Chapter 3: Homelessness as a Health Equity and Social Justice Concern in Nursing Flashcards
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 behaviour?
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 needs
c) a friend had thrown his meal away, and he thought he could find his friends untouched food
d) he was doing this to fullfill an obligation of fraternity initiation at the college
B: the causes of poverty are complex and include decreased earnings, increased unemployment rates, and inadequate education and job skills
Which of the following racial groups experience the highest incidence of poverty?
a) Non-Hispanic Whites
b) Blacks
c) Hispanics
d) Asians
B:
a school nurse was caring for a 8-year old child who had been hurt on the school playground. During the assessment, the child admits that her mother was working but did not make much money so the girl and her mother are living in their car> Based on this info, 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
C: poverty also increases the likelihood of chronic disease, injuries, traumatic death, developmental delays, poor nutrition, inadequate immunization levels, iron deficiency anemia, elevated blood lead levels.
The same child living in the car with her mother, the nurse is most concerned with?
a) that the child is being mistreated by other children
b) that the child has developmental delays
c) the child is given adequate food during lunch
d) the child may need to sit in the front in order to be able to see well
B: homeless children also experience higher rates of school absenteeism, academic failure, and emotional and behavioural maladjustments
which of the following is the most rapidly growing group of homeless?
a) adolescents
b) families with children
c) persons in crisis
d) single men
B
which of the following statements best describes why health care of the homeless is so expensive to the community ?
a) health conditions of the homeless require increased preventive services
b) homeless clients typically make more clinic visits for multiple health problems
c) homeless people spread contagious diseases to those they pass on the street
d) most care to homeless people takes place in hospital E.R. departments
D
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?
a) provide antibiotics to all homeless persons with chronic, nonhealing wounds
b) offer daily access to a room with soap, water, and bandages
c) hand out free bandaging supplies following each clinic visit
d) perform regular monitoring of the clients would condition
B: health problems faced by the homeless often are related directly to poor access to preventive health care services.
Proper wound care relies on cleanliness
a nurse assessing a young, single pregnant woman, which of the following findings would be of most concern?
a) elevated BP
b) first prenatal visit at 5 months gestation
c) persistent homelessness
d) positive STD test
C: though all are concerning, homelessness has higher rates of STD, incidences of addiction to drugs and alcohol, poorer nutrition, and poor birth outcomes
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?
a) assist teen mothers to learn about their body changes during pregnancy
b) develop programs that allow teen mothers to complete their education
c) offer courses in proper care of babies and how to be a parent
d) monitor pregnant teens to detect early problems with pregnancy
B: a direct correlation exists between lack of education and poverty.
Similarly, a direct correlation exists between poverty and poor health outcomes
Poor teens are nearly three times more likely to drop out of school
a school health nurse presents a program on preventing teen pregnancy to a group of parents. which of the following comments by a parent would cause concern?
a) i do not know if my son is sexually active; however I have decided I am going to talk to him about it
b) my daughter is too intelligent to get involved with boys, even if her friends do sleep around
c) my daughter and I have often discussed sexuality, and when she is ready, I’ll pay for her birth control pills
d) i have spoken to my son about birth control. He says he is not ready to be a father and support a baby. He wants to go to college
B: teens are more likely to be sexually active if their friends are.
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?
a) all teens pregnancies are considered high-risk
b) limited self-care knowledge can lead to pregnant complications
c) pregnant teens are likely to receive prenatal care late in the pregnancy
d) pregnant teens may have limited financial resources to pay for care
A: all the statements are true, thus it is crucial to consider all pregnant teenagers are high risk patients
A nurse is making a postpartum visit to a teenage mother and her month-old infant. Which of the following assessments would be most important?
a) assessing for mothers ability to fulfill her own growth and development tasks
b) assessing for mothers knowledge about normal infant growth and development
c) assessing how much the teenager mothers own mother is helping her cope with child care
d) assessing whether the baby’s father is being helpful to the mother
B: the primary goal would be to assess how much the mother knows and understands about the needs of infants and their development
A mother and her son are in the ER. The mother is extremely upset. Earlier, the son had become so angry that he put his hands 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? what is the most appropriate response?
a) absolutely not. But a psychiatrist can help your son to 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 behaviour, which is distressing all of you. A psychiatrist may be able to help your son cope with life in a more acceptable way.
D; mental health disorders are conditions characterized by alterations in thinking, mood, or behaviour, resulting in distress and/or impaired functioning.
which of the following is the leading cause of disability for americans 15-44 years old?
a) accidents
b) arthritis
c) major depressive disorder
d) workplace injuries
C:
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?
a) distributing literature that associates violence with a lack of intelligence
b) explaining to youth why youth violence is detrimental to society
c) partnering with associations to provide alternative activities that improve social skills
d) recommending increased funding to prosecute and jail teens associated with violent activity.
C: helping children learn to stop, think, and act
