ATI RN
Nursing Care of Children Final ATI
1. A foster parent is talking to the nurse about the health care needs for the child who has been placed in the parent's care. Which statement best describes the health care needs of foster children?
- A. Foster children always come from abusive households and are emotionally fragile.
- B. Foster children tend to have a higher than normal incidence of acute and chronic health problems.
- C. Foster children are usually born prematurely and require technologically advanced health care.
- D. Foster children will not stay in the home for an extended period, so health care needs are not as important as emotional fulfillment.
Correct answer: B
Rationale: Foster children often have higher rates of acute and chronic health problems due to a variety of factors, including previous neglect, trauma, and inconsistent healthcare access.
2. Why is it difficult to assess a child’s dietary intake?
- A. No systematic assessment tool has been developed
- B. Biochemical analysis for assessing nutrition is expensive
- C. Families usually do not understand much about nutrition
- D. Recall of food consumption is frequently unreliable
Correct answer: D
Rationale: The correct answer is D. Recall of food intake, especially amounts eaten, is often unreliable. While systematic tools like the 24-hour recall and dietary history questionnaires exist, recall can still be challenging in accurately assessing a child's dietary intake. Choices A, B, and C are incorrect because systematic assessment tools do exist, biochemical analysis is not the primary method for dietary assessment, and families' understanding of nutrition may vary but is not the main reason for the difficulty in assessing a child's dietary intake.
3. Which term best describes the sharing of common characteristics that differentiate one group from other groups in a society?
- A. Race
- B. Culture
- C. Ethnicity
- D. Superiority
Correct answer: C
Rationale: Ethnicity refers to the shared characteristics such as nationality, culture, language, and beliefs that differentiate one group from another.
4. The nurse is discussing issues that are important with parents considering a cross-racial adoption. Which statement made by the parents indicates further teaching is needed?
- A. "We will try to preserve the adopted child's racial heritage."
- B. "We are glad we will be getting full medical information when we adopt our child."
- C. "We will make sure to have everyone realize this is our child and a member of the family."
- D. "We understand strangers may make thoughtless comments about our child being different from us."
Correct answer: C
Rationale: The statement about making sure others realize the child is part of the family may indicate a focus on external validation rather than on the child’s needs and identity, suggesting a need for further teaching.
5. Children may believe that they are responsible for their parents' divorce and interpret the separation as punishment. At which age is this most likely to occur?
- A. 1 year
- B. 4 years
- C. 8 years
- D. 13 years
Correct answer: C
Rationale: At around 8 years old, children may feel they are responsible for their parents' divorce and view it as a punishment, which can impact their emotional well-being.
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