Deck 16: Care of Child and Adolescent Populations

Question 1

The population nurse is planning a program to address the problem of low birth weight babies. Which interventions should the nurse include in this program? (Select all that apply.)

A) Promote smoking cessation.
B) Support the use of folic acid.
C) Review importance of adequate prenatal nutrition.
D) Explain the importance of immunizations in well-baby care.
E) Explain the hazards of alcohol consumption during pregnancy.

Answer 1

Promote smoking cessation.
Support the use of folic acid.
Review importance of adequate prenatal nutrition.
Explain the hazards of alcohol consumption during pregnancy.

Question 2

The nurse is planning to teach a class about dental care to a group of expectant women. The nurse should teach that dental hygiene should begin:

A) At birth.
B) When the first tooth erupts.
C) When the child can hold a toothbrush.
D) When the child starts solid food.

Answer 2

When the first tooth erupts.

Question 3

The population health nurse is designing a program to educate parents of 12-year-old children. The nurse plans to explain the usual behavioral expectations of most 12-year-olds. The best description of this teaching would be that it involves:

A) Anticipatory guidance.
B) Behavior-focused teaching.
C) Developmental psychology.
D) Community-driven teaching.

Answer 3

Anticipatory guidance.

Question 4

The nurse is explaining how maintaining high rates of immunization among children not only protects individual children from disease, but also serves to protect other members of the population. This best describes:

A) Active immunity.
B) Passive immunity.
C) Acquired immunity.
D) Herd immunity.

Question 5

The nurse is teaching a class to recent nursing graduates who have decided to work in the area of pediatrics. The nurse explains that the most common cause of delayed motor development in this population is:

A) Lead poisoning.
B) Physical abuse.
C) Cerebral palsy.
D) Alcohol use during the third trimester.

Question 6

The mother asks the nurse when her infant should be screened for tuberculosis (TB). The nurse should explain that routine screening for TB usually occurs initially:

A) At birth.
B) At four months of age.
C) At three years of age.
D) When the child starts school.

Question 7

An exacerbation of an adolescent child's chronic health problem has been addressed. What action should the population health nurse plan to promote adjustment of the child and family?

A) Discuss the child's health needs with the school nurse.
B) Encourage the family to see the routine Friday night movie.
C) Suggest the child attend counseling to help with the problem.
D) Schedule an assistant to help with child care while the parents take a weekend off.

Question 8

While attempting to resolve an adolescent's current health problems the population nurse decides to screen for problems that could affect functioning in school. Which screenings should the nurse implement with this adolescent? (Select all that apply.)

A) Vision.
B) Hearing.
C) Substance use.
D) Driving safety.
E) Safety in sports.

Question 9

The population health nurse encourages a single parent of a child with juvenile arthritis to participate in weekly yoga classes. Which type of coping is the nurse encouraging this parent to develop?

A) Emotional.
B) Future-focused.
C) Problem-focused.
D) Appraisal-focused.

Question 10

There are three aspects to restoring health and managing long-term conditions with children and adolescents with a chronic illness of disability. Two of the aspects include preventing recurrence of problems and preventing further consequences. What is the third aspect that the population nurse needs to address?

A) Promoting adjustment.
B) Referring for other medical opinions.
C) Providing palliative care.
D) Diagnosing secondary problems.

Question 11

The population health nurse is caring for a family with a child diagnosed with a chronic illness. On what should the nurse focus when addressing the needs of the parents who are caring for this child? (Select all that apply.)

A) Reorganizing family roles.
B) Using the Internet for support.
C) Developing specific care skills.
D) Meeting other family responsibilities.
E) Encouraging the child's development.

Question 12

The nurse is working with a family of five: the mother, father, and three children. The children are constantly exposed to hostility and aggressive behaviors by both parents. The nurse knows that these children will be more likely to:

A) Run away from home at the time of adolescence.
B) Commit suicide.
C) Display these same behaviors themselves.
D) Become submissive adults.

Question 13

During a home visit the population nurse determines that a child with type 1 diabetes mellitus is activity participating in self-management. What did the nurse observe to come to this conclusion?

A) Mother makes the child lunch.
B) Child measure capillary blood glucose.
C) Brother waits to play with the child outdoors.
D) Older sister takes the child to the playground.

Question 14

At the completion of a population assessment the population health nurse determines that a community has several protective factors for child maltreatment. What did the nurse assess to make this decision? (Select all that apply.)

A) Parental unemployment 1.2%.
B) 90% of children in two-parent families.
C) Six episodes of gang violence in the last month.
D) Community health clinic available to all members.
E) Eight families had parents hospitalized for drug overdoses.

Question 15

After attending a community meeting the population health nurse learns that 15 children in the community have terminal illnesses. What action should the nurse take to support the care of these children?

A) Review the recommendations for each child's ongoing care.
B) Explain the importance of screening for illnesses early in a child's life.
C) Analyze family environments to reduce the risk of illness development.
D) Ensure palliative and hospice care is available to the children and families.