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,Burns' Pediatric Primary Care 7th Edition Test Bank
Chapter 1: Health Status of Children: Global and NationalPerspectives
1. Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. Sub-Saharan Africa Correct
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achievethe
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
3. Which is true about the health status of children in the United States?
. 13348413856
A. Globalism has relatively little impact on child health measures in the U.S.
B. Obesity rates among 2to5yearolds 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.
4. The primary care pediatric nurse practitioner understands that a majorchild
health outcome associated with worldwide climate change is
A. cost of living.
B. education.
C. nutrition. Correct
D. pollution.
5. When providing well child care for an infant in the first year of life, theprimary
care pediatric nurse practitioner is adhering to the most recent AmericanAcademy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelinesby
A. focusing less on development and more on illness prevention and
nutrition.
B. following guidelines established by theBright Futures publication.
C. scheduling wellbaby visits to coincide with key developmental
milestones. Correct
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations aredue.
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.
ANS: 4
2. A 16-year-old male has received a pink-slip from the police for inpatientpsychiatric
treatment. The teen
has been expressing thoughts of hanging himself because Life sucks. Thenursing staff
should consider
placing the child:
1. With peers.
2. In an area where he can be watched one-on-one.
3. With a roommate that is expressing the same concerns.
4. In an area close to an external door.
ANS: 2
3. Learning disabilities in children have scientifically been linked to:
1. Poor nutrition.
2. The environment in which the child lives.
3. Genetics.
4. Watching more than four hours of television a day.ANS:
3
4. A mental health nurse has assessed a child and determined that the childexhibits
behavioral challenges.
When the school nurse explains this to a teacher, the best description wouldbe:
.
1. The child may exhibit physical outbursts.
2. The child may exhibit violence toward others.
3. The child may be defiant or have tantrums.
4. The child will need special interventions for learning.ANS:
3
5. A child that has not exhibited enuresis in four years has exhibited thisbehavior
pattern for the last week.
The reason a child may revert back to this behavior pattern is because of:
1. Hallucinations.
2. Behavioral challenges.
3. Delusions.
4. Stress.
ANS: 4
6. An 18-year-old male has called the crisis line for help. The crisis nurserecognizes the
intervention needs
may consist of all of the following except:
1. Discussing the individuals everyday activities.
2. Recognizing that the patient may be in a catharsis state.
3. Expressing empathy toward the caller.
4. Avoiding entropy.
ANS: 1
, 2. He states, I will be a good boy now.
.
3. He starts headbutting the window.
4. He complains that his parents will file a lawsuit.ANS:
3
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
1. Enuresis, pushing others, and pyromania.
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrash can.
3. Playing with other children, laughing, and conversing with adults.
4. Playing with a campfire, watching television, and seeking adult attention. ANS: 2
9. A teenager diagnosed with borderline personality disorder should havedischarge
planning instructions of:
1. A consistent caregiver.
2. Monitoring of media, such as the Internet, television, and video games.
3. Obtaining support from family and friends.
4. Seeking medical attention when the teenager feels good.ANS: 3
10. A mental health nurse is teaching the mother of a child with executivefunctioning
issues ways to help
her child. Interventions the mother should use include:
1. Placing visual aids on the bathroom mirror so that the child will follow themorning
routine.
2. Give the child a choice in foods to eat.
3. Allowing the child to ask for help when needed.
4. Reminding the child to be nice to others.
ANS: 1
.
11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years
of severe neglect by her birth family. The adoptive family hasbeen reporting that Ellie
is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with Elliewill need to:
1. Provide education on decreasing stimuli in the home environment thattriggers
the anger.
2. Realize Ellie may have attachment issues related to her previous historyand will
need to encourage the
family to be active in her care.
3. Support the family in the decision-making process of continuing to let Ellielive in
the home.
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2
12. An infant displays depression by:
1. Smiling at strangers.
2. Bonding to someone other than the immediate family.
3. Crying more than an average infant.
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