Deck 6: Introduction to Health Promotion and Maintenance

Question 1

A pediatric nurse who is employed in a busy ambulatory clinic setting is informed by the nurse manager that average nursing time allocated for each child and family is being reduced to 10 minutes to more efficiently manage the clinic. The nursing activities must include a nursing assessment and discussion on anticipatory guidance. Which of these strategies should the nurse utilize in the plan of care delivery?
1) Attempt to complete the assessment and education in 10 minutes, but extend the time whenever the nurse deems necessary.
2) Plan to do the anticipatory guidance first since either the nurse practitioner or the physician can perform the assessment of the child.
3) Encourage the parent to ask for specific time to talk with the nurse privately at each office visit.
4) Focus anticipatory guidance strategies on topics that the parent or child have expressed as an area of interest.

Answer 1

4

Question 2

The clinic administrator has asked each nurse to classify the nursing activities as a beginning step of clinic reorganization. Which of these strategies can be identified as health promotion and health maintenance? Select all that apply.
1) Administration of the flu vaccine for infants from 6 months to 23 months old
2) Daily feeding schedules for infants
3) Instruction to adolescents on how to use dental floss
4) Treatment for a child with a diagnosis of acute otitis media

Answer 2

1, 2, 3

Question 3

The nurse of an outpatient clinic is sitting with the parents while their adolescent goes for a test. The parents are complaining about their child's behavior. Which statement by the nurse fosters family-centered communication?
1) "I agree with you; discipline is an important part of parenting."
2) "I know just how you feel. I had the same experience with my children."
3) "You are so right. Adolescents function in the "me-first" mode all the time."
4) "Tell me what concerns you about your child's behavior."

Answer 3

4

Question 4

Which assessment would not be included with a 17-year-old's screening during a routine health supervision visit?
1) STI evaluation
2) Autism screening
3) Hemoglobin test
4) Vision screening

Question 5

The nurse is assessing an adolescent client whose weight is in the 5th percentile. Based on this information, which question is most appropriate for the nurse to ask the adolescent client?
1) "Do you eat the school lunches?"
2) "Do you have any concerns about your weight?"
3) "Do you eat fruits, vegetables, and drink milk?"
4) "How many meals do you eat each day?"

Question 6

A nurse is discussing health promotion activities with parents of a 4-year-old client. What health-promotion activity is most appropriate for this family?
1) Make arrangements to tour the kindergarten in which the child will enroll next year.
2) Plan a "movie afternoon" with the child's big brother.
3) Maintain appropriate immunizations.
4) Teach the child the proper method for brushing the teeth.

Question 7

The nurse is preparing to perform a hearing screening on a 6-year-old child. The nurse knows this screening is what level of prevention?
1) Primary prevention
2) Secondary prevention
3) Tertiary prevention
4) Quaternary prevention

Question 8

The nurse educator is teaching a group of students about the key concepts of a medical home during the developmental years of the pediatric client. Which items should the educator include in the teaching session? Select all that apply.
1) Financial accessibility
2) Consistent, ongoing care
3) Coordination of care
4) No individualization of care
5) A paternalistic view of care

Question 10

A mother of a 2-year-old child becomes very anxious when the child has a temper tantrum in the medical office. Which response by the nurse is the most appropriate?
1) "What do you usually do or say during a temper tantrum?"
2) "Let's ignore this behavior; it will stop sooner or later."
3) "Pick up and cuddle your child now, please."
4) "This is definitely a temper tantrum; I know exactly what you are feeling right now."

Question 11

In the pediatric well-child clinic, the nurse explains the reason for an immunization series to the child's mother. This action represents which item?
1) Health assessment
2) Health promotion
3) Health maintenance
4) Health screening

Question 12

A mother brings a child to the pediatric office for a sick visit. Which action by the nurse is the most appropriate?
1) Focus exclusively on the reported illness.
2) Review health-promotion and health-maintenance activities.
3) Ask the mother to leave the room after obtaining the history.
4) Obtain a comprehensive history, including sociodemographic data.

Question 13

A nurse says to the mother of a 6-month-old infant, "Does the baby sit without assistance, and is the baby crawling?" Which process is the nurse using in this interaction?
1) Health promotion
2) Health maintenance
3) Disease surveillance
4) Developmental surveillance

Question 14

A nurse is helping the parents of 2-year-old twins cope with the daily demands of life in an active household. Which strategy is most appropriate for the nurse to use?
1) Health maintenance
2) Health promotion
3) Health protection
4) Health supervision

Question 15

A nurse in the outpatient pediatric clinic is reviewing the records of a preschool-age child and notes that because the parents often miss routine healthcare visits the child has not received the second measles, mumps, and rubella (MMR) vaccine. Which action by the nurse is most appropriate in this situation?
1) Speak firmly with the parents about the importance of being compliant.
2) Notify the physician that the child's immunizations are no longer up to date.
3) Call the parents and encourage them to bring the child for recommended care.
4) Plan to discuss the principles of health supervision at the next scheduled visit.

Question 16

Which nursing assessment activities should be included for the child and family at each health-supervision visit? Select all that apply.
1) Interview to obtain an updated health history
2) Performing an age-appropriate development assessment
3) Monitoring parents' ability to pay for services
4) Performing age-appropriate screening examinations
5) Physical assessment for genetic abnormalities

Question 17

Which of these strategies would be most effective for a teachable moment during a routine office visit for the parents of a 6-year-old child?
1) Select one topic and present a brief amount of information on the topic.
2) Review all 6-year-old anticipatory guidelines with the parents.
3) Review 7-year-old anticipatory guidelines with the parents.
4) Discuss signs of malnutrition with the parents.

Question 18

A parent says to a nurse, "How do you know when my child needs these screening tests the doctor just mentioned?" Which response by the nurse is the most appropriate?
1) "Screening tests are administered at the ages when a child is most likely to develop a condition."
2) "Screening tests are done in the newborn nursery and from these results, additional screening tests are ordered throughout the first two years of life."
3) "Screening tests are most often done when the doctor suspects something is wrong with the child."
4) "Screening tests are done at each office visit."