, Rudd 1
Davis Advantage for Pediatric Nursing 3
y# y# y# y# y# Test Bank Ch01 y# y#
e
Chapter 1 Issues and Trends in Pediatric Nursing
y# y# y# y# y# y# y#
Multiple Choice
y#
Identify the choice that best completes the statement or answers the question.
y# y# y# y# y# y# y# y# y# y# y#
1. The nurse has provided a presentation to middle school children about nursing as a career. One
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
of the children stated that he wanted to be a pediatric nurse, because he wants to take care of
# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
babies and little “kids.” What would be an appropriate response to this middle school–
y# y# y# y# y# y# y# y# y# y# y# y# y#
aged child? y#
1. “Nursing is a general practice; all nurses must know how to take care of all ages
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
of patients.”# y#
2. “As a pediatric nurse, you would get to care for babies and little kids as well
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
as children through their teenage years.”
y# y# y# y# y#
3. “What you are describing is actually a neonatal nurse. Neonatal nurses work wi
y# y# y# y# y# y# y# y# y# y# y# y#
th newborn babies, toddlers, and preschool-age children.”
y# y# y# y# y# y#
4. “Being a pediatric nurse requires a master’s degree, so be sure to work hard
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
in school!” y#
2. The medical- y#
surgical float nurse is assigned to the pediatric unit for the first time and states that the skills
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
are “the same as general nursing since children are little adults with smaller bodies.” What c
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
omponent of pediatric nursing contraindicates this statement?
y# y# y# y# y# y#
1. Pediatric nursing involves care based on the developmental level of the patient.
y# y# y# y# y# y# y# y# y# y# y#
2. Pediatric nursing involves the patient’s family in the plan of care.
y# y# y# y# y# y# y# y# y# y#
3. Pediatric nursing in based on prevention of infectious diseases.
y# y# y# y# y# y# y# y#
4. Pediatric nursing involves cultural sensitivity in patient care.
y# y# y# y# y# y# y#
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population.
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
Which of the following reflects the demographics of the U.S. pediatric population in 2018, bas
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ed on U.S. Census Bureau data?
y# y# y# y# y#
1. The American Indian and Alaska Native population represent one-
y# y# y# y# y# y# y# y#
fifth of the pediatric population. y# y# y# y#
2. About half of the children fall in the category of something other than White no
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
n- Hispanic. y#
3. The population of Asian children decreased from 2015 to 2018.
y# y# y# y# y# y# y# y# y#
4. There was no change in the population of Non- y# y# y# y# y# y# y# y#
Hispanic children who represent two or more races between 2015 and 2018.
y# y# y# y# y# y# y# y# y# y# y#
4. The nurse at a family clinic is providing care to an adolescent patient diagnosed with diabetes. T
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
he patient has verbalized discomfort with the feelings of isolation when unable to drink alcohol
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
with their friends. Which of the following would be the most appropriate response to this state
# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ment?
1. “Drinking alcohol is not only illegal but dangerous for your blood sugar contr
y# y# y# y# y# y# y# y# y# y# y# y#
ol and overall well-being.”
y# y# y#
2. “You can still drink alcohol, in moderation, if you control the sugar spike wi
y# y# y# y# y# y# y# y# y# y# y# y# y#
th more insulin.” y# y#
3. “Prepare for alcohol intake with more water and less carbohydrates before drinkin
y# y# y# y# y# y# y# y# y# y# y#
g to slow sugar spikes.”
y# y# y# y#
4. “It is understandable that you want to be included, but perhaps we can work ou
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
t a plan on how to work through those situations.”
y# y# y# y# y# y# y# y# y#
, Rudd 2
Davis Advantage for Pediatric Nursing 3
y# Test Bank Ch01
y# y# y# y# y# y#
e
5. Which statement best describes the common core concepts of the different models of pediatr
y# y# y# y# y# y# y# y# y# y# y# y# y#
ic nursing?
y#
1. All models focus on the open communication between the child and nurse.
y# y# y# y# y# y# y# y# y# y# y#
2. All models focus on importance of family relationship to the child.
y# y# y# y# y# y# y# y# y# y#
3. All models focus on safeguarding the child’s dignity during care.
y# y# y# y# y# y# y# y# y#
4. All models focus on coordination of care needs that arise during illness.
y# y# y# y# y# y# y# y# y# y# y#
6. Which of the following tasks is associated with the pediatric medical home care model of pediat
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ric nursing?
y#
1. The nurse refers the family to a childhood cancer support group prior to dischar
y# y# y# y# y# y# y# y# y# y# y# y# y#
ge from the hospital. y# y# y#
2. The nurse includes a simple explanation of the procedure to the child based on t
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
he child’s developmental level.
y# y# y#
3. The nurse includes the family’s cultural celebrations and observations whil
y# y# y# y# y# y# y# y# y#
e providing care to the child.
y# y# y# y# y#
4. The nurse develops the plan of care with the child and family as the focal point
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
of the interventions.
# y# y#
7. The pediatric nurse begins a research project on 8-year-
y# y# y# y# y# y# y# y#
old patients with the medical diagnosis of pediatric acute-
y# y# y# y# y# y# y# y#
onset neuropsychiatric syndrome (PANS). The family has consented to the research, but as the
y# y# y# y# y# y# y# y# y# y# y# y# y#
nurse begins to administer the intervention, the patient refuses to cooperate. What is the appr
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
opriate response to this refusal? y# y# y# y#
1. The nurse should discuss with the family the options of performing t
y# y# y# y# y# y# y# y# y# y# y#
he intervention without the child’s knowledge.
y# y# y# y# y#
2. The nurse should explain to the child that this is necessary and promise a reward
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
at the end of the research project.
# y# y# y# y# y# y#
3. The nurse should refuse to perform the intervention until the child consents to t
y# y# y# y# y# y# y# y# y# y# y# y# y#
he intervention and project.
y# y# y#
4. The nurse should discuss the pros and cons of the research project with the chi
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ld and focus on the outcomes.
y# y# y# y# y#
8. A nurse is providing relationship-
y# y# y# y#
based care to a pediatric patient. Which of the following is a challenge the nurse is likely t
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
o encounter while using this model of care?
y# y# y# y# y# y# y#
1. Maintaining a sterile field for a procedure with a restless toddler y# y# y# y# y# y# y# y# y# y#
2. Communicating with the blended family on regular basis y# y# y# y# y# y# y#
3. Treating children with antibiotic-resistant illnesses y# y# y# y#
4. Caring for a larger number of children with autism spectrum disorders an
y# y# y# y# y# y# y# y# y# y# y#
d childhood depression
y# y#
9. The pediatric nurse desires to expand his or her career options to become the hospital’s nur
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
se educator of pediatrics. Which of the following is necessary for this nurse to achieve this c
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
areer goal? y#
1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
y# y# y# y# y# y# y# y# y# y# y# y# y#
2. The nurse must earn a minimum of a doctorate degree in nursing.
y# y# y# y# y# y# y# y# y# y# y#
3. The nurse must implement and develop research in nursing practice.
y# y# y# y# y# y# y# y# y#
4. The nurse must implement a plan to obtain certification in pediatrics.
y# y# y# y# y# y# y# y# y# y#
, Rudd 3
Davis Advantage for Pediatric Nursing 3
y# y# y# y# y# Test Bank Ch01 y# y#
e
10. The school nurse is developing a teaching session for the population of children in a mi
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ddle school. The nurse has determined that the greatest need for the overall health of the chi
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ldren is promotion of healthy foods. Which of the following interventions is most likely to be
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
#effective?
1. Remove all unhealthy snacks from the vending machines.
y# y# y# y# y# y# y#
2. Have a poster contest on healthy eating options.
y# y# y# y# y# y# y#
3. Survey the student population during lunch breaks.
y# y# y# y# y# y#
4. Engage the students in healthy choices with cooking lessons.
y# y# y# y# y# y# y# y#
11. The nurse recognizes the needs of professional development to provide safe and effective
y# y# y# y# y# y# y# y# y# y# y# y# y# y
care to the pediatric population by attending which of the following courses?
# y# y# y# y# y# y# y# y# y# y# y#
1. Procedure with rationale to administer human papilloma vaccine to the middl
y# y# y# y# y# y# y# y# y# y#
e school population
y# y#
2. Study review of the incidence of bullying and intimidation in the elementar
y# y# y# y# y# y# y# y# y# y# y#
y school population
y# y#
3. Demographic study of the U.S. population with regard to cultural diversity an
y# y# y# y# y# y# y# y# y# y# y#
d practicesy#
4. How to provide individual health care education for the children without parent
y# y# y# y# y# y# y# y# y# y# y#
al interferencey#
12. Which of the following continuing education courses would best enhance the pediatric
y# y# y# y# y# y# y# y# y# y# y# y# y#
nurse’s practice in relationship to current trends?
y# y# y# y# y# y#
1. Evidence-
based practice on improving antibiotic adherence with education to the family
y# y# y# y# y# y# y# y# y# y# y#
unit
2. Evidence-
based practice on proper administration of antibiotics for children with autoim
y# y# y# y# y# y# y# y# y# y#
mune diseases y#
3. How to enhance communication with children in regards to adherence to antibiot
y# y# y# y# y# y# y# y# y# y# y#
ic use y#
4. How to decrease instances of exacerbation of infections of children wit
y# y# y# y# y# y# y# y# y# y#
h autoimmune diseases with antibiotics
y# y# y# y#
13. The pediatric nurse is developing interventions for a school-
y# y# y# y# y# y# y# y# y#
aged child based on the nursing diagnosis of imbalanced nutrition related to a body mass index
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
(BMI) of 37 and poor food choices as evidenced by patient’s mother’s food diary for the family
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
and child’s statements of food preferences. Which of the following would be an appropriate nur
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
sing intervention?
y#
1. Provide the child and family with information from https://www.MyPlate.gov f
y# y# y# y# y# y# y# y# y#
or healthy food options.
y# y# y#
2. Increase the child’s activity by incorporating the child’s friends into a plan
y# y# y# y# y# y# y# y# y# y# y# y#
of healthy exercise options.
y# y# y#
3. Explain the importance of balancing diet and exercise to prevent obesity to t
y# y# y# y# y# y# y# y# y# y# y# y#
he child and family.
y# y# y#
4. Provide information on the increased risk for potential disease processes such
y# y# y# y# y# y# y# y# y# y# y#
as diabetes and hypertension.
y# y# y#
14. The nurse is developing interventions for a transgender adolescent based on the nursing di
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
Davis Advantage for Pediatric Nursing 3
y# y# y# y# y# Test Bank Ch01 y# y#
e
Chapter 1 Issues and Trends in Pediatric Nursing
y# y# y# y# y# y# y#
Multiple Choice
y#
Identify the choice that best completes the statement or answers the question.
y# y# y# y# y# y# y# y# y# y# y#
1. The nurse has provided a presentation to middle school children about nursing as a career. One
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
of the children stated that he wanted to be a pediatric nurse, because he wants to take care of
# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
babies and little “kids.” What would be an appropriate response to this middle school–
y# y# y# y# y# y# y# y# y# y# y# y# y#
aged child? y#
1. “Nursing is a general practice; all nurses must know how to take care of all ages
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
of patients.”# y#
2. “As a pediatric nurse, you would get to care for babies and little kids as well
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
as children through their teenage years.”
y# y# y# y# y#
3. “What you are describing is actually a neonatal nurse. Neonatal nurses work wi
y# y# y# y# y# y# y# y# y# y# y# y#
th newborn babies, toddlers, and preschool-age children.”
y# y# y# y# y# y#
4. “Being a pediatric nurse requires a master’s degree, so be sure to work hard
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
in school!” y#
2. The medical- y#
surgical float nurse is assigned to the pediatric unit for the first time and states that the skills
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
are “the same as general nursing since children are little adults with smaller bodies.” What c
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
omponent of pediatric nursing contraindicates this statement?
y# y# y# y# y# y#
1. Pediatric nursing involves care based on the developmental level of the patient.
y# y# y# y# y# y# y# y# y# y# y#
2. Pediatric nursing involves the patient’s family in the plan of care.
y# y# y# y# y# y# y# y# y# y#
3. Pediatric nursing in based on prevention of infectious diseases.
y# y# y# y# y# y# y# y#
4. Pediatric nursing involves cultural sensitivity in patient care.
y# y# y# y# y# y# y#
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population.
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
Which of the following reflects the demographics of the U.S. pediatric population in 2018, bas
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ed on U.S. Census Bureau data?
y# y# y# y# y#
1. The American Indian and Alaska Native population represent one-
y# y# y# y# y# y# y# y#
fifth of the pediatric population. y# y# y# y#
2. About half of the children fall in the category of something other than White no
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
n- Hispanic. y#
3. The population of Asian children decreased from 2015 to 2018.
y# y# y# y# y# y# y# y# y#
4. There was no change in the population of Non- y# y# y# y# y# y# y# y#
Hispanic children who represent two or more races between 2015 and 2018.
y# y# y# y# y# y# y# y# y# y# y#
4. The nurse at a family clinic is providing care to an adolescent patient diagnosed with diabetes. T
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
he patient has verbalized discomfort with the feelings of isolation when unable to drink alcohol
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
with their friends. Which of the following would be the most appropriate response to this state
# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ment?
1. “Drinking alcohol is not only illegal but dangerous for your blood sugar contr
y# y# y# y# y# y# y# y# y# y# y# y#
ol and overall well-being.”
y# y# y#
2. “You can still drink alcohol, in moderation, if you control the sugar spike wi
y# y# y# y# y# y# y# y# y# y# y# y# y#
th more insulin.” y# y#
3. “Prepare for alcohol intake with more water and less carbohydrates before drinkin
y# y# y# y# y# y# y# y# y# y# y#
g to slow sugar spikes.”
y# y# y# y#
4. “It is understandable that you want to be included, but perhaps we can work ou
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
t a plan on how to work through those situations.”
y# y# y# y# y# y# y# y# y#
, Rudd 2
Davis Advantage for Pediatric Nursing 3
y# Test Bank Ch01
y# y# y# y# y# y#
e
5. Which statement best describes the common core concepts of the different models of pediatr
y# y# y# y# y# y# y# y# y# y# y# y# y#
ic nursing?
y#
1. All models focus on the open communication between the child and nurse.
y# y# y# y# y# y# y# y# y# y# y#
2. All models focus on importance of family relationship to the child.
y# y# y# y# y# y# y# y# y# y#
3. All models focus on safeguarding the child’s dignity during care.
y# y# y# y# y# y# y# y# y#
4. All models focus on coordination of care needs that arise during illness.
y# y# y# y# y# y# y# y# y# y# y#
6. Which of the following tasks is associated with the pediatric medical home care model of pediat
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ric nursing?
y#
1. The nurse refers the family to a childhood cancer support group prior to dischar
y# y# y# y# y# y# y# y# y# y# y# y# y#
ge from the hospital. y# y# y#
2. The nurse includes a simple explanation of the procedure to the child based on t
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
he child’s developmental level.
y# y# y#
3. The nurse includes the family’s cultural celebrations and observations whil
y# y# y# y# y# y# y# y# y#
e providing care to the child.
y# y# y# y# y#
4. The nurse develops the plan of care with the child and family as the focal point
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
of the interventions.
# y# y#
7. The pediatric nurse begins a research project on 8-year-
y# y# y# y# y# y# y# y#
old patients with the medical diagnosis of pediatric acute-
y# y# y# y# y# y# y# y#
onset neuropsychiatric syndrome (PANS). The family has consented to the research, but as the
y# y# y# y# y# y# y# y# y# y# y# y# y#
nurse begins to administer the intervention, the patient refuses to cooperate. What is the appr
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
opriate response to this refusal? y# y# y# y#
1. The nurse should discuss with the family the options of performing t
y# y# y# y# y# y# y# y# y# y# y#
he intervention without the child’s knowledge.
y# y# y# y# y#
2. The nurse should explain to the child that this is necessary and promise a reward
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
at the end of the research project.
# y# y# y# y# y# y#
3. The nurse should refuse to perform the intervention until the child consents to t
y# y# y# y# y# y# y# y# y# y# y# y# y#
he intervention and project.
y# y# y#
4. The nurse should discuss the pros and cons of the research project with the chi
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ld and focus on the outcomes.
y# y# y# y# y#
8. A nurse is providing relationship-
y# y# y# y#
based care to a pediatric patient. Which of the following is a challenge the nurse is likely t
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
o encounter while using this model of care?
y# y# y# y# y# y# y#
1. Maintaining a sterile field for a procedure with a restless toddler y# y# y# y# y# y# y# y# y# y#
2. Communicating with the blended family on regular basis y# y# y# y# y# y# y#
3. Treating children with antibiotic-resistant illnesses y# y# y# y#
4. Caring for a larger number of children with autism spectrum disorders an
y# y# y# y# y# y# y# y# y# y# y#
d childhood depression
y# y#
9. The pediatric nurse desires to expand his or her career options to become the hospital’s nur
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
se educator of pediatrics. Which of the following is necessary for this nurse to achieve this c
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
areer goal? y#
1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
y# y# y# y# y# y# y# y# y# y# y# y# y#
2. The nurse must earn a minimum of a doctorate degree in nursing.
y# y# y# y# y# y# y# y# y# y# y#
3. The nurse must implement and develop research in nursing practice.
y# y# y# y# y# y# y# y# y#
4. The nurse must implement a plan to obtain certification in pediatrics.
y# y# y# y# y# y# y# y# y# y#
, Rudd 3
Davis Advantage for Pediatric Nursing 3
y# y# y# y# y# Test Bank Ch01 y# y#
e
10. The school nurse is developing a teaching session for the population of children in a mi
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ddle school. The nurse has determined that the greatest need for the overall health of the chi
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ldren is promotion of healthy foods. Which of the following interventions is most likely to be
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
#effective?
1. Remove all unhealthy snacks from the vending machines.
y# y# y# y# y# y# y#
2. Have a poster contest on healthy eating options.
y# y# y# y# y# y# y#
3. Survey the student population during lunch breaks.
y# y# y# y# y# y#
4. Engage the students in healthy choices with cooking lessons.
y# y# y# y# y# y# y# y#
11. The nurse recognizes the needs of professional development to provide safe and effective
y# y# y# y# y# y# y# y# y# y# y# y# y# y
care to the pediatric population by attending which of the following courses?
# y# y# y# y# y# y# y# y# y# y# y#
1. Procedure with rationale to administer human papilloma vaccine to the middl
y# y# y# y# y# y# y# y# y# y#
e school population
y# y#
2. Study review of the incidence of bullying and intimidation in the elementar
y# y# y# y# y# y# y# y# y# y# y#
y school population
y# y#
3. Demographic study of the U.S. population with regard to cultural diversity an
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d practicesy#
4. How to provide individual health care education for the children without parent
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al interferencey#
12. Which of the following continuing education courses would best enhance the pediatric
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nurse’s practice in relationship to current trends?
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1. Evidence-
based practice on improving antibiotic adherence with education to the family
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unit
2. Evidence-
based practice on proper administration of antibiotics for children with autoim
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mune diseases y#
3. How to enhance communication with children in regards to adherence to antibiot
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ic use y#
4. How to decrease instances of exacerbation of infections of children wit
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h autoimmune diseases with antibiotics
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13. The pediatric nurse is developing interventions for a school-
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aged child based on the nursing diagnosis of imbalanced nutrition related to a body mass index
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(BMI) of 37 and poor food choices as evidenced by patient’s mother’s food diary for the family
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and child’s statements of food preferences. Which of the following would be an appropriate nur
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sing intervention?
y#
1. Provide the child and family with information from https://www.MyPlate.gov f
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or healthy food options.
y# y# y#
2. Increase the child’s activity by incorporating the child’s friends into a plan
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of healthy exercise options.
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3. Explain the importance of balancing diet and exercise to prevent obesity to t
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he child and family.
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4. Provide information on the increased risk for potential disease processes such
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as diabetes and hypertension.
y# y# y#
14. The nurse is developing interventions for a transgender adolescent based on the nursing di
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