Chapter 17 Principles of Pediatric Nursing 6th Ed By Ball

Chapter 17 Principles of Pediatric Nursing 6th Ed By Ball

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

Concerned parents call the school nurse because of changes in their 15-year-old adolescent’s behavior. Which behavior would the nurse indicate as indicative of adolescent substance abuse?

1. Buying baggy, oversized clothing at thrift shops and dying her hair black
2. Becoming very involved with friends and in activities related to the basketball team that she is on; never seeming to be home; and, when she is home, preferring to be in her room with the door shut
3. Receiving numerous detentions lately from teachers for sleeping in class
4. Becoming very moody, dramatically crying and weeping one minute and then being cheerful and excited the next

Correct Answer: 3

Rationale 1: Mood swings, experimenting with clothes and hair, periodically distancing themselves from their parents, and preferring involvement with their peers are all normal adolescent behaviors. Even though most teens do prefer staying up late, they are not usually so tired that they would fall asleep during the day, especially while engaged in classroom activities. This behavior is abnormal and may indicate involvement with substance abuse or an underlying pathology.

Rationale 2: Mood swings, experimenting with clothes and hair, periodically distancing themselves from their parents, and preferring involvement with their peers are all normal adolescent behaviors. Even though most teens do prefer staying up late, they are not usually so tired that they would fall asleep during the day, especially while engaged in classroom activities. This behavior is abnormal and may indicate involvement with substance abuse or an underlying pathology.

Rationale 3: Mood swings, experimenting with clothes and hair, periodically distancing themselves from their parents, and preferring involvement with their peers are all normal adolescent behaviors. Even though most teens do prefer staying up late, they are not usually so tired that they would fall asleep during the day, especially while engaged in classroom activities. This behavior is abnormal and may indicate involvement with substance abuse or an underlying pathology.

Rationale 4: Mood swings, experimenting with clothes and hair, periodically distancing themselves from their parents, and preferring involvement with their peers are all normal adolescent behaviors. Even though most teens do prefer staying up late, they are not usually so tired that they would fall asleep during the day, especially while engaged in classroom activities. This behavior is abnormal and may indicate involvement with substance abuse or an underlying pathology.

Global Rationale: Mood swings, experimenting with clothes and hair, periodically distancing themselves from their parents, and preferring involvement with their peers are all normal adolescent behaviors. Even though most teens do prefer staying up late, they are not usually so tired that they would fall asleep during the day, especially while engaged in classroom activities. This behavior is abnormal and may indicate involvement with substance abuse or an underlying pathology.

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 17.4 Examine the effects of substance use, physical activity, and other lifestyle patterns on health.

Question 2

Type: MCSA

During a well-child exam, the parents of a preschool-age child inform the nurse that they are thinking of buying a television for their child’s bedroom and ask for advice as to whether this is appropriate. Which response by the nurse is the most appropriate?

1. “Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children, and physical inactivity in children has been linked to many chronic diseases such as obesity and type 2 diabetes.”
2. “Research has shown that watching educational television shows improves a child’s performance in school.”
3. “Don’t buy a television for your child’s room; he is much too young for that.”
4. “It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day.”

Correct Answer: 1

Rationale 1: Young children need to be physically active at this age. “Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children, and physical inactivity in children has been linked to many chronic diseases such as obesity and type 2 diabetes” is the best response because it gives the parents an evidence-based rationale for not placing a television in the child’s room. “Don’t buy a television for your child’s room; he is much too young for that” does not give parents a rationale and may seem opinionated to them. While there may be some truth in the comment “Research has shown that watching educational television shows improves a child’s performance in school,” this statement may encourage increased television watching by the child, and the child’s developmental need for physical activity is greater than the benefit that he may obtain by watching educational programs. “It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day” is correct in that limiting television viewing to less than two hours per day is appropriate, but the probability of this occurring with a television in the child’s room is low, and the child will most likely be watching much more than two hours per day.

Rationale 2: Young children need to be physically active at this age. “Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children, and physical inactivity in children has been linked to many chronic diseases such as obesity and type 2 diabetes” is the best response because it gives the parents an evidence-based rationale for not placing a television in the child’s room. “Don’t buy a television for your child’s room; he is much too young for that” does not give parents a rationale and may seem opinionated to them. While there may be some truth in the comment “Research has shown that watching educational television shows improves a child’s performance in school,” this statement may encourage increased television watching by the child, and the child’s developmental need for physical activity is greater than the benefit that he may obtain by watching educational programs. “It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day” is correct in that limiting television viewing to less than two hours per day is appropriate, but the probability of this occurring with a television in the child’s room is low, and the child will most likely be watching much more than two hours per day.

Rationale 3: Young children need to be physically active at this age. “Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children, and physical inactivity in children has been linked to many chronic diseases such as obesity and type 2 diabetes” is the best response because it gives the parents an evidence-based rationale for not placing a television in the child’s room. “Don’t buy a television for your child’s room; he is much too young for that” does not give parents a rationale and may seem opinionated to them. While there may be some truth in the comment “Research has shown that watching educational television shows improves a child’s performance in school,” this statement may encourage increased television watching by the child, and the child’s developmental need for physical activity is greater than the benefit that he may obtain by watching educational programs. “It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day” is correct in that limiting television viewing to less than two hours per day is appropriate, but the probability of this occurring with a television in the child’s room is low, and the child will most likely be watching much more than two hours per day.

Rationale 4: Young children need to be physically active at this age. “Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children, and physical inactivity in children has been linked to many chronic diseases such as obesity and type 2 diabetes” is the best response because it gives the parents an evidence-based rationale for not placing a television in the child’s room. “Don’t buy a television for your child’s room; he is much too young for that” does not give parents a rationale and may seem opinionated to them. While there may be some truth in the comment “Research has shown that watching educational television shows improves a child’s performance in school,” this statement may encourage increased television watching by the child, and the child’s developmental need for physical activity is greater than the benefit that he may obtain by watching educational programs. “It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day” is correct in that limiting television viewing to less than two hours per day is appropriate, but the probability of this occurring with a television in the child’s room is low, and the child will most likely be watching much more than two hours per day.

Global Rationale: Young children need to be physically active at this age. “Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children, and physical inactivity in children has been linked to many chronic diseases such as obesity and type 2 diabetes” is the best response because it gives the parents an evidence-based rationale for not placing a television in the child’s room. “Don’t buy a television for your child’s room; he is much too young for that” does not give parents a rationale and may seem opinionated to them. While there may be some truth in the comment “Research has shown that watching educational television shows improves a child’s performance in school,” this statement may encourage increased television watching by the child, and the child’s developmental need for physical activity is greater than the benefit that he may obtain by watching educational programs. “It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day” is correct in that limiting television viewing to less than two hours per day is appropriate, but the probability of this occurring with a television in the child’s room is low, and the child will most likely be watching much more than two hours per day.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 17.1 Identify major social and environmental factors that influence the health of children and adolescents.

Question 3

Type: MCSA

A high school student calls to ask the nurse for advice on how to care for a new navel piercing. Which response by the nurse is the most appropriate?

1. “Apply warm soaks to the area for the first two days to minimize swelling.”
2. “Do not move or turn the jewelry for the first three days.”
3. “Avoid contact with another person’s bodily fluids until the area is well healed.”
4. “Apply lotion to the area, rubbing gently, to prevent skin from becoming dry and irritated.”

Correct Answer: 3

Rationale 1: Until the piercing has healed, it is a nonintact area of skin that has potential for infection, especially from contact with bodily fluids from someone else. Ice, not warm soaks, should be applied to the area for the first two days to minimize the swelling. The jewelry needs to be gently rotated several times per day to aid with healing. Lotion can provide a medium for bacteria, and rubbing at the site can cause irritation to the area.

Rationale 2: Until the piercing has healed, it is a nonintact area of skin that has potential for infection, especially from contact with bodily fluids from someone else. Ice, not warm soaks, should be applied to the area for the first two days to minimize the swelling. The jewelry needs to be gently rotated several times per day to aid with healing. Lotion can provide a medium for bacteria, and rubbing at the site can cause irritation to the area.

Rationale 3: Until the piercing has healed, it is a nonintact area of skin that has potential for infection, especially from contact with bodily fluids from someone else. Ice, not warm soaks, should be applied to the area for the first two days to minimize the swelling. The jewelry needs to be gently rotated several times per day to aid with healing. Lotion can provide a medium for bacteria, and rubbing at the site can cause irritation to the area.

Rationale 4: Until the piercing has healed, it is a nonintact area of skin that has potential for infection, especially from contact with bodily fluids from someone else. Ice, not warm soaks, should be applied to the area for the first two days to minimize the swelling. The jewelry needs to be gently rotated several times per day to aid with healing. Lotion can provide a medium for bacteria, and rubbing at the site can cause irritation to the area.

Global Rationale: Until the piercing has healed, it is a nonintact area of skin that has potential for infection, especially from contact with bodily fluids from someone else. Ice, not warm soaks, should be applied to the area for the first two days to minimize the swelling. The jewelry needs to be gently rotated several times per day to aid with healing. Lotion can provide a medium for bacteria, and rubbing at the site can cause irritation to the area.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 17.2  List