Deck 2: Contemporary Issues in Womens, Families, and Childrens Health Care

Question 1

A nurse is interested in providing tertiary prevention activities.Which of the following activities would this nurse choose to do?

A)Assist with low-cost swimming lessons at the YMCA.
B)Conduct monthly educational seminars at a church.
C)Join the county pandemic outbreak response team.
D)Provide glucose and cholesterol screening at the mall.

Answer 1

Join the county pandemic outbreak response team.

Question 2

A school nurse is increasingly concerned with a growing absentee problem.To best address this issue,which of the following actions should the nurse take?

A)Begin a structured follow-up program for asthmatic children.
B)Hold informational meetings on the importance of childhood vaccines.
C)Partner with providers on continuity plans for kids with chronic illness.
D)Work with law enforcement to develop a truancy response team.

Answer 2

Begin a structured follow-up program for asthmatic children.

Question 3

A nurse reads in the paper that the death rate for women overall has declined substantially.To what does the nurse correlate this finding?

A)Abundant new choices in contraception
B)Better detection and treatment of breast cancer
C)Greater access to sources of fresh produce
D)Improved diagnosis of heart disease in women

Answer 3

Improved diagnosis of heart disease in women

Question 4

A nurse is caring for a patient near the end of life whose wishes regarding care are not known.The two sons disagreed with the two daughters about future medical plans for the patient during a recent family conference,and now the sons and daughters are not talking to one another.What action by the nurse would be best to help resolve this dilemma?

A)Call the facility's ethics committee and request a formal consultation.
B)Have social work coordinate another family meeting to discuss the issue.
C)Meet with the sons and daughters separately to discuss their wishes.
D)Request that the physician tell the family what is in the patient's best interests.

Question 5

The clinic nurse is working with a mother and her 3-year-old child who have arrived for the child's routine checkup.The nurse encourages the mother to return for her child's measles-mumps-rubella immunization prior to the child's entering school.This intervention is an example of what type of care?

A)Mandatory health care
B)Primary health prevention
C)Secondary health prevention
D)Tertiary health prevention

Question 6

A nurse enjoys working with patients who have chronic illnesses.What group of people would this nurse enjoy working with most?

A)Ethnic minorities
B)Men and boys
C)Older adults
D)Women and girls

Question 7

A nurse working with the elderly population is distressed that in order to obtain public funding for long-term care,the elderly must expend nearly all of their resources.When considering bioethical principles,which principle should the nurse choose to act from to make the biggest difference in this situation?

A)Autonomy
B)Fidelity
C)Justice
D)Veracity

Question 8

A nurse wishing to be an advocate for access to health care would most likely choose to participate in which of the following activities?

A)Lobby for improved insurance access for all individuals,whether or not they are employed.
B)Help establish fast-track or minor illness areas in local emergency rooms.
C)Partner with medical centers to provide free services for low-income patients.
D)Work with visiting nurses associations to create on-site clinics at day-care centers.

Question 9

A nurse wants to know the trend concerning death due to cardiovascular disease.What source should the nurse consult?

A)Epidemiology data
B)Morbidity data
C)Mortality data
D)Primary prevention data

Question 10

A nurse working with an after-school program is concerned about the lack of health literacy in the students' parents.What action would best address this need?

A)Conduct a monthly health-related seminar for parents.
B)Investigate grants or other funding for a computer bank.
C)Invite parents to healthy cooking demonstrations.
D)Provide brochures on a variety of health problems.

Question 11

A nurse is interested in primary prevention programs.Which of the following activities would this nurse choose to do?

A)Assist with blood pressure screening at the local mall.
B)Collect and distribute used eyeglasses for poor people.
C)Staff a mobile mammogram unit for underserved groups.
D)Teach teenagers about the dangers of texting and driving.

Question 12

A nurse is working with a patient who misses appointments frequently and doesn't always fill prescriptions for herself or her children.On reviewing the patient's chart,the nurse sees that the patient has insurance.What action by the nurse would be the most helpful?

A)Ask the patient to describe her health insurance coverage.
B)Educate the patient about the consequences of skipping medicines.
C)Find out if the patient is seeing other health-care providers.
D)Remind the patient that she is responsible for her children's health.

Question 13

The nurse managing a pediatric clinic often sees single mothers with children.What action by the nurse would best help this population of women access health care?

A)Arrange to have evening and weekend hours.
B)Offer sample medications instead of prescriptions.
C)Provide a play center for waiting children.
D)Provide bus tokens for transportation to the clinic.

Question 14

A practicing nurse tells a student nurse that beyond the World Health Organization's definition of health,providers must also consider which of the following factors when determining the health of a community?

A)The definition of health as described by the community
B)The incidence of preventable health problems in the group
C)The morbidity caused by genetically related health problems
D)The mortality rates that could be lowered with primary prevention

Question 15

A community health nurse explains to the nursing student that the best health-related programming includes which of the following elements?

A)Has both individual and societal components
B)Is directed toward individual responsibility
C)Provides incentives to compensate healthy choices
D)Requires legislation to truly be effective

Question 16

A nursing student wishes to investigate national health goals.Where should the student research this information?

A)Cochrane Database
B)Cumulative Index of Nursing and Allied Health Literature
C)Government websites
D)Healthy People initiative

Question 17

A nurse wants to work in the community providing secondary prevention activities.Which action would this nurse choose to do?

A)Educate teenage girls about birth control options.
B)Provide STD/STI testing at the local youth center.
C)Staff the county health department flu shot clinic.
D)Volunteer to drive cancer patients to receive their treatments.

Question 18

A mother and her 12-year-old daughter visit the clinic often because of the daughter's asthma.The clinic nurse recognizes that one of the most important nursing actions in this situation is which of the following?

A)Continue to schedule regular clinic visits for the child to follow her condition.
B)Give the mother time to talk about her daughter's illness while she is present.
C)Listen patiently to the child as she talks about her illness,letting her tell her story.
D)Regulate and modify the child's medications in response to her asthma symptoms.

Question 19

A nurse is working with a parent-teacher association to combat school bullying.What action can the nurse suggest that would best help to decrease this form of interpersonal violence?

A)Advise that victims' parents call law enforcement and press charges.
B)Begin offering martial arts classes in the school for bullied children.
C)Encourage the school to adopt no-tolerance policies for bullying.
D)Suggest limiting television viewing,especially for younger children.

Question 20

A nurse would like to improve the health of the community.Which action by the nurse would have the greatest impact?

A)Blood glucose screening at the local Korean church
B)Blood pressure screening at a predominantly black church
C)Teaching immigrants heart-healthy cooking for traditional foods
D)Teaching men the signs and symptoms of heart attacks

Question 21

A 45-year-old woman presents to the emergency department complaining of chest pain and feeling anxious.She asks to have an electrocardiogram (EKG)but is told that "heart disease is a man's disease" and is given a prescription for lorazepam (Ativan).What can the nurse conclude?

A)If the woman were older,she may have received an EKG.
B)Sex hormones play a powerful role in determining heart disease.
C)Stereotyping seriously impacted the care the woman received.
D)Women under the age of 45 are at low risk of having heart disease.

Question 22

The jail nurse is interviewing a woman who has been brought to the clinic for prenatal care.Which of the following are appropriate actions for the nurse to perform? (Select all that apply.)

A)Assess the woman for drug and alcohol abuse and possible withdrawal.
B)Assess the woman's health knowledge and health literacy.
C)Ask if the woman has other children and who is caring for them.
D)Determine if the woman has risk factors for pregnancy complications.
E)Inquire about the woman's criminal history and background.

Question 23

The clinic nurse is interviewing a woman and her daughter who describe their address as"temporary." The mother appears thin,pale,and tired.Her blood work confirms anemia and pregnancy.What actions by the nurse would be most helpful? (Select all that apply.)

A)Call the Department of Children and Family Services.
B)Discuss nutrition needs for pregnancy.
C)Facilitate the woman's opportunity to return for prenatal care.
D)Determine if the family is in a safe location.
E)Provide shelter information for this family.

Question 24

A nurse working in the community uses the public health intervention model to combat diabetes mellitus type 2.Using this model,which interventions are appropriate? (Select all that apply.)

A)Community: Encourage high-risk patients to have glucose screening.
B)Community: Lobby for funds to build walking and biking trails.
C)Community: Subsidize community gardens in areas where produce is expensive.
D)Individual/family: Educate about the benefits of daily exercise.
E)Societal: Pressure Congress for laws requiring insurance incentives for health promotion.

Question 25

A nurse considers beneficence as the guiding ethical principle for nursing practice.Working within that framework,which action by the nurse best demonstrates that concept?

A)Administering a pain medication before therapy so that the patient can participate
B)Allowing the patient to make informed choices as to his or her plan of care
C)Promising a pain medication in 1 hour and returning with it on time
D)Turning patients to prevent pressure sores,despite causing temporary discomfort

Question 26

What does the nursing student understand about health disparities in the United States? (Select all that apply.)

A)African American babies die by age 1 at a rate $2 \frac { 1 } { 2 }$ times that of European Americans.
B)Asian American babies have the highest rate of preterm birth of any other group.
C)Despite large expenditures,health resources are unevenly distributed.
D)European Americans have double the number of low-birth-weight babies than other groups.
E)Sudden infant death syndrome is most prevalent in American Indian and Alaska native babies.

Question 27

The community health nurse knows that the public health intervention model is focused on which of the following intervention levels? (Select all that apply.)

A)Community
B)Family
C)Government
D)Hospitals
E)Patient

Question 28

A nurse is working with a patient determined to have low health literacy and has taught the patient vital self-care measures for a chronic illness.How will the nurse best determine if the patient has understood the information? (Select all that apply.)

A)Ask for a return demonstration of the skills taught.
B)Assess if the patient will take brochures written for this illness.
C)Encourage the patient to explain how the information fits into his or her daily life.
D)Give the patient a written quiz at the end of the teaching session.
E)Have the patient repeat the information in her or his own words.

Question 29

The clinic nurse explains to a student that an appropriate nursing action is screening all children for child abuse.What other information does the nurse give the student about child abuse? (Select all that apply.)

A)It is frequently carried out by a stranger.
B)The most common form is neglect.
C)It is most often perpetrated by a parent.
D)Only 1 out of 1,000 girls is sexually abused.
E)It is part of an ongoing cycle of violence.

Question 30

A nurse working in a women's health clinic has several patients who are from a minority culture,live in the inner city,lack employment that offers benefits,have large families,and often lack transportation to health care.Which of these factors are considered broad determinants of health? (Select all that apply.)

A)Access to health care
B)Employment
C)Environment
D)Family size
E)Race

Question 31

A nurse ensures that a patient does not have questions regarding the upcoming surgical procedure and verifies that the signature on the consent form is the patient's signature.Which ethical principle is this nurse demonstrating?

A)Autonomy
B)Beneficence
C)Fidelity
D)Justice

Question 32

Which childhood illnesses are the subject of a Healthy People initiative regarding vaccinations? (Select all that apply.)

A)Asthma
B)Measles
C)Meningitis
D)Mumps
E)Pertussis

Question 33

One goal of the Healthy People 2020 initiative is to increase the number of people who have some form of health insurance.What percentage of the population is the target?

A)25%
B)35%
C)55%
D)100%

Question 34

A nurse has heard of the "digital divide" between people who have access to technology and those who don't.The nurse asks a mentor how this can affect health care.What response by the mentor is most accurate?

A)"It's just easier and faster to make appointments online."
B)"Much health-care information is available only digitally."
C)"The so-called digital divide really doesn't have much impact."
D)"You can chat with your doctor on social media sites."

Question 35

The community health nurse is aware that the goals of Healthy People 2020 include which of the following? (Select all that apply.)

A)Creating physical environments that promote health
B)Developing healthy behaviors in children and teens
C)Eliminating health disparities and increasing equity
D)Improving the health of all groups in the country
E)Increasing the average life span for all adults

Question 36

The public health nurse explains to students that diversity is an increasing phenomenon in this country.What facts about this phenomenon does the nurse share with the students? (Select all that apply.)

A)As immigrants acculturate,their unique cultural care needs will diminish.
B)By 2050,the minority population in America is estimated to be 50%.
C)Hispanics,blacks,and Asians are the historically designated minority groups.
D)One in five people in this country will be over the age of 65 by the year 2030.
E)Racial differences are rooted in biological factors that explain illness trends.

Question 37

A nurse is working with a woman who is 4 months pregnant.The woman has had a series of temporary housing,has no job,and is wearing clothing that is obviously way too big for her.What action can the nurse take to most improve the health of this woman and child?

A)Arrange transportation for her to get to a community food bank.
B)Consult a social worker to help her apply for the WIC program.
C)Encourage the woman to make her return appointment before leaving.
D)Ask the woman to fill out an application for the federal Medicare program.

Question 38

A nurse has helped organize and staff a free vaccination clinic for underserved populations in a central location of the city.The nurse is unhappy that so few people came to the clinic.In evaluating this outcome,what factors does the nurse recognize as potentially leading to the problem? (Select all that apply.)

A)Clinic hours
B)Inability to miss work
C)Lack of insurance
D)Lack of transportation
E)Language barriers

Question 39

Which of the following activities should the perinatal nurse encourage women who come for preconceptional counseling to consider? (Select all that apply.)

A)Choosing breastfeeding or bottle feeding
B)Decreasing risk for exposure to toxoplasmosis
C)Decreasing fetal risks related to the work environment
D)Ensuring folic acid supplementation
E)Ensuring iron supplementation

Question 40

A mother brings her 6-month-old infant and 18-month-old child to the health clinic for a routine visit.The nurse counsels the mother about lead exposure testing.Which information should the nurse include? (Select all that apply.)

A)"About one-fourth of all homes where kids under 6 live are contaminated by lead."
B)"Both of your children should have testing for lead at this time."
C)"Lead exposure may cause anemia,seizures,and mental retardation if not treated."
D)"Lead testing for children is recommended by the American Academy of Pediatrics."
E)"We can test your older child for lead exposure,but it is too early for the 6-month-old."