Which topics should the nurse discuss with the parents of a young child to promote health in their child?
a. Dental care needs to be started by age 7.
b. Immunization schedule and the importance of immunizations.
c. Human milk or iron fortified formula for the first 4 months of life.
d. Positioning the car seat in the front passenger seat.
Answer: B
Rationale: Immunizations have made a major impact in the prevention of disease in children. The nurse should
review individual immunization records at every clinic visit, avoid missing opportunities to vaccinate, and
encourage parents to keep immunizations current. Dental caries is the single most common chronic disease of
childhood and may begin before the first birthday. Human milk or iron fortified formula for should be given for
the first year of life to prevent Iron Deficiency anemia. Children younger than 1 year of age have the highest
rate of death from motor vehicle accidents, primarily from a failure to properly use car restraints.
,What is the leading cause of death in children older than the age of 1 year?
a. Drowning
b. Burns
c. Motor vehicle accidents
d. Cancer
Answer(s): C
Rationale: a. Drowning is the second leading cause of death in children older than the age of 1 year. b. Burns
cause fewer deaths than motor vehicle accidents in children older than the age of 1 year. c. Motor vehicle
accidents are the leading cause of death in children older than the age of 1 year. d. Cancer causes fewer
deaths than motor vehicle accidents in children older than the age of 1 year.
,The nurse makes sure that a toddler has a teddy bear and that a nightlight is on in the hospital room at
bedtime. What concept would these nursing actions demonstrate?
a. Atraumatic care
b. Nonmaleficence
c. Justice
d. Advocacy
Answer(s): A
Rationale: A. Atraumatic care is the provision of therapeutic care in settings, by personnel, and through the
use of interventions that eliminate or minimize the psychological and physical distress experienced by children
and their families in the health care system. In this case, it is making sure that the toddler has a teddy bear and
that a night light is on to prevent a dark environment. B. Nonmaleficence is the obligation to minimize or
prevent harm; there is no situation present that would require this. C. Justice is the concept of fairness and is
not applicable to this situation. D. Advocacy involves ensuring that families are aware of all available health
services, adequately informed of treatments and procedures, involved in the child’s care, and encouraged to
change or support existing health care practices.
True or False: Open ended questions are most likely to encourage parents to talk about their feelings r/t their
child's illness.
True
, When the nurse interviews an adolescent, what is important to help establish a relationship?
a. Use the same type of language as the adolescent.
b. Emphasize that confidentiality will always be maintained.
c. Focus the discussion on the peer group.
d. Display a genuine interest in the adolescent.
Answer: D.
Rationale: Display a genuine interest in the adolescent.Adolescents accept anyone who shows a genuine
interest in them. Although peers are important to this age-group, the focus of the interview should be on the
adolescent. The nurse should clarify which information will be shared with other members of the health care
team and any limits to confidentiality. The nurse should maintain a professional relationship with adolescents.
To avoid misinterpretation of words and phrases that the adolescent may use, the nurse should clarify terms
frequently.
a. Dental care needs to be started by age 7.
b. Immunization schedule and the importance of immunizations.
c. Human milk or iron fortified formula for the first 4 months of life.
d. Positioning the car seat in the front passenger seat.
Answer: B
Rationale: Immunizations have made a major impact in the prevention of disease in children. The nurse should
review individual immunization records at every clinic visit, avoid missing opportunities to vaccinate, and
encourage parents to keep immunizations current. Dental caries is the single most common chronic disease of
childhood and may begin before the first birthday. Human milk or iron fortified formula for should be given for
the first year of life to prevent Iron Deficiency anemia. Children younger than 1 year of age have the highest
rate of death from motor vehicle accidents, primarily from a failure to properly use car restraints.
,What is the leading cause of death in children older than the age of 1 year?
a. Drowning
b. Burns
c. Motor vehicle accidents
d. Cancer
Answer(s): C
Rationale: a. Drowning is the second leading cause of death in children older than the age of 1 year. b. Burns
cause fewer deaths than motor vehicle accidents in children older than the age of 1 year. c. Motor vehicle
accidents are the leading cause of death in children older than the age of 1 year. d. Cancer causes fewer
deaths than motor vehicle accidents in children older than the age of 1 year.
,The nurse makes sure that a toddler has a teddy bear and that a nightlight is on in the hospital room at
bedtime. What concept would these nursing actions demonstrate?
a. Atraumatic care
b. Nonmaleficence
c. Justice
d. Advocacy
Answer(s): A
Rationale: A. Atraumatic care is the provision of therapeutic care in settings, by personnel, and through the
use of interventions that eliminate or minimize the psychological and physical distress experienced by children
and their families in the health care system. In this case, it is making sure that the toddler has a teddy bear and
that a night light is on to prevent a dark environment. B. Nonmaleficence is the obligation to minimize or
prevent harm; there is no situation present that would require this. C. Justice is the concept of fairness and is
not applicable to this situation. D. Advocacy involves ensuring that families are aware of all available health
services, adequately informed of treatments and procedures, involved in the child’s care, and encouraged to
change or support existing health care practices.
True or False: Open ended questions are most likely to encourage parents to talk about their feelings r/t their
child's illness.
True
, When the nurse interviews an adolescent, what is important to help establish a relationship?
a. Use the same type of language as the adolescent.
b. Emphasize that confidentiality will always be maintained.
c. Focus the discussion on the peer group.
d. Display a genuine interest in the adolescent.
Answer: D.
Rationale: Display a genuine interest in the adolescent.Adolescents accept anyone who shows a genuine
interest in them. Although peers are important to this age-group, the focus of the interview should be on the
adolescent. The nurse should clarify which information will be shared with other members of the health care
team and any limits to confidentiality. The nurse should maintain a professional relationship with adolescents.
To avoid misinterpretation of words and phrases that the adolescent may use, the nurse should clarify terms
frequently.
