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Burns Pediatric Primary Care 7th Edition All Chapters Complete Test Bank

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Burns Pediatric Primary Care 7th Edition All Chapters Complete Test Bank 10. A child is in the clinic for evaluation of an asthma action plan. The primary care pediatric nurse practitioner notes that the child‟s last visit was for a prekindergarten physical and observes that the child is extremely anxious. What will the nurse practitioner do initially? A. Ask the child‟s parent why the child is so anxious. B. Perform a physical assessment to rule out shortness of breath. C. Reassure the child that there is nothing to be afraid of. D. Review the purpose of this visit and any anticipated procedures. Correct 11. The primary care pediatric nurse practitioner is evaluating health literacy in the mother of a new preschoolage child. How will the nurse practitioner assess C. Ask the child how many books he has at home. Correct D. Ask the mother about her highest grade in school. E. Ask the mother to determine the correct dose of a drug from a label. F. Ask the mother to read a health information handout aloud. 12. The mother of a newborn tells the primary care pediatric nurse practitioner that she is worried that her child will develop allergies and asthma. Which tool will the nurse practitioner use to evaluate this risk? A. Threegeneration pedigree Correct A. Review of systems B. Genogram C. Ecomap 1 3. The primary care pediatric nurse practitioner is performing a well child assessment on an adolescent and is concerned about possible alcohol and tobacco use. Which assessment tool will the nurse practitioner use? A. CRAFFT Correct A. HEEADSSS B. PHQ2 C. RAAPS 14. The primary care pediatric nurse practitioner evaluates a schoolage child whose body mass index (BMI) is greater than the 97th percentile. The nurse practitioner is concerned about possible metabolic syndrome and orders laboratory tests to evaluate this. Which diagnosis will the nurse practitioner document for this visit? A. Metabolic syndrome B. Nutritional alteration: more than required C. Obesity Correct A. Rule out type 2 diabetes mellitus Chapter 6. Cultural Considerations for Pediatric Primary Care Questions 1. The primary care pediatric nurse practitioner provides well child care for a community of immigrant children from Central America. The pediatric nurse practitioner is surprised to learn that some of the families are Jewish and not Catholic. This response is an example of cultural O. collectivism. P. constructivism. Q. essentialism. Correct R. individualism. 2. The primary care pediatric nurse practitioner learns that an AfricanAmerican family lives in a neighborhood with a high crime rate and suggests that they try moving to another neighborhood for the safety of their children. This is an example of N. cultural sensitivity. O. group bias. P. individual privilege. Correct Q. racial awareness. 3. The primary care pediatric nurse practitioner cares f or children from a Native American family and learns that they used many herbs to treat and prevent illness. Which approach will the pediatric nurse practitioner use to promote optimum health in the children? O. Ask about the types of practices used and when they are applied. Correct P. Provide a list of harmful herbs and ask the family to avoid those. Q. Suggest that the family avoid using these remedies in their children. R. Tell the parents to use the herbs in conjunction with modern medications. 4. The primary care pediatric nurse practitioner works with families from a variety of cultures and socioeconomic classes. Which is an example of cultural humility in practice? M. Giving health care advice that takes cultural differences into account N. Identification of other cultures that may be superior to one‟s own culture C. Receptivity to learning about the perspectives of other cultures Correct D. Respecting other cultures while maintaining the views of one‟s own 5. A Somalian immigrant mother is concerned that her 8yearold child is underweight. The primary care pediatric nurse practitioner notes that the child‟s weight is at the 25th percentile. After realizing that the mother is comparing her child to a group of Americanborn children who are overweight, the pediatric nurse practitioner is able to convince the mother that this is a normal weight. Which domain of cultural competence does this represent? A. Global B. Interpersonal Correct N. Intrapersonal O. Organizational 6. The primary care pediatric nurse practitioner in a community health center meets a family who has recently immigrated to the United States who speak only Karon. They arrive in the clinic with a church sponsor, who translates for them. The pediatric nurse practitioner notices that the sponsor answers for the family without giving them time to speak. The pediatric nurse practitioner will H. ask the sponsor to allow the family to respond. I. develop the plan of care and ask the sponsor to make sure it is followed. J. request that the sponsor translate written instructions for the family. K. use the telephone interpreter service to communicate with the family. Correct

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BURNS PEDIATRIC PRIMARY CARE 7TH EDITION TEST
BANK

, Burns Pediatric Primary Care 7th Edition Test Bank
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. SubSaharan Africa Correct
D. Syria

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

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 major
child
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, the
primary
care pediatric nurse practitioner is adhering to the most recent American
Academy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelines
by
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 are

,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 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.
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 child
exhibits behavioral challenges.
When the school nurse explains this to a teacher, the best description would
be:



.
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 this
behavior 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 nurse
recognizes 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 the
trash 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 have
discharge 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 executive
functioning 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 the
morning 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 has
been reporting that Ellie is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with Ellie
will need to:
1. Provide education on decreasing stimuli in the home environment that
triggers the anger.
2. Realize Ellie may have attachment issues related to her previous history
and 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 Ellie
live in the home.
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2

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