N
R
60
2
Ch
am
be
rla
in
20
26
, lOMoAR cPSD| 46020670
D. Refer the family to a social worker to investigate possible neglect.
3. The primary care pediatric nurse practitioner provides patient
teaching for children newly diagnosed with irritable bowel syndrome
(IBS). At which stage of development will children be able to
understand the link between stress and the symptoms of the disease?
26
A. Concrete operational stage
B. Formal operational stage
20
C. Preconceptual stage
D. Sensorimotor stage
in
4. The primary care pediatric nurse practitioner is counseling an obese
rla
adolescent whose parents both have type 2 diabetes mellitus. Which
health behavior prediction model is useful when the nurse practitioner
be
discusses lifestyle changes with this client?
A. Behavioral change model
am
B. Health belief model
C. Health promotion model
Ch
D. Transtheoretical model
5. The primary care pediatric nurse practitioner is counseling a school-
2
age child about asthma management strategies. The child states that
60
it is "too much trouble" to remember to use an inhaled corticosteroid
medication twice daily and reports feeling 昀椀 ne in spite of exhibiting
expiratory wheezes. Which action uses the health belief and self-e 昀
R
케 cacy model to teach this child about asthma management?
N
A. Asking the child to try to use the inhaler at least once daily
B. Discussing whether the child wants to participate in athletics
C. Obtaining pre and post-treatment spirometry testing
D. Providing written information about inhaled corticosteroids.
, lOMoAR cPSD| 46020670
6. An adolescent who is overweight expresses a desire to lose weight
in order to participate in sports but tells the primary care pediatric
nurse practitioner that he doesn't want to give up sweets and soft
drinks because he enjoys them too much. Which stage of change does
this represent?
A. Action
26
B. Contemplation
20
C. Precontemplation
D. Preparation
in
7. The primary care pediatric nurse practitioner sees a 17-year-old
client who quit smoking almost a year prior but who reports having
rla
renewed cravings when around friends who smoke. Using knowledge
of the maintenance stage of change, the primary care pediatric nurse
be
practitioner will
A. go over with the adolescent about the health risks associated with
am
smoking.
B. recommend avoiding friends who smoke and making new friends.
Ch
C. remind the adolescent about the struggles associated with quitting
smoking.
2
D. suggest that the teen consider taking up a sport or other
60
physicalactivity.
8. The primary care pediatric nurse practitioner is working with a 12-
R
year-old female who has poor diabetes control. The child tells the
N
nurse practitioner that the parent forgets to remind her to check her
blood sugars. Which action is correct?
A. Assess the parent's knowledge about diabetes management.
B. Help the child develop a strategy to remember without parental
prompts.
, lOMoAR cPSD| 46020670
C. Refer to a social worker to help the family overcome obstacles to
care.
D. Remind the child's parent about the importance of good diabetes
control.
9. The primary care pediatric nurse practitioner is counseling an obese
26
16year-old client about weight management. The adolescent says, "I
know I need to lose weight, but I don't want to give up all my favorite
foods." When using motivational interviewing techniques, how will the
20
nurse practitioner respond?
A. "Do you think there are any foods you could limit or do without for a
in
while?"
rla
B. "I hear you telling me that you really don't have a desire to lose
weight."
be
C. "If you can't give up these foods, you won't see the bene 昀椀 ts of
weight loss."
am
D. "In the long run, the sacri 昀椀 ces you make today will improve your
health."
Ch
10. The parent of a newborn has quit smoking cigarettes within the
past month and reports feeling 昀椀 dgety. Using a "reframing"
technique, how will the primary care pediatric nurse practitioner
2
respond?
60
A. Explore ways that the parent can use this extra energy to do things
for the baby.
R
B. Remind the parent that this is a normal, temporary part of nicotine
N
withdrawal.
C. Suggest that the parent take up exercise to enjoy the bene 昀椀 ts of
not smoking.
D. Tell the parent that, over time, these symptoms of withdrawal will
subside.
R
60
2
Ch
am
be
rla
in
20
26
, lOMoAR cPSD| 46020670
D. Refer the family to a social worker to investigate possible neglect.
3. The primary care pediatric nurse practitioner provides patient
teaching for children newly diagnosed with irritable bowel syndrome
(IBS). At which stage of development will children be able to
understand the link between stress and the symptoms of the disease?
26
A. Concrete operational stage
B. Formal operational stage
20
C. Preconceptual stage
D. Sensorimotor stage
in
4. The primary care pediatric nurse practitioner is counseling an obese
rla
adolescent whose parents both have type 2 diabetes mellitus. Which
health behavior prediction model is useful when the nurse practitioner
be
discusses lifestyle changes with this client?
A. Behavioral change model
am
B. Health belief model
C. Health promotion model
Ch
D. Transtheoretical model
5. The primary care pediatric nurse practitioner is counseling a school-
2
age child about asthma management strategies. The child states that
60
it is "too much trouble" to remember to use an inhaled corticosteroid
medication twice daily and reports feeling 昀椀 ne in spite of exhibiting
expiratory wheezes. Which action uses the health belief and self-e 昀
R
케 cacy model to teach this child about asthma management?
N
A. Asking the child to try to use the inhaler at least once daily
B. Discussing whether the child wants to participate in athletics
C. Obtaining pre and post-treatment spirometry testing
D. Providing written information about inhaled corticosteroids.
, lOMoAR cPSD| 46020670
6. An adolescent who is overweight expresses a desire to lose weight
in order to participate in sports but tells the primary care pediatric
nurse practitioner that he doesn't want to give up sweets and soft
drinks because he enjoys them too much. Which stage of change does
this represent?
A. Action
26
B. Contemplation
20
C. Precontemplation
D. Preparation
in
7. The primary care pediatric nurse practitioner sees a 17-year-old
client who quit smoking almost a year prior but who reports having
rla
renewed cravings when around friends who smoke. Using knowledge
of the maintenance stage of change, the primary care pediatric nurse
be
practitioner will
A. go over with the adolescent about the health risks associated with
am
smoking.
B. recommend avoiding friends who smoke and making new friends.
Ch
C. remind the adolescent about the struggles associated with quitting
smoking.
2
D. suggest that the teen consider taking up a sport or other
60
physicalactivity.
8. The primary care pediatric nurse practitioner is working with a 12-
R
year-old female who has poor diabetes control. The child tells the
N
nurse practitioner that the parent forgets to remind her to check her
blood sugars. Which action is correct?
A. Assess the parent's knowledge about diabetes management.
B. Help the child develop a strategy to remember without parental
prompts.
, lOMoAR cPSD| 46020670
C. Refer to a social worker to help the family overcome obstacles to
care.
D. Remind the child's parent about the importance of good diabetes
control.
9. The primary care pediatric nurse practitioner is counseling an obese
26
16year-old client about weight management. The adolescent says, "I
know I need to lose weight, but I don't want to give up all my favorite
foods." When using motivational interviewing techniques, how will the
20
nurse practitioner respond?
A. "Do you think there are any foods you could limit or do without for a
in
while?"
rla
B. "I hear you telling me that you really don't have a desire to lose
weight."
be
C. "If you can't give up these foods, you won't see the bene 昀椀 ts of
weight loss."
am
D. "In the long run, the sacri 昀椀 ces you make today will improve your
health."
Ch
10. The parent of a newborn has quit smoking cigarettes within the
past month and reports feeling 昀椀 dgety. Using a "reframing"
technique, how will the primary care pediatric nurse practitioner
2
respond?
60
A. Explore ways that the parent can use this extra energy to do things
for the baby.
R
B. Remind the parent that this is a normal, temporary part of nicotine
N
withdrawal.
C. Suggest that the parent take up exercise to enjoy the bene 昀椀 ts of
not smoking.
D. Tell the parent that, over time, these symptoms of withdrawal will
subside.
