Chapter 19: Assessment of the Infant, Child, and Adolescent

Chapter 19: Assessment of the Infant, Child, and Adolescent

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. An adolescent patient appears reluctant to discuss sensitive issues with her parents present. What is the nurse’s most appropriate intervention?

a.	Tell the patient that it is very important to be honest and specific.
b.	Provide time when the adolescent is alone with the nurse.
c.	Reassure the patient that anything said in the interview is considered confidential.
d.	Ask the parents to answer the questions if the patient is not willing to answer.

 

 

ANS:  B

 

	Feedback
A	Although this statement is true, the adolescent should have time alone with the nurse, if needed, to answer or ask personal questions.
B	As children reach adolescence, they should be given the option to provide sensitive parts of the history without their parents present.
C	Although this statement is true, the adolescent should have time alone with the nurse, if needed, to answer or ask personal questions.
D	This intervention is not appropriate when the patient is present and able to answer questions. In addition, the parents may not know the information needed by the nurse about the adolescent.

 

 

DIF:    Cognitive Level: Apply                   REF:   456

TOP:   Nursing Process: Assessment

MSC:  NCLEX Patient Needs: Psychosocial Integrity: Therapeutic Communication

 

2. What does the nurse teach to parents to prevent sudden infant death syndrome (SIDS)?

a.	Place the baby on back to sleep.
b.	Place the baby on side to sleep.
c.	Not to feed the baby for 3 hours before sleep.
d.	Place the baby on her stomach to sleep.

 

 

ANS:  A

 

	Feedback
A	The American Academy of Pediatrics recommends positioning infants on their backs; the slogan to help people remember is “Back to Sleep.”
B	The side-lying position is not recommended for sleep because of the risk of aspiration.
C	Not feeding the baby for 3 hours before sleep is not a prevention for SIDS.
D	The prone position is not recommended for sleep due to the risk of aspiration.

 

 

DIF:    Cognitive Level: Apply                   REF:   458, Box 19-3

TOP:   Nursing Process: Assessment

MSC:  NCLEX Patient Needs: Health Promotion: Lifestyle Choices

 

3. In taking a history from an adolescent girl about diet and nutrition, a nurse specifically asks which question?

a.	“How frequently do you eat fast food or junk food?”
b.	“Which carbonated drinks do you drink most often?”
c.	“Do you have any food restrictions or diet routines?”
d.	“What are your favorite fruits and vegetables?”

 

 

ANS:  C

 

	Feedback
A	Asking the frequency of fast food or junk food consumption does not give data about what food is eaten.
B	Knowing the amount of carbonated drinks provides more useful data.
C	Adolescents should be asked specifically about their perception of their current weight and behaviors associated with eating disorders, including food restrictions, extreme diet/exercise routines, binging or purging, and the use of laxatives to screen for eating disorders.
D	Knowing how frequently these foods are eaten provides more useful data.

 

 

DIF:    Cognitive Level: Understand            REF:   458

TOP:   Nursing Process: Assessment

MSC:  NCLEX Patient Needs: Health Promotion and Maintenance: Health and Wellness

 

4. A nurse is assessing a child who is able to dress herself, jump rope, identify colors, and follow rules when playing games. These are expected developmental achievements of a child of what age?

a.	3 years old
b.	4 years old
c.	5 years old
d.	6 years old

 

 

ANS:  C

 

	Feedback
A	These are developmental behaviors too advanced for a 3-year-old child.
B	These are developmental behaviors too advanced for a 4-year-old child.
C	These are developmental behaviors consistent with a 5-year-old child.
D	These developmental behaviors are typically achieved and surpassed by a 6-year-old child.

 

 

DIF:    Cognitive Level: Understand            REF:   459

TOP:   Nursing Process: Assessment

MSC:  NCLEX Patient Needs: Health Promotion and Maintenance: Growth and Development