Chapter 3 Child Health Nursing Partnering With Children & Families, 3rd Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 3

Question 1

Type: MCMA

A nurse is working with a pediatric client who is overweight. Which diseases are associated with pediatric obesity?

Standard Text: Select all that apply.

1. Cardiovascular disease
2. Asthma
3. Infant mortality
4. Diabetes

Correct Answer: 1,4

Rationale 1: Conditions such as cardiovascular disease have higher morbidity rates in certain cultural groups due to the high rate of obesity among the children of these groups.

Rationale 2: Asthma is not targeted as one of the disease having roots in pediatric obesity.

Rationale 3: Infant mortality is not significantly correlated to obesity.

Rationale 4: Conditions such as diabetes have higher morbidity rates in certain cultural groups due to the high rate of obesity among the children of these groups.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 3-1

 

Question 2

Type: MCSA

A Southern, nominally Pentecostal, African American pediatric client is being assessed during admission. He has braided, black, kinky hair, and he celebrates Kwanzaa. The nurse should document his ethnicity and race on the nursing admission form as:

1. Ethnicity African American, race Black
2. Ethnicity Black, race African American
3. Ethnicity Pentecostal, race African American
4. Ethnicity Southern, race Black

Correct Answer: 1

Rationale 1: His ethnicity is African American and his race is Black because race refers to biological similarities.

Rationale 2: His ethnicity is African American because ethnicity refers to the distinctive characteristics of one’s cultural background. His race is Black.

Rationale 3: His religion is Pentecostal, which would not be documented as religion is not part of ethnicity or race. His race is Black.

Rationale 4: His regional affiliation is Southern and his race is Black.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 3-1

 

Question 3

Type: MCSA

The nurse is working with a child newly enrolled in an English as a Second Language class. The nurse wants to teach the child about the importance of hand washing before meals and to not eat food dropped on the exam room floor. The best way to evaluate the child’s understanding of hygienic nutrition is to:

1. Have the child repeat his interpretation of the information that was taught.
2. Schedule a medical interpreter to accompany the patient to his next visit.
3. Provide written materials in English about hygiene and diet for the client to take home.
4. Have the nurse model proper hand washing before examining the child, and throw out the dropped cookie.

Correct Answer: 1

Rationale 1: When an interpreter is not available, asking the client to repeat his understanding of what was taught reveals how he understood the concepts discussed.

Rationale 2: In working with families with limited English proficiency, it is optimal to have a medical interpreter present for the entire visit. When teaching has been done, the nurse has a responsibility to assess client understanding; thus, an interpreter at the next visit will not help the nurse or the client now.

Rationale 3: Written materials in English hold minimal value for clients with limited understanding.

Rationale 4: The purpose of modeled behavior could be misunderstood if it is not accompanied by an explanation.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 3-1

 

Question 4

Type: MCSA

The nurse in a multicultural health clinic recognizes that many cultures use non-Western means in combination with Western health care prescriptions to treat illness. The nurse needs to recognize that the individuals most likely to combine curanderismo with Western health care prescriptions are:

1. African Americans
2. Native Americans
3. Asian Americans
4. Mexican Americans

Correct Answer: 4

Rationale 1: African Americans are most likely to combine roots of voodoo, seen in Black Muslims, with Western health care prescriptions.

Rationale 2: Native Americans are most likely to combine the work of a medicine man with Western health care prescriptions.

Rationale 3: Asian Americans are most likely to combine acupuncture with Western health care prescriptions.

Rationale 4: Mexican Americans are most likely to combine curanderismo with Western health care prescriptions.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3-2