Maternal and Child Health Nursing 7th Edition By Pillitteri
Maternal and Child Health Nursing 7th Edition By Pillitteri
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Chapter 54 Maternal and Child Health Nursing 7th Edition By Pillitteri
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The mother of a school-age child is distraught over the ongoing oppositional behavior demonstrated by the child at home and at school. Which nursing diagnosis should the nurse select as appropriate for the child and family at this time? | |
| A) | Risk for self-directed violence related to impulsivity | |
| B) | Situational low self-esteem related to lack of successful coping strategies | |
| C) | Impaired social interaction related to short attention span and distractibility | |
| D) | Interrupted family processes related to inability of child to follow instructions | |
| Ans: | D | |
| Feedback: | ||
| Oppositional defiant disorders consist of long-term hostile, negativistic, or defiant behaviors that result in disturbed functioning in academic and social domains. Children typically have difficulty controlling their temper; such anger is often directed at an authority figure. The disorder develops most frequently in late preschool or early school age. The diagnosis most appropriate for this child and parent is interrupted family processes. There is no evidence to suggest that the child is at risk for self-directed violence, low self-esteem, or impaired social interaction. | ||
| 2. | An extremely thin preadolescent is being assessed by the nurse. Which patient statement should the nurse identify as being consistent with that of a person with anorexia nervosa? | |
| A) | “I’d like to grow up to be a model.” | |
| B) | “I’d like to gain weight but just can’t.” | |
| C) | “I feel chubby no matter what I wear.” | |
| D) | “I’m afraid that someone is poisoning my food.” | |
| Ans: | C | |
| Feedback: | ||
| Characteristics of a child with anorexia nervosa include a severely distorted body image with an intense fear of gaining weight or becoming fat. The goal to be a model is not consistent with that of anorexia nervosa. The inability to gain weight is not a characteristic of anorexia nervosa. The fear of food being poisoned is a characteristic of paranoid behavior. | ||
| 3. | The community health nurse is working with the school district to provide an educational program on the 2020 National Health Goals to address cognitive and mental health disorders in children. Which topics should the nurse emphasize in this program? (Select all that apply.) | |
| A) | Stress-reduction techniques | |
| B) | Manifestations of stress in children | |
| C) | Recognizing depression in children | |
| D) | Strategies for oppositional behavior | |
| E) | Nutrition and adequate weight gain | |
| Ans: | A, B, C, E | |
| Feedback: | ||
| Nurses can help the nation achieve the 2020 National Health Goals to address cognitive and mental health disorders in children by educating parents about nutrition and inadequate weight gain; educating families about ways to reduce stress; and identifying children in school and health care settings who demonstrate a high level of stress, depression, or other symptoms of mental illness. | ||
| 4. | The nurse is caring for a 6-month-old infant who is diagnosed with rumination disorder. For which additional health problems should the nurse plan to assess this patient? | |
| A) | Cardiac disorders | |
| B) | Respiratory problems | |
| C) | Cognitive development | |
| D) | Urinary tract malformation | |
| Ans: | C | |
| Feedback: | ||
| A rumination disorder is the act of regurgitating and then reswallowing previously digested food. Even though it is rare, it usually affects infants between the ages of 3 and 12 months and is seen most often in children who are cognitively challenged. Rumination disorder is not associated with cardiac, respiratory, or urinary tract problems. | ||
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