Pediatric Primary Care 6th Edition – Burns – -Test Bank

 

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Sample Test

 

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Chapter 03

 

Questions

 

 

1.   The primary care pediatric nurse practitioner provides well child care for a

 

community of immigrant children from Central America. The pediatric nurse practitioner is surprised to learn that some of the families are Jewish and not Catholic. This response is an example of cultural

 

 

1.    

 

1.    

 

1.      Correct

 

1.    

 

 

 

 

2.   The primary care pediatric nurse practitioner learns that an African­American

 

family lives in a neighborhood with a high crime rate and suggests that they try moving to

 

another neighborhood for the safety of their children. This is an example of

 

1.   cultural sensitivity.

 

1.   group bias.

 

1.   individual privilege.   Correct

 

1.   racial awareness.

 

 

 

 

3.   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?

 

1.   Ask about the types of practices used and when they are applied.   Correct

 

1.   Provide a list of harmful herbs and ask the family to avoid those.

 

1.   Suggest that the family avoid using these remedies in their children.

 

1.   Tell the parents to use the herbs in conjunction with modern medications.

 

 

 

 

4.   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?

 

1.   Giving health care advice that takes cultural differences into account

 

1.   Identification of other cultures that may be superior to one’s own culture

 

1.   Receptivity to learning about the perspectives of other cultures             Correct

 

1.   Respecting other cultures while maintaining the views of one’s own

 

 

 

 

 

5.   A Somalian immigrant mother is concerned that her 8­year­old child is ID: 13348437937

 

 

ID: 13348437933

 

 

ID: 13348437939

 

 

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underweight. The primary care pediatric nurse practitioner notes that the child’s weight is at the 25th percentile. After realizing that the mother is comparing her child to a group of American­born children who are overweight, the pediatric nurse practitioner is able to convince the mother that this is a normal weight. Which domain of cultural competence does this represent?

 

 

1.   Global

 

1.   Interpersonal        Correct

 

1.   Intrapersonal

 

1.   Organizational

 

 

 

 

6.   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 clinic with a church sponsor, who translates for them. The pediatric nurse practitioner notices that the sponsor answers for the family without giving them time to speak. The pediatric nurse practitioner will

 

1.   ask the sponsor to allow the family to respond.

 

1.   develop the plan of care and ask the sponsor to make sure it is followed.

 

1.   request that the sponsor translate written instructions for the family.

 

1.   use the telephone interpreter service to communicate with the family.   Correct

 

 

 

 

7.   The primary care pediatric nurse practitioner prescribes a twice daily inhaled

 

corticosteroid for a 12­year­old child. At a well child visit, the child reports not using the medication on a regular basis. Which response by the pediatric nurse practitioner demonstrates an understanding of client­centered care?

 

1.   Asking the child to describe usual daily routines and schedules             Correct

 

1.   Referring the family to a social worker to help with medication compliance

 

1.   Reviewing the asthma action plan with the parent and the child

 

1.   Teaching the child how the medication will help to control asthma symptoms

 

 

 

 

8.   A primary care pediatric nurse practitioner working in a community health

 

center wishes to develop a program to assist impoverished children and families to have access to healthy foods. Which strategy will the pediatric nurse practitioner employ to ensure the success of such a program?

 

1.   Asking community members to assist in researching and implementing a program Correct

 

1.   Designing a community garden approach that involves children and their parents

 

1.   Gaining support from the corporate community to provide needed resources

 

1.   Providing evidence­based information about the importance of a healthy diet

 

E.

 

F.                   ID: 13348437925

 

G.

 

H.                   ID: 13348437941

9.   The parents of a special needs child tell the primary care pediatric nurse

 

practitioner that they are planning a 3­month visit to their home country in Africa. The pediatric nurse practitioner assists the family to obtain a sufficient supply of medications and formula and to make sure that the child’s equipment can be transported and used during the trip and at the destination. This is an example of

 

 

1.   global application.   Correct

 

1.   global awareness.

 

1.   system application.

 

1.   system awareness.

 

 

 

 

10.                The primary care pediatric nurse practitioner is examining a child whose

 

parents recently emigrated from a war­torn country in the Middle East. Which is a priority assessment when performing the patient history?

 

1.   Asking about physical, psychological, and emotional trauma            Correct

 

1.   Determining the parents’ English language competency and literacy level

 

1.   Learning about cultural preferences and complementary medicine practices

 

1.   Reviewing the child’s previous health and illness records

 

 

 

 

 

ID: 13348411124

 

 

ID: 13348411128

 

 

ID: 13348411116

 

 

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Chapter 4

Questions

 

 

1.   A single mother of an infant worries that living in a household with only one

 

parent will cause her child to be maladjusted. To help address the mother’s concerns, the

 

primary care pediatric nurse practitioner will suggest

 

1.   developing consistent daily routines for the child.   Correct

 

1.   exposing her child to extended family members when possible.

 

1.   not working outside the home during the first few years.

 

1.   taking her child to regular play date activities with other children.

 

 

 

 

2.   During a well child exam, the primary care pediatric nurse practitioner learns

 

that the parents of a young child fight frequently about finances. The parents state that they do not fight in front of the child and feel that the situation is temporary and related to the father’s job layoff. What will the nurse practitioner do?

 

 

1.   Reassure them that the child is too young to understand.

 

1.   Recommend that they continue to not argue in front of the child.

 

1.   Suggest counseling to learn ways to handle stress.   Correct

 

1.   Tell them that the conflict will resolve when the situation changes.

 

 

 

 

3.   During a well child assessment of an 18­month­old child, the primary care

 

pediatric nurse practitioner observes the child becoming irritable and uncooperative. The

 

parent tells the child to stop fussing. What will the nurse practitioner do?

 

1.   Allow the parent to put the child in a “timeout.”

 

1.   Ask the parent about usual discipline practices.

 

1.   Offer the child a book or a toy to look at.   Correct

 

1.   Stop the exam since the child has reached a “meltdown.”

 

 

 

4.   Which recommendation will a primary care pediatric nurse practitioner make

 

when parents ask about ways to discipline their 3­year­old child who draws on the walls with crayons?

 

1.   Give the child washable markers so the drawings can be removed easily.

 

1.   Provide a roll of paper for drawing and teach the child to use this.   Correct

 

1.   Put the child in “timeout” each time the child draws on the walls.

 

1.   Take the crayons away from the child to prevent the behavior.

 

 

 

 

 

5.   The primary care pediatric nurse practitioner conducts a well baby exam on ID: 13348411118

 

 

ID: 13348411130

 

 

ID: 13348411132

 

 

ID: 13348411120

 

 

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an infant and notes mild gross motor delays but no delays in other areas. Which initial course of action will the nurse practitioner recommend?

 

1.   Consult a developmental specialist for a more complete evaluation.

 

1.   Prepare the parents for a potentially serious developmental disorder.

 

1.   Refer the infant to an early intervention program for physical therapy.

 

1.   Teach the parents to provide exercises to encourage motor development.  Correct

 

 

 

6.   The primary care pediatric nurse practitioner is examining a newborn infant

 

recently discharged from the neonatal intensive care unit after a premature birth. The parent is upset and expresses worry about whether the infant will be normal. What will the nurse practitioner do in this situation?

 

1.   Explain to the parent that developmental delays often do not manifest at first.

 

1.   Perform a developmental assessment and tell the parent which delays are evident.

 

1.   Point out the tasks that the infant can perform while conducting the

 

assessment.      Correct

 

1.   Refer the infant to a developmental specialist for a complete evaluation.

 

 

 

 

7.   The primary care pediatric nurse practitioner sees a developmentally delayed

 

toddler for an initial visit. The family has just moved to the area and asks the nurse practitioner about community services and resources for their child. What should the nurse practitioner do initially?

 

1.   Ask the parents if they have an individualized family service plan (IFSP).  Correct

 

1.   Consult with a physician to ensure the child gets appropriate care.

 

1.   Inform the family that services are provided when the child begins school.

 

1.   Refer the family to a social worker for assistance with referrals and services.

 

 

 

 

8.   The primary care pediatric nurse practitioner has a cohort of patients who

 

have special health care needs. Which is an important role of the nurse practitioner when

 

caring for these children?

 

1.   Care coordination and collaboration         Correct

 

1.   Developing protocols for parents to follow

 

1.   Monitoring individual education plans (IEPs)

 

1.   Providing lists of resources for families

 

 

 

 

9.   The primary care pediatric nurse practitioner performs a physical examination

 

on a 9­month­old infant and notes two central incisors on the lower gums. The parent states that the infant nurses, takes solid foods three times daily, and occasionally takes water from a cup. What will the pediatric nurse practitioner counsel the parent to promote optimum dental

 

 

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health?

 

1.   To begin brushing the infant’s teeth with toothpaste

 

1.   To consider weaning the infant from breastfeeding

 

1.   To discontinue giving fluoride supplements

 

1.   To make an appointment for an initial dental examination            Correct

 

 

 

10.                The primary care pediatric nurse practitioner enters an exam room and finds

 

a 2­month­old infant in a car seat on the exam table. The infant’s mother is playing a game on her smart phone. The nurse practitioner interprets this behavior as

 

1.   a sign that the mother has postpartum depression.

 

1.   extremely concerning for potential parental neglect.

 

1.   of moderate concern for parenting problems.   Correct

 

1.   within the normal range of behavior in early parenthood.