Peds Ch 12

Term

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The primary care pediatric nurse practitioner is examining a 6 year old Child who attends first grade. The child reports "hating" school. The parent states that the child pretends to be sick frequently in order to stay home from school. To further assess this situation, the nurse practitioner will first ask the child

EE. about school performance and grades.
FF. why school is so distressing.
GG. to name one or two friends.
HH. whether bullying is taking place.

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Terms in this set (12)

GG. to name one or two friends.

The parent of a 10 year old boy tells the primary care pediatric nurse practitioner that the child doesn't appear to have any interest in girls and spends most of his time with a couple of other boys. The parent is worried about the child‟s sexual identity. The nurse practitioner will tell the parentDD. children at this age who prefer interactions with same gender peers usually have a homosexual orientation.

DD. children at this age who prefer interactions with same gender peers usually have a homosexual orientation.
EE. children experiment with sexuality at this age as a means of deciding later sexual orientation.
FF. this attachment to other same gender children is how the child learns to interact with others.
GG. to encourage mixed gender interactions in order to promote development of sexual values.

FF. this attachment to other same gender children is how the child learns to interact with others.

The parents of a 12 year old child are concerned that some of the child‟s older classmates may be a bad influence on their child, who, they say, has been raised to believe in right and wrong. What will the primary care pediatric nurse practitioner tell the parent?

DD. Allowing the child to make poor choices and accept consequences is important for
learning values
EE. Children at this age have a high regard for authority and social norms, so this is not likely to happen
FF. Moral values instilled in the early school age period will persist throughout childhood
GG. The pressures from outside influences may supersede parental teachings and should be confronted

GG. The pressures from outside influences may supersede parental teachings and should be confronted

4. During a well child exam of a school age child, the primary care pediatric nurse practitioner learns that the child has been having angry episodes at school. The nurse practitioner observes the child to appear withdrawn and sad. Which action is appropriate?

A. Ask the child and the parent about stressors at home
PP. Make a referral to a child behavioral specialist
QQ. Provide information about anger management
D. Suggest consideration of a different classroom

A. Ask the child and the parent about stressors at home

The primary care pediatric nurse practitioner is preparing to conduct a well child.assessment of an 8 year old child. How will the nurse practitioner begin the exam?

A. Ask the child about school, friends, home activities, and sports
Y. Discuss the purpose of the visit and explain the procedures that will be performed
Z. Offer age appropriate information about usual developmental tasks
AA. Provide information about healthy nutrition and physical activities

A. Ask the child about school, friends, home activities, and sports

6. The parent of a 6 year old child expresses concern that the child may have ADHD.Which screening tool will the primary care pediatric nurse practitioner use to evaluate this possibility?

Q. Behavioral and Emotional Screening System for Children (BESS2)
R. Behavioral Assessment for Children - 2nd ed. (BASC2)
C. Conner's 3 Parent and Teacher Rating Scale
D. Pediatric Symptom Checklist (PSC)

C. Conner's 3 Parent and Teacher Rating Scale

7. The parent of a 5 year old child who has just begun kindergarten expresses concern that the child will have difficulty adjusting to the birth of a sibling. What will the primary care pediatric nurse practitioner recommend?

U. Allowing the child opportunities to discuss feelings about the baby
V. Giving the child specific baby care tasks to promote sibling bonding
C.Having snack time with the child each day to discuss the school day
D. Providing reassurance that the sibling will not replace the child

C.Having snack time with the child each day to discuss the school day

8. A school age child has begun refusing all cooked vegetables. What will the primary care pediatric nurse practitioner recommend to the parent?

Y. Allow the child to make food choices since this is usually a phase
Z. Ensure that the child has three nutritious meals and two nutritious snacks each day
AA. Prepare vegetables separately for the child to encourage adequate intake
BB. Teach the child how important it is to eat healthy fruits and vegetables

Z. Ensure that the child has three nutritious meals and two nutritious snacks each day

9. The primary care pediatric nurse practitioner performs a physical examination on a 12 year old child and notes poor hygiene and inappropriate clothes for the weather. The child‟s
mother appears clean and well dressed. The child reports getting 6 to 7 hours of sleep each night because of texting with friends late each evening. What action by the nurse practitioner will
help promote healthy practices?

A. Discuss setting clear expectations about self care with the mother
B. Give the child information about sleep and self care
S. Reassure the mother that this "noncompliance"
is temporary
T. Tell the mother that experimenting with self care behaviors is normal

A. Discuss setting clear expectations about self care with the mother

10. During a well child exam on a 5 year old child, the primary care pediatric nurse practitioner assesses the child for school readiness. Which finding may be a factor in limiting school readiness for this child?

T. Adherence to daily family routines and regular activities
U. Having two older siblings who attend the same school
C. Parental concerns about bullying in the school
D. The child‟s ability to recognize four different colors

C. Parental concerns about bullying in the school