influences on health promotion of children

ethical dilemmas arise when competing moral considerations underlie various alternatives. match each competing moral value w its definition (autonomy, nonmaleficence, beneficence, justice) 1. the obligation to promote the patients well being 2. the obligation to minimize or prevent harm 3. the patients right to be self governing 4. the concept of fairness

1. beneficence 2. nonmaleficence 3. autonomy 4. justice

the nursing process is a method of problem identification and problem solving that describes what the nurse actually does. match each step of the nursing process w its definition 1. problem identification 2. expected patient goals 3. purposeful collection of data 4.development of a care plan 5. determines if the outcome was met 6. interventions are put into action

1. diagnosis 2. outcomes identification 3. assessment 4. planning 5. evaluation 6. implementation

culture characterizes a particular group w its values, beliefs, norms, patterns, and practices that are learned, shared, and transmitted from one generation to another. match the terms used to describe groups w shared values beliefs norms patterns & practices. 1. race 2. gender 3. ethnicity 4. social class 5. socialization

1. distinguishes humans by physical traits 2. an individuals self identification as man or woman 3. persons who have unique cultural, social and linguistic heritage 4. incorporates level of education, occupation, income, and access to resources 5. process by which society communicates its competencies, values and expectations

children may believe that they are responsible for their parents divorce and interpret the separation as a punishment. at which age is this most likely to occur

4 years

the school nurse is evaluating the number of school age children classified as obese. the nurse recognizes that the percentile of body mass index that classifies a child is obese is greater than which

95th percentile

a parent of a school age child tells the school nurse that the parents are going thru a divorce. the child has not been doing well in school and sometimes has trouble sleeping. the nurse should recognize this as what

a common reaction to divorce

turner syndrome is suspected in an adolescent girl w short stature. what causes this

absence of 1 of the X chromosomes

the nurse is planning care for a patient w a different ethnic background. which should be an appropriate goal

adapt, as necessary, ethnic practices to health needs

the nurse is teaching parents about the effects of media on childhood obesity. the nurse realizes the parents understand the teaching if they make which statements

advertising of unhealthy food can increase snacking, increased screen time may be related to unhealthy sleep, theres a link b/w the amount of screen time and obesity

which is characteristic of X linked recessive inheritance

affected individuals are principally males

parents ask the nurse about characteristics of autosomal recessive inheritance. which is characteristic of autosomal recessive inheritance

affected individuals have unaffected parents

the nurse is planning care for a hospitalized preschool aged child. which should the nurse plan to ensure atraumatic care

allow the child to choose the type of juice to drink w the administration of oral meds

chromosome analysis of the fetus is usually accomplished thru the testing of which

amniotic fluid

an adolescent patient wants to make decisions about treatment options along w his parents. which moral value is the nurse displaying when supporting the adolescent to make decisions

autonomy

which type of family should the nurse recognize when a mother, her children, and a stepfather live together

blended

which actions by the nurse demonstrate over involvement w patients and their families

buying clothes for the patients, showing favoritism toward a patient, spending off duty time w patients & families

which genetic term refers to a person who possesses 1 copy of an affected gene and one copy of an unaffected gene and is clinically unaffected

carrier

the nurse is talking to group of parents of school age children at an after school program about childhood health problems. which statement should the nurse include in the teaching

childhood obesity is the most common nutritional problem among children

the nurse is teaching a group of new nursing graduates about identifiable qualities of a strong families that help them function effectively. which quality should be included in the teaching

clear set of family values, rules, and beliefs

the early diagnosis of genetical hypothyroidism (CH) and phenylketonuria (PKU) is essential to prevent which

cognitive impairment

evidence based practice (EBP) a decision making model, is best described as which

combining knowledge w clinical experience and intuition

which is the leading cause of death in infants younger than 1 year in the US

congenital anomalies

which actions by the nurse demonstrate clinical reasoning

considering alternative action, using formal & informal thinking to gather data, giving deliberate thought to a patients problem, developing an outcome focused on optimum patient care

which best describes signs and symptoms as part of a nursing diagnosis

cues & clusters derived from patient assessment

the nurse is presenting a staff development program about understanding culture in the health care encounter. which components should the nurse include in the program

cultural humility, cultural sensitivity, cultural competency

the nurse discovers welts on the back of a vietnamese child during a home health visit. the childs mothers says she has rubbed the edge of a coin on her childs oiled skin. the nurse should recognize this as what

cultural practice to rid the body of disease

the nurse is reviewing healthy people 2020 leading health indicators for a childs health promotion program. which are included in the leading health indicators

decrease tobacco use, improve immunization rates, increase access to health care

which are included in the evaluation step of the nursing process

determination if the outcome has been met, ascertaining if the plan requires modification, selecting alternative interventions if the outcome has not been met

which family theory is described as a series of tasks for the family throughout its lifespan

developmental theory

which situations denotes a non therapeutic nurse patient family relationship

during shift report the nurse is criticizing parents for not visiting their child

parents ask the nurse about characteristics of austosomal dominant inheritance. which statement is characteristic of autosomal dominant inheritance

each child of a heterozygous affected parent has a 50% chance of being affected

which term best describes the sharing of common characteristics that differentiates one group from other groups in a society

ethnicity

the nurse is aware that if patients different cultures are implied to be inferior the emotional attitude th enurse is displaying is what

ethnocentrism

which type of family should th enurse recognize when the paternal grandmother, the parents, and 2 minor children live together

extended

parents of a hospitalized toddler ask the nurse what is meant by family centered care? the nurse would respond w what statement

family centered care recognizes that the family is the constant in a childs life

the school nurse understands that children are impacted by divorce. which has the most impact on the positive outcome of divorce

family characteristics

which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events

family stress theory

the nurse is planning to counsel family members as a group to assess the families group dynamics. which theoretic family model is the nurse using as a framework

family systems theory

which should the nurse teach to parents regarding oral health of children

fluoridated water should be used, early childhood caries is a preventable disease, childhood caries does not happen until after 2 years of age

a foster parent is talking to the nurse about the health care needs for the child who's been placed in the parents care. which statement best describes the health care needs of foster children

foster children tend to have a higher than normal incidence of acute and chronic health problems

the inheritance of which is X linked recessive

hemophilia A

the nurse is reviewing a clients prenatal history. which prescribed med does the nurse understand is not considered a teratogen and prescribed during pregnancy

heparin sodium (heparin)

the nurse is conducting a teaching session for parents on nutrition. which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition

homelessness, lower income, and migrant status

the school nurse is explaining to older school children that obesity increases the risk for which disorders

hypertension, dyslipidemia, altered glucose metabolism

the nurse is discussing parenting in reconstituted families w a new stepparent. the nurse is aware that the new step parent understands the teaching when which statement is made

i realize there may be power conflicts bringing 2 households together

a woman age 43 years, is 6 weeks pregnant. its important that she be informed of which

increased risk for down syndrome

the nurse is interviewing a prenatal client about specific risk factors that are indications for prenatal testing. which specific risk factors should the nurse note

inherited disorder, cytomegalovirus infection, previous stillbirth or neonatal death

which are signs and symptoms the nuse should assess in the newborn that can indicate an inborn error of metabolism

jaundice, poor feeding, metabolic acidosis

which is a sex chromosome abnormality thats caused by the presence of 1 or more additional X chromosomes in a male

klinefelter

the nurse should assess which age group for suicide ideation since suicide in which age group is the 3rd leading cause of death

late school age and adolescents

a mother brings 6 month old eric to clinic for a well baby checkup. she comments i want to go back to work but i don't want eric to suffer because ill have less time with him. which is the nurses most appropriate answer

lets talk about the child care options that will be best for eric

the nurse is assessing a neonate who was born 1 hr ago to healthy white parents in their early 40s. which finding should be most suggestive of down syndrome

low set ears

the nurse is teaching nursing students about assessment clues to genetc disorders in the newborn. which should th enurse include in the teaching session

low set ears, epicentral folds, forehead prominence

the nurse is assessing children for risk factors related to childhood injuries. which child has the most risk factors related to childhood injury

male, high activity level, stressful home life

the nurse is reviewing the characteristics of autosomal recessive inheritance. which are true about these characteristics

males and females are equally affected, carrier parents hav e a25% chance of producing an affected child, carrier parents have a 50% chance of producing a carrier child in each pregnancy

the nurse understands that which occurring soon after birth can indicate cystic fibrosis

meconium ileus

a hospitalized school age child w PKU is choosing foods from the hospitals menu. which food choice should the nurse discourage the child from choosing

milkshake

which is a consequence of the physical punishment of children such as spanking

misbehavior is likely to occur when parents are not present

the nurse is planning a teaching session to adolescents about deaths by unintentional injuries. which should the nurse include in the session w regard to deaths caused by injuries

more deaths occur in males

a father w an x linked recessive disorder asks the nurse what the probably is that his sons will have the disorder. which response should the nurse make

none of the sons will have the disorder

a couple asks th enruse about the optimal time for genetic counseling. they do not plan to have children for several years. when should the nurse recommend they begin genetic counseling

now if they are members of a population at risk for certain diseases

when discussing discipline w the mother of a 4 yr old child which should the nurse include

parental control should be consistent

the nurse is reviewing the importance of role learning for children. the nurse understands that children's roles are primarily shaped by which members

parents

the nurse is caring for an adolescent hospitalized for asthma. the adolescent belongs to a large family. the nurse recognizes that the adolescent is likely to relate to which group

peers

when assessing a family the nurse determines that the parents exert little or no control over their children. this style of parenting is called which

permissive

PKU is a genetic disease that results in the bodes inability to correctly metabolize which

phenylalanine

the nurse is aware that which age group is at risk for childhood injury because of the cognitive characteristics of magical and egocentric thinking

preschool

which responsibilities are included in the pediatric nurses promotion of the health and well being of children

promoting disease prevention, providing support and counseling, establishing a therapeutic relationship, participating in ethical decision making

the nurse is describing clinical reasoning to a group of nursing students. which is the most descriptive of clinical reasoning

purposeful and goal directed

the nurse is preparing to complete documentation on a patients chart. which should be included in documentation of nursing care

reassessments, initial assesmments, nursing care provided, patients response of care provided

after the family, which has the greatest influence on providing continuity b/w generations

school

the parents of a young child ask the nurse for suggestions about discipline. when discussing the use of time outs which should the nurse include

select an area that is safe and non stimulating such as a hallway

the nurse is explaining different parenting steles to a group of parents. the nurse explains that an authoritative parenting style can lead to which child behavior

self reliance

the parents of a 5 year old child ask the nurse how they can minimize misbehavior. which responses should the nurse give

set clear and reasonable goals, praise your child for desirable behavior, teach desirable behavior thru your own example

parents of a preschool child ask the nurse should we set rules for a child as part of a discipline plan? which is an accurate response by the nurse

set clear and reasonable rules and expect the same behavior regardless of the circumstances

which is a birth defect or disorder that occurs as a new case in a family and is not inherited

sporadic

children are taught the values of their culture thru observation and feedback relative to their own behavior. in teaching a class on cultural competence the nurse should be aware that which factor may be culturally determined

status

a breastfed infant has just been diagnoses w galactosemia. the therapeutic management of this includes which

stop breastfeeding the infant

in addition to injuries what are the leading cause of death in adolescents ages 15-19 years

suicide and homicide

a couple expecting their 1st child has a positive family history for several congenital defects and disorders. the couple tells the nurse that they're opposed to abortion for religious regions. which should th enurse consider when counseling the couple

the couple should be encouraged to have recommended diagnostic testing

the nurse is teaching student nurses about newborn screening. which statement made by the student indicates understanding of the teaching

the initial specimen should be collected as close to discharge as possible

parents ask the nurse if there was something that should have been done during the pregnancy to prevent their childs cleft lip. which statement should the nurse give as a response

the malformation occurs at approximately 5 weeks of gestation, theres no known way to prevent this

what do mortality statistics describe

the number of individuals who have died over a specific period

a hispanic toddler has pneumonia. the nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. food items such as jello, popsicles, and juices are left. which statement best explains this

the parent is trying to restore normal balance thru appropriate hot remedies

the nurse is reviewing the characteristics of autosomal dominant inheritance. which are true about these characteristics

the phenotype appears in consecutive generations, males & females are equally likely to be affected. children of an affected parent have a 50% chance of being affected

which is an accurate description of homosexual (or gay lesbian) families

the quality of parenting is equivalent to that of non gay parents

a couple has given birth to their 1st child a boy w a recessive disorder. the genetic counselor tells them that the risk of recurrence is 1 in 4. which statement is a correct interpretation of this info

the risk factor remains the same for each pregnancy

which genetic term refers to the transfer of all or part of a chromosome to a different chromosome after chromosome breakage

translocation

which abnormality is a common sex chromosome defect

turner syndrome

what is the major cause of death for children older than 1 year in the US

unintentional injuries

the nurse is teaching parents about the types of behaviors children exhibit when living w chronic violence. which statement made by the parents indicates further teaching is needed

we know that our child will show caring behaviors

how is family systems theory best described

when the family system is disrupted change can occur at any point in the system