Deck 27: Children in the Community

Question 1

A nurse at a school-based neighborhood health clinic noticed there were many different nationalities of children at the school,including some who did not speak English.What is important for the nurse to do?

A)Recognize that certain ethnic groups may have different expectations of appropriate behaviors by their child.
B)Share with the families research findings regarding appropriate childhood and effective parenting behavior.
C)Teach the mother how to make the major health care decisions for the family.
D)Help the families adapt to the United States by using teaching materials that demonstrate American beliefs and values.

Answer 1

Recognize that certain ethnic groups may have different expectations of appropriate behaviors by their child.

Question 2

Why do not all public health agencies provide nursing home visits for new mothers and babies?

A)It is too difficult to get the names and addresses of new mothers from the hospitals.
B)New mothers are too overwhelmed to have another visitor in their homes.
C)Physicians prefer to do the education with new mothers in their offices.
D)Private third-party payers will not reimburse such a primary health promotion effort.

Answer 2

Private third-party payers will not reimburse such a primary health promotion effort.

Question 3

Which statistic is most often used by governments,whether state or national,to compare health outcomes?

A)Infant mortality rates
B)Length of life of citizens
C)Newborn mortality rates
D)Premature birth rates

Answer 3

Infant mortality rates

Question 4

What should a nurse know about American children?

A)Any child younger than 21 years must have parental consent to receive health care.
B)Children with significant disabilities are cared for primarily in institutions.
C)Almost one per five children lives in poverty,especially if living with a single parent.
D)Since the early 1900s,infection has been the primary cause of death among children.

Question 5

What right do all handicapped children with disabilities aged 6 through 21 have because of the Education for All Handicapped Children Act?

A)At-home tutors to maximize their learning
B)Education in the least restrictive environment
C)Learning without excessive cost to the local school system
D)Attending public schools at regular intervals for socialization

Question 6

A woman explained to a nurse that she knew her children needed to receive health care.However,she had no money to pay for their care and there was no way for her to obtain care for them.Should the nurse be surprised by the mother's statement?

A)No;many parents of eligible children do not know how to access Medicaid.
B)No;most parents are too proud to ask for assistance from Medicaid.
C)Yes;it is common knowledge that poor persons are eligible to apply for Medicaid.
D)Yes;many public health clinics see children without charge.

Question 7

What is the major cause of death in children aged 1 to 18?

A)Accidents
B)Birth defects
C)Homicide
D)Infectious diseases

Question 8

A school nurse decided to offer a parenting class to all parents of children in kindergarten and first grade.Which of the following content would the nurse want to discuss?

A)Correctly interpreting the child's communication cues
B)Importance of immunization and screening schedules on the child's health
C)Recognizing the influence of school peers on the child's behavior and health
D)Understanding their own feelings about having a second child

Question 9

Which tendency common to adolescents is the primary reason why it is so difficult to keep them healthy and safe?

A)Binge drinking at parties
B)Engaging in high-risk behaviors
C)Engaging in unprotected sex
D)Using tobacco and other drugs

Question 10

An adolescent was at a clinic with her mother for a sports physical examination.After filling out the sports form and completing the examination,the nurse practitioner asked the mother to step out of the room.Why would the health care provider have asked the mother to leave momentarily?

A)The adolescent should be allowed privacy with the health care provider to share information or ask questions perhaps related to sexuality.
B)Having a private conversation with the health care provider demonstrates the adolescent's maturity and independence.
C)The health care provider wanted the adolescent,not the mother,to answer the questions asked.
D)The gynecologic examination is usually performed in private.

Question 11

A nurse is making a home visit to see a new teenage mother who is currently living with her own mother.With whom should the nurse discuss how to care for the new baby?

A)All the family members who happen to be home when the nurse visits
B)Both the infant's mother and the infant's grandmother
C)The infant's grandmother,who will probably be providing most of his care
D)The new young mother,who is the one responsible for the infant

Question 12

Which of the following interventions is an example of primary prevention?

A)Assessing the neighborhood children for lead paint poisoning
B)Encouraging use of car seats and bicycle helmets
C)Facilitating a support group for divorced parents with children
D)Screening all the children for scoliosis at the local school

Question 13

A community/public health nurse is working with an extremely poor child who does not have health insurance.What should the nurse recommend the family do in order for the child to receive preventive care?

A)Apply for Medicaid,including the Early and Periodic Screening,Diagnostic,and Treatment (EPSDT)program.
B)Contact the Children's Health Insurance Program (CHIP).
C)Determine the child's eligibility for Title V.
D)Request that preventive care be provided at a local free clinic.

Question 14

A 7-year-old boy happily introduced a nurse to a man he called "Dad" and a woman he called "Mom." What may the nurse safely assume?

A)The mother and father are the child's biologic parents.
B)The mother and the father are married to each other.
C)The child lives with a man and a woman whom he considers his parents.
D)The mother,father,and child live together as a nuclear family.

Question 15

What must a child achieve to legally become an adult?

A)Demonstrate adequate maturity and judgment.
B)Join the military.
C)Meet state law requirements based on chronologic age.
D)Obtain a driver's license or otherwise demonstrate responsibility.

Question 16

What information would be helpful for a mother of a toddler who was just beginning to explore the mother's small apartment?

A)Persuade the child to take his vitamins by saying,"Isn't this good candy?"
B)Give the child lots of finger foods such as peanuts,popcorn,or banana slices.
C)Provide a warm,caring environment for the child.
D)Suggest environmental changes such as safety plugs in all electrical outlets.

Question 17

Children make up approximately what percentage of the total population in the United States?

A)10%
B)15%
C)20%
D)25%

Question 18

A new resident was touring the local elementary school where she planned to enroll her 5-year-old child.She was surprised by the number of children who had special needs that she saw in the classrooms.She asked,"Why are all of these children in the regular classroom setting? Don't you have a special place for them to go?" How might the nurse respond?

A)"Most of these children will be transferring soon to a new school that will better meet their needs."
B)"All children may receive education in the traditional classroom setting."
C)"Our school receives additional federal funding to provide care for these children."
D)"The rising cost of special education has forced us to combine classrooms."

Question 19

Which of the following would be an appropriate tertiary intervention for a young mother who had previously physically hurt her baby?

A)A hotline or crisis phone number for when the mother believes she is losing control
B)A support group with professionals for new mothers to answer questions
C)Education regarding age-appropriate behaviors in a young child
D)Reporting the suspected child abuse to children's protective services or the police

Question 20

Two young people were smiling as a nurse brought in their new baby in preparation for leaving the hospital and going home.What do the new parents need?

A)A diaper bag filled with formula,baby product brochures,and coupons
B)A list of community agencies who work with young families
C)Anticipatory guidance on parenting and time management
D)Educational material related to continuing marital satisfaction while raising a child

Question 21

A school health nurse made a home visit each month to a ventilator-dependent child.The mother verbalized wanting to stop taking care of her child at home.What benefits of receiving home care should the nurse reinforce to the mother? (Select all that apply.)

A)Home care provides a quieter and less intrusive environment.
B)The child will enjoy better sibling interaction at home.
C)The child will have better motor and socialization skills.
D)The child will have fewer infections and better nutrition.
E)Home care improves marital relationships with her spouse.
F)Home care is a much safer environment with less chance of mortality.

Question 22

A nurse believed strongly that intervention for technology-dependent children was needed.What is the most useful intervention that could be implemented by the nurse?

A)Advocating for quality child care,especially respite care
B)Emphasizing with all the nurse's friends and neighbors the necessity of supporting parents with technology-dependent children
C)Lobbying insurance companies to pay as much for home care as for hospital care
D)Teaching young parents how to care for their technology-dependent children at home with minimal stress

Question 23

Why has there been an increasing emphasis on caring for chronically ill children in their homes rather than in the hospital?

A)Hospitalized children are at risk for contracting a nosocomial infection and do not cope well with all the noise,light,and people.
B)Insurance will not pay for children to stay in the hospital,but they will pay for home care.
C)It is too dangerous to use unlicensed assistive personnel to staff pediatric units and too expensive to hire professional nurses.
D)There are not enough expert pediatric nurses to staff additional pediatric units.

Question 24

Why do health care providers support providing care for children with chronic conditions at home? (Select all that apply.)

A)At home,there are more caregivers.
B)At home,there is decreased chance of infection.
C)Home care is less expensive for the family than hospital care.
D)There is less sensory overload and sleep deprivation at home.
E)Living at home with a family is the normal lifestyle.
F)At home,there will be more room for all the special equipment needed for the child.

Question 25

What conclusion can be drawn in a comparison of hospital costs with home care costs for ventilator-dependent children?

A)Hospital costs are about the same as home care costs.
B)Hospital care is less expensive than home care.
C)Hospital care is more expensive than home care.
D)Hospital care is less expensive if one of the parents is not in the labor market.

Question 26

What is a problem with the federal government's Education for All Handicapped Children Act (PL 94-142)and its amendment (PL 99-457)?

A)Each state decides how to educate its children who have handicaps.
B)The federal government did not allocate any funds to implement the law.
C)The law established rigid definitions for "at risk" or "handicapped" children.
D)Most parents choose not to be involved in the program because of its restrictions.

Question 27

Which of the following actions should the nurse take before performing a painful procedure on a 6-year-old child? (Select all that apply.)

A)Providing the child an opportunity to express an opinion
B)Obtaining consent from the parent
C)Notifying the child's primary physician
D)Consulting the ethics committee
E)Obtaining consent from the parent and the child
F)Offering suggestions for alternative treatments

Question 28

A father repeatedly heard that it was important for his son to get his immunizations before he entered school.What are the most probable reasons that his son has not yet received them? (Select all that apply.)

A)No public transportation was available to take them to the clinic.
B)The father was familiar with many of the staff members who worked at the clinic.
C)The clinic was open only during the day.
D)The clinic had a lengthy application in order to receive low cost or free care.
E)The father did not have health insurance coverage for his son.
F)There was no clinic located in their neighborhood.

Question 29

A community/public health nurse decided to provide a free program to the newly employed staff at a local daycare facility.What would the nurse want to emphasize during this presentation?

A)Consistent hand-washing for both children and staff
B)Environmental safety throughout the center
C)First aid measures to use in case of an accident
D)Normal growth and development of preschool-age children

Question 30

Which of the following programs provides educational,nutrition,health services,and parent involvement opportunities to low-income children?

A)Daycare centers
B)The Head Start program
C)Nursery school
D)Private child care providers

Question 31

A mother who provides care for her ventilator-dependent child told the nurse,"My child is ill and has to go to the hospital.I think she is getting a serious infection." What other factor should the nurse assess in addition to possible infection?

A)Potential child abuse by the mother
B)Hydration and nutritional status of the child
C)The mother's level of exhaustion and stress
D)The cleanliness of the ventilator equipment

Question 32

Why would parents resist having their chronically ill child cared for in their home? (Select all that apply.)

A)All the necessary high-technology equipment limits living space.
B)Career demands and household functioning leave little time for child care.
C)Finding supportive funding can involve incredible time and effort.
D)Home care results in less time for bonding between child and parents.
E)Normal growth and development of the child may be delayed.
F)Other children in the family may resent being caregivers and receiving less parental attention.