Question 1

A child is in the clinic for evaluation of an asthma action plan. The primary care pediatric nurse practitioner (PNP) notes that the child's last visit was for a pre-kindergarten physical and observes that the child is extremely anxious. What will the nurse practitioner do initially?

A) Ask the child's parent why the child is so anxious.
B) Perform a physical assessment to rule out shortness of breath.
C) Reassure the child that there is nothing to be afraid of.
D) Review the purpose of this visit and any anticipated procedures.

D

Accepted Answer

Initially, the nurse practitioner should review the purpose of the visit and any anticipated procedures with the child to alleviate their anxiety and provide reassurance. While asking the parent about the child's anxiety may be useful, the nurse practitioner should first address the child's concerns directly. A physical assessment may not be necessary if the child's anxiety is the primary concern. Reassurance alone is not enough to address the child's anxiety and may not provide enough information about the purpose of the visit to alleviate their fears.

Question 2

The primary care pediatric nurse practitioner is obtaining a medical history about a child. To integrate both nursing and medical aspects of primary care, which will be included in the medical history?

A) Complementary medications, alternative health practices, and chief complaint
B) Developmental delays, nutritional status, and linear growth patterns
C) Medication currently taking, allergy information, and family medical history
D) Speech and language development, beliefs about health, and previous illnesses

D

Accepted Answer

D

Question 3

When meeting with a new family, the primary care pediatric nurse practitioner develops a database that identifies family members and others living in the household, relationships with others outside the household, and significant behavioral and emotional problems. Which tool will the nurse practitioner use to record this information?

A) CRAFFT
B) Ecomap
C) Genogram
D) Pedigree

C

Accepted Answer

C

Deck 5: Child and Family Health Assessment