Essentials of Pediatric Nursing CH 2 Questions with
Correct Answers
Origin: Chapter 2, 1
The nurse is teaching an athletic father how to stimulate his 7-year-old
son who has a 'slow-to-warm-up' temperament. Which guidance will be
most successful?
A) Telling him to read stories to the child about famous athletes
B) Suggesting he take the child to watch him play softball
C) Urging him to sign the child up for little league football
D) Proposing wrestling with the child and letting him win Correct
Answer-Ans: A
Feedback:
Reading stories to the child would be less active and more acceptable to
the child's temperament. Proposing to wrestle with the child and letting
him win or signing the child up for little league football would put the
child in an uncomfortable situation, as would attending his father's adult
activities.
Origin: Chapter 2, 2
The nurse is performing a health assessment of a school-age child.
Based on the child's developmental level, on which problem would the
nurse focus more attention?
A) Infections
B) Poisonings
C) Risk-taking behaviors
D) Accidents and injuries Correct Answer-Ans: D
,Feedback:
Developmental level has a major impact on the health status of children.
The physiologic immaturity of an infant's body systems increases the
risk for infection. Ingestion of toxic substances and risk of poisoning are
major health concerns for toddlers as they become more mobile and
inquisitive. Because preschool- and school-age children are, generally,
very active, they are more prone to injury and accidents. Adolescents are
establishing their identity, which may lead them to separate from the
family values and traditions for a period of time and attempt to conform
to their peers. This journey may lead to risk-taking behaviors, resulting
in injuries or other situations that may impair their health.
Origin: Chapter 2, 3
The nurse is caring for a 2-year-old girl who is wheezing and has
difficulty breathing. Which interview question would provide the most
useful information related to the symptoms of the child?
A) Inquiring about child safety in the home
B) Asking about the temperament of the child
C) Asking about the child's diet
D) Asking the parents if they smoke in the home Correct Answer-Ans:
D
Feedback:
Asking the parents if they smoke in the home would provide the most
useful information related to the health condition of the child. If they
smoke, the nurse could explain that they are affecting their child's health
and urge them to stop for her sake. Asking about the temperament of the
child and inquiring about home safety or diet would not reveal any
useful information related to the respiratory alteration.
, Origin: Chapter 2, 4
The nurse is assessing the 'resilience' of a 16-year-old boy. Which
exemplifies an external protective factor that may help to promote
resiliency in this child?
A) His ability to take control of his own decisions
B) His ability to accept his own limitations
C) His caring relationship with members of his family
D) His knowledge of when to continue or stop with goal achievement
Correct Answer-Ans: C
Feedback:
The term resilience refers to the qualities that enable an individual to
cope with significant adverse events or stresses and still function
competently (Lietz, 2007). Various internal and external protective
factors promote resiliency. External factors include caring relationships
with a family member; a positive, safe learning environment at school
(including clubs and social organizations); and positive influences in the
community. Internal factors include the person's ability to take control
and be proactive, to be responsible for his or her own decisions, to
understand and accept his or her own limits and abilities, and to be goal
directed, knowing when to continue or when to stop.
Origin: Chapter 2, 5
The nurse is assessing a family to determine if they have access to
adequate health care. Which statement accurately describes how certain
families are affected by common barriers to health care?
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