REGIS NU665 WEEK 15 FINAL EXAM NEWEST
u u u u u u u u u
ALL 50 COMPLETE ACTUAL QUESTIONS AND CORRECT VE
u u u u u u u u
RIFIED ANSWERS (REVISED EXAM) A NEW UPDATED VER
u u u u u u u
SION|GUARANTEED PASS A+ (BRAND NEW!!) u u u u
Auschool-
ageuchilduhasuaufractureduwristuwithuauSalteruHarrisuTypeuIIufracture,uaccordingutoutheura
diologist.uWhatuisutrueuaboututhisutypeuofufracture?u-
uANSWER:uThereuisuaumetaphysealufragmentuonutheucompressionusideuofufracture.
Whatuwillutheuprimaryucareupediatricunurseupractitioneruelicituwhenuobtaininguaupositiv
euBarlowumaneuveruwhenuscreeninguforudevelopmentaludysplasiauofutheuhip?u-
uANSWER:uDislocationuofuanuunstableuhip
Au3-year-
olduchilduisubroughtutoutheuclinicubyuauparentuwhoureportsuthatutheuchildurefusesutouuseu
theurightuarmuafterubeinguswungubyubothuarmsuwhileuplaying.uTheuchilduisusittinguwithut
heurightuarmuhelduslightlyuflexeduanducloseutoutheubody.uThereuisunouswellinguoruecchym
osisupresent.uWhatuwillutheuprimaryucareupediatricunurseupractitionerudo?u-
uANSWER:uGentlyuattemptuausupinationuanduflexionutechnique.
Auschool-
ageuchildufallsuoffuauswinguandusuffersuauclosedufractureuofutheurightuclavicle.uHowuwillut
hisubeumanaged?u-
uANSWER:uImmobilizationuwithuauslingutousupportutheuaffecteduextremity
Auyounguadolescentureportsuchestupainuassociateduwithucoughinguandulifting.uPhysicalu
examinationurevealsutendernessuoveruseveraluribs,uradiatingutoutheuback.uAuscultationu
ofutheuheart,ulungs,uanduabdomenuareunormal.uThereuisunouhistoryuofuinjury.uWhatuwillu
theuprimaryucareupediatricunurseupractitionerudo?u-
uANSWER:uRecommenduNSAIDs,ustretchinguexercises,uanduiceupacksutoutheuarea.
Auyounguadolescentufemaleuisuobservedutouhaveumilduunequaluscapulauprominencesuo
nugrossuexaminationuwhileustanding.uInutheuAdamsuforwardubendinguposition,uthisuineq
ualityudisappears.uWhatuwillutheuprimaryucareupediatricunurseupractitionerudo?u-
uANSWER:uDiscussupostureuanduexerciseuanduaskuaboutubackpacksuandubooks.
TheuprimaryucareupediatricunurseupractitioneruelicitsupositiveuOrtolaniuanduBarlowusign
suinuau6-month-
olduinfantunotupreviouslyunoteduinutheumedicalurecord.uWhatuisutheucorrectutreatment?
u-uANSWER:uSurgicaluintervention
Au14-year-
olduboyuwhouisuoverweightudevelopsuauunilateralulimpuwithupainuinutheuhipuandukneeuon
utheuaffecteduside.uAnuexamurevealsuexternalurotationuofutheuhipuwhenuflexeduandupainu
,associateduwithuattemptsutouinternallyurotateutheuhip.uWhatuisumostuimportantuinitially
uwhenumanaginguthisuchild'sucondition?u-
uANSWER:uPlaceutheuchilduonucrutchesuoruinuauwheelchairutoupreventuweight-bearing.
Auparentuisuconcerneduthatuau12-month-
olduchilduisu"bowlegged."uAuphysicaluexaminationurevealsuinternalutibialutorsionubilater
ally.uAuradiographurevealsuasymmetricubowinguofutheulegsuwithuanuangleugreateruthanu1
5udegrees.uWhatuisutheucorrectuactionuforutheuprimaryucareupediatricunurseupractitione
r?u-uANSWER:uReferutouaupediatricuorthopedicuspecialistuforutreatment.
Auchilduwhouplaysusocceruisuinutheuclinicureportingupauinuanduswellinguinubothuknees.uAup
hysicaluexaminationurevealsuswellinguandufocalutendernessuatutheutibialutuberosities,uw
ithupainuworseninguwhenuaskedutouextendutheukneesuagainsturesistance.uWhatuisutheutr
eatmentuforuthisucondition?u-
uANSWER:uApplyuiceupacksutoubothukneesuanduavoiduactivitiesuthatucauseupain.
Duringuauwellubabyuexaminationuofuaunewborn,utheuprimaryucareupediatricunurseupracti
tionerunotesuadductionuofutheurightuforefoot,uwithunormalupositionuofutheumiduanduhin
dfoot,ualonguwithuauconvexushapedulateraluborderuofutheufoot.uWhatuwillutheunurseupra
ctitionerudoutouevaluateuthisudeformity?u-
uANSWER:uGrasputheuheeluwithuoneuhanduanduabductutheuforefootuwithutheuotheruhand.
Duringuauwelluchilduexaminationuonuau4-month-
olduinfant,utheuprimaryucareupediatricunurseupractitioneruevaluatesumentaluhealthuissu
es.uWhichustatementubyutheuparentuindicatesuaupotentialuproblemuwithutheuparent-
infanturelationship?u-uANSWER:u"Iuletumyubabyucryuauwhileutoulearnutoubeupatient."
Auchilduhasuaudifficultutemperament.uWhatuwillutheuprimaryucareupediatricunurseupracti
tionerutellutheuparentuaboutumanaginguthisuchild'subehavior?u-
uANSWER:uItuisuimportantuforutheuparentutoulearnutoumanageucriticismuandupowerustrug
gles.
Duringuauwelluchilduassessmentuofuaupreschool-
ageuchild,utheuparentuvoicesuconcernsuthatubecauseutheuchilduhasubehavioruproblemsua
tuschool,utheuchildumayuhaveuaumentaluhealthudisorder.uWhichuinitialuapproachuwillupro
videutheubestuinformation?uJJJJ.uAskutheuparentuwhetheruotherucaregiversuhaveuvoicedu
similaruconcerns.u-
uANSWER:uTakeutimeutouactivelyulistenutoutheuparent'suanduchild'superceptionsuofutheup
roblem.
Theuprimaryucareupediatricunurseupractitioneruattemptsutoulearnumoreuaboututheuemot
ionaluhealthuofuanu18-month-olduchilduthroughuwhichuassessmentustrategy?u-
uANSWER:uObservationuofutheuchilduwithucaretakersuinustructureduanduunstructured usit
uations
Aumiddleuschooluageuchilduisuskippinguschoolufrequentlyuandugettingupoorugradesusinceu
theuchild'sufatheruwasukilleduwhileudeployeduinutheumilitary.uHowuwillutheuprimaryucareu
,pediatricunurseupractitionerumanageuthisusituation?u-
uANSWER:uReferutheuchildutouaumentaluhealthuspecialistuforuevaluationuandutreatment.
Theuparentuofuau4-year-
olduchildureportsuthatutheuchilduseemsutoubeuhavingutroubleuadjustingutouaunewudaycare
uandureportedlyuisualwaysuengaginguinusolitaryuplayuwhenutheuparentuarrivesutoupickuupu
theuchild.uWhatuwillutheuprimaryucareupediatricunurseupractitionerudo?u-
uANSWER:uAskutheuparentuifutheuchilduisuslowutouwarmuuputouotherunewusituations.
Theuparentuofuauschool-
ageuchilduisuconcernedubecauseutheuchilduhasustartedutouexpressuangeruaboutuaugrandp
arent'sudeathuevenuthoughuthisuoccurreduwhenutheuchilduwasuautoddler.uWhatuwillutheu
primaryucareupediatricunurseupractitionerutellutheuparent?u-
uANSWER:uTheusignificanceuofuthisulossumustubeureworkeduatueachudevelopmentalulevel.
Theuparentuofuauschool-
ageuchildureportsuthatutheuchildudoesn'tulikeubeingualoneuinuroomsubecauseuofuaufearuofu
aliensuhidinguinuclosets.uWhatuwillutheuprimaryucareupediatricunurseupractitionerutelluth
euparent?u-uANSWER:u"Fearuofuimaginaryucreaturesudoesunotuusuallyuoccuruatuthisuage."
Theuparentuofuaupreschooluageuchildureportsuthatutheuchilduoftenuappearsuanxiousuandu
nervousuanduthatuthisuisuassociateduoccasionallyuwithuaurapiduhearturateuandutremors.u
Whatuisutheubestutypeuofureferraluthatutheuprimaryucareupediatricunurseupractitioneruco
uldurecommend?u-uANSWER:uPlayutherapy
Au9-year-
olduchilduexhibitsuschoolurefusaluanduaureluctanceutouattendusleepoversuwithuclassmate
s.uTheuparentuisuconcernedubecauseutheuchilduhasurecentlyubegunusleepinguinutheuparen
ts'ubed.uWhichuinitialuactionubyutheuprimaryucareupediatricunurseupractitioneruisuapprop
riate?u-
uANSWER:uAssessuforuenvironmentalustress,uparentaludysfunction,uandumaternaludepre
ssion.
Theuparentuofuauschool-
ageuchildureportsuthatutheuchildubecomesufrustrateduwhenuunableutouperformutasksuwe
lluanduoftenuhasutemperutantrumsuandudifficultyusleeping.uWhichudisorderumayubeucons
idereduinuthisuchild?u-uANSWER:uGeneralizeduanxietyudisorderu(GAD)
Theuparentuofuauschool-
ageugirlureportsuthatutheuchilduhasudifficultyugettingureadyuforuschooluanduisuoftenulateub
ecauseuofuauneedutoucheckuandurecheckuwhetheruheruteethuareucleanuanduheruroomuligh
tuhasubeenuturneduoff.uWhatuwillutheuprimaryucareupediatricunurseupractitionerurecom
mendutouthisuparent?u-uANSWER:uCognitiveubehavioralutherapy
Theuparentsuofuau4-year-
olduboyuareuconcernedubecauseuheuhasubegunutwistinguandupullinguoutuhisuhair,uespeci
allyuwhenuheuisutireduorustressed.uWhatuwillutheuprimaryucareupediatricunurseupractition
, erurecommenduasupartuofuanuinitialuapproachutoutreatuthisubehavior?u-
uANSWER:uCuttinguhisuhairusouthatuituisutooushortutoupull
Aunewlyudivorcedumotheruofuautoddlerureportsuthatutheuchildubeganuhavingudifficultyusl
eepinguandunightmaresualonguwithuexhibitinguangryuoutburstsuandutantrumsu2umonthsu
prior.uTheuprimaryucareupediatricunurseupractitionerulearnsuthatutheuchildurefusesutoupl
ayuwithuusualuplaymatesuanduoftenuspendsutimeusittinguquietly.uWhatuwillutheunurseupr
actitionerudouinitially?u-
uANSWER:uAskutheumotheruaboututheuchild'surelationshipuwithutheufather.
Anuadolescentuhasurecentlyubegunudoingupoorlyuinuschooluanduhasustoppeduparticipatin
guinusportsuanduotheruextracurricularuactivities.uDuringutheuhistoryuinterview,utheuadole
scentureportsufeelingutired,uhavingudifficultyuconcentrating,uanduexperiencinguaulossuofu
appetiteuforutheupastufewuweeksubutucannotuattributeutheseuchangesutouanyumajorulifeu
event.uWhichuisuanuimportantunextustepuinumanaginguthisupatient?u-
uANSWER:uDeterminingusuicidaluideationuanduriskuofusuicide
Anuadolescentuisudiagnoseduwithumajorudepression,uandutheumentaluhealthuspecialistuh
asuprescribedufluoxetine.uWhatuotherutreatmentuisuimportantutouprotectuagainstusuicid
eurisk?u-uANSWER:uCognitiveubehavioralutherapy
Au13-year-
olduchilduhasuexhibitedusymptomsuofumildudepressionuforuseveraluweeks.uTheuparenture
portsufeelingurelieveduthatutheusymptomsuhaveupassedubutuconcerneduthatutheuchildun
owuseemsutouhaveuboundlessuenergyuanduanuinabilityutousitustill.uWhatuwillutheuprimaryu
careupediatricunurseupractitionerudo?u-
uANSWER:uReferutheuchildutouauchildupsychiatristuforuevaluationuofubipolarudisorder.
Autoddleruhasubegunuhittinguandubitinguotheruchildrenuatuaudayucareucenteruanduisuexhib
itingutemperutantrumsuandubadulanguageuatuhome.uTheuparentureportsuthatutheseubeh
aviorsubeganushortlyuafteruausiblinguwasuborn.uWhatuwillutheuprimaryucareupediatricunur
seupractitionerudo?u-
uANSWER:uEngageutheuparentuinupositiveuparentingustrategiesutoufacilitateuappropriateu
childucoping.
Au14-year-
oldufemaleucomesutoutheuclinicuwithuamenorrheauforu3umonths.uAupregnancyutestuisune
gative.uTheuadolescent'subodyuweightuisuatu82%uofuexpecteduforuheightuanduage.uTheum
otherureportsuthatuherudaughteruoftenuthrowsuupuandurefusesutoueatumostufoods.uWhic
huconditionudoesutheuprimaryucareupediatricunurseupractitionerususpect?u-
uANSWER:uAnorexiaunervosa
Whichutypeuofuheat-
relateduillnessuinvolvesuaucoreubodyutemperatureuofuatuleastu104.9°F,uacuteumentalusta
tusuchanges,uabsentusweat,uandutachypnea?u-uANSWER:uHeatustroke
u u u u u u u u u
ALL 50 COMPLETE ACTUAL QUESTIONS AND CORRECT VE
u u u u u u u u
RIFIED ANSWERS (REVISED EXAM) A NEW UPDATED VER
u u u u u u u
SION|GUARANTEED PASS A+ (BRAND NEW!!) u u u u
Auschool-
ageuchilduhasuaufractureduwristuwithuauSalteruHarrisuTypeuIIufracture,uaccordingutoutheura
diologist.uWhatuisutrueuaboututhisutypeuofufracture?u-
uANSWER:uThereuisuaumetaphysealufragmentuonutheucompressionusideuofufracture.
Whatuwillutheuprimaryucareupediatricunurseupractitioneruelicituwhenuobtaininguaupositiv
euBarlowumaneuveruwhenuscreeninguforudevelopmentaludysplasiauofutheuhip?u-
uANSWER:uDislocationuofuanuunstableuhip
Au3-year-
olduchilduisubroughtutoutheuclinicubyuauparentuwhoureportsuthatutheuchildurefusesutouuseu
theurightuarmuafterubeinguswungubyubothuarmsuwhileuplaying.uTheuchilduisusittinguwithut
heurightuarmuhelduslightlyuflexeduanducloseutoutheubody.uThereuisunouswellinguoruecchym
osisupresent.uWhatuwillutheuprimaryucareupediatricunurseupractitionerudo?u-
uANSWER:uGentlyuattemptuausupinationuanduflexionutechnique.
Auschool-
ageuchildufallsuoffuauswinguandusuffersuauclosedufractureuofutheurightuclavicle.uHowuwillut
hisubeumanaged?u-
uANSWER:uImmobilizationuwithuauslingutousupportutheuaffecteduextremity
Auyounguadolescentureportsuchestupainuassociateduwithucoughinguandulifting.uPhysicalu
examinationurevealsutendernessuoveruseveraluribs,uradiatingutoutheuback.uAuscultationu
ofutheuheart,ulungs,uanduabdomenuareunormal.uThereuisunouhistoryuofuinjury.uWhatuwillu
theuprimaryucareupediatricunurseupractitionerudo?u-
uANSWER:uRecommenduNSAIDs,ustretchinguexercises,uanduiceupacksutoutheuarea.
Auyounguadolescentufemaleuisuobservedutouhaveumilduunequaluscapulauprominencesuo
nugrossuexaminationuwhileustanding.uInutheuAdamsuforwardubendinguposition,uthisuineq
ualityudisappears.uWhatuwillutheuprimaryucareupediatricunurseupractitionerudo?u-
uANSWER:uDiscussupostureuanduexerciseuanduaskuaboutubackpacksuandubooks.
TheuprimaryucareupediatricunurseupractitioneruelicitsupositiveuOrtolaniuanduBarlowusign
suinuau6-month-
olduinfantunotupreviouslyunoteduinutheumedicalurecord.uWhatuisutheucorrectutreatment?
u-uANSWER:uSurgicaluintervention
Au14-year-
olduboyuwhouisuoverweightudevelopsuauunilateralulimpuwithupainuinutheuhipuandukneeuon
utheuaffecteduside.uAnuexamurevealsuexternalurotationuofutheuhipuwhenuflexeduandupainu
,associateduwithuattemptsutouinternallyurotateutheuhip.uWhatuisumostuimportantuinitially
uwhenumanaginguthisuchild'sucondition?u-
uANSWER:uPlaceutheuchilduonucrutchesuoruinuauwheelchairutoupreventuweight-bearing.
Auparentuisuconcerneduthatuau12-month-
olduchilduisu"bowlegged."uAuphysicaluexaminationurevealsuinternalutibialutorsionubilater
ally.uAuradiographurevealsuasymmetricubowinguofutheulegsuwithuanuangleugreateruthanu1
5udegrees.uWhatuisutheucorrectuactionuforutheuprimaryucareupediatricunurseupractitione
r?u-uANSWER:uReferutouaupediatricuorthopedicuspecialistuforutreatment.
Auchilduwhouplaysusocceruisuinutheuclinicureportingupauinuanduswellinguinubothuknees.uAup
hysicaluexaminationurevealsuswellinguandufocalutendernessuatutheutibialutuberosities,uw
ithupainuworseninguwhenuaskedutouextendutheukneesuagainsturesistance.uWhatuisutheutr
eatmentuforuthisucondition?u-
uANSWER:uApplyuiceupacksutoubothukneesuanduavoiduactivitiesuthatucauseupain.
Duringuauwellubabyuexaminationuofuaunewborn,utheuprimaryucareupediatricunurseupracti
tionerunotesuadductionuofutheurightuforefoot,uwithunormalupositionuofutheumiduanduhin
dfoot,ualonguwithuauconvexushapedulateraluborderuofutheufoot.uWhatuwillutheunurseupra
ctitionerudoutouevaluateuthisudeformity?u-
uANSWER:uGrasputheuheeluwithuoneuhanduanduabductutheuforefootuwithutheuotheruhand.
Duringuauwelluchilduexaminationuonuau4-month-
olduinfant,utheuprimaryucareupediatricunurseupractitioneruevaluatesumentaluhealthuissu
es.uWhichustatementubyutheuparentuindicatesuaupotentialuproblemuwithutheuparent-
infanturelationship?u-uANSWER:u"Iuletumyubabyucryuauwhileutoulearnutoubeupatient."
Auchilduhasuaudifficultutemperament.uWhatuwillutheuprimaryucareupediatricunurseupracti
tionerutellutheuparentuaboutumanaginguthisuchild'subehavior?u-
uANSWER:uItuisuimportantuforutheuparentutoulearnutoumanageucriticismuandupowerustrug
gles.
Duringuauwelluchilduassessmentuofuaupreschool-
ageuchild,utheuparentuvoicesuconcernsuthatubecauseutheuchilduhasubehavioruproblemsua
tuschool,utheuchildumayuhaveuaumentaluhealthudisorder.uWhichuinitialuapproachuwillupro
videutheubestuinformation?uJJJJ.uAskutheuparentuwhetheruotherucaregiversuhaveuvoicedu
similaruconcerns.u-
uANSWER:uTakeutimeutouactivelyulistenutoutheuparent'suanduchild'superceptionsuofutheup
roblem.
Theuprimaryucareupediatricunurseupractitioneruattemptsutoulearnumoreuaboututheuemot
ionaluhealthuofuanu18-month-olduchilduthroughuwhichuassessmentustrategy?u-
uANSWER:uObservationuofutheuchilduwithucaretakersuinustructureduanduunstructured usit
uations
Aumiddleuschooluageuchilduisuskippinguschoolufrequentlyuandugettingupoorugradesusinceu
theuchild'sufatheruwasukilleduwhileudeployeduinutheumilitary.uHowuwillutheuprimaryucareu
,pediatricunurseupractitionerumanageuthisusituation?u-
uANSWER:uReferutheuchildutouaumentaluhealthuspecialistuforuevaluationuandutreatment.
Theuparentuofuau4-year-
olduchildureportsuthatutheuchilduseemsutoubeuhavingutroubleuadjustingutouaunewudaycare
uandureportedlyuisualwaysuengaginguinusolitaryuplayuwhenutheuparentuarrivesutoupickuupu
theuchild.uWhatuwillutheuprimaryucareupediatricunurseupractitionerudo?u-
uANSWER:uAskutheuparentuifutheuchilduisuslowutouwarmuuputouotherunewusituations.
Theuparentuofuauschool-
ageuchilduisuconcernedubecauseutheuchilduhasustartedutouexpressuangeruaboutuaugrandp
arent'sudeathuevenuthoughuthisuoccurreduwhenutheuchilduwasuautoddler.uWhatuwillutheu
primaryucareupediatricunurseupractitionerutellutheuparent?u-
uANSWER:uTheusignificanceuofuthisulossumustubeureworkeduatueachudevelopmentalulevel.
Theuparentuofuauschool-
ageuchildureportsuthatutheuchildudoesn'tulikeubeingualoneuinuroomsubecauseuofuaufearuofu
aliensuhidinguinuclosets.uWhatuwillutheuprimaryucareupediatricunurseupractitionerutelluth
euparent?u-uANSWER:u"Fearuofuimaginaryucreaturesudoesunotuusuallyuoccuruatuthisuage."
Theuparentuofuaupreschooluageuchildureportsuthatutheuchilduoftenuappearsuanxiousuandu
nervousuanduthatuthisuisuassociateduoccasionallyuwithuaurapiduhearturateuandutremors.u
Whatuisutheubestutypeuofureferraluthatutheuprimaryucareupediatricunurseupractitioneruco
uldurecommend?u-uANSWER:uPlayutherapy
Au9-year-
olduchilduexhibitsuschoolurefusaluanduaureluctanceutouattendusleepoversuwithuclassmate
s.uTheuparentuisuconcernedubecauseutheuchilduhasurecentlyubegunusleepinguinutheuparen
ts'ubed.uWhichuinitialuactionubyutheuprimaryucareupediatricunurseupractitioneruisuapprop
riate?u-
uANSWER:uAssessuforuenvironmentalustress,uparentaludysfunction,uandumaternaludepre
ssion.
Theuparentuofuauschool-
ageuchildureportsuthatutheuchildubecomesufrustrateduwhenuunableutouperformutasksuwe
lluanduoftenuhasutemperutantrumsuandudifficultyusleeping.uWhichudisorderumayubeucons
idereduinuthisuchild?u-uANSWER:uGeneralizeduanxietyudisorderu(GAD)
Theuparentuofuauschool-
ageugirlureportsuthatutheuchilduhasudifficultyugettingureadyuforuschooluanduisuoftenulateub
ecauseuofuauneedutoucheckuandurecheckuwhetheruheruteethuareucleanuanduheruroomuligh
tuhasubeenuturneduoff.uWhatuwillutheuprimaryucareupediatricunurseupractitionerurecom
mendutouthisuparent?u-uANSWER:uCognitiveubehavioralutherapy
Theuparentsuofuau4-year-
olduboyuareuconcernedubecauseuheuhasubegunutwistinguandupullinguoutuhisuhair,uespeci
allyuwhenuheuisutireduorustressed.uWhatuwillutheuprimaryucareupediatricunurseupractition
, erurecommenduasupartuofuanuinitialuapproachutoutreatuthisubehavior?u-
uANSWER:uCuttinguhisuhairusouthatuituisutooushortutoupull
Aunewlyudivorcedumotheruofuautoddlerureportsuthatutheuchildubeganuhavingudifficultyusl
eepinguandunightmaresualonguwithuexhibitinguangryuoutburstsuandutantrumsu2umonthsu
prior.uTheuprimaryucareupediatricunurseupractitionerulearnsuthatutheuchildurefusesutoupl
ayuwithuusualuplaymatesuanduoftenuspendsutimeusittinguquietly.uWhatuwillutheunurseupr
actitionerudouinitially?u-
uANSWER:uAskutheumotheruaboututheuchild'surelationshipuwithutheufather.
Anuadolescentuhasurecentlyubegunudoingupoorlyuinuschooluanduhasustoppeduparticipatin
guinusportsuanduotheruextracurricularuactivities.uDuringutheuhistoryuinterview,utheuadole
scentureportsufeelingutired,uhavingudifficultyuconcentrating,uanduexperiencinguaulossuofu
appetiteuforutheupastufewuweeksubutucannotuattributeutheseuchangesutouanyumajorulifeu
event.uWhichuisuanuimportantunextustepuinumanaginguthisupatient?u-
uANSWER:uDeterminingusuicidaluideationuanduriskuofusuicide
Anuadolescentuisudiagnoseduwithumajorudepression,uandutheumentaluhealthuspecialistuh
asuprescribedufluoxetine.uWhatuotherutreatmentuisuimportantutouprotectuagainstusuicid
eurisk?u-uANSWER:uCognitiveubehavioralutherapy
Au13-year-
olduchilduhasuexhibitedusymptomsuofumildudepressionuforuseveraluweeks.uTheuparenture
portsufeelingurelieveduthatutheusymptomsuhaveupassedubutuconcerneduthatutheuchildun
owuseemsutouhaveuboundlessuenergyuanduanuinabilityutousitustill.uWhatuwillutheuprimaryu
careupediatricunurseupractitionerudo?u-
uANSWER:uReferutheuchildutouauchildupsychiatristuforuevaluationuofubipolarudisorder.
Autoddleruhasubegunuhittinguandubitinguotheruchildrenuatuaudayucareucenteruanduisuexhib
itingutemperutantrumsuandubadulanguageuatuhome.uTheuparentureportsuthatutheseubeh
aviorsubeganushortlyuafteruausiblinguwasuborn.uWhatuwillutheuprimaryucareupediatricunur
seupractitionerudo?u-
uANSWER:uEngageutheuparentuinupositiveuparentingustrategiesutoufacilitateuappropriateu
childucoping.
Au14-year-
oldufemaleucomesutoutheuclinicuwithuamenorrheauforu3umonths.uAupregnancyutestuisune
gative.uTheuadolescent'subodyuweightuisuatu82%uofuexpecteduforuheightuanduage.uTheum
otherureportsuthatuherudaughteruoftenuthrowsuupuandurefusesutoueatumostufoods.uWhic
huconditionudoesutheuprimaryucareupediatricunurseupractitionerususpect?u-
uANSWER:uAnorexiaunervosa
Whichutypeuofuheat-
relateduillnessuinvolvesuaucoreubodyutemperatureuofuatuleastu104.9°F,uacuteumentalusta
tusuchanges,uabsentusweat,uandutachypnea?u-uANSWER:uHeatustroke
