Community - Week 11 (Ch 23) - Evolve Questions Flashcards
A recent movie release portrays a criminal as a black female drug user whose abusive boyfriend has two children by different women. She lives in the riot-torn inner city of a large metropolitan area. This best demonstrates what type of factor that influences poverty? A. Cultural B. Environmental C. Political D. Social
A. Cultural
Cultural attitudes are the beliefs and perspectives that a society values. Perspectives about individual responsibility for health and well-being are influenced by the prevailing cultural attitudes. The media communicate thoughts and attitudes through literature, film, art, television, and newspapers.
DIF: Cognitive Level: Application
REF: Page 409
A nurse in community health working in an inner city clinic with high poverty and unemployment rates recognizes the need for programs for pregnant women because these women often receive late or no prenatal care and deliver: A. at home. B. full term. C. identical twins or triplets. D. low-birthweight babies.
D. low-birthweight babies.
Poor pregnant women are more likely than other women to receive late or no prenatal care and to deliver low-birthweight babies, premature babies, or babies with birth defects.
DIF: Cognitive Level: Knowledge
REF: Page 411
A case management nurse for a locally funded program for special-needs children is increasingly concerned about a recent referral for a 1-year-old child with a congenital illness residing in a poverty-stricken community. The nurse knows that this child may be at higher risk for the most harmful effects of poverty, including: A. developmental delays. B. ear infections. C. frequent colds and infections. D. irritability.
A. developmental delays.
Young children (newborn to age 5 years) are at greater risk for the most harmful effects of poverty, especially in regard to adequate nutrition and brain development. Other risk factors include maternal substance abuse or depression, exposure to environmental toxins, trauma and abuse, and poor-quality daily care.
DIF: Cognitive Level: Application
REF: Page 411
For the homeless, health care is usually crisis oriented and sought in emergency departments. The most difficult challenge for nurses treating this vulnerable population is to recognize the client’s:
A. limitations in following treatment protocols.
B. limited number of transient treatment facilities.
C. transition to persistent poverty.
D. use and abuse of tobacco, alcohol, and illicit drugs.
A. limitations in following treatment protocols.
Homeless people devote a large portion of their time to just trying to survive. Health care is usually crisis oriented and sought in emergency departments. Those who access health care have a hard time following prescribed treatment regimes such as prescribed diets, purchasing prescriptions, or health-promotion or symptom-relief measures.
DIF: Cognitive Level: Knowledge
REF: Pages 413-414
The nurse must ask about violence at each prenatal and postpartum visit, especially with vulnerable populations such as teenagers, as well as observe for signs of violence on each visit. The nurse should be aware that the peak for postpartum intimate partner violence may be observed at various times according to ethnic group, such as:
A. 6 months for white mothers.
B. 10 months for white mothers.
C. 3 months for African-American and Hispanic/Latino mothers.
D. 12 months for African-American and Hispanic/Latino mothers.
C. 3 months for African-American and Hispanic/Latino mothers.
Violence that begins in pregnancy may continue for several years after, with increasing severity. Variations by ethnicity have also been observed during this postpartum period: intimate partner violence may peak at 3 months postpartum among African-American and Hispanic/Latino new mothers and at 18 months for white mothers. The nurse should look for physical signs of abuse, as well as for controlling or intrusive partner behavior.
DIF: Cognitive Level: Comprehension
REF: Page 419
A nurse in community health is following a pregnant teenager who attends school. The nurse plans to discuss self-care activities that will be important for the teen during her pregnancy. The discussion should include:
A. carrying heavy book bags.
B. changing to home education.
C. decreasing fluid intake to avoid nausea.
D. keeping up her grades.
A. carrying heavy book bags.
If teens return to school, it is important for the nurse to discuss these needs: (1) using the bathroom frequently, (2) carrying and drinking more fluids or snacks to relieve nausea, (3) climbing stairs and carrying heavy book bags, and (4) fitting comfortably behind stationary desks.
DIF: Cognitive Level: Application
REF: Page 421
The goal of deinstitutionalization was to improve the quality of life for people with mental disorders by providing services in the communities where they lived rather than in large institutions. At what program level did this change in locus of care fail? A. Assessment level B. Design level C. Evaluation level D. Implementation level
D. Implementation level
Although deinstitutionalization was noble in conception, it was bankrupt in implementation. Families and communities were not prepared to take on the treatment responsibilities they had to assume, and little education was available. Either care settings such as nursing homes, personal care settings, supervised apartments, rooming houses, single-occupancy hotels, and other similar settings were not available, or people were not educated or prepared to deal with this population.
DIF: Cognitive Level: Knowledge
REF: Page 422
A hospice nurse is working with a cancer client and his family. The client's 7-year-old son has developed recent school and peer problems. Understanding the risk for disruption of normal development, the nurse plans to first screen the child for: A. developmental disorders. B. mental health problems. C. parental neglect. D. violence potential.
B. mental health problems.
Children are at risk for disruption of normal development by biological, environmental, and psychosocial factors that impair their mental health, interfere with their education and social interactions, and keep them from realizing their full potential as adults. Children can develop depression or behavior problems in response to an actual or potential loss.
DIF: Cognitive Level: Application
REF: Page 422
A nurse in community health conducts quarterly mental health-promotion and depression-screening programs at the local senior center. The nurse is aware that older adults are at increased risk for developing depression. Using such an intervention also addresses the older adults’:
A. dependence on their primary care provider.
B. normal sensory losses.
C. reduced social contacts.
D. underutilization of the mental health system.
D. underutilization of the mental health system.
Older adults, because they may depend on others for care, are at risk for abuse and neglect. Healthy aging activities such as physical activity and establishing social networks improve the mental health of older adults. Older adults underutilize the mental health system and are more likely to be seen in primary care or to be the recipient of care in institutions. The nurse can reach them by organizing health-promotion programs through senior settings or other community-based settings.
DIF: Cognitive Level: Application
REF: Page 425
It is estimated that one in 15 males becomes a father during his teen years. The nurse should be aware that many young men facing paternity have specific challenges such as: (select all that apply)
A. acting as though they are interested when they are disinterested.
B. avoiding prenatal care involvement.
C. desiring and needing to be involved with their children.
D. being rejected by the young woman’s family.
E. rejecting their role as a father.
C. desiring and needing to be involved with their children.
D. being rejected by the young woman’s family.
Nurses can acknowledge and support the young man as he develops in the role of father. Young men react differently when they learn that their partner is pregnant, and it often depends on the nature of the relationship before pregnancy. Many young men will accompany the young woman to a health care center for pregnancy diagnosis and counseling. A large percentage of young men will continue to accompany the young woman to some prenatal visits and may even attend the delivery. These young men may also want to and need to be involved with their children regardless of changes in the relationship with the teen mother. It is not unusual for a young man to be excluded or even rejected by the young woman’s family. He may then begin to act as if he is disinterested when he may really feel that he cannot provide resources for his child or know how to take care of the child.
DIF: Cognitive Level: Comprehension
REF: Pages 417-418
