Social And Environmental Influences on the Child

Question 1

Resiliency theory

Answer 1

the ability to exhibit a healthy response when faced with adversity

Risk Factors:
1. lack of health insurance
2. absence of family provider
3. incomplete immunizations

Protective Factors:
1. child can communicate needs
2. family member present
3. comprehensive health insurance

Question 2

Poverty

Answer 2

1. unmet health need, difficulty in school, stunted growth, lead poisoning, risk for drugs/alcohol/teen pregnancy
2. food insecurity, unsafe housing, homeless

Question 3

Adverse Childhood Experiences

Answer 3

1. stress and traumatic social events
2. abuse, neglect, alcohol, drugs in the home, incarcerated parent, divorce
3. increased risk of stress related disease- CVA,HTN, MI, mental health

Question 4

Abuse and Neglect

Answer 4

THE INJURY IS SUPPOSED TO MATCH THE STORY
1. physical or emotional abuse/neglect
2. sexual abuse ( usually chronic )
3. nurses are mandated reporters (report the behavior your seeing)
4. alternative therapy - cupping, coining, etc.

Question 5

Environmental Influences

Answer 5

1. contaminants (exhaust)
2. poisoning ( cleaning products, call poison control 1st)
3. foreign body ingestion

Question 6

violence

Answer 6

1. school communities
2. bullying
3. incarceration
4. hazing
5. domestic and dating violence

Question 6

Lifestyle activities

Answer 6

1. tobacco use- avg. age to try is 9-14 years old
2. 70% of HS seniors have tried alcohol
3. marijuana, chemical inhalants, methylphenidate, OTC meds
4. inactivity and sedentary behavior
5. body art
6. sexual orientation

Question 7

Lead poisoning

Answer 7

Found in paint in the home, contaminated soil, lead pipes, dishes

Affects the:
1. Neurologic = behavior problems, lower IQ, hearing loss, learning disabilities
2. Renal = kidney damage
3. Hematologic = anemia