TEST BANK FOR BURNS' PEDI
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ATRIC PRIMARY CARE 7 TH E
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DITION UPDATED 2023 QUEST
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IONS AND ANSWERS g g
,Burns'gPediatricgPrimarygCareg7thgEditiongTestgBank
Burns'gPediatricgPrimarygCareg7thgEditiongTestgBank
Chapter 1: Health Status of Children: Global and National Perspectives
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1. Whichgregionggloballyg hasgtheghighestginfantg mortalitygrate?
A. Indonesia
B. SoutherngAsia
C. SubSaharangAfricagCorrect
D. Syria
2. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthat,gtogachievetheggreat
estgworldwidegreductiongingchildgmortalitygfromgpneumoniagandgdiarrhea,gwhichginterv
entionisgmostgeffective?
A. Antibiotics
B. Optimalgnutrition
C. Vaccinationsg Correct
D. Watergpurification
3. WhichgisgtruegaboutgtheghealthgstatusgofgchildrengingthegUnitedgStates?
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A. GlobalismghasgrelativelyglittlegimpactgongchildghealthgmeasuresgingthegU.S.
B. Obesitygratesgamongg2to5yearoldsghavegshowngagrecentg
significant
decrease.gCorrect
.
C. Thegrategofghouseholdgpovertygisglowergthangingothergeconomicallyg
developedgnations.
D. Younggchildrengwhogattendgpreschoolgorgdaygcareghaveghighergfoodgi
nsecurity.
4. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthatgagmajorchildg
healthgoutcomegassociatedgwithgworldwidegclimategchangegis
A. costg ofg living.
B. education.
C. nutrition.gCorrect
D. pollution.
5. Whengprovidinggwellgchildgcaregforganginfantgingthegfirstgyeargofglife,gtheprimarygcar
egpediatricgnursegpractitionergisgadheringgtogthegmostgrecentgAmericanAcademygofgPed
iatricsgRecommendationsgforgPreventivegPediatricgHealthgCaregguidelinesgby
A. focusingglessgongdevelopmentgandgmoregongillnessgpreventiongandgn
utrition.
B. followinggguidelinesgestablishedgbygtheBrightgFuturesgpublication.
C. schedulinggwellbabygvisitsgtogcoincidegwithgkeygdevelopmentalg
milestones.gCorrect
D. seeinggtheg infantg atg agesg 2,g4,g 6,gandg12g monthsg wheng immunizationsg aredue.
Chapter 2. Unique Issues in Pediatrics
g g g g g
1. Agnursegisgexplaininggthegtherapeuticgmilieugtogagnewgnurse.gThegbestge
xplanationgofgthisgtermgwouldgbe:
1. Thegplacegwheregthegchildgisgreceivinggcare.
,Burns'gPediatricgPrimarygCareg7thgEditiongTestgBank
2. Groupgtherapy.
3. Personalginteractionsgbetweengpatientsgandgstaff.
4. Allgofgthegabovegaregcorrect.
ANS:g4
2. Ag16-year-oldgmaleghasgreceivedgagpink-
slipgfromgthegpolicegforginpatientpsychiatricgtreatment.gThegteen
hasgbeengexpressinggthoughtsgofghangingghimselfgbecausegLifegsucks.gThenursinggstaffgs
houldgconsider
placinggthegchild:
1. Withgpeers.
2. Ingangareagwhereghegcangbegwatchedgone-on-one.
3. Withgagroommategthatgisgexpressinggthegsamegconcerns.
4. Ingangareagclosegtogangexternalgdoor.
ANS:g2
3. Learninggdisabilitiesgingchildrenghavegscientificallygbeenglinkedgto:
1. Poorgnutrition.
2. Thegenvironmentgingwhichgthegchildglives.
3. Genetics.
4. Watchinggmoregthangfourghoursgofgtelevisiongagday.
ANS:g 3
4.gAgmentalghealthgnurseghasgassessedgagchildgandgdeterminedgthatgthegchildexhibitsgbehaviora
lgchallenges.
Whengthegschoolgnursegexplainsgthisgtogagteacher,gthegbestgdescriptiong wouldbe:
1. Thegchildgmaygexhibitg physicalgoutbursts.
2. Thegchildgmaygexhibitgviolencegtowardgothers.
3. Thegchildgmaygbegdefiantgorghavegtantrums.
4. Thegchildgwillgneedgspecialginterventionsgforglearning.
ANS:g3
5. Agchildgthatghasgnotgexhibitedgenuresisgingfourgyearsghasgexhibitedgthisbehaviorgp
atterngforgtheglastgweek.
Thegreasongagchildg maygrevertgbackgtogthisgbehaviorgpatterngisgbecausegof:
1. Hallucinations.
2. Behavioralg challenges.
3. Delusions.
4. Stress.
ANS:g 4
6. Ang18-year-
oldgmaleghasgcalledgthegcrisisglinegforghelp.gThegcrisisgnurserecognizesgtheginterventiongne
eds
maygconsistgofgallgofgthegfollowinggexcept:
1. Discussingg theg individualsg everydayg activities.
2. Recognizinggthatgthegpatientgmaygbeg ingagcatharsisgstate.
3. Expressinggempathygtowardgthegcaller.
4. Avoidinggentropy.
ANS:g 1
7. Ang8-year-
oldgboygwithgaghistorygofghallucinationsgandgviolentgbehaviorghasbeengplacegingagseclusiong
room
atgtheghospitalgbecausegheghasgbeenghurtinggothers.gThegnursegchecksgongthepatientgandgreal
, Burns'gPediatricgPrimarygCareg7thgEditiongTestgBank
2. Hegstates,gIgwillgbegaggoodgboygnow.
3. Hegstartsgheadbuttinggthegwindow.
4. Hegcomplainsgthatghisgparentsgwillgfilegaglawsuit.
ANS:g3
8. Agchildghasgbeengexhibitingg thegMacDonaldgTriad.gThesegbehaviorsginclude:
1. Enuresis,gpushinggothers,gandgpyromania.
2. Swinginggagcatgbygthegtail,gbed-wetting,gandglightinggpapergongfiregingthetrashgcan.
3. Playinggwithgothergchildren,glaughing,gandgconversinggwithgadults.
4. Playinggwithgagcampfire,gwatchinggtelevision,gandgseekinggadultgattention.ANS:g2
9. Agteenagergdiagnosedgwithgborderlinegpersonalitygdisordergshouldghavedischargegp
lanningginstructionsgof:
1. Agconsistentgcaregiver.
2. Monitoringgofgmedia,gsuchgasgthegInternet,gtelevision,gandgvideoggames.
3. Obtaininggsupportgfromgfamilygandgfriends.
4. Seekinggmedicalgattentiong wheng theg teenagerg feelsggood.
ANS:g 3
10. Agmentalghealthgnursegisgteachinggthegmothergofgagchildgwithgexecutivefunctioninggi
ssuesgwaysgtoghelp
hergchild.gInterventionsgthegmothergshouldguseginclude:
1. Placinggvisualgaidsgongthegbathroomgmirrorgsogthatgthegchildgwillgfollowgthemorninggr
outine.
2. Givegthegchildgagchoicegingfoodsgtogeat.
3. Allowinggthegchildgtogaskgforghelpgwhengneeded.
4. Remindinggthegchildgtogbegnicegtogothers.
ANS:g 1
11. Ellie,gag9-year-
oldggirl,gwasgadoptedgbygagfamilygatgthegagegofg4gaftergseveralgyearsgofgseveregneglectgbyg
hergbirthgfamily.gThegadoptivegfamilyghasbeengreportinggthatgElliegisgangrygaglot,gmanipu
lativegwithgher
teachers,gandgdoesgnotgseekgpositivegattention.gThegnursegworkinggwithgElliewillgneedgto:
1. Providegeducationgongdecreasinggstimuligingtheghomegenvironmentgthattriggersgt
heganger.
2. RealizegElliegmayghavegattachmentgissuesgrelatedgtoghergpreviousghistoryandgwillgn
eedgtogencouragegthe
familygtogbegactiveginghergcare.
3. Supportgthegfamilygingthegdecision-
makinggprocessgofgcontinuinggtogletgEllielivegingtheghome.
4. DiscussginpatientgtherapygtogdecreasegElliesgmanipulativegbehaviorg
patterns.
ANS:g2
12. Ang infantgdisplaysg depressiongby:
1. Smilingg atg strangers.
2. Bondinggtogsomeonegothergthangthegimmediategfamily.
3. Cryinggmoregthangangaverageginfant.
4. Looksgawaygwhengangadultgattemptsgtogplaygwithgtheginfant.
ANS:g4