Deck 29: Child and Adolescent Health

Question 1

Which is an example of a medical home?

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

Answer 1

A building that houses multiple primary care providers and specialists

Question 2

A nurse is using motivational interviewing when communicating with a family about improving their eating habits.Which question 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?"

Answer 2

"Do you feel comfortable restricting foods your child eats?"

Question 3

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 nurses 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.

Answer 3

The nurse provides direct services to children and their families.

Question 4

The group with the lowest injury death rate is:

A) Infants
B) Toddlers and preschoolers
C) School-age children
D) Adolescents

Question 5

Which child is most likely to live in poverty?

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 6

Which actions promote sports safety? 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

Question 7

The rising incidence of abusive head trauma (AHT)alerts the community nurse to focus on:

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 8

When assessing a child with chronic health problems and his family,which factor 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

Question 9

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 10

A nurse is providing a health education program for the community about prevention of lead poisoning.Which 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 11

Which factor would indicate a medical contraindication for the administration of immunizations?

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

Question 12

A nurse is caring for a preschool-aged child who has been exposed to environmental tobacco smoke (ETS)on a regular basis.Because of the exposure to ETS,the nurse recognizes that this child is at greater risk for:

A) Middle ear infections
B) Sudden infant death syndrome (SIDS)
C) Living in poverty
D) Behavioral disturbances

Question 13

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 previous episode of cyanosis or apnea.

Question 14

What action can nurses take to actively participate in efforts to reduce gun violence among young people?

A) Identify populations at risk for violence.
B) Pass legislation to support gun control.
C) Search lockers at school looking for weapons and contraband.
D) Care for clients who have sustained gunshot wounds.

Question 15

A community health nurse working with adolescents recognizes that which characteristic 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 16

The leading cause of death among children and teenagers is:

A) Drowning
B) Motor vehicle accidents
C) Burns
D) Poisonings

Question 17

A nurse assesses the playground safety at a new community center and notices rope swings and a trampoline.What action should the nurse take?

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) Call the police to have the items confiscated.

Question 18

When providing anticipatory guidance to parents who have a child under 1 year of age,it is most important to provide education about prevention of which injury,as it occurs the most frequently in this population?

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

Question 19

A family with children has too high of an income 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 20

A mother tells the nurse she is afraid to have her infant immunized.Which statement would be the most appropriate response for 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 to not 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 21

Which recommendations should a nurse make when counseling a family about the management of childhood obesity? 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 period of time.
D) Decrease computer time and replace it with activities and chores.