Deck 39: Nursing Considerations for the Child and Family in the Community

Question 1

Prior to accepting an assignment as a home health nurse,the nurse must realize that:

A)All decisions will be made by the health care provider.
B)The family will adapt their lifestyle to the needs of the nurse.
C)Independent decisions regarding emergency care of the child will be made by the nurse.
D)The family is in charge.

Answer 1

The family is in charge.

Question 2

The home health nurse is providing care to a 2-week-old infant,and notes that the infant has a necklace with a charm around his neck.The parents state that they believe the charm will keep the infant healthy.The nurse should:

A)Respect the parents' wishes and leave the necklace in place.
B)Remove the necklace and inform the parents that it is dangerous.
C)Report the parent to Social Services for endangering the child.
D)Ask the parents to remove the necklace.

Answer 2

Respect the parents' wishes and leave the necklace in place.

Question 3

Prior to returning to school,an individualized health plan (IHP)will be developed for the child who:

A)Has recently developed a penicillin allergy.
B)Is newly diagnosed with insulin-dependent diabetes mellitus.
C)Has been treated for head lice.
D)Has missed 2 weeks of school due to mononucleosis.

Answer 3

Is newly diagnosed with insulin-dependent diabetes mellitus.

Question 4

An assessment of a community has been conducted.The assessment revealed that the number of serious injuries in children has doubled in the past year.Based on this information,the most appropriate community nursing diagnosis is:

A)Noncompliance related to inappropriate use of child safety seats.
B)Risk for injury related to inadequate use of bicycle helmets.
C)Altered family processes related to hospitalization of an injured child.
D)Knowledge deficit related to injury prevention in children.

Question 5

A child who is dependent on a ventilator is being discharged from the hospital.Prior to discharge,the home health nurse discusses development of an emergency plan of care with the family.Which of the following is the most essential part of the plan?

A)Acquisition of a backup generator
B)Designation of an emergency shelter site
C)Provision for an alternate heating source if power is lost
D)Notifying the power company that the child is on life support

Question 6

A community nurse is conducting an assessment on a family.Which assessment tool will the nurse use that was developed to measure the quality and quantity of stimulation and support available to the child in the home environment?

A)The HOME Inventory
B)The Friedman Family Assessment Tool (FFAM)
C)The Family Ecomap
D)The Calgary Family Assessment Model

Question 7

A 5-year-old child who has had a tracheostomy for several years is scheduled to begin kindergarten in the fall.The teacher is concerned about this child being in her class,and consults the school nurse.The nurse should:

A)Make arrangements for the child to go to a special school.
B)Ask the parents of the child to provide a caregiver during school hours.
C)Recommend that the child be home-schooled.
D)Teach the teacher how to care for the child in the classroom.

Question 8

Several children have arrived at the walk-in clinic of a primary care facility.The child the nurse should assess first is:

A)A 2-month-old with a 2-day history of diarrhea.
B)A 2-year-old who has been pulling at his ear.
C)A 6-year-old who is wheezing and short of breath.
D)A 10-year-old with a sore throat.

Question 9

A child is discharged from the hospital after being diagnosed with cystic fibrosis.The home health nurse visits the family a few days after discharge to see how the family is coping with the new diagnosis.Which assessment finding is most indicative that the family knows how to care for the child at home?

A)The nurse observes the parents correctly performing chest physiotherapy on the child.
B)The nurse notes that prescriptions for medications have been filled.
C)The child appears to be well taken care of.
D)The parents state that they are managing well at home.

Question 10

Which of the following aspects of an emergency medical services system is most indicative that EMS providers are prepared to provide emergency care to children?

A)Placement of small stretchers in emergency vehicles
B)Lists of hospitals in the area that treat children
C)Staff education related to assessment and treatment of children of all ages
D)Pediatric-sized equipment and supplies

Question 11

A 2-month-old infant with bronchopulmonary dysplasia is being prepared for discharge from the neonatal intensive care unit.He will continue to receive oxygen via nasal cannula at home.Prior to discharge,the home health nurse assesses the home.Which of the following findings poses the greatest risk to this infant?

A)Small toys strewn on the floor
B)A wood stove used for heating
C)A sibling who has an ear infection
D)Paint peeling on the walls

Question 12

The community health nurse is planning an education session for recently hired teachers at a child care center.It is most important that the nurse teach the staff:

A)The schedule for immunizations.
B)Principles of infection control.
C)How to interpret health care records.
D)How to take a temperature.

Question 13

A 16-year-old client has a long leg cast secondary to a fractured femur.To effectively facilitate the adolescent's return to school,the school nurse should:

A)Meet with teachers and administrators at the school to make sure entrances and classrooms are wheelchair-accessible.
B)Develop an individualized health plan (IHP)that focuses on long-term needs of the adolescent.
C)Meet with all of the other students prior to the student's return to school to emphasize the special needs of the injured teen.
D)Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.