g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g g
g
g
g
g
g
g
g
g
g
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g
g
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g
g
g
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g
g
g g g g
TEST BANK
MedgCg
,g
Burns'gPediatricgPrimarygCareg7thgEditiongTestgBankg
g
Chapterg1:gHealthgStatusgofgChildren:gGlobalgandgNationalPerspectivesg
g
1.gWhichgregionggloballyghasgtheghighestginfantgmortalitygrate?g
A. Indonesiag
B. SoutherngAsiag
C. Sub-SaharangAfricagCorrectg
D. Syriag
g
2.gThegprimarygcaregpediatricgnursegpractitionergunderstandsgthat,gtogachievetheggreate
stgworldwidegreductiongingchildgmortalitygfromgpneumoniagandgdiarrhea,gwhichginterv
entionisgmostgeffective?g
A. Antibioticsg
B. Optimalgnutritiong
C. VaccinationsgCorrectg
D. Watergpurificationg
g
3.gWhichgisgtruegaboutgtheghealthgstatusgofgchildrengingthegUnitedgStates?g
.g13348413856g
A.gGlobalismghasgrelativelyglittlegimpactgongchildghealthgmeasuresgingthegU.S.gB.gO
besitygratesgamongg2to5yearoldsghavegshowngagrecentgsignificantg
decrease.gCorrectg
.g
C. Thegrategofghouseholdgpovertygisglowergthangingothergeconomicallygdevelopedgna
tions.g
D. Younggchildrengwhogattendgpreschoolgorgdaygcareghaveghighergfoodginsecurity.g
4.gThegprimarygcaregpediatricgnursegpractitionergunderstandsgthatgagmajorchildghealth
goutcomegassociatedgwithgworldwidegclimategchangegisgA.gcostgofgliving.g
B. education.g
C. nutrition.gCorrectg
D. pollution.g
g
5.gWhengprovidinggwellgchildgcaregforganginfantgingthegfirstgyeargofglife,gtheprimarygcaregpediat
ricgnursegpractitionergisgadheringgtogthegmostgrecentgAmericanAcademygofg
PediatricsRecommendationsgforgPreventivegPediatricgHealthgCaregguidelinesbygA.gfoc
usingglessgongdevelopmentgandgmoregongillnessgpreventiongandgnutrition.g
B.gfollowinggguidelinesgestablishedgbygtheBrightgFuturesgpublication.gC.gschedul
inggwellbabygvisitsgtogcoincidegwithgkeygdevelopmentalgmilestones.gCorrectg
D.gseeinggtheginfantgatgagesg2,g4,g6,gandg12gmonthsgwhengimmunizationsgaredue.g
g
Chapterg2.gUniquegIssuesgingPediatricsg
g
1.gAgnursegisgexplaininggthegtherapeuticgmilieugtogagnewgnurse.gThegbestgexplanationgofgthis
gtermgwouldgbe:g
1. Thegplacegwheregthegchildgisgreceivinggcare.g
2. Groupgtherapy.g
3. Personalginteractionsgbetweengpatientsgandgstaff.g
4. Allgofgthegabovegaregcorrect.g
ANS:g4g
g
2.gAg16-year-oldgmaleghasgreceivedgagpink-
slipgfromgthegpolicegforginpatientpsychiatricgtreatment.gThegteeng
hasgbeengexpressinggthoughtsgofghangingghimselfgbecausegLifegsucks.gThenursinggstaffgshouldgc
onsidergplacinggthegchild:g
1. Withgpeers.g
2. Ingangareagwhereghegcangbegwatchedgone-on-one.g
3. Withgagroommategthatgisgexpressinggthegsamegconcerns.g
4. Ingangareagclosegtogangexternalgdoor.gANS:g2g
g
3.gLearninggdisabilitiesgingchildrenghavegscientificallygbeenglinkedgto:g
1. Poorgnutrition.g
MedgCg
,g
2. Thegenvironmentgingwhichgthegchildglives.g
3. Genetics.g
4. Watchinggmoregthangfourghoursgofgtelevisiongagday.ANS:g3g
g
4.gAgmentalghealthgnurseghasgassessedgagchildgandgdeterminedgthatgthegchildexhibitsgbehavioralg
challenges.g
Whengthegschoolgnursegexplainsgthisgtogagteacher,gthegbestgdescriptiongwouldbe:g
g
g
.g
1. Thegchildgmaygexhibitgphysicalgoutbursts.g
2. Thegchildgmaygexhibitgviolencegtowardgothers.g
3. Thegchildgmaygbegdefiantgorghavegtantrums.g
4. Thegchildgwillgneedgspecialginterventionsgforglearning.ANS:g3g
g
5. Agchildgthatghasgnotgexhibitedgenuresisgingfourgyearsghasgexhibitedgthisbehaviorgpatterngforgt
heglastgweek.g
Thegreasongagchildgmaygrevertgbackgtogthisgbehaviorgpatterngisgbecausegof:g
1. Hallucinations.g
2. Behavioralgchallenges.g
3. Delusions.g
4. Stress.gANS:g4g
g
6.gAng18-year-
oldgmaleghasgcalledgthegcrisisglinegforghelp.gThegcrisisgnurserecognizesgtheginterventiongneedsgm
aygconsistgofgallgofgthegfollowinggexcept:g
1. Discussinggthegindividualsgeverydaygactivities.g
2. Recognizinggthatgthegpatientgmaygbegingagcatharsisgstate.g
3. Expressinggempathygtowardgthegcaller.g
4. Avoidinggentropy.gANS:g1g
g
7.gAng8-year-
oldgboygwithgaghistorygofghallucinationsgandgviolentgbehaviorghasbeengplacegingagseclusiongroomg
atgtheghospitalgbecausegheghasgbeenghurtinggothers.gThegnursegchecksgongthepatientgandgrealizes
gshegmustgtakeghimgoutgofgthegseclusiongroomgwhen:g
1. Hegisgcryinggtogbegreleased.g
2. Hegstates,gIgwillgbegaggoodgboygnow.g
g
g
.g
3. Hegstartsgheadbuttinggthegwindow.g
4. Hegcomplainsgthatghisgparentsgwillgfilegaglawsuit.ANS:g3g
g
8.gAgchildghasgbeengexhibitinggthegMacDonaldgTriad.gThesegbehaviorsginclude:g
1. Enuresis,gpushinggothers,gandgpyromania.g
2. Swinginggagcatgbygthegtail,gbed-wetting,gandglightinggpapergongfiregingthetrashgcan.g
3. Playinggwithgothergchildren,glaughing,gandgconversinggwithgadults.g
4. Playinggwithgagcampfire,gwatchinggtelevision,gandgseekinggadultgattention.ANS:g2g
g
9.gAgteenagergdiagnosedgwithgborderlinegpersonalitygdisordergshouldghavedischargegplanninggin
structionsgof:g
1. Agconsistentgcaregiver.g
2. Monitoringgofgmedia,gsuchgasgthegInternet,gtelevision,gandgvideoggames.g
3. Obtaininggsupportgfromgfamilygandgfriends.g
4. Seekinggmedicalgattentiongwhengthegteenagergfeelsggood.ANS:g3g
g
10.gAgmentalghealthgnursegisgteachinggthegmothergofgagchildgwithgexecutivefunctioninggissues
gwaysgtoghelpghergchild.gInterventionsgthegmothergshouldguseginclude:g
1. Placinggvisualgaidsgongthegbathroomgmirrorgsogthatgthegchildgwillgfollowgthemorninggroutine.
g
2. Givegthegchildgagchoicegingfoodsgtogeat.g
MedgCg
,g
3. Allowinggthegchildgtogaskgforghelpgwhengneeded.g
4. Remindinggthegchildgtogbegnicegtogothers.gANS:g1g
g
g
.g
11.gEllie,gag9-year-
oldggirl,gwasgadoptedgbygagfamilygatgthegagegofg4gaftergseveralgyearsgofgseveregneglectgbyghergbir
thgfamily.gThegadoptivegfamilyghasbeengreportinggthatgElliegisgangrygaglot,gmanipulativegwithghe
rgteachers,gandgdoesgnotgseekgpositivegattention.gThegnursegworkinggwithgElliewillgneedgto:g1.gP
rovidegeducationgongdecreasinggstimuligingtheghomegenvironmentgthattriggersgtheganger.g
2. RealizegElliegmayghavegattachmentgissuesgrelatedgtoghergpreviousghistoryandgwillgne
edgtogencouragegthegfamilygtogbegactiveginghergcare.g
3. Supportgthegfamilygingthegdecision-
makinggprocessgofgcontinuinggtogletgEllielivegingtheghome.g
4. DiscussginpatientgtherapygtogdecreasegElliesgmanipulativegbehaviorgpatterns.g
ANS:g2g
g
12.gAnginfantgdisplaysgdepressiongby:g
1. Smilinggatgstrangers.g
2. Bondinggtogsomeonegothergthangthegimmediategfamily.g
3. Cryinggmoregthangangaverageginfant.g
4. Looksgawaygwhengangadultgattemptsgtogplaygwithgtheginfant.ANS:g4g
13.gAgfathergreportsgthatghisgadolescentgdaughterghasggottenggoodggradesgupuntilgtheglastgquarter
gofgschool.g
Sheghasgbeenghanginggoutgbygherselfgandgdoesgnotgwantgtogtalkgtoghimanymore.gThegmental
ghealthgnursegshould:g
1. Realizegthatgthisgisgagnaturalgpartgofggrowinggup.g
2. Performgagmentalghealthgscreeninggtogcheckgforgdepression.g
3. Attemptgtoggetgthegadolescentgtogdiscussgwhygshegdoesgnotglikeghergfatheranymore.g
4. Letgthegadolescentgtalkgwhengshegisgready.ANS:g2g
g
14.gAgteengshouldgbegcheckedgforgdepressiongatg physiciangvisit(s).g
1. Everyg
g
g
.g
2. Oneg
3. Monthlyg
4. Bi-yearlygANS:g1g
g
15.gWhengusinggthegSADgFACESgdepressiongscreen,gitgisgimportantgtogassess:g
1. Anhedonia.g
2. Suicidalgideations.g
3. Sleepgpatterns.g
4. AllgofgthegabovegANS:g4g
g
16.gAgschoolgnursegisggivinggangin-
servicegtogteachersgongbullycide.gThegmainreasongforgthegteachinggisgsogthat:g
1. Teachersgaregawaregbullyinggoccurs.g
2. Teachersgaregablegtogidentifygstudentsgwhogaregrisk.g
3. Teachersgcangbegawaregofgthegfactgthatgsuicidesgcanghappengduegtogbullyingbygothers.g
4. Teachersgaregawaregofgtheirgrolegingcausinggbullycide.ANS:g3g
g
17.gAngadolescentgwithgagknownghistorygofgbipolargdisordergisgingthegschoolnursesgofficegbecaus
egagteacherg
reportedgthatgshegwasgtalkinggfastgandgactingglikegshegwasgGod.gThegschoolnursegassessesgtheggirl
gandgnotesgthat:g
1. Shegisgprobablygingagmanicgphasegandgneedsgtogbegtreatedgprofessionally.g
2. Sheghasghadgtoogmuchgsleepgandgisgnowghyperactive.g
3. Shegforgotgtogtakeghergmedicationsgtoday.g
MedgCg
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g g g g
TEST BANK
MedgCg
,g
Burns'gPediatricgPrimarygCareg7thgEditiongTestgBankg
g
Chapterg1:gHealthgStatusgofgChildren:gGlobalgandgNationalPerspectivesg
g
1.gWhichgregionggloballyghasgtheghighestginfantgmortalitygrate?g
A. Indonesiag
B. SoutherngAsiag
C. Sub-SaharangAfricagCorrectg
D. Syriag
g
2.gThegprimarygcaregpediatricgnursegpractitionergunderstandsgthat,gtogachievetheggreate
stgworldwidegreductiongingchildgmortalitygfromgpneumoniagandgdiarrhea,gwhichginterv
entionisgmostgeffective?g
A. Antibioticsg
B. Optimalgnutritiong
C. VaccinationsgCorrectg
D. Watergpurificationg
g
3.gWhichgisgtruegaboutgtheghealthgstatusgofgchildrengingthegUnitedgStates?g
.g13348413856g
A.gGlobalismghasgrelativelyglittlegimpactgongchildghealthgmeasuresgingthegU.S.gB.gO
besitygratesgamongg2to5yearoldsghavegshowngagrecentgsignificantg
decrease.gCorrectg
.g
C. Thegrategofghouseholdgpovertygisglowergthangingothergeconomicallygdevelopedgna
tions.g
D. Younggchildrengwhogattendgpreschoolgorgdaygcareghaveghighergfoodginsecurity.g
4.gThegprimarygcaregpediatricgnursegpractitionergunderstandsgthatgagmajorchildghealth
goutcomegassociatedgwithgworldwidegclimategchangegisgA.gcostgofgliving.g
B. education.g
C. nutrition.gCorrectg
D. pollution.g
g
5.gWhengprovidinggwellgchildgcaregforganginfantgingthegfirstgyeargofglife,gtheprimarygcaregpediat
ricgnursegpractitionergisgadheringgtogthegmostgrecentgAmericanAcademygofg
PediatricsRecommendationsgforgPreventivegPediatricgHealthgCaregguidelinesbygA.gfoc
usingglessgongdevelopmentgandgmoregongillnessgpreventiongandgnutrition.g
B.gfollowinggguidelinesgestablishedgbygtheBrightgFuturesgpublication.gC.gschedul
inggwellbabygvisitsgtogcoincidegwithgkeygdevelopmentalgmilestones.gCorrectg
D.gseeinggtheginfantgatgagesg2,g4,g6,gandg12gmonthsgwhengimmunizationsgaredue.g
g
Chapterg2.gUniquegIssuesgingPediatricsg
g
1.gAgnursegisgexplaininggthegtherapeuticgmilieugtogagnewgnurse.gThegbestgexplanationgofgthis
gtermgwouldgbe:g
1. Thegplacegwheregthegchildgisgreceivinggcare.g
2. Groupgtherapy.g
3. Personalginteractionsgbetweengpatientsgandgstaff.g
4. Allgofgthegabovegaregcorrect.g
ANS:g4g
g
2.gAg16-year-oldgmaleghasgreceivedgagpink-
slipgfromgthegpolicegforginpatientpsychiatricgtreatment.gThegteeng
hasgbeengexpressinggthoughtsgofghangingghimselfgbecausegLifegsucks.gThenursinggstaffgshouldgc
onsidergplacinggthegchild:g
1. Withgpeers.g
2. Ingangareagwhereghegcangbegwatchedgone-on-one.g
3. Withgagroommategthatgisgexpressinggthegsamegconcerns.g
4. Ingangareagclosegtogangexternalgdoor.gANS:g2g
g
3.gLearninggdisabilitiesgingchildrenghavegscientificallygbeenglinkedgto:g
1. Poorgnutrition.g
MedgCg
,g
2. Thegenvironmentgingwhichgthegchildglives.g
3. Genetics.g
4. Watchinggmoregthangfourghoursgofgtelevisiongagday.ANS:g3g
g
4.gAgmentalghealthgnurseghasgassessedgagchildgandgdeterminedgthatgthegchildexhibitsgbehavioralg
challenges.g
Whengthegschoolgnursegexplainsgthisgtogagteacher,gthegbestgdescriptiongwouldbe:g
g
g
.g
1. Thegchildgmaygexhibitgphysicalgoutbursts.g
2. Thegchildgmaygexhibitgviolencegtowardgothers.g
3. Thegchildgmaygbegdefiantgorghavegtantrums.g
4. Thegchildgwillgneedgspecialginterventionsgforglearning.ANS:g3g
g
5. Agchildgthatghasgnotgexhibitedgenuresisgingfourgyearsghasgexhibitedgthisbehaviorgpatterngforgt
heglastgweek.g
Thegreasongagchildgmaygrevertgbackgtogthisgbehaviorgpatterngisgbecausegof:g
1. Hallucinations.g
2. Behavioralgchallenges.g
3. Delusions.g
4. Stress.gANS:g4g
g
6.gAng18-year-
oldgmaleghasgcalledgthegcrisisglinegforghelp.gThegcrisisgnurserecognizesgtheginterventiongneedsgm
aygconsistgofgallgofgthegfollowinggexcept:g
1. Discussinggthegindividualsgeverydaygactivities.g
2. Recognizinggthatgthegpatientgmaygbegingagcatharsisgstate.g
3. Expressinggempathygtowardgthegcaller.g
4. Avoidinggentropy.gANS:g1g
g
7.gAng8-year-
oldgboygwithgaghistorygofghallucinationsgandgviolentgbehaviorghasbeengplacegingagseclusiongroomg
atgtheghospitalgbecausegheghasgbeenghurtinggothers.gThegnursegchecksgongthepatientgandgrealizes
gshegmustgtakeghimgoutgofgthegseclusiongroomgwhen:g
1. Hegisgcryinggtogbegreleased.g
2. Hegstates,gIgwillgbegaggoodgboygnow.g
g
g
.g
3. Hegstartsgheadbuttinggthegwindow.g
4. Hegcomplainsgthatghisgparentsgwillgfilegaglawsuit.ANS:g3g
g
8.gAgchildghasgbeengexhibitinggthegMacDonaldgTriad.gThesegbehaviorsginclude:g
1. Enuresis,gpushinggothers,gandgpyromania.g
2. Swinginggagcatgbygthegtail,gbed-wetting,gandglightinggpapergongfiregingthetrashgcan.g
3. Playinggwithgothergchildren,glaughing,gandgconversinggwithgadults.g
4. Playinggwithgagcampfire,gwatchinggtelevision,gandgseekinggadultgattention.ANS:g2g
g
9.gAgteenagergdiagnosedgwithgborderlinegpersonalitygdisordergshouldghavedischargegplanninggin
structionsgof:g
1. Agconsistentgcaregiver.g
2. Monitoringgofgmedia,gsuchgasgthegInternet,gtelevision,gandgvideoggames.g
3. Obtaininggsupportgfromgfamilygandgfriends.g
4. Seekinggmedicalgattentiongwhengthegteenagergfeelsggood.ANS:g3g
g
10.gAgmentalghealthgnursegisgteachinggthegmothergofgagchildgwithgexecutivefunctioninggissues
gwaysgtoghelpghergchild.gInterventionsgthegmothergshouldguseginclude:g
1. Placinggvisualgaidsgongthegbathroomgmirrorgsogthatgthegchildgwillgfollowgthemorninggroutine.
g
2. Givegthegchildgagchoicegingfoodsgtogeat.g
MedgCg
,g
3. Allowinggthegchildgtogaskgforghelpgwhengneeded.g
4. Remindinggthegchildgtogbegnicegtogothers.gANS:g1g
g
g
.g
11.gEllie,gag9-year-
oldggirl,gwasgadoptedgbygagfamilygatgthegagegofg4gaftergseveralgyearsgofgseveregneglectgbyghergbir
thgfamily.gThegadoptivegfamilyghasbeengreportinggthatgElliegisgangrygaglot,gmanipulativegwithghe
rgteachers,gandgdoesgnotgseekgpositivegattention.gThegnursegworkinggwithgElliewillgneedgto:g1.gP
rovidegeducationgongdecreasinggstimuligingtheghomegenvironmentgthattriggersgtheganger.g
2. RealizegElliegmayghavegattachmentgissuesgrelatedgtoghergpreviousghistoryandgwillgne
edgtogencouragegthegfamilygtogbegactiveginghergcare.g
3. Supportgthegfamilygingthegdecision-
makinggprocessgofgcontinuinggtogletgEllielivegingtheghome.g
4. DiscussginpatientgtherapygtogdecreasegElliesgmanipulativegbehaviorgpatterns.g
ANS:g2g
g
12.gAnginfantgdisplaysgdepressiongby:g
1. Smilinggatgstrangers.g
2. Bondinggtogsomeonegothergthangthegimmediategfamily.g
3. Cryinggmoregthangangaverageginfant.g
4. Looksgawaygwhengangadultgattemptsgtogplaygwithgtheginfant.ANS:g4g
13.gAgfathergreportsgthatghisgadolescentgdaughterghasggottenggoodggradesgupuntilgtheglastgquarter
gofgschool.g
Sheghasgbeenghanginggoutgbygherselfgandgdoesgnotgwantgtogtalkgtoghimanymore.gThegmental
ghealthgnursegshould:g
1. Realizegthatgthisgisgagnaturalgpartgofggrowinggup.g
2. Performgagmentalghealthgscreeninggtogcheckgforgdepression.g
3. Attemptgtoggetgthegadolescentgtogdiscussgwhygshegdoesgnotglikeghergfatheranymore.g
4. Letgthegadolescentgtalkgwhengshegisgready.ANS:g2g
g
14.gAgteengshouldgbegcheckedgforgdepressiongatg physiciangvisit(s).g
1. Everyg
g
g
.g
2. Oneg
3. Monthlyg
4. Bi-yearlygANS:g1g
g
15.gWhengusinggthegSADgFACESgdepressiongscreen,gitgisgimportantgtogassess:g
1. Anhedonia.g
2. Suicidalgideations.g
3. Sleepgpatterns.g
4. AllgofgthegabovegANS:g4g
g
16.gAgschoolgnursegisggivinggangin-
servicegtogteachersgongbullycide.gThegmainreasongforgthegteachinggisgsogthat:g
1. Teachersgaregawaregbullyinggoccurs.g
2. Teachersgaregablegtogidentifygstudentsgwhogaregrisk.g
3. Teachersgcangbegawaregofgthegfactgthatgsuicidesgcanghappengduegtogbullyingbygothers.g
4. Teachersgaregawaregofgtheirgrolegingcausinggbullycide.ANS:g3g
g
17.gAngadolescentgwithgagknownghistorygofgbipolargdisordergisgingthegschoolnursesgofficegbecaus
egagteacherg
reportedgthatgshegwasgtalkinggfastgandgactingglikegshegwasgGod.gThegschoolnursegassessesgtheggirl
gandgnotesgthat:g
1. Shegisgprobablygingagmanicgphasegandgneedsgtogbegtreatedgprofessionally.g
2. Sheghasghadgtoogmuchgsleepgandgisgnowghyperactive.g
3. Shegforgotgtogtakeghergmedicationsgtoday.g
MedgCg
