Deck 26: Child and Adolescent Health

Question 1

The rising incidence of traumatic head injury seen in shaken baby syndrome alerts the community nurse to focus on:

A) Taking at-risk babies out of a violent household
B) Placing babies under the care of community health nurses
C) Attachment and competence when working with the parents of neonates and toddlers
D) Helping those affected seek proper legal representation

Answer 1

Attachment and competence when working with the parents of neonates and toddlers

Question 2

The highest injury rate related to risk taking of all groups of children occurs in:

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

Answer 2

Adolescents

Question 3

Fat content in a diet should be restricted to less than 30% beginning at:

A) 1 year of age
B) 2 years of age
C) 6 years of age
D) 11 years of age

Answer 3

2 years of age

Question 4

Witnessing gun violence or knowing its victims affects children indirectly. Nurses can actively participate in efforts to reduce gun violence among young people by:

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

Question 5

Which of the following injuries occurs most frequently in children under 1 year of age?

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

Question 6

Chronic health problems in children often create complex needs for families. When a nurse is assessing the child and family, which of the following 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 7

The leading cause of death among children and teenagers is:

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

Question 8

Which of the following statements regarding adolescent nutritional needs is accurate?

A) Adolescent girls have an increased need for protein and calories..
B) Adolescent boys have an increased need for calories but a decreased need for protein.
C) Adolescent girls have an increased need for protein but a decreased need for calories.
D) Both boys and girls have increased needs for protein and calories.

Question 9

Children represent 25% of the population. Which of the following is true about the status of children in low-income families?

A) The rate of poverty in the United States is less than that of other industrialized Western nations.
B) Trends include a decrease in the working poor in all regions.
C) African-American and Hispanic children are the least affected by poverty.
D) One out of three children lives in a single-parent household.

Question 10

Focusing on the health needs of children is one of the major roles of community health nurses. Which of the following is true about the role of nurses in community health?

A) The nurse provides direct services to children and their families.
B) Nurses often provide immunizations in the home.
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 11

The placental transfer of maternal antibodies is known as:

A) Primary immune response
B) Secondary immune response
C) Natural passive immunity
D) Active immunity

Question 12

Risk-taking behaviors are increasing among adolescents. Which of the following is true that has implications for community health nurses?

A) Experimentation with alcohol, smoking, and drugs occurs at younger ages than in the past.
B) The newest statistics report decreasing sexual activity and fewer sex partners.
C) Gang activity has decreased in recent years.
D) Teen pregnancy rates are rising steadily.

Question 13

According to Erickson's stages of ego development, resolution of the psychosocial conflict of autonomy versus shame and doubt results in a sense of:

A) Self-control
B) Competence
C) Independence
D) Loyalty

Question 14

Which of the following statements 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 15

Playground safety protects children from injury. A nurse visits a new community church and notices rope swings and a trampoline. What action should the nurse take?

A) No action is required
B) Explain to the church officials that those items are not recommended for playgrounds because they create the potential for injury
C) Supervise the children closely when they are using this equipment
D) Call the police to have the items confiscated

Question 16

The process of integrating new experiences into existing thought patterns is known as:

A) Accommodation
B) Assimilation
C) Intuition
D) Symbolism

Question 17

The group with the lowest injury death rate is:

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

Question 18

Which of the following statements about the introduction of solid foods is correct?

A) Cereal may help babies sleep longer.
B) High intake of solid foods may result in diarrhea.
C) Early introduction of solids results in decreased possibility of food allergies.
D) Cereal fortified with iron is an appropriate starter food because of the ease of digestion.

Question 19

Which of the following is a medical contraindication to giving immunizations?

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

Question 20

Breast milk is the preferred method of infant feeding. Which of the following can the nurse do to support parents in breastfeeding needs?

A) Doing multiple home visits to support breastfeeding mothers.
B) Providing information about breastfeeding.
C) Encouraging supplementation if a mother is having trouble breastfeeding.
D) Community health nurses are not involved with breastfeeding. That work is handled by nurses in the acute care hospital.

Question 21

Which of the following promote sports safety? Select all that apply.

A) Children grouped according to weight, size, and skill level
B) Adequate supervision by competent teenagers if adults are not available
C) Appropriate-size equipment
D) Community health nurse attendance at activities

Question 22

The most common environmental health hazard is:

A) Lead poisoning
B) Pesticides
C) Indoor air pollution
D) Outdoor air pollution

Question 23

Obesity among the youth of the nation has reached epidemic proportions. Which of the following are included in the guidelines for managing childhood obesity? Select all that apply.

A) Set goals related to healthier lifestyle, not dieting.
B) Have low-calorie, nutritious snacks available and ready.
C) Allow snacking in front of the TV for only short periods.
D) Scale back computer time and replace it with activities and chores.