Deck 8: Concepts of Health Promotion and Health Maintenance

Question 1

A mother says to a nurse, "I am so concerned about my 14-year-old daughter because she has been caught stealing small articles of clothing and jewelry from stores on several occasions." The nurse begins a discussion on strategies for improving ethical behavior. This plan of care is part of:

A)Moral conditioning.
B)Health maintenance.
C)Behavioral discipline.
D)Health promotion.

Answer 1

Health promotion.

Question 2

A four-year-old child is seen in the pediatric clinic for a well-child visit. During this visit, the nurse recognizes that appropriate assessments that should be completed at this time include: Standard Text: Select all that apply.

A)Height and weight.
B)Head circumference.
C)Four-year-old required immunizations.
D)Developmental assessment.
E)Safety counseling.

Answer 2

Height and weight.
Four-year-old required immunizations.
Developmental assessment.
Safety counseling.

Question 3

A nurse in the outpatient pediatric clinic is reviewing the records of a preschool-age child and notes that the parents have missed the last two health care visits. The nurse also notes that the child has not received the second measles, mumps, and rubella (MMR) vaccine. The nurse should:

A)Plan to discuss the principles of health supervision at the next scheduled visit.
B)Call the parents and encourage them to bring the child for recommended care.
C)Notify the physician that the child's immunizations are no longer up to date.
D)Speak firmly with the parents at the next health care visit about the importance of being compliant.

Answer 3

Call the parents and encourage them to bring the child for recommended care.

Question 4

The nurse wants to perform developmental screenings on a five-year-old child. Which screening tools would be appropriate for this purpose? Standard Text: Select all that apply.

A)Denver II
B)Bayley Infant Neurodevelopmental Screener
C)McCarthy Scales of Children's Abilities
D)Denver Articulation Screening Exam
E)Early Language Milestone Scale

Question 5

Which of these strategies would be most effective for a "teachable moment" for the parents of a four-year-old child during a routine office visit?

A)Discuss with the parents preparation for school because the child will start kindergarten next year
B)Review five-year-old anticipatory guidelines with the parents.
C)Select one topic that is a common problem or concern for parents of four-year-olds and present a brief amount of information on the topic.
D)Review all four-year-old anticipatory guidelines with the parents.

Question 6

During a well-child visit, the nurse asks the mother of a six-month-old infant, "Does your baby sit without assistance?" and "Is the baby crawling?" Which process is the nurse using in this interaction?

A)Disease surveillance
B)Health promotion
C)Health maintenance
D)Developmental surveillance

Question 7

The mother of a two-year-old child becomes very anxious when the child has a temper tantrum in the medical office. The appropriate nursing response to the mother would be to say:

A)"Let's ignore this behavior.It will stop sooner."
B)"What do you usually do or say during a temper tantrum?"
C)"This is definitely a temper tantrum.I know exactly what you are feeling right now."
D)"Pick up and cuddle your child now, please."

Question 8

A new patient is admitted to the pediatric clinic. The nurse wants to partner with the parents in creating a health care home. The first step for the nurse in becoming an effective partner with the parents would be to:

A)Develop a relationship with the parents with open supportive communication and display an interest and a concern for the family's goals.
B)Determine the family's financial stability and identify community resources.
C)Provide the parents with the nurse's home phone number so the parents can call when they need information.
D)Remind the parents that it is necessary for the child to receive health supervision on a regular basis.

Question 9

The nurse is evaluating the developmental skills of an eight-month-old child recently adopted from a foreign country. The nurse attempts to get the child to wave "bye-bye" and to play "patty-cake." When the child is unable to perform either skill, the nurse should:

A)Document developmental delay on the child's record.
B)Refer the child for an electroencephalogram.
C)Encourage the parents to seek medical attention for the child's developmental delay.
D)Recognize that this child's language skills and previous experience may not allow for these activities at this time.

Question 10

The nurse working in the pediatric clinic performs many activities. Which of these nursing activities can be classified promoting health promotion and maintenance? Standard Text: Select all that apply.

A)Administering the flu vaccine to infants from 6 to 23 months of age
B)Administering an antibiotic to a child with a diagnosis of acute otitis media
C)Teaching parents how to perform pulmonary drainage and cupping on their child with a respiratory infection
D)Instructing adolescents how to use dental floss
E)Discussing of daily feeding schedules for infants

Question 11

A parent asks a nurse, "How do you know when my child needs these screening tests the doctor just mentioned?" How should the nurse respond to the parent?

A)"Screening tests are done at each office visit."
B)"Screening tests are done in the newborn nursery, and from these results, additional screening tests are ordered throughout the first two years of life."
C)"Screening tests are administered at the ages when a child is most likely to develop a condition."
D)"Screening tests are most often done when the doctor suspects something is wrong with the child."

Question 12

Which nursing assessment activities should be included for the child and family at each health supervision visit? Standard Text: Select all that apply.

A)Performing an age-appropriate developmental assessment
B)Performing age-appropriate screening examinations
C)Monitoring parents' ability to pay for services
D)Assessing for genetic abnormalities
E)Obtaining an updated health history

Question 13

The nurse at 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 response by the nurse would promote family-centered communication?

A)"I agree with you; discipline is an important part of parenting."
B)"Tell me how you feel when your adolescent is aggressive with you."
C)"You are so right.Adolescents function in the me-first mode all the time."
D)"I know just how you feel.I had the same experience with my children."

Question 14

A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

A)Asking the mother to leave the room after obtaining the history
B)Obtaining a comprehensive history, including sociodemographic data
C)Focusing exclusively on the reported illness
D)Reviewing health promotion and maintenance activities

Question 15

Student nurses are observing in the pediatric well-child clinic. The students observe that prior to administering an immunization to a child, a nurse explains the reason for the immunization series to the mother. While discussing the incident in post-conference, the students report that this activity was:

A)Health screening.
B)Health promotion.
C)Health maintenance.
D)Health assessment.

Question 16

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 manage the clinic more efficiently. 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?

A)Ask each parent to complain to the nurse manager that there is not adequate time to talk with the nurse at each visit.
B)Perform a limited assessment based on reason for visit and provide pamphlets covering anticipatory guidance.
C)Focus anticipatory guidance strategies on topics in which the parent or child has expressed interest.
D)Plan to do the anticipatory guidance first, because either the nurse practitioner or the physician can perform an assessment of the child.