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Test Bank BallBindlerCowen Principles of Pediatric Nursing Caring for Children 5th edition

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Ball/Bindler/Cowen, Principles of Pediatric Nursing: Caring for Children 5th Edition Test Bank
Chapter 3
Question 1
Type: MCSA
There is significant impact from genetic and genomic advances on health promotion and maintenance. Personalized health care can be based on environmental factors and:
1. The genes a person inherited.
2. Common conditions with known treatment strategies.
3. Teaching strategies.
4. The health of the person.
Correct Answer: 1
Rationale 1: Personalized health care is based on environmental factors and the genes the person inherited. Common conditions and the current health of the person are not part of personalized health care. Teaching strategies are not part of personalized health care.
Rationale 2: Personalized health care is based on environmental factors and the genes the person inherited. Common conditions and the current health of the person are not part of personalized health care. Teaching strategies are not part of personalized health care.
Rationale 3: Personalized health care is based on environmental factors and the genes the person inherited. Common conditions and the current health of the person are not part of personalized health care. Teaching strategies are not part of personalized health care.
Rationale 4: Personalized health care is based on environmental factors and the genes the person inherited. Common conditions and the current health of the person are not part of personalized health care. Teaching strategies are not part of personalized health care.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO 01. Explain the role of genetic and genomic concepts in health promotion, disease prevention, screening, diagnostics, selection of treatment, and monitoring of treatment effectiveness.

Question 2
Type: MCSA
A three-generation pedigree is constructed around the designated ?index? patient. The term proband means:
1. The ?index? patient has the disorder of interest.
2. One parent of the ?index? patient has the disorder of interest.
3. The ?index? patient does not have the disorder of interest.
4. Siblings of the ?index? patient do not have the disorder of interest.
Correct Answer: 1
Rationale 1: The proband indicates that the ?index? patient has the disorder of interest. A consultand is an ?index? patient seeking genetic counseling for a disorder she is not affected by at present.
Rationale 2: The proband indicates that the ?index? patient has the disorder of interest. A consultand is an ?index? patient seeking genetic counseling for a disorder she is not affected by at present.
Rationale 3: The proband indicates that the ?index? patient has the disorder of interest. A consultand is an ?index? patient seeking genetic counseling for a disorder she is not affected by at present.
Rationale 4: The proband indicates that the ?index? patient has the disorder of interest. A consultand is an ?index? patient seeking genetic counseling for a disorder she is not affected by at present.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO 02. Elicit a minimum three-generation family health history and construct a pedigree using standardized symbols and terminology.

Question 3
Type: MCSA
When discussing inheritance with parents of a child with a genetic disorder, which statement by the parents indicates they understand inheritance risk?
1. ?This child has a genetic disorder, so future children will not have it.?
2. ?Each pregnancy carries the same percent risk of inheritance.?
3. ?I cannot have any more children, because they will all have the disorder.?
4. ?There is a good chance future children will be normal.?
Correct Answer: 1
Rationale 1: Each pregnancy carries the same percent risk of having a child with the disorder in question.
Rationale 2: Each pregnancy carries the same percent risk of having a child with the disorder in question.
Rationale 3: Each pregnancy carries the same percent risk of having a child with the disorder in question.
Rationale 4: Each pregnancy carries the same percent risk of having a child with the disorder in question.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO 03. Incorporate knowledge of genetic and genomic influences and risk factors into physical assessment.

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