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Which topics should the nurse discuss with the parents of a young child
to promote health in their child?
a. Dental care needs to be started by age 7.
b. Immunization schedule and the importance of immunizations.
c. Human milk or iron fortified formula for the first 4 months of life.
,d. Positioning the car seat in the front passenger seat. - Answer:
Answer: B
Rationale: Immunizations have made a major impact in the prevention
of disease in children. The nurse should review individual immunization
records at every clinic visit, avoid missing opportunities to vaccinate,
and encourage parents to keep immunizations current. Dental caries is
the single most common chronic disease of childhood and may begin
before the first birthday. Human milk or iron fortified formula for
should be given for the first year of life to prevent Iron Deficiency
anemia. Children younger than 1 year of age have the highest rate of
death from motor vehicle accidents, primarily from a failure to properly
use car restraints.
What is the leading cause of death in children older than the age of 1
year?
a. Drowning
b. Burns
c. Motor vehicle accidents
d. Cancer - Answer: Answer(s): C
Rationale: a. Drowning is the second leading cause of death in children
older than the age of 1 year. b. Burns cause fewer deaths than motor
vehicle accidents in children older than the age of 1 year. c. Motor
vehicle accidents are the leading cause of death in children older than
the age of 1 year. d. Cancer causes fewer deaths than motor vehicle
accidents in children older than the age of 1 year.
,The nurse makes sure that a toddler has a teddy bear and that a
nightlight is on in the hospital room at bedtime. What concept would
these nursing actions demonstrate?
a. Atraumatic care
b. Nonmaleficence
c. Justice
d. Advocacy - Answer: Answer(s): A
Rationale: A. Atraumatic care is the provision of therapeutic care in
settings, by personnel, and through the use of interventions that
eliminate or minimize the psychological and physical distress
experienced by children and their families in the health care system. In
this case, it is making sure that the toddler has a teddy bear and that a
night light is on to prevent a dark environment. B. Nonmaleficence is
the obligation to minimize or prevent harm; there is no situation
present that would require this. C. Justice is the concept of fairness and
is not applicable to this situation. D. Advocacy involves ensuring that
families are aware of all available health services, adequately informed
of treatments and procedures, involved in the child's care, and
encouraged to change or support existing health care practices.
True or False: Open ended questions are most likely to encourage
parents to talk about their feelings r/t their child's illness. - Answer:
True
, When the nurse interviews an adolescent, what is important to help
establish a relationship?
a. Use the same type of language as the adolescent.
b. Emphasize that confidentiality will always be maintained.
c. Focus the discussion on the peer group.
d. Display a genuine interest in the adolescent. - Answer: Answer: D.
Rationale: Display a genuine interest in the adolescent.Adolescents
accept anyone who shows a genuine interest in them. Although peers
are important to this age-group, the focus of the interview should be on
the adolescent. The nurse should clarify which information will be
shared with other members of the health care team and any limits to
confidentiality. The nurse should maintain a professional relationship
with adolescents. To avoid misinterpretation of words and phrases that
the adolescent may use, the nurse should clarify terms frequently.
What approach is the most appropriate when performing a physical
assessment on a toddler?
a. Demonstrate use of equipment.
b. Perform traumatic procedures first.
c. Use minimum physical contact initially.
d. Always proceed in a head-to-toe direction. - Answer: Answer: C.