Adv Ped Nursing Test 1 with Complete
Solutions
Southern Asia - ANS-Which region globally has the highest infant mortality rate?
vaccinations
Explanation: Rotavirus is the most common cause of diarrhea globally and Strep
pneumonia is the leading
cause of pneumonia, and together these are the leading infectious causes of childhood
morbidity and mortality globally. Both are vaccine-preventable diseases. Antibiotics to
treat
pneumonia, optimal nutrition, and clean water all help to reduce morbidity and mortality,
but
vaccination prevents the diseases from occurring. - ANS-The primary care pediatric
nurse practitioner understands that, to achieve the greatest
world-wide reduction in child mortality from pneumonia and diarrhea, which intervention
is
most effective?
Obesity rates among 2- to 5-year-olds have stabilized below Health People 2020
goal of 9.4%.
Explanation: Obesity rates are a major concern for child health in the U.S. but recently
have stabilized at
8.9%. Globalism - ANS-Which statement correctly reflects the health status of children
in the United States?
Nutrition - ANS-The primary care pediatric nurse practitioner understands that what
major child health
outcome is dramatically associated with worldwide climate change?
Scheduling well-baby visits to coincide with key developmental milestones. - ANS-When
providing well child care for an infant in the first year of life, the primary care pediatric
nurse practitioner demonstrates an understanding of current guidelines when taking
what
action?
The patient has ultimate control over health care decisions - ANS-What is the
foundational basis of patient-and-family centered care (PFCC)?
,To the child: "When would you like your physical therapy sessions to be
scheduled?" - ANS-Which assessment question best demonstrates the primary care
provider's understanding of
effectively dealing with the greatest challenge to providing dual patient care?
Assisting in the development of a child-centered pain assessment scale. - ANS-Which
intervention best demonstrates a pediatric nurse primary care pediatric nurse
practitioner's understanding of effective pain assessment?
Vygotsky
Vygotsky and Siegler both provide pediatric primary care with a new understanding or
alternative lens through which to view children and childhood regarding how they think
and
process information. The other options represent traditional theorists: Piaget does focus
on
how children think while Skinner and Bandura are concerned with how children's
learning
and behavior is affected by experiences. - ANS-Which theorist is responsible for
presenting an alternative therapy to those established theories that focus on how the
pediatric patient thinks?
Health literacy of the parent(s) and/or caregiver(s) - ANS-What is the strongest predictor
of health regarding the pediatric patient?
Speech and language development, beliefs about health, and previous illnesses - ANS-
The primary care pediatric nurse practitioner is obtaining a medical history about a child.
To
integrate both nursing and medical aspects of primary care, which will be included in the
medical history?
Genogram - ANS-When meeting with a new family, the primary care pediatric nurse
practitioner develops a
database that identifies family members and others living in the household, relationships
with
others outside the household, and significant behavioral and emotional problems. Which
tool
will the nurse practitioner use to record this information?
Review the purpose of this visit and any anticipated procedures.
Explanation: The PNP should remember that young children are learning "scripts" for
health care visits and
may be stressed when recalling previous visits, especially if those involved
immunizations.
, The PNP should explain the purpose and any anticipated procedures for this visit to
help put
the child at ease. - ANS-A child is in the clinic for evaluation of an asthma action plan.
The primary care pediatric
nurse practitioner (PNP) notes that the child's last visit was for a pre-kindergarten
physical
and observes that the child is extremely anxious. What will the nurse practitioner do
initially?
Ask about the types of practices used and when they are applied.
Explanation: The challenge, when working with families from different cultural
backgrounds, who use
alternative or complementary medicines, is to find ways to achieve a mutual
understanding of
the differences and to negotiate an acceptable plan of care. The first step is to begin a
discussion about these practices. Providing a list of harmful herbs, suggesting that the
family
avoid certain herbs, and suggesting that the herbs are only an adjunct to "modern
medicine"
will sound disparaging and will convey a sense of mistrust. - ANS-The primary care
pediatric nurse practitioner cares for 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?
Receptivity to learning about the perspectives of other cultures
Explanation: Cultural humility is defined as the lifelong commitment to developing
mutually beneficial,
nonpaternalistic partnerships and is based on a model of passive volition, receptivity,
and
being open to learning from others. Practitioners who have cultural humility are always
seeking to learn about other cultures. Cultural humility involves asking questions, rather
than
giving answers. Cultural humility does not mean identifying one's own culture as inferior.
Practitioners who are culturally competent are open to the influence of other cultures. -
ANS-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?
Use the telephone interpreter service to communicate with the family. - ANS-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
Solutions
Southern Asia - ANS-Which region globally has the highest infant mortality rate?
vaccinations
Explanation: Rotavirus is the most common cause of diarrhea globally and Strep
pneumonia is the leading
cause of pneumonia, and together these are the leading infectious causes of childhood
morbidity and mortality globally. Both are vaccine-preventable diseases. Antibiotics to
treat
pneumonia, optimal nutrition, and clean water all help to reduce morbidity and mortality,
but
vaccination prevents the diseases from occurring. - ANS-The primary care pediatric
nurse practitioner understands that, to achieve the greatest
world-wide reduction in child mortality from pneumonia and diarrhea, which intervention
is
most effective?
Obesity rates among 2- to 5-year-olds have stabilized below Health People 2020
goal of 9.4%.
Explanation: Obesity rates are a major concern for child health in the U.S. but recently
have stabilized at
8.9%. Globalism - ANS-Which statement correctly reflects the health status of children
in the United States?
Nutrition - ANS-The primary care pediatric nurse practitioner understands that what
major child health
outcome is dramatically associated with worldwide climate change?
Scheduling well-baby visits to coincide with key developmental milestones. - ANS-When
providing well child care for an infant in the first year of life, the primary care pediatric
nurse practitioner demonstrates an understanding of current guidelines when taking
what
action?
The patient has ultimate control over health care decisions - ANS-What is the
foundational basis of patient-and-family centered care (PFCC)?
,To the child: "When would you like your physical therapy sessions to be
scheduled?" - ANS-Which assessment question best demonstrates the primary care
provider's understanding of
effectively dealing with the greatest challenge to providing dual patient care?
Assisting in the development of a child-centered pain assessment scale. - ANS-Which
intervention best demonstrates a pediatric nurse primary care pediatric nurse
practitioner's understanding of effective pain assessment?
Vygotsky
Vygotsky and Siegler both provide pediatric primary care with a new understanding or
alternative lens through which to view children and childhood regarding how they think
and
process information. The other options represent traditional theorists: Piaget does focus
on
how children think while Skinner and Bandura are concerned with how children's
learning
and behavior is affected by experiences. - ANS-Which theorist is responsible for
presenting an alternative therapy to those established theories that focus on how the
pediatric patient thinks?
Health literacy of the parent(s) and/or caregiver(s) - ANS-What is the strongest predictor
of health regarding the pediatric patient?
Speech and language development, beliefs about health, and previous illnesses - ANS-
The primary care pediatric nurse practitioner is obtaining a medical history about a child.
To
integrate both nursing and medical aspects of primary care, which will be included in the
medical history?
Genogram - ANS-When meeting with a new family, the primary care pediatric nurse
practitioner develops a
database that identifies family members and others living in the household, relationships
with
others outside the household, and significant behavioral and emotional problems. Which
tool
will the nurse practitioner use to record this information?
Review the purpose of this visit and any anticipated procedures.
Explanation: The PNP should remember that young children are learning "scripts" for
health care visits and
may be stressed when recalling previous visits, especially if those involved
immunizations.
, The PNP should explain the purpose and any anticipated procedures for this visit to
help put
the child at ease. - ANS-A child is in the clinic for evaluation of an asthma action plan.
The primary care pediatric
nurse practitioner (PNP) notes that the child's last visit was for a pre-kindergarten
physical
and observes that the child is extremely anxious. What will the nurse practitioner do
initially?
Ask about the types of practices used and when they are applied.
Explanation: The challenge, when working with families from different cultural
backgrounds, who use
alternative or complementary medicines, is to find ways to achieve a mutual
understanding of
the differences and to negotiate an acceptable plan of care. The first step is to begin a
discussion about these practices. Providing a list of harmful herbs, suggesting that the
family
avoid certain herbs, and suggesting that the herbs are only an adjunct to "modern
medicine"
will sound disparaging and will convey a sense of mistrust. - ANS-The primary care
pediatric nurse practitioner cares for 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?
Receptivity to learning about the perspectives of other cultures
Explanation: Cultural humility is defined as the lifelong commitment to developing
mutually beneficial,
nonpaternalistic partnerships and is based on a model of passive volition, receptivity,
and
being open to learning from others. Practitioners who have cultural humility are always
seeking to learn about other cultures. Cultural humility involves asking questions, rather
than
giving answers. Cultural humility does not mean identifying one's own culture as inferior.
Practitioners who are culturally competent are open to the influence of other cultures. -
ANS-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?
Use the telephone interpreter service to communicate with the family. - ANS-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
