Chapter 25

Test

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?

He had full-time employment, but with such a low salary it was inadequate to

meet basic expenses.

Which of the following clients is most likely to experience a high incidence of poverty?

A 14-year-old male

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 concerning the child’s academic progress?

Possible developmental delays

Which of the following is the most rapidly growing group experiencing poverty?

Women older than 65

Which of the following statements best describes why health care of the homeless is so expensive to the community?

Most care to homeless people takes place in hospital emergency departments.

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?

Offer daily access to a room with soap, water, and bandages.

A nurse is assessing a young, single pregnant woman. Which of the following findings would be of most concern to both mother and fetus?

Homelessness

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?

Develop programs that allow teen mothers to complete their education.

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?

“My daughter is too intelligent to get involved with boys, even if her friends do sleep around.”

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?

All teen pregnancies are considered high risk.

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?

Assessing for mother’s knowledge about normal infant growth and development

A mother and her son are in the emergency department seeking care after the son had become so angry that he put his hand through a glass window and had to have stitches. The emergency care provider 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?

“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.”

Which of the following is the leading cause of disability for adult Americans?

Anxiety disorders

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?

Partnering with associations to provide alternative activities that improve social skills

Which of the following clients is most at risk for suicide involving firearms?

A 20-year-old male

A nurse is trying to identify the risk for mental health problems among older adults. Which of the following interventions should the nurse implement initially?

Organize screening programs offered at senior centers.

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?

Asking caregivers how they are doing and suggesting coping strategies

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?

Apply for a grant to fund a mobile clinic to take health care to the clients.

According to the Federal 5egister, 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)?

26,200

A nurse is working to improve personal self-awareness in order to provide better client-centered care to clients living in poverty. Which of the following questions should the nurse self-reflect upon?

How have the media images of poor persons shaped my image of poverty?

A teenager who has just come in for her prenatal visit appears to be about 6 months pregnant. Which of the following best describes why the teenage girl has waited so long to come in for prenatal care? (Select all that apply.)

She was afraid her parents would pressure her to terminate the pregnancy.

She kept hoping the pregnancy would just go away.

She dreads the gynecological examination.

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? (Select all that apply.)

Cuddle the baby often.
Sing to baby with different melodies until baby seems to listen and shows a preference for certain tunes.

During the assessment, smile and gaze into the baby’s eyes.

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? (Select all that apply.)

Food insecurity
Increased school absences
Depression