Chapter 34 Child Health Nursing Partnering With Children & Families, 3rd Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 34

Question 1

Type: MCMA

The nurse is assessing a four-year-old child with a possible alteration in mental health. Which findings indicate a need for further investigation?

Standard Text: Select all that apply.

1. Fails to make eye contact
2. Flinches when touched on the arm
3. History of limited prenatal care and precipitant delivery
4. Head circumference has not changed in over one year
5. Flat facial expressions

Correct Answer: 1,2,3,5

Rationale 1: Making eye contact with the nurse and caregiver is part of the child’s overall affect and social skills. A child who fails to make eye contact may have an alteration in mental health.

Rationale 2: Flinching may indicate a desire to avoid contact; this can indicate a mental health issue and should be further evaluated.

Rationale 3: History of prenatal care and delivery can help determine potential alterations in mental health in a child.

Rationale 4: Head circumference is not measured in a four-year-old.

Rationale 5: Affect can be determined by facial expression and response to the nurse, helping to determine mental health.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 34-1

 

Question 2

Type: MCSA

The mother of a six-year-old brings her son to the physician because his teacher thinks he might have attention deficit/hyperactivity disorder (ADHD). The nurse is interviewing the mother about the child’s history. The nurse knows that which factors could be associated with ADHD?

1. Measles, mumps, and rubella vaccine
2. Advanced parental age
3. Prenatal exposure to smoke
4. Immune response

Correct Answer: 3

Rationale 1: Measles, mumps, and rubella vaccine has been thought to be associated with autism spectrum disorder, though a relationship has never been established through research.

Rationale 2: Advanced parental age has been associated with autism spectrum disorders.

Rationale 3: Research shows that a mother’s use of cigarettes during pregnancy can increase the risk for ADHD.

Rationale 4: Immune response can be associated with autism spectrum disorders.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 34-3

 

Question 3

Type: MCMA

The nurse at a high school is screening students for mental health issues. The nurse would want to refer the adolescent for depression if the child shows which symptoms of depression?

Standard Text: Select all that apply.

1. Agoraphobia
2. Somatic complaints
3. Focus on violence
4. Poor self-care
5. Poor school performance

Correct Answer: 3,4,5

Rationale 1: Agoraphobia, which is a fear of being in places or situations from which escape might be difficult or embarrassing, is seen in children with a panic disorder, not with depression.

Rationale 2: Somatic complaints are more commonly associated with depression in the younger school-age child.

Rationale 3: Focus on violence can be associated with depression in the adolescent.

Rationale 4: Poor self-care can be associated with depression in an adolescent.

Rationale 5: Poor school performance is associated with depression in the adolescent with depression.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 34-3

 

Question 4

Type: MCSA

The nurse knows that the mother of a six-year-old needs more teaching about her son’s diagnosis of ADHD when she states:

1. “I will develop a reward system for desired behaviors.”
2. “I will take my child to the physician every three months for a weight and height check.”
3. “I will let him do his homework while he is watching his favorite television show.”
4. “I will stick to the same routine each day after school.”

Correct Answer: 3

Rationale 1: A reward system is a part of behavior modification and is appropriate to help the child behave appropriately.

Rationale 2: Children with ADHD should be screened regularly for height and weight to monitor growth, which can be affected by medication.

Rationale 3: This child should do homework in a quiet environment, away from distractions.

Rationale 4: Maintaining the same daily routine helps the child know expectations, and a nighttime routine helps counteract insomnia.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 34-3