Question 1

According to the Federal Register,which of the following is the minimum income needed by a family of four to meet the basic needs for healthy living (that is,an income below this amount is considered insufficient to provide the food,shelter and clothing needed to preserve health)?

A) $16,020
B) $24,300
C) $32,580
D) $40,890

$24,300

Accepted Answer

According to the Federal Register in January 2016,for a family of four,the poverty level-defined as the threshold below which families or individuals are considered to be lacking the resources to meet the basic needs for healthy living-is $24,300.According to the Federal Register in January 2016,the poverty level-defined as the threshold below which families or individuals are considered to be lacking the resources to meet the basic needs for healthy living-is $16,020 for a family of two,$32,580 for a family of 6,and $40,890 for a family of 8.

Question 2

A nurse is assessing a young,single pregnant woman.Which of the following findings would be of most concern?&#10;A) Elevated blood pressure&#10;B) First prenatal visit at 5 months' gestation&#10;C) Homelessness&#10;D) Positive STD test

Accepted Answer

Pregnant homeless women present several challenges.They have higher rates of sexually transmitted diseases,higher incidences of addiction to drugs and alcohol,poorer nutritional status,and higher incidences of poor birth outcomes.Thus,being homeless is the most dangerous sign of those listed.Elevated blood pressure,positive STD test,and seeking prenatal care late in the pregnancy are all concerns for the nurse.However,most concerning would be homelessness,as homelessness presents many challenges for the women during and after the pregnancy.

Question 3

A nurse is concerned about stress related to the heavy caregiving burden assumed by adult children of older clients.Which of the following actions by the nurse demonstrates the use of secondary prevention to limit caregiver stress?

A) Asking caregivers how they are doing and suggesting coping strategies
B) Encouraging caregivers to periodically leave the house for a couple of hours
C) Establishing support groups for caregivers of older parents
D) Referring some activities to neighbors and friends

Accepted Answer

Secondary prevention activities involve screening activities that allow for early recognition of problems so that prompt interventions can limit disability.By asking caregivers how they are coping (thus screening),the nurse identifies problems early so that interventions can be employed to limit the extent of stress,thus paving the way for improvement.The other options are either primary or tertiary activities depending on whether the intervention takes place before or after caregiving stress has developed.Also,encouraging caregivers to periodically leave the house for a couple of hours could result in negative outcomes for the person needing care (unless a competent substitute is filling in for the primary caregiver).

Question 4

A nurse is working to ensure long-term positive health outcomes of poor pregnant teens and their children.Which of the following actions would the nurse most likely take?&#10;A) Assist teen mothers to learn about their body changes during pregnancy.&#10;B) Develop programs that allow teen mothers to complete their education.&#10;C) Offer courses in proper care of babies and how to be a parent.&#10;D) Monitor pregnant teens to detect early problems with pregnancy.

Accepted Answer

A direct correlation exists between poverty and poor health outcomes.Poor teens are nearly three times more likely to drop out of school as their nonpoor counterparts.When programs that assist the mother to complete her education are instituted,chances are increased for a better future,which improves health care over the long term across the life span.It is important to keep the pregnant adolescent in school during the pregnancy and have her return as soon as possible after the birth.Teaching about body changes an proper care of babies and parenting would address short-term health outcomes.Monitoring teens to detect early problems in pregnancy addresses a short-term health outcomes as well.

Question 5

The nurse who works at a homeless clinic wants to improve healing of chronic wounds in clients living on the streets.Which of the following would be the best action to take to improve client outcomes?&#10;A) Provide antibiotics to all homeless persons with chronic, nonhealing wounds&#10;B) Offer daily access to a room with soap, water, and bandages&#10;C) Hand out free bandaging supplies following each clinic visit&#10;D) Perform regular monitoring of the client's wound condition

Accepted Answer

Health problems faced by the homeless often are related directly to poor access to preventive health care services.Proper wound care relies on cleanliness; however,those living on the streets do not typically have ready access to soap and water.The nurse can help by designating a wound room,in which clients can safely carry out wound care activities taught during clinic visits.If the wound is not kept clean,it is unlikely that antibiotics will be able to prevent an infection,and the antibiotics will not promote wound healing.Handing out bandaging supplies does not address being able to wash the wound on a regular basis.Monitoring of the wound will not assist in wound healing.

Question 6

Which of the following populations experiences the highest incidence of poverty?&#10;A) Those between the ages of 18 and 64&#10;B) Those under the age of 18&#10;C) Those over the age of 65&#10;D) Those between the ages of 18 and 25

Accepted Answer

In 2014,the poverty rate for children under 18 was 21.2%,which was higher than all other age groups.In 2014,the poverty rate for people between the ages 18 and 63 was 13.5 percent,and for people over 65 years,the rate was 10 percent.The textbook does not list a specific percent for those between the ages of 18 and 25.

Question 7

Which of the following statements best describes why health care of the homeless is so expensive to the community?&#10;A) Health conditions of the homeless require increased preventive services.&#10;B) Homeless clients typically make more clinic visits for multiple health problems.&#10;C) Homeless people spread contagious diseases to those they pass on the street.&#10;D) Most care to homeless people takes place in hospital emergency departments.

Accepted Answer

Homeless persons have the same problems accessing care as do others in poverty (e.g.,lack of money,lack of insurance,lack of transportation).Therefore,health care of homeless persons is usually crisis oriented and sought in emergency departments,where the cost of service is high but is not refused as it often is in clinics.It is likely that most homeless people do not seek preventive care,thus,it is not that they require increased services,but they are less likely to seek these preventive services.Homeless clients are likely to not be seen in the clinic setting.Homeless people may spread contagious diseases,but this does not explain why providing health care to this population is expensive.

Question 8

Which of the following is the leading cause of disability for Americans 15 to 44 years of age?&#10;A) Accidents&#10;B) Arthritis&#10;C) Major depression&#10;D) Workplace injuries

Accepted Answer

Major depressive depression is the leading cause of disability for Americans between the ages of 15 and 44 years.Accidents,arthritis,and workplace injuries are not the leading causes of disability for Americans between the ages of 15 and 44 years.

Question 9

A nurse is providing care to a pregnant teenager.Which of the following principles is the most important for the nurse to consider when providing care?&#10;A) All teen pregnancies are considered high-risk.&#10;B) Limited self-care knowledge can lead to pregnancy complications.&#10;C) Pregnant teens are likely to receive prenatal care late in the pregnancy.&#10;D) Pregnant teens may have limited financial resources to pay for care.

Accepted Answer

It is crucial to consider all pregnant teenagers as high-risk obstetric clients.A number of problems (e.g.,poverty,late entry into prenatal care,and limited self-care knowledge)can lead to complications of pregnancy,so it is important to treat every teen pregnancy as a special high-risk pregnancy.All of these statements are true; however,it is crucial to consider all pregnant teenagers as high-risk obstetric clients.Limited self care,lack of prenatal care,and limited financial resources are all contributors to the potential for all teen pregancies to be considered high risk.

Question 10

A mother and her son are in the emergency department.The mother is extremely upset.Earlier,the son had become so angry that he put his hand through a glass window and had to have stitches.The physician suggested a psychiatric consult.Now the mother asks,"Do you think my son is crazy?" Which of the following is the most appropriate response by the nurse?

A) "Absolutely not. But a psychiatrist can help your son realize more appropriate ways of displaying anger."
B) "Have you had other reasons to think your son is crazy? Perhaps the psychiatrist can reassure you that your son is just an adolescent coping with hormones."
C) "Your son is having problems coping with anger. And naturally you're upset. Let the psychiatrist determine whether your son is crazy or not."
D) "Your son is having problems with behavior, which is distressing all of you. A psychiatrist may be able to help your son cope with life in a more acceptable way."

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Accepted Answer

Mental health is defined as being able to engage in productive activities and fulfilling relationships with other people,to adapt to change,and to cope with adversity.Mental disorders are conditions characterized by alterations in thinking,mood,or behavior,resulting in distress and/or impaired functioning.Most persons do not get so angry that they become self-destructive (e.g.,putting their hand through a glass window and requiring medical attention).The nurse can help the mother accept appropriate assessment and intervention by using positive language and giving hope.In order to respond therapeutically to the mother,the nurse should not use the words absolutely (which implies that there may not be a problem with the son at all)or crazy (which is not a positive word to describe the son's behavior).

Question 11

A school health nurse presents a program on preventing teen pregnancy to a group of parents.Following the presentation,which of the following comments by a parent would cause concern?&#10;A) &#34;I do not know if my son is sexually active; however, I have decided I'm going to talk to him about it.&#34;&#10;B) &#34;My daughter is too intelligent to get involved with boys, even if her friends do sleep around.&#34;&#10;C) &#34;My daughter and I have often discussed sexuality, and when she's ready, I'll pay for her birth control pills.&#10;D) &#34;I have spoken to my son about birth control. He says he's not ready to be a father and support a baby. He wants to go to college.&#34;

Accepted Answer

The answer of A school health nurse presents a program...

Question 12

The nurse is making a postpartum visit to a teenage mother and her month-old infant.Which of the following assessments would be most important?&#10;A) Assessing for mother's ability to fulfill her own growth and development tasks&#10;B) Assessing for mother's knowledge about normal infant growth and development&#10;C) Assessing how much the teenage mother's own mother is helping her cope with child care&#10;D) Assessing whether the baby's father is being helpful to the mother

Accepted Answer

The answer of The nurse is making a postpartum visit...

Question 13

A nurse was shocked when late one night she saw a former high school friend going through a trash bin outside a fast-food restaurant and pulling out half-eaten food.Which of the following is the most likely explanation for a healthy young adult engaging in such behavior?

A) He ate his meal but wanted more and had no more money.
B) He had full-time employment, but with such a low salary it was inadequate to meet basic expenses.
C) A friend had thrown his meal away, and he thought he could find his friend's untouched food.
D) He was doing this to fulfill an obligation of fraternity initiation at the college.

Accepted Answer

The answer of A nurse was shocked when late one...

Question 14

A nurse is trying to decrease the risk for depression among older adults.Which of the following interventions should the nurse implement?&#10;A) Encourage moving to a nursing home where others of the same age reside.&#10;B) Monitor for signs and symptoms of depression.&#10;C) Organize an exercise and health promotion program at the local senior citizen center.&#10;D) Teach older clients to focus on their strengths rather than their weaknesses.

Accepted Answer

The answer of A nurse is trying to decrease the...

Question 15

A school nurse was talking to the teacher of an 8-year-old child who was living with her mother in their car.Which of the following concerns would lead the nurse to talk to the teacher about the child?

A) Concern that the child is being mistreated by other children
B) Concern that the child has developmental delays
C) Concern that the child is given adequate food during lunch
D) Concern that the child may need to sit in the front in order to be able to see well

Accepted Answer

The answer of A school nurse was talking to the...

Question 16

Which of the following groups is most at risk for suicide?&#10;A) Adolescents under age 20&#10;B) Men over age 85&#10;C) Females 25 to 45 years of age&#10;D) Women over age 65

Accepted Answer

The answer of Which of the following groups is most...

Question 17

A school nurse was caring for an 8-year-old child who had been hurt on the school playground.During the nurse's assessment,the child admitted that her mother was working but didn't make much money so the girl and her mother were living in their car.Based on this information,which of the following would the nurse most likely suspect?

A) The child is accident-prone and clumsy.
B) The child is being bullied and pushed around by other children.
C) The child is more likely to have school absences.
D) The child is in need of a vision screening.

Accepted Answer

The answer of A school nurse was caring for an...

Question 18

A community mental health nurse is working within the community to help prevent youth violence.Which of the following interventions would most likely be implemented by the nurse?&#10;A) Distributing literature that associates violence with a lack of intelligence&#10;B) Explaining to youth why youth violence is detrimental to society&#10;C) Partnering with associations to provide alternative activities that improve social skills&#10;D) Recommending increased funding to prosecute and jail teens associated with violent activity

Accepted Answer

The answer of A community mental health nurse is working...

Question 19

A nurse would like to increase the accessibility to health care services for mentally ill homeless clients in the community.Which of the following actions should be taken by the nurse?&#10;A) Apply for a grant to fund a mobile clinic to take health care to the clients.&#10;B) Distribute flyers to the homeless that detail the location of various types of health care services.&#10;C) Refer homeless clients to areas that provide temporary housing.&#10;D) Solicit donations for food and clothing to be distributed to the homeless.

Accepted Answer

The answer of A nurse would like to increase the...

Question 20

Which of the following is the most rapidly growing group of homeless?&#10;A) Adolescents&#10;B) Families with children&#10;C) Persons in crisis&#10;D) Single men

Accepted Answer

The answer of Which of the following is the most...

Question 21

A nurse is concerned about a teenage mother who does not seem to know how to play with an infant.Which of the following behaviors would the nurse want to role-model as good parenting behaviors?&#10;A) Allow the baby to cry for 10 or 15 minutes before reacting so that the infant can learn to self-soothe.&#10;B) Cuddle and hold the baby while smiling and gazing into the baby's eyes.&#10;C) Teach the mother to keep her face about 4 or 5 inches from the baby and to gently blow on the infant's face.&#10;D) Sing to baby with different melodies until baby seems to listen and shows a preference for certain tunes.

Accepted Answer

The answer of A nurse is concerned about a teenage...

Question 22

A teenager who has just come in for her prenatal visit appears to be about 6 months pregnant.Which of the following best describe why the teenage girl has waited so long to come in for prenatal care?&#10;A) Her friends were suggesting ways to make the problem go away.&#10;B) She knew she could not be pregnant because her boyfriend said he used a condom.&#10;C) She was afraid her parents would pressure her to terminate the pregnancy.&#10;D) She kept hoping the pregnancy would just go away.

Accepted Answer

The answer of A teenager who has just come in...

Question 23

A nurse is working to improve her self-awareness in order to provide better client-centered care to clients living in poverty.Which of the following questions should the nurse ask herself?&#10;A) What would I do if I lived in poverty?&#10;B) What can be done to get poor people motivated to work?&#10;C) How have the media images of poor persons shaped my image of poverty?&#10;D) How can community resources assist those living in poverty?

Accepted Answer

The answer of A nurse is working to improve her...

Deck 23: Poverty, Homelessness, Teen Pregnancy, and Mental Illness