CoursePoint Ch. 25-29
Suicide is so common in adolescents it ranks as the third leading cause of death in the 10- to 24-year-old age group. True False
True
The nurse is counseling an overweight, sedentary 15-year-old girl. The nurse is assisting her to make appropriate menu choices. Which statement indicates the adolescent understands how to make appropriate dietary selections? "I avoid all fat intake." "Because of my age, my dairy intake is unlimited." "I need to have 4 servings of fruit each day." "To lose weight my protein intake should be limited to 2 to 4 servings per day."
"I need to have 4 servings of fruit each day."
For reasons of anticipatory guidance, nurses should be aware that menarche appears earlier in some ethnic groups than others. In which ethnic group is menarche likely to appear first? African American Caucasian Mexican American Indian American
African American
The nurse is assessing a 2-year-old boy during a well child visit. The nurse correctly identifies the child's current stage of Erickson's growth and development as: Industry versus inferiority Autonomy versus shame and doubt Trust versus mistrust Initiative versus guilt
Autonomy versus shame and doubt
An infant is breast-fed. When assessing her stools, which findings would be typical? Stools of breast-fed infants are usually harder than those of bottle-fed infants. Breast-fed infants usually have fewer stools than bottle-fed infants. Breast-fed infants are less likely to be constipated than bottle-fed infants. Stools of breast-fed infants tend to have a strong odor.
Breast-fed infants are less likely to be constipated than bottle-fed infants.
A 4-year-old tells the nurse he has an imaginary friend. His parents are concerned because he refuses to do anything without his friend's help. Which nursing diagnosis is most applicable for his family? Compromised family coping related to abnormal behavior of child Deficient knowledge of normal preschool development Disturbed thought processes related to deep-set psychological need Social isolation related to unwillingness to relate except through imaginary friend
Deficient knowledge of normal preschool development
The nurse is educating the mother of a 6-month-old boy about the symptoms for teething. Which symptom would the nurse identify? Running a mild fever or vomiting Choosing soft foods over hard foods Increased biting and sucking Frequent loose stools
Increased biting and sucking
A first-time parent asks the nurse what toys would be appropriate for her son's second birthday next month. What recommendations would be nurse make? Water gun Play lawn mower Dress-up clothing Colorful rattle
Play lawn mower
The nurse is conducting a well-child assessment of a 4-year-old. Which assessment finding warrants further investigation? Presence of 20 deciduous teeth Presence of 10 deciduous teeth Absence of dental caries Presence of 19 deciduous teeth
Presence of 10 deciduous teeth
A community health center is planning a seminar about the 2020 National Health Goals for preschool-age children. Which topics would be included in this seminar to address safety? Select all that apply. Protection against second-hand smoke Providing helmets before riding a bicycle Using appropriate restraints in motor vehicles Removing houseplants from easy to reach areas Posting the telephone number of the poison control agency
Protection against second-hand smoke Providing helmets before riding a bicycle Using appropriate restraints in motor vehicles
What suggestions regarding the evaluation of a child-care center would the nurse share with a preschooler's mother? A ratio of 10 children to 1 teacher is adequate. Specific program goals to be accomplished should be available. The longer the center has been in operation, the better it is. She should research local newspapers to see if there are any complaints against the center.
Specific program goals to be accomplished should be available.
A 12-month-old seen at a walk-in clinic weighed 8 pounds 4 ounces (3.75 kg) at birth. Weight now is 20 pounds 8 ounces (9.3 kg). The nurse determines: The child weighs less than expected for age. The child weighs more than expected for age. The child weighs the expected amount for age. The weight assessment is blatantly inaccurate.
The child weighs less than expected for age.
The mother of a 1-month-old infant voices concern about her baby's respirations. She states they are rapid and irregular. Which information should the nurse provide? The normal respiratory rate for an infant at this age is between 20 and 30 breaths per minute. The respirations of a 1-month-old infant are normally irregular and periodically pause. An infant at this age should have regular respirations. The irregularity of the infant's respirations are concerning; I will notify the physician.
The respirations of a 1-month-old infant are normally irregular and periodically pause.
The nurse is observing a 36-month-old boy during a well-child visit. Which motor skill has he most recently acquired? Kick a ball Pull a toy while walking Push a toy lawnmower Undress himself
Undress himself
Parents and their 35-month-old child have returned to the clinic for a follow-up appointment. Which of the findings may signal a speech delay? Half of speech understood by outsider Uses two-word sentences or phrases Talks about a past event Asks "why" often
Uses two-word sentences or phrases
During a well-child visit, parents asks the nurse what types of snack foods are recommended to give their preschooler to foster nutrition. What would be the nurse's best recommendation? graham crackers and milk salsa dip and whole grain chips peanuts and trail mix cheese cubes and apple slices
cheese cubes and apple slices
A school-aged child develops school phobia. When counseling her mother, the nurse would advise her that the accepted action is to: keep her child home until this fear passes. ask the teacher to decide if the child should come to school or not each day. make her child attend school every day. allow her child to decide daily if she wants to go to school or not.
make her child attend school every day.
During a well-child check at the ambulatory clinic, the mother of a 10-year-old boy reports concerns about her son's frequent discussions about death and dying. Based upon knowledge of this age group, the nurse understands that: consistent thoughts of death and dying at this age lead to the later development of depression. preoccupation with death and dying is common in the school-aged child. discussing death and dying may hint at a psychological disorder. at this age, children are not afraid of death.
preoccupation with death and dying is common in the school-aged child.
The nurse is educating the parents of a 10-year-old girl in ways to help their child avoid tobacco. Which suggestion should be part of the nurse's advice? "Keep your cigarettes where she can't get to them." "Tell her only losers smoke and chew tobacco." "Always go outside when you have a cigarette." "As parents, you need to be good role models."
"As parents, you need to be good role models."
The parents of a 10-year-old girl voice concern to the nurse because their daughter seems to "have a higher amount of body fat" than they expect based on the healthy eating habits and high activity level of the family. What is the best response by the nurse? "Her metabolism may be slower than the rest of your family. Try increasing her activity to see if her body fat decreases." "Do you think maybe your daughter eats in the evening or when you are monitoring her intake at home? You may want to ask her." "Girls are always heavier than boys it seems. I'm sure she just falls into that category." "Before adolescence the body fat composition of school-age children increases earlier and in greater amounts in girls than in boys."
"Before adolescence the body fat composition of school-age children increases earlier and in greater amounts in girls than in boys."
The parents of an 8-year-old boy report their son is being bullied and teased by a group of boys in the neighborhood. Which response by the nurse is best? "Perhaps teaching your son self-defense courses will help him to have a greater sense of control and safety." "Fortunately the scars of being picked on will fade as your son grows up." "Your son is at high risk for bullying other children as a result of this situation." "Bullying can have lifelong effects on the self-esteem of a child."
"Bullying can have lifelong effects on the self-esteem of a child."
A 9-month-old has been brought to the clinic for a well-child visit. The mother reports her son was born 6 weeks prematurely. During the data collection, the child's mother reports her son seems to be a few months "behind" what she recalls from her older children. What is the best response by the nurse? "We will need to check this out since any delays related to prematurity should be resolved by the time a child is 6 months old." "All children mature and develop at different rates so it is unwise to compare them in this way." "Delays are normal when a child is premature." "You should talk with the doctor about getting your son tested."
"Delays are normal when a child is premature."
What is the best explanation of Erikson's theory of psychosocial development during the adolescence period? Cognitive development is cumulative; that is, what is learned is based on what has been known before. The adolescent thinks in the abstract and develops skills to participate in complex problem solving. The adolescent develops many skills during the teen ages, which help adolescents make educational and career choices. The adolescent faces many different decisions during the teen years concerning the future and the adult world.
The adolescent faces many different decisions during the teen years concerning the future and the adult world.
The nurse is admitting a 15-year-old to the hospital pediatric unit. What does the nurse recognize as a priority for this adolescent? The adolescent's need for privacy should be respected. The adolescent should be encouraged to call friends often. The adolescent's need for parental support should be discussed. The adolescent should be given freedom to participate in unit activities as desired.
The adolescent's need for privacy should be respected.
A nurse, who is also a mother of a 2-year-old child, attends a party at a friend's house and notes some safety concerns that she would like to share with the other mother privately. Which observations during the party would be considered a safety concern that should be addressed privately when appropriate? Select all that apply. The parent is busy entertaining guests and did not notice the toddler running out in the neighborhood street to get a toy. The safety gate/fence surrounding the pool area is secure and a little hard, even for parents, to unlatch. The parents allow the toddler to climb up on the counter and watch as food is stirred on the stove. The nurse/mother notes that the toddler's car seat is located in the passenger front seat. Only toddlers with helmets on are allowed to ride the tricycle.
The nurse/mother notes that the toddler's car seat is located in the passenger front seat. The parent is busy entertaining guests and did not notice the toddler running out in the neighborhood street to get a toy. The parents allow the toddler to climb up on the counter and watch as food is stirred on the stove.
