BURNS’ PRIMARY CARE PEDIATRIC 7TH
EDITION
TEST BANK
(CHAPTERS 1-46)
Chapter 1: Health Status of Children: Global and
National
... [Show More] Perspectives
o The primarycare pediatric nurse practitioner
understandsthat, to achieve the
greatest worldwide
reduction in child mortality from pneumonia and
diarrhea, which interventionis most effective?
A. Antibiotics B. Optimal nutrition C. Vaccinations Correct
D. Water purification
o The primarycare pediatric nurse practitioner
understandsthat a major child health outcome associated with worldwideclimate changeis A.cost of living. B. education. C. nutrition. Correct
D. pollution.
o When providing well child carefor an infant in
thefirst yearof life, the primary
care pediatric nurse practitioner is adhering tothe
most recent American Academy of
Pediatrics Recommendations for Preventive Pediatric
Health Care guidelines by
A. focusing less on development and more on
illness prevention and nutrition. B. following guidelines established by the Bright Futures
publication.
C. scheduling well babyvisitstocoincide with
key developmental milestones. Correct
D. seeing the infant at ages 2, 4, 6, and 12 months
when immunizations are due.
o Which region globally has the highest infant mortalityrate?
A. Indonesia B. Southern Asia C. Sub Saharan Africa Correct D. Syria
o Which istrue about the health statusofchildren in the United States?
.
13348413856 A. Globalism has relatively little impact on child health
measures in the U.S.
B. Obesity rates among 2to5yearolds
haveshown a recent significant decrease. Correct
.
C. Therateof household povertyis lower than
in othereconomically developed nations.
D. Young children who attend preschool or day
care have higher food insecurity.
Chapter 2. UniqueIssuesin Pediatrics
• A nurse is explaining the therapeutic milieu to a
new nurse. The best explanation of this term
would be:
1. The place where the child is receiving care.
Chapter 2. UniqueIssuesin Pediatrics
• A nurse is explaining the therapeutic milieu to a
new nurse. The best explanation of this term
would be:
1. The place where the child is receiving care
2. Group therapy. 3. Personal interactions between patients and staff.
4.Allof the above
arecorrect. ANS: 4
•A 16-year-old male has received a pink-slip
from the police for inpatient psychiatric
treatment. The teen
has been expressing thoughtsof hanging himself
becauseLifesucks. Thenursing staff should consider placing thechild:
1. With peers.
2. In an area where hecan be watched one-on-one.
3. With aroommate thatisexpressing the
sameconcerns.
4. In an area close to an
external door. ANS: 2
• Learning disabilities in children have scientifically been linked to: i. Poornutrition. ii. The environment in which the child lives. iii. Genetics.
iv.Watching morethan four hoursof
television a day. ANS:3
• A mental health nurse has assessed a child and
determined that the child exhibits behavioral
challenges. When theschool nurseexplainsthisto a teacher, the best description wouldbe:
.
1. Thechild mayexhibit physicaloutbursts.
2. The child may exhibit violence toward others.
3. Thechild may be defiantor havetantrums.
4. The child will need special
interventions for learning. ANS: 3
• A child that has not exhibited enuresis in four
years has exhibited this behavior pattern for
the last week. Thereason a child mayrevert back tothis behavior pattern is becauseof:
1. Hallucinations.
2. Behavioral challenges.
3. Delusions.
4. Stress.
ANS: 4
• An 18-year-old male has called the crisis line
for help. The crisis nurse recognizes the
intervention needs
mayconsist of all of the following except:
1. Discussing the individuals everyday activities.
2. Recognizing that the patient may bein a catharsis state.
3. Expressing empathy toward the caller.
4. Avoiding entropy.
ANS: 1
• An 8-year-old boy with a history of hallucinations
and violent behavior has been place in a seclusion
room
at the hospital because he has been hurting others. The
nurse checks on the patient and realizes she must take him outof theseclusion room when:
1. Heiscrying to bereleased.
2. He states, I will be a good boy now.
3. He starts headbutting the window.
4. Hecomplains that his parents
will file a lawsuit. ANS: 3
• A child has been exhibiting the MacDonald Triad. These behaviors include:
1. Enuresis, pushing others, and pyromania.
2. Swinging a cat by the tail, bed-wetting, and
lighting paper on fire in the trash can.
3. Playing with other children, laughing, and conversing with adults.
4. Playing with a campfire, watching television, and
seeking adult attention. ANS: 2
• A teenager diagnosed with borderline
personality disorder should have discharge
planning instructions of:
1. A consistent caregiver.
2. Monitoring of media,such astheInternet, television, and video games.
3. Obtaining support from family and friends.
4. Seeking medical attention when the
teenager feels good. ANS:3
• A mental health nurse is teaching the mother of
a child with executive functioning issues ways to
help her child. Interventions the mother should use include:
1. Placing visual aids on the bathroom mirror so that
the child will follow the morning routine.
2. Givethe child a choicein foods toeat.
3. Allowing the child to ask for help when needed.
4. Reminding thechild to be
nicetoothers. ANS: 1
• Ellie, a 9-year-old girl, was adopted by a family at
the age of 4 after several years of severe neglect by
her birth family. The adoptive family hasbeen
reporting that Ellie is angry a lot, manipulative with
her
teachers, and does not seek positive attention. The nurse
working with EllieIwill need to:
1. Provideeducation on decreasing stimuli in the
homeenvironment that triggers the anger.
2. Realize Ellie may have attachment issues related
to her previous history and will need to encourage
the familyto be activein hercare.
3. Support thefamilyin the decision-making process
ofcontinuing toletEllie live in the home.
4. Discuss inpatient therapy to decrease Ellies
manipulative behavior patterns. ANS: 2
• An infant displays depression by:
1. Smiling at strangers.
2. Bonding to someone other than the immediate family.
3. Crying more than anaverage infant.
4. Looks away when an adult attemptsto
play with theinfant. ANS: 4 [Show Less]