NUR 440 EXAM I ACTUAL FINAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED UPDATE GRADED A 2025/2026

NUR 440 EXAM I ACTUAL FINAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED UPDATE GRADED A 2025/2026 Terms in this set (483) What are the goals of healthy people 2020? reduce differences in current health status; increase quality and length of healthy life and eliminate health disparities; develop interventions from early infancy; get breast feeding; good diets within 3 years; good oral hygiene; drink fluoridated water What is the most common nutritional problem? obesity and is associated with T2D; puts children at risk for metabolic syndrome as adult What are reasons for infant mortality? congenital anomalies; pre-term and low birth weight; SIDS; complications with pregnancy What are reasons for child/adolescent mortality? accidents #1 cause for all 1 year, 1-4 anomalies and homicides next, 5-14 cancer next, 14 suicide next What is morbidity? illness with symptoms severe enough to limit activity or reason to seek medical attention What are high causes of morbidity? respiratory conditions; increases risk in children in poverty, low birth weight, and chronic illnesses; chief illness of childhood is common cold What are risk factors for childhood injuries? male, difficult temperaments, stress, alcohol and drug use, history of previous injury, poverty, family stress, substandard child care, young maternal age, low maternal education, multiple siblings, cognitive and developmental issues What are developmental risk factors for childhood injuries? mismatch between child's developmental level and skill required; natural curiosity to explore; desire to assert self and challenge rules; desire for peer approval and acceptance What are cognitive risk factors for childhood injuries? Infant: explores through taste and touch Young child: object permanence, cause and effect, transductive reasoning (fails to learn from experience), magical and egocentric thinking School aged: transitional cognitive processes (unable to fully comprehend causal relationships), attempts dangerous acts without planning Adolescent: formal operations (abstract thinking) What is the prevalence of mental health issues in children? 1/5 adolescents has mental health problem and 1/10 has serious emotional problem that affects daily function; 50-70% of adolescents with anxiety disorders and impulse-control disorders develop these in adolescence What are the issues with childhood mental health issues? More likely to engage in risk and thrill seeking behaviors and to drop out of school What are the elements of family centered care? Family is a constant in children's life Facilitate family-professional collaboration at all levels of care Exchange complete and unbiased information between family members and professionals Recognize and honor cultural diversity, strengths, and individuality Recognize and respect different methods of coping Encourage family-to-family support and networking Ensure that care and support for children needing specialized health and care and their families are flexible, accessible, and comprehensive Appreciate families as families and children as children Enabling Empowerment What does enabling mean? enable families by creating opportunities and means for all members to display their current abilities and competencies and to acquire new ones to meet the needs of the child and family What does empowerment mean? interaction between professionals and families in such a way that families maintain or acquire a sense of control over their lives and acknowledge positive changes that result from helping behaviors that foster their own strengths, abilities, and actions What is atraumatic care? eliminate or minimize psychological and physical distress; do no harm; prevent or minimize the child's separation from family, promote sense of control, and prevent or minimize bodily injury and pain What is the role of the pediatric nurse? develop therapeutic relationship; family advocacy and care; ethical decision making What are quality of care measures? degree to which health serves for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge (better care, healthy people, affordable care) What are goals of quality care? children immunized, pressure ulcer prevalence, preventative dental care, hemoglobin A1C, restraints prevalence, nursing hours per patient day, blood pressure screening, weight assessment What is the biologic def of family? fulfilling biologic function of perpetuation of the species What is the psychologic def of family? interpersonal aspects of family and responsibility for personal development What is the economic def of family? productive unit providing for material needs What is the sociology def of family? social unit interacting with the larger society, creating context where culture and identify are formed What is the types of relationships of people who make up family unit? consanguineous (blood), affinal (marital), family of origin (family unit a person is born into) What it family (general) system theory? interactions among components of system and between the system and environment; change in one member can cause change in others; family is the patient; members must distinguish themselves from one another and be adaptable; too little or too much change are bad for family system; use feedback for attaining goals What are the strengths of family systems? Applicable to everyday families and family dysfunction and pathology, useful for families of varying structure and various stages of life cycle What are the limitations for family systems? More difficult to determine cause and effect