Chapter 8 Child Health Nursing Partnering With Children & Families, 3rd Edition

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Chapter 8  Child Health Nursing Partnering With Children & Families, 3rd Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Question 1
Type: MCMA
The nurse working in the pediatric clinic performs many activities. Which of these nursing activities can be classified promoting health promotion and maintenance?
Standard Text: Select all that apply.
1. Administering the flu vaccine to infants from 6 to 23 months of age
2. Administering an antibiotic to a child with a diagnosis of acute otitis media
3. Teaching parents how to perform pulmonary drainage and cupping on their child with a respiratory infection
4. Instructing adolescents how to use dental floss
5. Discussing of daily feeding schedules for infants
Correct Answer: 1,4,5
Rationale 1: Administering flu vaccines is a health promotion and/or maintenance activity.
Rationale 2: An acute ear infection (otitis media) is an illness; treatment would not be a topic for health promotion and maintenance.
Rationale 3: Teaching parents how to perform pulmonary drainage and cupping on their ill child is not considered health promotion and maintenance as it is treating an acute illness.
Rationale 4: Health teaching to the healthy child qualifies as health promotion and maintenance.
Rationale 5: Health teaching activities including discussing feeding schedules are a component of health promotion and maintenance.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 8-1

Question 2
Type: MCSA
Student nurses are observing in the pediatric well-child clinic. The students observe that prior to administering an immunization to a child, a nurse explains the reason for the immunization series to the mother. While discussing the incident in post-conference, the students report that this activity was:
1. Health screening.
2. Health promotion.
3. Health maintenance.
4. Health assessment.
Correct Answer: 2
Rationale 1: The health screening involves looking at the immunization record to determine which immunizations are needed.
Rationale 2: The explanation the nurse gives the mother provides information about the immunization series and enables the mother to make an intelligent choice. While administering immunizations is considered health maintenance, the activity described in the question is clearly health promotion.
Rationale 3: Health maintenance is exemplified by the actual administration of the immunization.
Rationale 4: A health assessment would be completed to determine what immunizations were needed.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 8-1

Question 3
Type: MCSA
A mother says to a nurse, “I am so concerned about my 14-year-old daughter because she has been caught stealing small articles of clothing and jewelry from stores on several occasions.” The nurse begins a discussion on strategies for improving ethical behavior. This plan of care is part of:
1. Moral conditioning.
2. Health maintenance.
3. Behavioral discipline.
4. Health promotion.
Correct Answer: 4
Rationale 1: Moral conditioning is not an applicable choice.
Rationale 2: Because the mother has reported the daughter is already engaging in unethical behavior, the nurse would not be using health maintenance strategies, which would not be problem-focused. Health maintenance would not involve a discussion on ethical behaviors.
Rationale 3: A discussion on strategies for improving ethical behavior might include consequences (discipline), but there is no indication in the stem that the nurse is advocating discipline.
Rationale 4: Health promotion includes strategies designed to improve the state of wellness.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 8-1

Question 4
Type: MCSA
A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?
1. Asking the mother to leave the room after obtaining the history
2. Obtaining a comprehensive history, including sociodemographic data
3. Focusing exclusively on the reported illness
4. Reviewing health promotion and maintenance activities
Correct Answer: 4
Rationale 1: A two-year-old child will be more cooperative with the parent(s) present. The mother should remain with the child.
Rationale 2: Because the child is a regular at this office, there is no need to take a comprehensive history.
Rationale 3: Focusing exclusively on the reported illness(es) ignores the opportunity to use health promotion strategies.
Rationale 4: A nurse should use every opportunity and office visit to review health promotion and maintenance activities.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 8-3

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