[community Public Health] Chapter 27: Children In The Community Health
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- 1.
Children make up approximately what percentage of the total population in the United States?
- A.
10%
- B.
15%
- C.
20%
- D.
25%
Correct Answer
D. 25%Explanation
Approximately 25% of the total population in the United States is made up of children. This means that for every 100 people in the country, around 25 of them are children.Rate this question:
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- 2.
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.
Correct Answer
C. Almost one per five children lives in poverty, especially if living with a single parent.Explanation
The nurse should know that almost one in five children in America lives in poverty, especially if they are living with a single parent. This information is important for the nurse to understand the potential socioeconomic challenges that these children may face, as poverty can impact their overall health and well-being. By being aware of this statistic, the nurse can provide appropriate support and resources to help these children and their families.Rate this question:
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- 3.
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 drivers license or otherwise demonstrate responsibility.
Correct Answer
C. Meet state law requirements based on chronologic age.Explanation
To legally become an adult, a child must meet state law requirements based on their chronological age. This means that they need to reach a certain age as determined by the state in order to be considered an adult. This could include age restrictions for activities such as voting, purchasing alcohol or tobacco, getting married, or signing legal contracts. Meeting these age requirements is necessary for a child to gain legal rights and responsibilities associated with adulthood.Rate this question:
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- 4.
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? Dont 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.
Correct Answer
B. All children may receive education in the traditional classroom setting.Explanation
The nurse might respond by explaining that all children have the right to receive education in a traditional classroom setting, regardless of their special needs. This inclusive approach promotes diversity and allows for the integration of children with special needs into the regular classroom environment. It also fosters a sense of acceptance and understanding among all students.Rate this question:
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- 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
Correct Answer
B. Education in the least restrictive environmentExplanation
The Education for All Handicapped Children Act guarantees that all handicapped children with disabilities aged 6 through 21 have the right to receive education in the least restrictive environment. This means that these children should be educated alongside their non-disabled peers to the maximum extent possible, rather than being segregated into special education settings. This ensures that they have equal opportunities for socialization and integration into mainstream society, promoting inclusion and reducing stigma.Rate this question:
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- 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 mothers 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.
Correct Answer
A. No; many parents of eligible children do not know how to access Medicaid.Explanation
The nurse should not be surprised by the mother's statement because it is common for parents of eligible children to not know how to access Medicaid. This suggests that the mother may be unaware of the resources available to her and her children, leading to her belief that there is no way for her to obtain care for them due to lack of funds.Rate this question:
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- 7.
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 Childrens Health Insurance Program (CHIP).
- C.
Determine the childs eligibility for Title V.
- D.
Request that preventive care be provided at a local free clinic.
Correct Answer
A. Apply for Medicaid, including the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program.Explanation
The nurse should recommend that the family apply for Medicaid, including the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program. Medicaid is a government program that provides health insurance for low-income individuals and families, including children. The EPSDT program specifically focuses on preventive care for children, including regular check-ups, immunizations, and screenings. By applying for Medicaid and enrolling in the EPSDT program, the child will have access to the necessary preventive care services.Rate this question:
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- 8.
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 childs 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.
Correct Answer
C. The child lives with a man and a woman whom he considers his parents.Explanation
The nurse can safely assume that the child lives with a man and a woman whom he considers his parents. This is because the boy introduced the man as Dad and the woman as Mom, indicating that he perceives them as his parents. The nurse cannot assume anything about the biological relationship or marital status of the parents based on this information.Rate this question:
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- 9.
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 infants mother and the infants grandmother
- C.
The infants grandmother, who will probably be providing most of his care
- D.
The new young mother, who is the one responsible for the infant
Correct Answer
B. Both the infants mother and the infants grandmotherExplanation
The nurse should discuss how to care for the new baby with both the infant's mother and the infant's grandmother because they are both important caregivers in the baby's life. The mother is responsible for the infant and will be directly involved in the baby's care, while the grandmother will likely be providing most of the baby's care as well. It is important for both of them to be informed and educated on how to properly care for the baby's needs.Rate this question:
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- 10.
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
Correct Answer
C. Anticipatory guidance on parenting and time managementExplanation
The new parents need anticipatory guidance on parenting and time management. This means they require information and advice on how to effectively care for their newborn and how to balance their new responsibilities with their daily routines. This guidance will help them navigate the challenges of parenting and ensure that they are well-prepared for the journey ahead.Rate this question:
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- 11.
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 communication cues
- B.
Importance of immunization and screening schedules on the child health
- C.
Recognizing the influence of school peers on the child behavior and health
- D.
Understanding their own feelings about having a second child
Correct Answer
C. Recognizing the influence of school peers on the child behavior and healthExplanation
The nurse would want to discuss recognizing the influence of school peers on the child's behavior and health because understanding how peers can impact a child's development and well-being is important for parents. This knowledge can help parents identify any negative influences and take appropriate action to support their child's social and emotional growth. It also allows parents to foster positive relationships and encourage healthy behaviors among their children and their peers.Rate this question:
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- 12.
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.
Correct Answer
A. Recognize that certain ethnic groups may have different expectations of appropriate behaviors by their child.Explanation
The nurse should recognize that certain ethnic groups may have different expectations of appropriate behaviors by their child. This is important because cultural norms and values can vary across different ethnic groups, and what may be considered appropriate behavior in one culture may not be the same in another. By recognizing and understanding these differences, the nurse can provide culturally sensitive and appropriate care to the children and their families.Rate this question:
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- 13.
What is the major cause of death in children aged 1 to 18?
- A.
Accidents
- B.
Birth defects
- C.
Homicide
- D.
Infectious diseases
Correct Answer
A. AccidentsExplanation
Accidents are the major cause of death in children aged 1 to 18. This is because children at this age are more prone to accidents due to their curiosity, lack of awareness, and limited motor skills. Common accidents include falls, drowning, burns, choking, and traffic accidents. These accidents can result in severe injuries or even death. It is important to take preventive measures, such as childproofing the environment, supervising children closely, and teaching them about safety precautions, to reduce the risk of accidents and ensure the well-being of children.Rate this question:
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- 14.
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
Correct Answer
B. Encouraging use of car seats and bicycle helmetsExplanation
Encouraging the use of car seats and bicycle helmets is an example of primary prevention because it aims to prevent injuries and accidents from occurring in the first place. By promoting the use of safety equipment, the intervention aims to reduce the risk of harm and promote the overall well-being of individuals. This intervention focuses on preventing the initial occurrence of the problem rather than addressing it after it has already happened.Rate this question:
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- 15.
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
Correct Answer
B. Engaging in high-risk behaviorsExplanation
Engaging in high-risk behaviors is the primary reason why it is difficult to keep adolescents healthy and safe. During adolescence, individuals often seek new experiences and take risks as a part of their development. This can lead them to engage in activities such as reckless driving, substance abuse, or participating in dangerous activities. These behaviors can have serious consequences on their physical and mental health, making it challenging to ensure their well-being and safety.Rate this question:
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- 16.
What information would be helpful for a mother of a toddler who was just beginning to explore the mothers small apartment?
- A.
Persuade the child to take his vitamins by saying, Isnt 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.
Correct Answer
D. Suggest environmental changes such as safety plugs in all electrical outlets.Explanation
The answer suggests that providing safety plugs in all electrical outlets would be helpful for a mother of a toddler who is just beginning to explore the apartment. This is because toddlers are curious and may try to insert objects into electrical outlets, which can be dangerous. By suggesting this environmental change, the mother can ensure the safety of her child and prevent any accidents or injuries.Rate this question:
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- 17.
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 adolescents 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.
Correct Answer
A. The adolescent should be allowed privacy with the health care provider to share information or ask questions perhaps related to sexuality.Explanation
The health care provider may have asked the mother to leave momentarily in order to provide the adolescent with a safe and confidential space to discuss sensitive topics such as sexuality. This allows the adolescent to feel more comfortable and open in sharing information or asking questions without the presence of a parent, promoting their autonomy and independence. It is important for healthcare providers to respect the privacy of adolescent patients and create an environment that encourages open communication.Rate this question:
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- 18.
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
Correct Answer
A. Infant mortality ratesExplanation
Infant mortality rates are the most commonly used statistic by governments to compare health outcomes. This is because infant mortality rates provide valuable information about the overall health and well-being of a population. They reflect the effectiveness of healthcare systems, access to prenatal care, and the overall social and economic conditions in a country. By comparing infant mortality rates, governments can identify areas for improvement and implement targeted interventions to reduce infant deaths and improve overall health outcomes.Rate this question:
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- 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 childrens protective services or the police
Correct Answer
A. A hotline or crisis pHone number for when the mother believes she is losing controlExplanation
A hotline or crisis phone number would be an appropriate tertiary intervention for a young mother who had previously physically hurt her baby because it provides immediate access to help and support when the mother feels overwhelmed or is at risk of losing control. This intervention aims to prevent further harm to the baby by offering a resource for the mother to reach out for assistance and guidance in moments of crisis.Rate this question:
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- 20.
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.
Correct Answer
D. Private third-party payers will not reimburse such a primary health promotion effort.Explanation
The reason why not all public health agencies provide nursing home visits for new mothers and babies is because private third-party payers will not reimburse such a primary health promotion effort. This means that these agencies are not able to receive financial compensation for providing these services, making it difficult for them to allocate resources and staff to conduct nursing home visits.Rate this question:
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- 21.
What is a problem with the federal governments 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.
Correct Answer
B. The federal government did not allocate any funds to implement the law. -
- 22.
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
Correct Answer
B. The Head Start programExplanation
The Head Start program is the correct answer because it is a comprehensive early childhood development program that provides educational, nutrition, health services, and parent involvement opportunities to low-income children. It aims to promote school readiness and improve the overall well-being of children from birth to age five from low-income families.Rate this question:
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- 23.
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
Correct Answer
A. Consistent hand-washing for both children and staffExplanation
The nurse would want to emphasize consistent hand-washing for both children and staff during the presentation because it is a crucial practice in preventing the spread of germs and infections in a daycare facility. Regular hand-washing helps to maintain a clean and healthy environment, reducing the risk of illnesses among children and staff members. It is an effective measure to prevent the transmission of diseases and promote overall well-being in the daycare setting.Rate this question:
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- 24.
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.
Correct Answer
A. Hospitalized children are at risk for contracting a nosocomial infection and do not cope well with all the noise, light, and people.Explanation
Hospitalized children are at risk for contracting a nosocomial infection and do not cope well with all the noise, light, and people. This explanation suggests that there has been an increasing emphasis on caring for chronically ill children in their homes rather than in the hospital because hospital settings pose a risk of nosocomial infections and can be overwhelming for children due to factors such as noise, light, and the presence of many people.Rate this question:
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- 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.
Correct Answer
D. Hospital care is less expensive if one of the parents is not in the labor market.Explanation
The correct answer suggests that hospital care is less expensive if one of the parents is not in the labor market. This implies that if one parent is able to provide home care for the ventilator-dependent child, the costs associated with hospital care can be avoided. This conclusion indicates that hospital care is more expensive than home care, but only if one parent is available to provide the necessary care at home.Rate this question:
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- 26.
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 mothers level of exhaustion and stress
- D.
The cleanliness of the ventilator equipment
Correct Answer
C. The mothers level of exhaustion and stressExplanation
In addition to possible infection, the nurse should assess the mother's level of exhaustion and stress. This is important because caring for a ventilator-dependent child can be physically and emotionally demanding. The mother's level of exhaustion and stress can impact her ability to provide adequate care for the child and may also affect her own well-being. By assessing the mother's level of exhaustion and stress, the nurse can provide appropriate support and interventions to ensure both the child and the mother receive the necessary care and attention.Rate this question:
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- 27.
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 nurses 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
Correct Answer
A. Advocating for quality child care, especially respite careExplanation
The most useful intervention that could be implemented by the nurse is advocating for quality child care, especially respite care. This intervention would help support parents with technology-dependent children by providing them with a break from caregiving responsibilities and ensuring that their children receive the necessary care and support in a safe and nurturing environment. Respite care can also help prevent caregiver burnout and promote the overall well-being of both the parents and the children.Rate this question:
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Mar 21, 2023Quiz Edited by
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May 12, 2020Quiz Created by
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