Chapter 13 Child Health Nursing Partnering With Children & Families, 3rd Edition

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Chapter 13  Child Health Nursing Partnering With Children & Families, 3rd Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Question 1
Type: MCSA
An adolescent is being seen in the clinic to discuss health promotion behaviors. The nurse develops and implements a health promotion plan. What will the nurse include in the evaluation of the plan?
1. The effectiveness of the health promotion plan and methods to expand and sustain successful approaches
2. Instruction on what is considered healthy behavior
3. Advice to the adolescent that promoting health behaviors will maintain a healthy lifestyle
4. Information on the adolescent’s attitude toward health
Correct Answer: 1
Rationale 1: When establishing youth programs, whether with individual adolescents or with groups, the nurse includes evaluation of the effectiveness of the plan and methods to expand and sustain successful approaches.
Rationale 2: Instruction on healthy behaviors would be included in the implementation phase of the plan.
Rationale 3: Advising why promoting healthy behaviors is important is part of the implementation phase of the plan.
Rationale 4: Including the adolescent’s attitude toward health has little to do with evaluating the success of the plan.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 13-1

Question 2
Type: MCSA
The nurse is preparing to see an adolescent patient to assess his relationships with others. What should the nurse do when conducting this assessment?
1. Let the parents know the nurse will share the information with them after the exam.
2. Provide separate time to communicate with both the adolescent and the parents.
3. Avoid asking the parents their opinions of the adolescent’s friends.
4. Tell the parents they are not allowed to come into the examination room.
Correct Answer: 2
Rationale 1: The nurse cannot share the information about the exam, as this is a breach of patient confidentiality.
Rationale 2: Provide time alone with both the adolescent and the parents so that everyone has time to talk freely and ask questions.
Rationale 3: The nurse should include the parents’ opinions of their child’s friends.
Rationale 4: The nurse cannot keep the parents out of the examination room, especially if the adolescent wants the parents there.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 13-3

Question 3
Type: MCSA
An adolescent is visiting the clinic for the first time. What should the nurse keep in mind when attending to this patient?
1. The nurse should explain procedures and introduce personnel to adolescents.
2. Adolescents usually are quiet and will offer no opinions.
3. The nurse should attend to and discharge adolescents quickly.
4. Adolescents are comfortable with their surroundings.
Correct Answer: 1
Rationale 1: If the setting is new to the adolescent, explain the procedures and introduce personnel so the adolescent feels more at ease.
Rationale 2: Adolescents usually will offer their opinions readily.
Rationale 3: It is important that adolescents feel welcome, important, and unrushed, in order to gain their trust.
Rationale 4: When adolescents are visiting the same office or clinic that they came to during childhood, they usually know and feel comfortable with the care providers. This is not the case if it is a first visit.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 13-1

Question 4
Type: MCSA
An adolescent comes to the clinic because of a concern with a skin lesion, and he is accompanied by a parent. When the adolescent is called back to the exam room, the parent comes with the adolescent. What approach by the nurse would be most appropriate?
1. Instruct the parent to stay in the waiting room and tell him that the adolescent will give him a report on the exam.
2. Tell the parent he cannot come into the exam room with the adolescent.
3. Reassure the parent that you will talk with him about any of his concerns and questions.
4. Allow the parent to come into the exam room with the adolescent.
Correct Answer: 3
Rationale 1: The adolescent makes the decision about the parent’s presence and whether to report the exam to the parent.
Rationale 2: The adolescent decides when the parent comes into the room.
Rationale 3: If a parent comes with the adolescent, be alert that you might need to provide some private time by asking the parent to wait outside for a moment. Reassure the parent that you will talk with him about any of his concerns and questions, and provide him with an opportunity to ask questions and get information as well.
Rationale 4: The adolescent chooses when the parent comes into the room.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 13-1

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