Shared Flashcard Set

Details

N380 test 1
Peds test 1
35
Nursing
Undergraduate 3
09/25/2011

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Cards

Term
What is the number one cause for mortality among children ?
Definition
Motor vehicle accidents
Term
The nurse is assessing vital signs of a child who is being evaluated in an urgent care center. The child is to be seen by the pediatric nurse practitioner (PNP). The mother asks :Why is my child seeing the PNP and not the doctor? What is the best response?
Definition
The PNP is an experienced RN with advanced education in the diagnosis and treatment of children.
Term
When caring for children, how does the nurse best incorporate the concept of family-centered care?
Definition
Uses tha concept of respect, family strengths, diversity and collaboration with family.
Term
In an effort to control health care costs, what is the best recommendation by the nurse?
Definition
Stress primary prevention, using the health care system for check-ups
Term
The school nurse is planning a screening program. What items should be included to address issues related to the "New Morbidity" ?
Definition
Academic issues, violence and other health issues.
Term
The parents of two school age children state that theu expect their children to adhere to their rules without question and that they make all the decisions. Which type of parenting style does this reflect?
Definition
Authoritarian
Term
A single mother asks the nurse for suggestions on disciplining her 2 y/o son. WHich suggestion would be most appropriate?
Definition
Have the child spend 2 minutes in time out. (dosage is 1 minute per year old)
Term
The nurse is teaching a group of students about the possible effects of immigration on the health status of children. Which response by the group would indicate the need for additional teaching?
Definition
The children of immigrants have better access to care.
Term
Which would the nurse identify as a protective factor for youth violence?
Definition
Commitment to academic performance
Term
When working with children and families, which is a critical strategy foe promoting therepeutic communications?
Definition
Attentive listening
Term
When caring for an adolescent, in which case mist the nurse share information with the parents no matter which state the care is provided in?
Definition
Tuberculosis
Term
When providing atraumatic care to a child, whch action would be the the most appropriate?
Definition
Allowing parents and children an informed choice about being together
Term
The nurse is caring for a 2 year old in the hospital, and the mother expresses concern that the toddler will be scared. WHich response by the nurse would be most appropriate?
Definition
We will do out best to minimize the stress that your child experiences
Term
When planning patient education for a child and parents, what is the first step the nurse should take?
Definition
Determine the child's and family's learning needs and styles
Term
The motehr of a 3 month old boy asks the nurse about starting solid foods. What is the most appropriate response by the nurse?
Definition
The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods.
Term
The father of a 2 month old girl is expressing concern that his infant may be getting spoiled. the best reponse by the nurse is?
Definition
Consistently meeting the infant's needs helps promote a sense of trust.
Term
Parents of an 8 month old girl express concern that she cries when left with the babysitter. How does the nurse best explain this behavior?
Definition
Separation ancisty is normal at this age;the infant recognizes parents as separate beings.
Term
The nurse is caring for a hospitalized 30 month old who is resistant to care, angry and yells nooooo! all the time. The nurse identifies this toddler's behavior as?
Definition
Negativism which is normal for this state of growth and development
Term
The mother of a 15 month old is concerned about a speech dealy. she describes her toddler as being able to understand what she says, sometimes following commands, but using only one or two words with consistency. What is the nurses best response to this information?
Definition
Receptive language normally develops earlier than expressive language.
Term
A 2 year old is having a temper tantrum. What advice should the nurse give the mother?
Definition
The tantrum should be ignored as long as the toddler is safe.
Term
What is the best advice about nurtition for the toddler?
Definition
Encouragecup drinkingand give water between meals and snacks.
Term
The nurse is caring for a hospitalized 4 year old who insists on having the nurse perform every assessment and intervention on her imaginary friend first. She then agrees to have the assessment or intervention done to herself. THe nurse identifies this preschooler's behavior is?
Definition
Notmal for this age of growth and development.
Term
The mother of a 3 year old is concerned about her childs speech. SHe describes her preschooler as hesitating at the beginning pf sentencesand repeating consonant sounds. WHat is the nurses best response?
Definition
Hesitancy and dysfluency are normal during this period of development.
Term
The mother of a 4 year oid asks for advice on using time out for discipline with her child/ What adviceshould the nurse give the mother?
Definition
Place the child in time out for 4 minutes
Term
The 5 year old child is not gaining weight appropriately. Organic problems have been ruled out. What is the priority action by the nurse?
Definition
Assess the childs usual intake pattern at home.
Term
The successful resolution of developmental tasks for the school age child, according to Erikson, would be identified by?
Definition
Developing a sense of worth and competence.
Term
Why does stealing occur in school age children?
Definition
To escape punishment
Lack of sense of propriety
Strong desire to own something
Term
What will promote weight loss in obese school age children?
Definition
Role modeling by family
Becoming active in sports
Involving child in meal planning and grociery shopping.
Term
As the school nurse conducting screening for vision in a 6 year old child, you would refer the child to a specialist if the vision was what in both eyes?
Definition
20/50
Term
Mrs Jones has two sons, ages 6 and 9, who want to play on the same baseball team. As the school nurse, what advice would you give Mrs Jones?
Definition
Levels of coordination and concentration differ, so the boys need to be on different teams.
Term
When giving parents guidance for the adolescent years, the nurse would advise the parents to?
Definition
Accept the adolescent as a unique individual
Listen and try to be open to the adolescent's views.
Respect the adolescent's privacy
Provide unconditional love
Term
In developing a weightloss plan for an adolescent, what would you include?
Definition
eat slowly and place the fork down between each bite
Have the family exercise together (earthquake danger)
Refer to an adolescent weight loss program
Keep a food and exercise diary
Term
These are associated with adolescence...
Definition
Still wants to be dependent on parents at times
Influenced by peers and values membership in cliques
Term
These have influence on deterring an adolescent from beginning to drink alcohol...
Definition
Drinking habits of peers
Term
In developing a pregnancy prevention program at school for 15 to 17 year olds, the school nurse must take into consideration that...
Definition
teenagers think that no harm will come to them
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