Chapter 12 Child Health Nursing Partnering With Children & Families, 3rd Edition

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Chapter 12  Child Health Nursing Partnering With Children & Families, 3rd Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Question 1
Type: MCSA
A nurse observes the parent-child interaction during the six-year-old well-child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse. Which statement by the nurse would be most beneficial?
1. Addressing the child, the nurse says, “Are you unhappy when Mommy talks to you like this?”
2. “I am going to refer you for counseling, because your interactions with your child seem so negative.”
3. “Perhaps you should leave the room so that I can speak with your child privately.”
4. “Let’s talk privately. Let’s discuss ways you can speak to your child in a positive tone.”
Correct Answer: 4
Rationale 1: The nurse should not ask the child if she is “unhappy” with the parent.
Rationale 2: It is not appropriate to refer them to counseling without a discussion with the parent.
Rationale 3: Because the child is only six years old, it would be difficult to ask the parent to leave the room. If the nurse wants to speak with the child alone, the nurse perhaps would escort the child to another area and speak briefly with the child.
Rationale 4: The best approach to this encounter would be for the nurse to discuss concerns with the parent privately, because the nurse wants to help the parent develop a good relationship with the child. The child should not be a part of this conversation.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 12-4

Question 2
Type: MCSA
Which of these aspects of developmental health supervision should be included in each health care visit of young children?
1. Discussions of discipline with the parents
2. Toilet training guidelines
3. Referrals to community agencies
4. Patient and family education
Correct Answer: 4
Rationale 1: Discipline, while important to the care of children, is age-specific and not part of the main developmental plan.
Rationale 2: Toilet training is age-specific and does not need to be part of developmental health visits.
Rationale 3: Although referrals to community agencies may be a component of some health care visits, they should not be included in every visit.
Rationale 4: The main recommendations for developmental health supervision of young children include assessment, education, intervention, and care coordination. This standard framework should be used as guidelines for each health care visit.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 12-1

Question 3
Type: MCSA
A nurse obtains a nutritional health history from a 10-year-old child. Which of these food selections, if consumed on a regular basis, should lead the nurse to become concerned about the need for improving oral hygiene?
1. Fluoridated water
2. Sorbet and yogurt
3. Peanuts and peanut butter crackers
4. Gummy bears and licorice
Correct Answer: 4
Rationale 1: Fluoridated water has been shown to decrease the incidence of dental caries.
Rationale 2: Foods such as sorbet and yogurt do not stick to the teeth and are not considered foods that increase dental caries.
Rationale 3: Foods such as peanut butter and peanut butter crackers are good sources of nutrients and not associated with increased dental caries.
Rationale 4: Items such as gummy bears and licorice stick to the teeth and lead to dental caries.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 12-2

Question 4
Type: MCSA
A nine-year-old child who has been followed in the same pediatric health care home since birth has come in for a well-child visit. A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight. How should the nurse interpret these data?
1. The child is obese and needs dietary counseling.
2. The child is beginning a growth spurt.
3. As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.
4. The parents are most likely below the 50th percentile for height and weight.
Correct Answer: 1
Rationale 1: These data show that the child is disproportionate in height and weight. This child’s weight is very high in comparison with height. The child would appear obese. Dietary history and counseling are the first steps. This child also might need an endocrine evaluation.
Rationale 2: This is not a growth spurt, since height is what is referred to by the term growth spurt.
Rationale 3: The statement about the adolescent growth spurt is incorrect for this age child.
Rationale 4: No assumptions about the parents can be made from the data presented.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 12-2

 

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