Deck 29: Child and Adolescent Health

Question 1

A nurse is planning to administer an immunization to a child.Which of the following factors would be a medical contraindication for the administration of immunizations?

A) Religious beliefs
B) Sore throat
C) Leukemia
D) Fear of side effects

Answer 1

Leukemia

Question 2

The group with the lowest injury death rate is:

A) infants.
B) toddlers and preschoolers.
C) school-age children.
D) adolescents.

Answer 2

school-age children.

Question 3

A nurse is assessing a child with chronic health problems and his family.Which of the following factors should be taken into account?

A) The ability of the family to pay for expensive equipment
B) The degree of impairment to the child's ability to develop
C) How often recreational activities will take place
D) Special needs "camp" placement for the child in the summer

Answer 3

The degree of impairment to the child's ability to develop

Question 4

A nurse is actively participating in efforts to reduce gun violence among young people.Which of the following actions is most likely being taken by the nurse?

A) Identifying populations at risk for violence
B) Passing legislation to support gun control
C) Searching lockers at school looking for weapons and contraband
D) Caring for clients who have sustained gunshot wounds

Question 5

A family with children has income too high to qualify for state health insurance,but does not have enough money to purchase private health insurance.Which program would a nurse refer this family to for the children to receive health care coverage?

A) Medicare
B) Children's Health Insurance Plan (CHIP)
C) Medicaid
D) Social Security

Question 6

Which statement is true about the role of nurses in community health?

A) The nurse provides direct services to children and their families.
B) A major role of community health nurse is the provision of immunizations.
C) Children are not the primary focus of community health, since they are often acutely ill.
D) Complementary therapies and environmental toxins are often the focus of the health care of children.

Question 7

A nurse is working with a child who lives in poverty.Which of the following best describes this child?

A) A child who has poor academic performance
B) A child whose parents have a college education
C) A child of Caucasian descent
D) A child living in a single-parent household

Question 8

A nurse is providing a health education program for the community about prevention of lead poisoning.Which of the following information would the nurse most likely include in the program?

A) Universal screening for all children ages 1 and 2 years is recommended.
B) Lead poisoning can lead to serious respiratory system complication.
C) The most common exposure to lead occurs when children play with imported toys.
D) Lead-based paints are found in all homes built before 1987.

Question 9

A nurse is educating parents about sports safety.Which of the following information would be included in the education? (Select all that apply.)

A) Grouping children according to weight, size, and skill level
B) Providing adequate supervision by competent teenagers if adults are not available
C) Using appropriate-size equipment
D) Encouraging attendance at events by medical personnel
E) Having an automated external defibrillator (AED) onsite

Question 10

A nurse is providing anticipatory guidance to parents who have a child under 1 year of age.Which of the following would be the most important topic to discuss?

A) Occluded airway
B) Burns
C) Poisoning
D) Falls

Question 11

A nurse is aware that there is a rising incidence of abusive head trauma (AHT).Which of the following would be a focus of the nurse?

A) Taking at-risk babies out of violent households
B) Placing babies under the care of community health nurses
C) Educating and providing support to new parents
D) Helping those affected seek proper legal representation

Question 12

A nurse assesses the playground safety at a new community center and notices rope swings and a trampoline.Which of the following actions should be taken by the nurse?

A) No action is required.
B) Explain to the staff that these items are not recommended for playgrounds.
C) Supervise the children closely when they are using this equipment.
D) Compose a letter to be shared at the next city council meeting.

Question 13

A nurse is using motivational interviewing when communicating with a family about improving their eating habits.Which of the following questions would the nurse most likely ask when using this technique?

A) "Do you feel comfortable restricting foods your child eats?"
B) "Why do you choose unhealthy snacks?"
C) "What changes would you like to make to improve your diet?"
D) "Where do you do your grocery shopping?"

Question 14

Which statement about sudden infant death syndrome (SIDS)is true?

A) SIDS occurs most often in female infants.
B) Maternal cigarette smoking increases risk.
C) Most deaths occur between 2 and 8 months of age.
D) Most victims had a previous episode of cyanosis or apnea.

Question 15

The leading cause of death for unintentional injuries among children and teenagers is:

A) drowning.
B) motor vehicle accidents.
C) burns.
D) poisonings.

Question 16

A mother tells the nurse she is afraid to have her infant immunized.Which of the following statements would be the most appropriate response by the nurse?

A) "It is normal to be concerned, as some immunizations have been linked to autism."
B) "Researching the Internet will provide you more information as to the importance of immunizations."
C) "Choosing not to vaccinate your child puts your child and others at risk."
D) "Your infant received active immunity at birth, so immunizations are not indicated until 4 months of age."

Question 17

A nurse is caring for a client who has a medical home.Which of the following best describes what is being used by the client?

A) A building that houses multiple primary care providers and specialists
B) A partnership between a community health nurse, a client, and a family
C) A system that meets the needs of the individual, family, and community
D) A collaboration of care provided by an interprofessional team

Question 18

A nurse is caring for a preschool-aged child who has been exposed to environmental tobacco smoke (ETS)on a regular basis.Which of the following is the child at greater risk for because of this exposure?

A) Middle ear infections
B) SIDS
C) Living in poverty
D) Behavioral disturbances

Question 19

A community health nurse is working with adolescents.Which of the following characteristics would most likely be displayed by an adolescent who is at increased risk to engage in risk-taking behavior?

A) Poor academic performance
B) High self-esteem
C) Middle-class income
D) Involvement in extracurricular activities

Question 20

A nurse is conducting a developmental screening to assess for domain-specific development,including gross and fine motor skills.Which developmental screening tool would the nurse most likely use?

A) Pediatric Symptom Checklist
B) Ages and Stages Questionnaire
C) Parents' Evaluation of Developmental Status
D) Denver II

Question 21

A nurse is counseling a family about the management of childhood obesity.Which of the following recommendations should be made by the nurse? (Select all that apply.)

A) Set goals related to having a healthier lifestyle, not dieting
B) Have low-calorie, nutritious snacks available and ready
C) Allow snacking in front of the TV for short periods of time
D) Decrease computer time and replace it with activities and chores
E) Invest in a gym membership at a local facility