due To Factors Such As
Limited Access To Healthcare, High Prevalence Of Infectious Diseases, And Poor
Maternal Health.
A. Indonesia: While Indonesia Faces Health Challenges, Its Infant Mortality Rate Is
Lower Than That Of Sub-Saharan Africa.
B. Southern Asia: This Region Also Has High Rates, But They Do Not Exceed Those
In Sub-Saharan Africa.
D. Syria: The Ongoing Conflict Has Impacted Health Outcomes, But The Overall
Infant Mortality Rate Is Not As High As In Sub-Saharan Africa.
2. The Primary Care Pediatric Nurse Practitioner Understands That, To Achieve The
Greatest Worldwide Reduction In Child Mortality From Pneumonia And Diarrhea,
Which Intervention Is Most Effective?
A. Antibiotics
B. Optimal Nutrition
C. Vaccinations (Correct)
D. Water Purification
Feedback:
Vaccinations, Particularly Against Pneumonia (Like The Pneumococcal Vaccine)
And Diarrhea (Like Rotavirus), Significantly Reduce The Incidence And Mortality
Associated With These Diseases.
A. Antibiotics: While Important For Treatment, Antibiotics Do Not Prevent Infections
And Thus Are Not As Effective As Vaccinations For Reducing Mortality Rates.
B. Optimal Nutrition: Good Nutrition Is Crucial For Overall Health But Does Not
Directly Prevent Infections.
D. Water Purification: This Is Essential For Reducing Waterborne Diseases But Does
Not Directly Address Pneumonia.
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 2- To 5-Year-Olds 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.
,Burns' Pediatric Primary Care 8th Edition by Dawn Lee Garzon, Mary Dirks, Martha Driessnack, Karen
G. Duderstadt, and Nan M. Gaylord
Feedback:
Recent Studies Indicate A Slight Decrease In Obesity Rates Among Young Children
In The U.S., Largely Due To Public Health Initiatives Promoting Healthier Lifestyles.
A. Globalism: It Does Influence Health Measures In The U.S. Through Various
Factors Such As Immigration And Trade.
C. Household Poverty: The U.S. Has Higher Rates Of Childhood Poverty Compared
To Many Other Developed Countries.
D. Food Insecurity: Children In Preschool Or Daycare May Have Access To More
Meals, Often Reducing Food Insecurity, Not Increasing It.
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.
Feedback:
Climate Change Impacts Agriculture, Leading To Food Shortages And Nutritional
Deficits, Which Are Critical For Child Development.
A. Cost Of Living: While Climate Change Can Influence Economic Factors, It Is Less
Directly Tied To Specific Child Health Outcomes Compared To Nutrition.
B. Education: Education Is Affected By Many Factors, But It Is Not A Direct
Outcome Of Climate Change In The Same Way As Nutrition.
D. Pollution: Although Pollution Is A Concern, It Is More A Factor Of Environmental
Health Than A Direct Child Health Outcome Associated With Climate Change.
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 Pediatrics Recommendations For Preventive Pediatric Health Care
Guidelines By
A. Focusing Less On Development And More On Illness Prevention And Nutrition.
B. Following Guidelines Established By The Bright Futures Publication.
C. Scheduling Well-Baby Visits To Coincide With Key Developmental
Milestones. (Correct)
D. Seeing The Infant At Ages 2, 4, 6, And 12 Months When Immunizations Are Due.
Feedback:
The AAP Emphasizes The Importance Of Developmental Monitoring Alongside
Routine Health Checks, Scheduling Visits At Critical Developmental Milestones.
A. Focus On Illness Prevention: While Important, The AAP Guidelines Emphasize A
Balance Between Illness Prevention And Developmental Assessments.
B. Bright Futures: This Publication Is Indeed A Resource, But Adherence Specifically
Requires Following The AAP's Timing For Visits, Not Just The Guidelines.
, Burns' Pediatric Primary Care 8th Edition by Dawn Lee Garzon, Mary Dirks, Martha Driessnack, Karen
G. Duderstadt, and Nan M. Gaylord
D. Age-Specific Visits: While Immunizations Are Crucial, The Emphasis Of The
AAP Is Broader, Including Developmental Milestones And Comprehensive
Evaluations.
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.
2. Group Therapy.
3. Personal Interactions Between Patients And Staff.
4. All Of The Above Are Correct. (Correct)
Feedback:
The Therapeutic Milieu Encompasses The Overall Environment Of Care, Including
Physical Space, Interactions, And Group Dynamics.
1. The Place Where The Child Is Receiving Care: This Is Too Narrow; It Doesn't
Include Interactions Or Group Dynamics.
2. Group Therapy: This Is Just One Component Of The Milieu.
3. Personal Interactions Between Patients And Staff: Important, But Again, Only A
Part Of The Overall Milieu.
2. A 16-Year-Old Male Has Received A Pink-Slip From The Police For Inpatient
Psychiatric Treatment. The Teen Has Been Expressing Thoughts Of Hanging Himself
Because "Life Sucks." The Nursing Staff Should Consider Placing The Child:
1. With Peers.
2. In An Area Where He Can Be Watched One-On-One. (Correct)
3. With A Roommate That Is Expressing The Same Concerns.
4. In An Area Close To An External Door.
Feedback:
One-On-One Observation Is Critical For Safety In Cases Of Suicidal Ideation.
1. With Peers: This Could Increase Risk; He May Receive Negative Influences Or Be
Further Triggered.
3. With A Roommate Expressing Similar Concerns: This May Lead To Co-
Rumination And Heightened Risk.
4. In An Area Close To An External Door: This Is Unsafe; Easy Access To Exits
Could Be Dangerous.
3. Learning Disabilities In Children Have Scientifically Been Linked To:
1. Poor Nutrition.
2. The Environment In Which The Child Lives.
3. Genetics. (Correct)
4. Watching More Than Four Hours Of Television A Day.
