g
JHGFDSg
ggg TEST BANK g gg
ggg Burns' Pediatric Primary Care
g g g gg
g
gg by Dawn Lee Garzon, Mary Dirks
g g g g g g
ggg g g g g g g g g g g g 8th Edition
g g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
FULL TEST BANK!!! g g g
g
g
g
g
g
Nursedocs@2024g
YTREWQg
,g
JHGFDSg
Burns'gPediatricgPrimarygCareg8thgEditiongTestgBankg
g
Chapterg1:gHealthgStatusgofgChildren:gGlobalgandgNationalPerspectivesg
g
1.gWhichgregionggloballyghasgtheghighestginfantgmortalitygrate?g
A. Indonesiag
B. SoutherngAsiag
C. Sub-SaharangAfricagCorrectg
D. Syriag
g
2.gThegprimarygcaregpediatricgnursegpractitionergunderstandsgthat,gtogachievetheggreat
estgworldwidegreductiongingchildgmortalitygfromgpneumoniagandgdiarrhea,gwhichginter
ventionisgmostgeffective?g
A. Antibioticsg
B. Optimalgnutritiong
C. VaccinationsgCorrectg
D. Watergpurificationg
g
3.gWhichgisgtruegaboutgtheghealthgstatusgofgchildrengingthegUnitedgStates?g
.g13348413856g
A.gGlobalismghasgrelativelyglittlegimpactgongchildghealthgmeasuresgingthegU.S.gB.g
Obesitygratesgamongg2to5yearoldsghavegshowngagrecentgsignificantg
decrease.gCorrectg
.g
C. Thegrategofghouseholdgpovertygisglowergthangingothergeconomicallygdevelopedgn
ations.g
D. Younggchildrengwhogattendgpreschoolgorgdaygcareghaveghighergfoodginsecurity.g
4.gThegprimarygcaregpediatricgnursegpractitionergunderstandsgthatgagmajorchildg
healthgoutcomegassociatedgwithgworldwidegclimategchangegisgA.gcos
tgofgliving.g
B. education.g
C. nutrition.gCorrectg
D. pollution.g
g
5.gWhengprovidinggwellgchildgcaregforganginfantgingthegfirstgyeargofglife,gtheprimarygcaregpediat
ricgnursegpractitionergisgadheringgtogthegmostgrecentgAmericanAcademygofg
PediatricsRecommendationsgforgPreventivegPediatricgHealthgCaregguidelinesbygA.gfoc
usingglessgongdevelopmentgandgmoregongillnessgpreventiongandgnutrition.g
B. followinggguidelinesgestablishedgbygtheBrightgFuturesgpublication.g
C. schedulinggwellbabygvisitsgtogcoincidegwithgkeygdevelopmentalgmilestones.gCorrectg
D. seeinggtheginfantgatgagesg2,g4,g6,gandg12gmonthsgwhengimmunizationsgaredue.g
g
Chapterg2.gUniquegIssuesgingPediatricsg
g
1.gAgnursegisgexplaininggthegtherapeuticgmilieugtogagnewgnurse.gThegbestgexplanationgofgthi
sgtermgwouldgbe:g
1. Thegplacegwheregthegchildgisgreceivinggcare.g
g
2. Groupgtherapy.g
3. Personalginteractionsgbetweengpatientsgandgstaff.g
4. Allgofgthegabovegaregcorrect.g
ANS:g4g
g
2.gAg16-year-oldgmaleghasgreceivedgagpink-
slipgfromgthegpolicegforginpatientpsychiatricgtreatment.gThegteeng
hasgbeengexpressinggthoughtsgofghangingghimselfgbecausegLifegsucks.gThenursinggstaffgshouldg
considergplacinggthegchild:g
1. Withgpeers.g
2. Ingangareagwhereghegcangbegwatchedgone-on-one.g
3. Withgagroommategthatgisgexpressinggthegsamegconcerns.g
4. Ingangareagclosegtogangexternalgdoor.gANS:g2g
g
3.ggLearninggdisabilitiesgingchildrenghavegscientificallygbeenglinkedgto:g
1. Poorgnutrition.g
2. Thegenvironmentgingwhichgthegchildglives.g
Nursedocs@2024g
YTREWQg
,g
JHGFDSg
g
g
3. Genetics.g
4. Watchinggmoregthangfourghoursgofgtelevisiongagday.ANS:g3g
g
4.gAgmentalghealthgnurseghasgassessedgagchildgandgdeterminedgthatgthegchildexhibitsgbehavioral
gchallenges.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.gThegcrisisgnurserecognizesgtheginterventiongneedsg
maygconsistgofgallgofgthegfollowinggexcept:g
1. Discussinggthegindividualsgeverydaygactivities.g
2. Recognizinggthatgthegpatientgmaygbegingagcatharsisgstate.g
3. Expressinggempathygtowardgthegcaller.g
4. Avoidinggentropy.gANS:g1g
g
7.gAng8-year-
oldgboygwithgaghistorygofghallucinationsgandgviolentgbehaviorghasbeengplacegingagseclusiongroomg
atgtheghospitalgbecausegheghasgbeenghurtinggothers.gThegnursegchecksgongthepatientgandgrealiz
esgshegmustgtakeghimgoutgofgthegseclusiongroomgwhen:g
1. Hegisgcryinggtogbegreleased.g
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.gAgteenagergdiagnosedgwithgborderlinegpersonalitygdisordergshouldghavedischargegplanninggi
nstructionsgof:g
1. Agconsistentgcaregiver.g
2. Monitoringgofgmedia,gsuchgasgthegInternet,gtelevision,gandgvideoggames.g
3. Obtaininggsupportgfromgfamilygandgfriends.g
4. Seekinggmedicalgattentiongwhengthegteenagergfeelsggood.ANS:g3g
g
10.gAgmentalghealthgnursegisgteachinggthegmothergofgagchildgwithgexecutivefunctioninggissue
sgwaysgtoghelpghergchild.gInterventionsgthegmothergshouldguseginclude:g
1. Placinggvisualgaidsgongthegbathroomgmirrorgsogthatgthegchildgwillgfollowgthemorninggroutine
.g
2. Givegthegchildgagchoicegingfoodsgtogeat.g
3. Allowinggthegchildgtogaskgforghelpgwhengneeded.g
4. Remindinggthegchildgtogbegnicegtogothers.gANS:g1g
g
Nursedocs@2024g
YTREWQg
,g
JHGFDSg
g
.g
11.gEllie,gag9-year-
oldggirl,gwasgadoptedgbygagfamilygatgthegagegofg4gaftergseveralgyearsgofgseveregneglectgbyghergbi
rthgfamily.gThegadoptivegfamilyghasbeengreportinggthatgElliegisgangrygaglot,gmanipulativegwithg
hergteachers,gandgdoesgnotgseekgpositivegattention.gThegnursegworkinggwithgElliewillgneedgto:g1
.gProvidegeducationgongdecreasinggstimuligingtheghomegenvironmentgthattriggersgtheganger.g
2. RealizegElliegmayghavegattachmentgissuesgrelatedgtoghergpreviousghistoryandgwillgn
eedgtogencouragegthegfamilygtogbegactiveginghergcare.g
3. Supportgthegfamilygingthegdecision-
makinggprocessgofgcontinuinggtogletgEllielivegingtheghome.g
4. DiscussginpatientgtherapygtogdecreasegElliesgmanipulativegbehaviorgpatterns.gANS:
g2g
g
12.gAnginfantgdisplaysgdepressiongby:g
1. Smilinggatgstrangers.g
2. Bondinggtogsomeonegothergthangthegimmediategfamily.g
3. Cryinggmoregthangangaverageginfant.g
4. Looksgawaygwhengangadultgattemptsgtogplaygwithgtheginfant.ANS:g4g
g
g
13.gAgfathergreportsgthatghisgadolescentgdaughterghasggottenggoodggradesgupuntilgtheglastgquarte
rgofgschool.g
Sheghasgbeenghanginggoutgbygherselfgandgdoesgnotgwantgtogtalkgtoghimanymore.gThegment
alghealthgnursegshould:g
1. Realizegthatgthisgisgagnaturalgpartgofggrowinggup.g
2. Performgagmentalghealthgscreeninggtogcheckgforgdepression.g
3. Attemptgtoggetgthegadolescentgtogdiscussgwhygshegdoesgnotglikeghergfatheranymore.g
4. Letgthegadolescentgtalkgwhengshegisgready.ANS:g2g
g
14.ggAgteengshouldgbegcheckedgforgdepressiongatg 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.gAngadolescentgwithgagknownghistorygofgbipolargdisordergisgingthegschoolnursesgofficegbecau
segagteacherg
reportedgthatgshegwasgtalkinggfastgandgactingglikegshegwasgGod.gThegschoolnursegassessesgtheggi
rlgandgnotesgthat:g
1. Shegisgprobablygingagmanicgphasegandgneedsgtogbegtreatedgprofessionally.g
2. Sheghasghadgtoogmuchgsleepgandgisgnowghyperactive.g
3. Shegforgotgtogtakeghergmedicationsgtoday.g
4. Shegrequiresgsomegfoodgandgrestgbeforeggoinggbackgtogclass.ANS:g1g
g
Chapterg3.gGeneticsgandgChildgHealthQuestionsg
g
1.gWhatgisgtruegaboutghaploidgcells?g
Nursedocs@2024g
YTREWQg
JHGFDSg
ggg TEST BANK g gg
ggg Burns' Pediatric Primary Care
g g g gg
g
gg by Dawn Lee Garzon, Mary Dirks
g g g g g g
ggg g g g g g g g g g g g 8th Edition
g g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
FULL TEST BANK!!! g g g
g
g
g
g
g
Nursedocs@2024g
YTREWQg
,g
JHGFDSg
Burns'gPediatricgPrimarygCareg8thgEditiongTestgBankg
g
Chapterg1:gHealthgStatusgofgChildren:gGlobalgandgNationalPerspectivesg
g
1.gWhichgregionggloballyghasgtheghighestginfantgmortalitygrate?g
A. Indonesiag
B. SoutherngAsiag
C. Sub-SaharangAfricagCorrectg
D. Syriag
g
2.gThegprimarygcaregpediatricgnursegpractitionergunderstandsgthat,gtogachievetheggreat
estgworldwidegreductiongingchildgmortalitygfromgpneumoniagandgdiarrhea,gwhichginter
ventionisgmostgeffective?g
A. Antibioticsg
B. Optimalgnutritiong
C. VaccinationsgCorrectg
D. Watergpurificationg
g
3.gWhichgisgtruegaboutgtheghealthgstatusgofgchildrengingthegUnitedgStates?g
.g13348413856g
A.gGlobalismghasgrelativelyglittlegimpactgongchildghealthgmeasuresgingthegU.S.gB.g
Obesitygratesgamongg2to5yearoldsghavegshowngagrecentgsignificantg
decrease.gCorrectg
.g
C. Thegrategofghouseholdgpovertygisglowergthangingothergeconomicallygdevelopedgn
ations.g
D. Younggchildrengwhogattendgpreschoolgorgdaygcareghaveghighergfoodginsecurity.g
4.gThegprimarygcaregpediatricgnursegpractitionergunderstandsgthatgagmajorchildg
healthgoutcomegassociatedgwithgworldwidegclimategchangegisgA.gcos
tgofgliving.g
B. education.g
C. nutrition.gCorrectg
D. pollution.g
g
5.gWhengprovidinggwellgchildgcaregforganginfantgingthegfirstgyeargofglife,gtheprimarygcaregpediat
ricgnursegpractitionergisgadheringgtogthegmostgrecentgAmericanAcademygofg
PediatricsRecommendationsgforgPreventivegPediatricgHealthgCaregguidelinesbygA.gfoc
usingglessgongdevelopmentgandgmoregongillnessgpreventiongandgnutrition.g
B. followinggguidelinesgestablishedgbygtheBrightgFuturesgpublication.g
C. schedulinggwellbabygvisitsgtogcoincidegwithgkeygdevelopmentalgmilestones.gCorrectg
D. seeinggtheginfantgatgagesg2,g4,g6,gandg12gmonthsgwhengimmunizationsgaredue.g
g
Chapterg2.gUniquegIssuesgingPediatricsg
g
1.gAgnursegisgexplaininggthegtherapeuticgmilieugtogagnewgnurse.gThegbestgexplanationgofgthi
sgtermgwouldgbe:g
1. Thegplacegwheregthegchildgisgreceivinggcare.g
g
2. Groupgtherapy.g
3. Personalginteractionsgbetweengpatientsgandgstaff.g
4. Allgofgthegabovegaregcorrect.g
ANS:g4g
g
2.gAg16-year-oldgmaleghasgreceivedgagpink-
slipgfromgthegpolicegforginpatientpsychiatricgtreatment.gThegteeng
hasgbeengexpressinggthoughtsgofghangingghimselfgbecausegLifegsucks.gThenursinggstaffgshouldg
considergplacinggthegchild:g
1. Withgpeers.g
2. Ingangareagwhereghegcangbegwatchedgone-on-one.g
3. Withgagroommategthatgisgexpressinggthegsamegconcerns.g
4. Ingangareagclosegtogangexternalgdoor.gANS:g2g
g
3.ggLearninggdisabilitiesgingchildrenghavegscientificallygbeenglinkedgto:g
1. Poorgnutrition.g
2. Thegenvironmentgingwhichgthegchildglives.g
Nursedocs@2024g
YTREWQg
,g
JHGFDSg
g
g
3. Genetics.g
4. Watchinggmoregthangfourghoursgofgtelevisiongagday.ANS:g3g
g
4.gAgmentalghealthgnurseghasgassessedgagchildgandgdeterminedgthatgthegchildexhibitsgbehavioral
gchallenges.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.gThegcrisisgnurserecognizesgtheginterventiongneedsg
maygconsistgofgallgofgthegfollowinggexcept:g
1. Discussinggthegindividualsgeverydaygactivities.g
2. Recognizinggthatgthegpatientgmaygbegingagcatharsisgstate.g
3. Expressinggempathygtowardgthegcaller.g
4. Avoidinggentropy.gANS:g1g
g
7.gAng8-year-
oldgboygwithgaghistorygofghallucinationsgandgviolentgbehaviorghasbeengplacegingagseclusiongroomg
atgtheghospitalgbecausegheghasgbeenghurtinggothers.gThegnursegchecksgongthepatientgandgrealiz
esgshegmustgtakeghimgoutgofgthegseclusiongroomgwhen:g
1. Hegisgcryinggtogbegreleased.g
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.gAgteenagergdiagnosedgwithgborderlinegpersonalitygdisordergshouldghavedischargegplanninggi
nstructionsgof:g
1. Agconsistentgcaregiver.g
2. Monitoringgofgmedia,gsuchgasgthegInternet,gtelevision,gandgvideoggames.g
3. Obtaininggsupportgfromgfamilygandgfriends.g
4. Seekinggmedicalgattentiongwhengthegteenagergfeelsggood.ANS:g3g
g
10.gAgmentalghealthgnursegisgteachinggthegmothergofgagchildgwithgexecutivefunctioninggissue
sgwaysgtoghelpghergchild.gInterventionsgthegmothergshouldguseginclude:g
1. Placinggvisualgaidsgongthegbathroomgmirrorgsogthatgthegchildgwillgfollowgthemorninggroutine
.g
2. Givegthegchildgagchoicegingfoodsgtogeat.g
3. Allowinggthegchildgtogaskgforghelpgwhengneeded.g
4. Remindinggthegchildgtogbegnicegtogothers.gANS:g1g
g
Nursedocs@2024g
YTREWQg
,g
JHGFDSg
g
.g
11.gEllie,gag9-year-
oldggirl,gwasgadoptedgbygagfamilygatgthegagegofg4gaftergseveralgyearsgofgseveregneglectgbyghergbi
rthgfamily.gThegadoptivegfamilyghasbeengreportinggthatgElliegisgangrygaglot,gmanipulativegwithg
hergteachers,gandgdoesgnotgseekgpositivegattention.gThegnursegworkinggwithgElliewillgneedgto:g1
.gProvidegeducationgongdecreasinggstimuligingtheghomegenvironmentgthattriggersgtheganger.g
2. RealizegElliegmayghavegattachmentgissuesgrelatedgtoghergpreviousghistoryandgwillgn
eedgtogencouragegthegfamilygtogbegactiveginghergcare.g
3. Supportgthegfamilygingthegdecision-
makinggprocessgofgcontinuinggtogletgEllielivegingtheghome.g
4. DiscussginpatientgtherapygtogdecreasegElliesgmanipulativegbehaviorgpatterns.gANS:
g2g
g
12.gAnginfantgdisplaysgdepressiongby:g
1. Smilinggatgstrangers.g
2. Bondinggtogsomeonegothergthangthegimmediategfamily.g
3. Cryinggmoregthangangaverageginfant.g
4. Looksgawaygwhengangadultgattemptsgtogplaygwithgtheginfant.ANS:g4g
g
g
13.gAgfathergreportsgthatghisgadolescentgdaughterghasggottenggoodggradesgupuntilgtheglastgquarte
rgofgschool.g
Sheghasgbeenghanginggoutgbygherselfgandgdoesgnotgwantgtogtalkgtoghimanymore.gThegment
alghealthgnursegshould:g
1. Realizegthatgthisgisgagnaturalgpartgofggrowinggup.g
2. Performgagmentalghealthgscreeninggtogcheckgforgdepression.g
3. Attemptgtoggetgthegadolescentgtogdiscussgwhygshegdoesgnotglikeghergfatheranymore.g
4. Letgthegadolescentgtalkgwhengshegisgready.ANS:g2g
g
14.ggAgteengshouldgbegcheckedgforgdepressiongatg 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.gAngadolescentgwithgagknownghistorygofgbipolargdisordergisgingthegschoolnursesgofficegbecau
segagteacherg
reportedgthatgshegwasgtalkinggfastgandgactingglikegshegwasgGod.gThegschoolnursegassessesgtheggi
rlgandgnotesgthat:g
1. Shegisgprobablygingagmanicgphasegandgneedsgtogbegtreatedgprofessionally.g
2. Sheghasghadgtoogmuchgsleepgandgisgnowghyperactive.g
3. Shegforgotgtogtakeghergmedicationsgtoday.g
4. Shegrequiresgsomegfoodgandgrestgbeforeggoinggbackgtogclass.ANS:g1g
g
Chapterg3.gGeneticsgandgChildgHealthQuestionsg
g
1.gWhatgisgtruegaboutghaploidgcells?g
Nursedocs@2024g
YTREWQg
