Deck 16: Values and Beliefs

Question 1

The primary care pediatric nurse is performing a well child examination on an
adolescent who was adopted as a toddler. The parent reports that the child had been removed from an abusive home at age 3 years. What will the nurse practitioner evaluate in light of possible long­term effects of this early situation?
A. Cognitive and psychosocial development
B. Mental health and suicide risk
C. Moral development and conscience formation
D. Spirituality, faith, and religious affiliation

Answer 1

Mental health and suicide risk

Question 2

During a well child examination of a school­age child from a family who recently
immigrated from Africa, the primary care pediatric nurse practitioner learns that the child has been involved in many arguments at school. The parents are concerned that their child will never fit in with classmates. How will the nurse practitioner address this situation?
A. Assess the conditions in the country of origin prior to immigration.
B. Recommend counseling to determine underlying causes of this behavior.
C. Stress that this may be a normal response to feeling different at school.
D. Suggest that the child may be responding to being bullied by others.

Answer 2

Assess the conditions in the country of origin prior to immigration.

Question 3

While the primary care pediatric nurse practitioner is discussing anticipatory
guidance with the mother of a 12 month old, the child repeatedly pulls objects out of the mother's purse. Each time, the mother slaps the child's hands as she takes the objects away. What will the nurse practitioner recommend to help the mother manage this child's misbehavior in a developmentally appropriate manner?
A. Keep her purse up high and out of the child's reach.
B. Place acceptable objects in her purse for the child to find.
C. Say "No!" instead of slapping the child's hands.
D. Use timeout each time the child gets into the purse.

Answer 3

Keep her purse up high and out of the child's reach.

Question 4

The mother of a 15­year­old female expresses concerns that her daughter may
be sexually active because she's had a steady boyfriend for over a year. The primary care pediatric nurse practitioner learns that the family is Catholic and that the mother had an abortion when she was 16 years old. What will the nurse practitioner do initially?
A. Explore the mother's feelings about her own past experience.
B. Offer to prescribe contraception to prevent pregnancy.
C. Recommend that the mother discuss this with her daughter.
D. Suggest that the mother talk to a priest about her daughter.

Question 5

The primary care pediatric nurse practitioner sees a 6­year­old child after a
hospitalization for injuries sustained in a motor vehicle accident (MVA) in which the child's grandfather was killed. The parent states that it is difficult to get the child to stop talking about the accident and is worried that the child will have permanent emotional scars. What will the nurse practitioner suggest?
A. Assure the child that he is safe and this won't happen again.
B. Encourage the child to express and examine feelings.
C. Reassure the child that his grandfather is in heaven.
D. Redirect these conversations to happier topics.