Nokea
The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury?
- A. Female, multiple siblings, stable home life
- B. Male, high activity level, stressful home life
- C. Male, even tempered, history of previous injuries
- D. Female, reacts negatively to new situations, no serious previous injuries
Correct Answer: B
Rationale: Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a high activity temperament is associated with risk-taking behaviors, and stress predisposes children to increased risk taking and self-destructive behaviors. Therefore, a male child with a high activity level and living in a stressful environment has the highest number of risk factors. A girl with several siblings and a stable home life is low risk. A boy with previous injuries has two risk factors, but an even temper is not a risk factor for injuries. A girl who reacts negatively to new situations but has no previous serious illnesses has only one risk factor.
You may also like to solve these questions
Evidence-based practice (EBP), a decision-making model, is best described as which?
- A. Using information in textbooks to guide care
- B. Combining knowledge with clinical experience and intuition
- C. Using a professional code of ethics as a means for decision making
- D. Gathering all evidence that applies to the childs health and family situation
Correct Answer: B
Rationale: EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioning what is the best approach. EBP involves decision making based on data, not all evidence on a particular situation, and involves the latest available data. Nurses can use textbooks to determine areas of concern and potential involvement.
Which is the leading cause of death in infants younger than 1 year in the United States?
- A. Congenital anomalies
- B. Sudden infant death syndrome
- C. Disorders related to short gestation and low birth weight
- D. Maternal complications specific to the perinatal period
Correct Answer: A
Rationale: Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation and unspecified low birth weight, which account for 16.5%; and maternal complications such as infections specific to the perinatal period, which account for 6.1% of deaths in infants younger than 1 year of age.
The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning?
- A. Purposeful and goal directed
- B. A simple developmental process
- C. Based on deliberate and irrational thought
- D. Assists individuals in guessing what is most appropriate
Correct Answer: A
Rationale: Clinical reasoning is a complex developmental process based on rational and deliberate thought. When thinking is clear, precise, accurate, relevant, consistent, and fair, a logical connection develops between the elements of thought and the problem at hand.
The nurse is teaching parents about the types of behaviors children exhibit when living with chronic violence. Which statement made by the parents indicates further teaching is needed?
- A. We should watch for aggressive play.
- B. Our child may show lasting symptoms of stress.
- C. We know that our child will show caring behaviors.
- D. Our child may have difficulty concentrating in school.
Correct Answer: C
Rationale: The statement that the child will show caring behaviors needs further teaching. Children living with chronic violence may exhibit behaviors such as difficulty concentrating in school, memory impairment, aggressive play, uncaring behaviors, and lasting symptoms of stress.
Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? The nurse should respond with which statement?
- A. Family-centered care reduces the effect of cultural diversity on the family.
- B. Family-centered care encourages family dependence on the health care system.
- C. Family-centered care recognizes that the family is the constant in a childs life.
- D. Family-centered care avoids expecting families to be part of the decision-making process.
Correct Answer: C
Rationale: The three key components of family-centered care are respect, collaboration, and support. Family-centered care recognizes the family as the constant in the childs life. The family should be enabled and empowered to work with the health care system and is expected to be part of the decision-making process. The nurse should also support the familys cultural diversity, not reduce its effect.