PRIMEXAM.COM - Perspectives 1. Which region globally has the h...

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Chapter 1: Health Status of Children: Global and National Perspectives

• Which region globally has the highest infant mortality rate?
• Indonesia
• Southern Asia
• SubSaharan Africa Correct
• Syria

• The primary care pediatric nurse practitioner understands that, to achieve

the greatest worldwide reduction in child mortality from pneumonia and diarrhea, which intervention is most effective?

• Antibiotics
• Optimal nutrition
• Vaccinations Correct
• Water purification

• Which is true about the health status of children in the United States?

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• Globalism has relatively little impact on child health measures in the U.S.
• Obesity rates among 2to5yearolds have shown a recent

significant decrease. Correct .

• The rate of household poverty is lower than in other economically

developed nations.

• Young children who attend preschool or day care have higher food

insecurity.

• The primary care pediatric nurse practitioner understands that a major

child health outcome associated with worldwide climate change is

• cost of living.
• education.
• nutrition. Correct
• pollution.

• When providing well child care for an infant in the first year of life, the

primary care pediatric nurse practitioner is adhering to the most recent American Academy of PediatricsRecommendations for Preventive Pediatric Health Care guidelines by

• focusing less on development and more on illness prevention and

nutrition.

• following guidelines established by theBright Futures publication.
• scheduling wellbaby visits to coincide with key developmental

milestones. Correct

• seeing the infant at ages 2, 4, 6, and 12 months when immunizations are

due.

Chapter 2. Unique Issues in Pediatrics

• A nurse is explaining the therapeutic milieu to a new nurse. The best

explanation of this term would be: 1 / 4

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• The place where the child is receiving care.
• Group therapy.
• Personal interactions between patients and staff.
• All of the above are correct.

ANS: 4

• A 16-year-old male has received a pink-slip from the police for inpatient

psychiatric treatment. The teen has been expressing thoughts of hanging himself because Life sucks. The nursing staff should consider

placing the child:

• With peers.
• In an area where he can be watched one-on-one.
• With a roommate that is expressing the same concerns.
• In an area close to an external door.

ANS: 2

3. Learning disabilities in children have scientifically been linked to:

• Poor nutrition.
• The environment in which the child lives.
• Genetics.
• Watching more than four hours of television a day.

ANS: 3

• A mental health nurse has assessed a child and determined that the child

exhibits behavioral challenges.When the school nurse explains this to a teacher, the best description would

be:

.

• The child may exhibit physical outbursts.
• The child may exhibit violence toward others.
• The child may be defiant or have tantrums.
• 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.

The reason a child may revert back to this behavior pattern is because of:

• Hallucinations.
• Behavioral challenges.
• Delusions.
• Stress.

ANS: 4

• An 18-year-old male has called the crisis line for help. The crisis nurse

recognizes the intervention needs

may consist of all of the following except:

• Discussing the individuals everyday activities.
• Recognizing that the patient may be in a catharsis state.
• Expressing empathy toward the caller.
• 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 out of the seclusion room when:

• He is crying to be released. 2 / 4

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• He states, I will be a good boy now.

.

• He starts headbutting the window.
• He complains that his parents will file a lawsuit.

ANS: 3

8. A child has been exhibiting the MacDonald Triad. These behaviors include:

• Enuresis, pushing others, and pyromania.
• Swinging a cat by the tail, bed-wetting, and lighting paper on fire in the

trash can.

• Playing with other children, laughing, and conversing with adults.
• 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:

• A consistent caregiver.
• Monitoring of media, such as the Internet, television, and video games.
• Obtaining support from family and friends.
• 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:

• Placing visual aids on the bathroom mirror so that the child will follow the

morning routine.

• Give the child a choice in foods to eat.
• Allowing the child to ask for help when needed.
• Reminding the child to be nice to others.

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 has been reporting that Ellie is angry a lot, manipulative with her teachers, and does not seek positive attention. The nurse working with Ellie

will need to:

• Provide education on decreasing stimuli in the home environment that

triggers the anger.

• Realize Ellie may have attachment issues related to her previous history

and will need to encourage the family to be active in her care.

• Support the family in the decision-making process of continuing to let Ellie

live in the home.

• Discuss inpatient therapy to decrease Ellies manipulative behavior

patterns.

ANS: 2

12. An infant displays depression by:

• Smiling at strangers.
• Bonding to someone other than the immediate family.
• Crying more than an average infant.
• Looks away when an adult attempts to play with the infant.

ANS: 4 3 / 4

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• A father reports that his adolescent daughter has gotten good grades up

until the last quarter of school.She has been hanging out by herself and does not want to talk to him anymore. The mental health nurse

should:

• Realize that this is a natural part of growing up.
• Perform a mental health screening to check for depression.
• Attempt to get the adolescent to discuss why she does not like her father

anymore.

• Let the adolescent talk when she is ready.

ANS: 2

• A teen should be checked for depression at physician visit(s).
• Every

.

• One
• Monthly
• Bi-yearly

ANS: 1

15. When using the SAD FACES depression screen, it is important to assess:

• Anhedonia.
• Suicidal ideations.
• Sleep patterns.
• All of the above

ANS: 4

• A school nurse is giving an in-service to teachers on bullycide. The main

reason for the teaching is so

that:

• Teachers are aware bullying occurs.
• Teachers are able to identify students who are risk.
• Teachers can be aware of the fact that suicides can happen due to bullying

by others.

• Teachers are aware of their role in causing bullycide.

ANS: 3

• An adolescent with a known history of bipolar disorder is in the school

nurses office because a teacher reported that she was talking fast and acting like she was God. The school nurse assesses the girl and notes

that:

• She is probably in a manic phase and needs to be treated professionally.
• She has had too much sleep and is now hyperactive.
• She forgot to take her medications today.
• She requires some food and rest before going back to class.

ANS: 1

Chapter 3. Genetics and Child Health Questions

• What is true about haploid cells?

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• Each contains 23 paired chromosomes.
• Each one contains 23 chromosomes. Correct
• Replication produces two identical cells.
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