Exam (elaborations)
Maternali&iChildiHealthiNursing:iCareiofitheiChildbearingi&iCh ildrearingiFamilyi8thiEditioniTestiBanki/iInstantiTestiBankiForiM aternali&iChildiHealthiNursing:iCareiofitheiChildbearingi&iChil drearingiFamilyi8thiEditioniAuthors:iJoAnneiSilbertFlagg,iPil
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Maternali&iChildiHealthiNursing:iCareiofitheiChild
Institution
Maternali&iChildiHealthiNursing:iCareiofitheiChild
Maternali&iChildiHealthiNursing:iCareiofitheiChildbearingi&iCh
ildrearingiFamilyi8thiEditioniTestiBanki/iInstantiTestiBankiForiM
aternali&iChildiHealthiNursing:iCareiofitheiChildbearingi&iChil
drearingiFamilyi8thiEditioniAuthors:iJoAnneiSilbertFlagg,iPillit
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Maternali&iChildiHealthiNursing:iCareiofitheiChild
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Maternali&iChildiHealthiNursing:iCareiofitheiChild
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1. Ai3-month-
oldiinfantiisidiagnosediwithifailureitoithrive.iForiwhichicauseishoulditheinurseiincludeiinterventi
onsiwheniplanningicareiforithisipatient?
A) Aireactionitoisevereistress
B) Limitedicalciumimetabolism
C) Pooriparent–childirelationship
D) InterferenceiwithigastrointestinaliabsorptioniAns:iC
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Failureitoithriveiisiaisyndromeiiniwhichianiinfantifallsibelowithei5thipercentileiforiweightiandiheigh
tioniaistandardigrowthichartioriisifallingiinipercentilesioniaigrowthichart.iOneicategoryiofithisisynd
romeioccursibecauseiofiaidisturbanceiinitheiparent–
childirelationship,iresultingiinimaternaliroleiinsufficiencyioriainonorganicicause.iFailureitoithriveiisi
noticausedibyiaireactionitoisevereistress,ilimitedicalciumimetabolism,ioriinterferenceiwithigastroin
testinaliabsorption.
2. Theinurseimanageriofianiurbanihealthicareicliniciisidesigningiaiseriesiofipresentationsiforistaffit
oiaddressithei2020iNationaliHealthiGoalsitoireduceichildimaltreatmentiandiintimateipartnerivio
lence.iWhichitopicsishoulditheimanageriincludeiinitheseipresentations?i(Selectiallithatiapply.)
A) Caringiforivictimsiofirape
B) Indicationsiofichildineglect
C) Recognizingivictimsiofiviolence
D) Environmentsiwhereirapeioccurs
E) ManifestationsiofichildimaltreatmentiAns:iB,iC,iE
Feedback:
Nursesicanihelpitheinationiachieveithei2020iNationaliHealthiGoalsitoireduceichildimaltreatmentian
diintimateipartneriviolenceibyiidentifyingichildrenioriwomeniinischooliorihealthicareiagencyisetting
siwhoihaveibeenimaltreated,ineglected,ioriaivictimiofiviolence.iCaringiforirapeivictimsiandienviron
mentsiwhereirapeioccursiareinotistrategiesitoiachieveithei2020iNationaliHealthiGoalsitoireduceichi
ldimaltreatmentiandiintimateipartneriviolence.
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,3. Atitheicompletioniofiaihealthiinterview,itheinurseiisiconcernedithatiainewborniisiatiriskiforimalt
reatment.iWhichiobservationicauseditheinurseitoicomeitoithisiconclusion?
A) Motheridoesinotilookiatitheibaby.
B) Motherihelpsitheinurseiloosenitheibaby'siclothingiforiaiphysicaliexamination.
C) Motheriexplainsithatitheihusbandihelpsiwithifeedingitheibabyiduringitheinight.
D) Motheriquicklyichangesiaidirtyidiaperiandiusesipersonalisuppliesitoicleanseitheichild.
Ans:iA
Feedback:
Theimother'siinabilityitoiestablishieyeicontact,iorimaintainiaidirectienifaceipositioniwithitheibaby,i
caniindicateitheipotentialiforichildimaltreatment.iHelpingitheinurseilooseniclothingiforianiexaminat
ion,iidentifyingisomeoneitoihelpiwithichildicare,iandipromptiattentionitoitheibaby'sineedsiwhenich
angingiaisoiledidiaperiindicateitheimotheriisibondingiwithitheichild,ianditheichildiisinotiatiriskifori
maltreatment.
4. Whenibeginningicareiforiaivictimiofirape,itheinurseiasksitheipatientitoi“talkiaboutiwhatihappen
ed”itoiher.iForiwhichinursingidiagnosisiisitheinurseiusingithisiapproach?
A) Anxietyirelateditoirecentirape
B) Fearirelateditoirepeatediepisodesiofimaltreatment
C) Disablingifamilyicopingirelateditoirecentirapeiofifamilyimember
D) Riskiforiother-directediviolenceirelateditoiadmittedipooriself-controliAns:iA
Feedback:
Oneineediofianyivictimiafteriaiviolentiactiisitoitalkiaboutiwhatihappenedibecauseiaipersoniwhoica
nidescribeianiincidenticanialsoibeginitoi“putiaifenceiaround”ioribringitheieventidownifromi“somet
hingiterribleihasihappened,”iaisituationiwhichileavesitheipersoniwithiaicontinuingihighianxietyileve
l,itoi“thisispecificithingihasihappened,”iaisituationithatiallowsitheitraumaticieventitoibeiexaminedi
andimanaged.iAskingitheivictimitoidescribeitheiincidentitoiwithianiintroductionisuchiasi“Mostipeo
pleifindiitihelpsitoitalkiaboutiwhatihappeneditoithem”ihelpsitheivictimibeginitoiputiaifenceiaround
itheiincident.iTheinurseiisinotiaskingitheipatientitoi“talkiaboutiwhatihappened”ibecauseiofifeariofi
maltreatment,idisablingifamilyicopingirelateditoitheirape,ioririskiforiviolenceirelateditoipooriself-
control.
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,5. Theinurseiisivisitingitheihomeiofiaifamilyiwithiaipreviousihistoryiofiphysicalineglect.iWhichiobse
rvationiindicatesithatiinterventionsihaveinotibeenisuccessful?
A) Theimotherifeedsitheichildreniaitotalivegetarianidiet.
B) Theifatheriencouragesimaleichildrenitoiplayihighischoolifootball.
C) Theimotheriworriesithatiimmunizationsiwillibeipainfuliforitheichildren.
D) Theifatheriallowsitheichildrenitoistayihomeifromischooliwheneveritheyidesire.iAns:iD
Feedback:
Notirequiringiaichilditoiattendischoolimayibeiinterpretediasineglect.iFollowingiaivegetarianidiet,ien
couragingiparticipatingiinisports,iandiconcerniaboutiimmunizationidiscomfortidoinotiindicateithatii
nterventionsitoiaddressiphysicalineglectihaveinotibeenisuccessful.
6. Whileimakingiaihomeivisit,itheinurseisuspectsithatiaichildiisiexperiencingipsychologicalimaltreat
ment.iWhatididitheinurseiobserveiinitheihome?
A) Scoldingioneichildiforiplayingiwithimatches
B) Belittlingitheichildiinifrontiofitheinurseiandiotherisiblings
C) Punishingioneichildiforicrossingitheistreetiwithoutiassistance
D) AskingioneichilditoiperformiaisongionitheipianoiforitheinurseiAns:iB
Feedback:
Psychologicalimaltreatmentiincludesiconstantibelittlingiaichild.iChildreniwhoiareipsychologicallyim
altreatedithisiwayiareilikelyitoihaveidifficultyibecomingiemotionallyiconfidentiadults.iThisitypeiofim
altreatmentiisitheimostidifficultiformiofimaltreatmentitoidetectibecauseiitimayioccurionlyiinitheiho
me.iScoldingiforiusingimatches,ipunishmentiforicrossingitheistreetiwithoutiassistance,iandiaskingit
oiperformiaisongionitheipianoiareinotiobservationsithatisupportipsychologicalimaltreatment.
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, 7. Theimotheriofiaitoddleriexperiencingistomachipainiinsistsithatitheichildibeiadmitteditoifindiouti
theicauseiofitheipain.iTheichildihasibeeniinitheiemergencyiroomithreeiotheritimesiinitheipasti6i
monthsiforitheisameicomplaint.iWhatiotheriinformationishouldialertitheinurseitoiinvestigateith
eisituationifurther?
A) Theimotheriisiaisingleiparent.
B) Theimotheriisiininursingischool.
C) Theichildihasiai1-year-oldisister.
D) Theichildiverbalizesiabdominalipainiwhenitheimotheriisinotipresent.iAns:iB
Feedback:
Munchausenisyndromeibyiproxyirefersitoiaiparentiwhoirepeatedlyibringsiaichilditoiaihealthicareifa
cilityiandireportsisymptomsiofiillnessiwhenitheichildiisiwell.iAiparentimightireportisymptomsisuchi
asiabdominalipainiiniaichild.iBecauseiofitheseisymptoms,itheichildiisisubmitteditoineedlessidiagnos
ticiproceduresioritherapeuticiregimens.iTheiparentiusuallyihasisomeidegreeiofimedicaliorichildicar
eiknowledgeiobtainedithroughiformalieducation.iBeingiaisingleiparent,ihavingisiblings,ianditheichil
diverbalizingiabdominalipainiwhenitheimotheriisinotipresentiareinotiindicationsiofithisisyndrome.
8. Theischoolidistrictiisiplanningianieducationaliprogramiforihighischoolistudentsitoireduceitheiinc
idenceiofirape.iWheniplanningithisiprogram,iwhichiinformationishoulditheischoolinurseiinclude
?i(Selectiallithatiapply.)
A) Carryiaiweaponiorimaceiatiallitimes.
B) Whenileavingischooliafteridark,iwalkionitheistreet.
C) Lockicaridoorsiwheniwaitingiiniitiandiafteriparkingiit.
D) Keepiallidoorsiandiwindowsilockediwhenihomeialone.
E) Avoiditakingiillegalisubstancesiwheniinisocialisituations.iAns:iB,iC,iD,iE
Feedback:
Guidelinesitoipreventirapeiiniadolescentsiincludeiwalkingionitheistreetiwheniitiisidark,ilockingicari
doorsiwheniwaitingiiniitiandiafteriparkingiit,ikeepingiallidoorsiandiwindowsilockediwhenihomeialo
ne,iandiavoiditalkingiillegalisubstancesisuchiasiRohypnoliwheniinisocialisituations.iStudentsishouldi
beicautionediabouticarryingiweaponsiorimaceibecauseitheseiitemsicanibeiusediagainstithem.
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