[community Public Health] Chapter 27: Children In The Community Health

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| By Draconisnightman
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1. 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?

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.

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About This Quiz
Community Health Quizzes & Trivia

This quiz focuses on children's health within community settings, assessing knowledge on demographics, legal rights, educational integration, and access to healthcare services, emphasizing the importance of understanding both... see morelegal frameworks and social conditions affecting children. see less

2.  Why has there been an increasing emphasis on caring for chronically ill children in their homes rather than in the hospital?

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.

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3. 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?

Explanation

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.

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4. What should a nurse know about American children?

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.

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5. Children make up approximately what percentage of the total population in the United States?

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.

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6. What must a child achieve to legally become an adult?

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.

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7. Which of the following interventions is an example of primary prevention?

Explanation

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.

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8. What information would be helpful for a mother of a toddler who was just beginning to explore the mothers small apartment?

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.

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9. Which tendency common to adolescents is the primary reason why it is so difficult to keep them healthy and safe?

Explanation

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.

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10.  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?

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.

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11. 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?

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.

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12. 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?

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.

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13. 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?

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.

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14. Which statistic is most often used by governments, whether state or national, to compare health outcomes?

Explanation

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.

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15. Which of the following programs provides educational, nutrition, health services, and parent involvement opportunities to low-income children?

Explanation

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.

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16. What right do all handicapped children with disabilities aged 6 through 21 have because of the Education for All Handicapped Children Act?

Explanation

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.

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17. 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?

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.

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18. What is the major cause of death in children aged 1 to 18?

Explanation

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.

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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?

Explanation

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.

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20. 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?

Explanation

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.

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21. 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?

Explanation

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.

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22. 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?

Explanation

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.

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23. Why do not all public health agencies provide nursing home visits for new mothers and babies?

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.

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24. What conclusion can be drawn in a comparison of hospital costs with home care costs for ventilator-dependent children?

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.

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25. 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?

Explanation

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.

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26. 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?

Explanation

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.

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27. What is a problem with the federal governments Education for All Handicapped Children Act (PL 94-142) and its amendment (PL 99-457)?

Explanation

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An adolescent was at a clinic with her mother for a sports physical...
 Why has there been an increasing emphasis on caring for...
A nurse is making a home visit to see a new teenage mother who is...
What should a nurse know about American children?
Children make up approximately what percentage of the total population...
What must a child achieve to legally become an adult?
Which of the following interventions is an example of primary...
What information would be helpful for a mother of a toddler who was...
Which tendency common to adolescents is the primary reason why it is...
 A nurse at a school-based neighborhood health clinic noticed...
A community/public health nurse is working with an extremely poor...
A new resident was touring the local elementary school where she...
A woman explained to a nurse that she knew her children needed to...
Which statistic is most often used by governments, whether state or...
Which of the following programs provides educational, nutrition,...
What right do all handicapped children with disabilities aged 6...
A 7-year-old boy happily introduced a nurse to a man he called Dad and...
What is the major cause of death in children aged 1 to 18?
Which of the following would be an appropriate tertiary intervention...
A mother who provides care for her ventilator-dependent child told the...
A school nurse decided to offer a parenting class to all parents of...
Two young people were smiling as a nurse brought in their new baby in...
Why do not all public health agencies provide nursing home visits for...
What conclusion can be drawn in a comparison of hospital costs with...
A community/public health nurse decided to provide a free program to...
A nurse believed strongly that intervention for technology-dependent...
What is a problem with the federal governments Education for All...
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