social/environmental (2)

Question 1

what population is most likely to live in poverty?

Answer 1

children under 5

Question 2

what problems is homelessness usually linked with?

Answer 2

abuse and trauma

Question 3

what can we do for homeless?

Answer 3

assess health risks and link to family resources

Question 4

what behaviors do stressed children express?

Answer 4

• regressive behavior
• sleep disturbances
• hyperactivity
• GI probs
• crying/withdrawal

Question 5

what does child abuse include?

Answer 5

• physical abuse/neglect
• emotional abuse/neglect
• verbal abuse
• sexual abuse

Question 6

deliberately withholding or failing to provide the necessary things that a child needs to survive and thrive

Answer 6

physical neglect

Question 7

what are some signs of child abuse?

Answer 7

• bruises in multiple stages
• scald burns with clear lines
• rope/belt/cord marks
• burn scars in various stages
• change in behavior or school performance
• sedation

Question 8

what is a potentially deadly form of child abuse that involves fabrication of signs and symptoms of an illness, most of the time by mothers

Answer 8

factitious disorder (formerly munchausen syndrome by proxy)

Question 9

what can factitious disorder cause?

Answer 9

repeated hospitalization and invasive procedures

Question 10

when can factitious disorder be suspected

Answer 10

• unexplained, recurrent, or extremely rare conditions occur
• illness unresponsive
• history and findings inconsistent

Question 11

what is the most common source of lead exposure in children

Answer 11

paint

Question 12

what is the lead poisoning threshold?

Answer 12

3.5 mcg/dl

Question 13

what are signs of lead poisoning?

Answer 13

• cell disruptions
• decreased IQ
• cognitive deficit
• antisocial
• poor educational outcome

Question 14

What is the role of nursing when addressing the lifestyle influences on the health of children?

Answer 14

prevention/teaching

Question 15

What tool can be used to screen for substance abuse in children?

Answer 15

HEEADSSS

Question 16

What is the number one priority when initiating therapy for a child you suspect of being abused?

Answer 16

safety

Question 17

How can you identify sexual abuse in a child?

Answer 17

Bad dreams, agitated, anxiety, delayed, withdraw. Discharge, blood stains, genital redness, difficulty walking, UTI or STI, sleeping problems, fear of people

Question 18

What is the first thing you should do when a child comes in and you suspect they have been abused?

Answer 18

Provide protective measures for the child in insure safety. This has to be done before you think about reporting the abuse

Question 19

when discussing details of how injuries occurred, in child abuse, how should the parents and child’s words be documented in the health record?

Answer 19

The parents and child’s own of words should be documented verbatim using quotation marks

Question 20

list some reasons why children are more vulnerable than adults to environmental contaminants

Answer 20

increased exposure near the ground because of smaller size, increased ingestion due to hand and mouth behavior, thinner skin, delayed elimination, higher respiratory and cardiovascular rates increase exposure to carbon monoxide

Question 21

What is the clinical therapy for a child who has ingested poison?

Answer 21

Stabilize, call poison control, antidote if available.

Question 22

what sense and symptoms would you expect to find in a child who has a foreign body lodged in their esophagus?

Answer 22

Subternal pain, drooling, dysphasia. some may have wheezing or coughing