Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care Nursing School Test
Banks
MULTIPLE CHOICE
1. The clinic nurse is working with a mother and her 3-year-old child who have arrived for the childs
routine checkup. The nurse encourages the mother to return for her childs measles-mumps-rubella
immunization prior to the childs entering school. This intervention is an example of what type of care?
A. Mandatory health care
B. Primary health prevention
C. Secondary health prevention
D. Tertiary health prevention
ANS: B
Of the three levels of prevention, the most desirable level is primary prevention. This encompasses
health promotion and activities specifically meant to prevent disease from occurringin this case,
scheduling vaccinations. Secondary prevention refers to early identification and prompt treatment of a
health problem before it has an opportunity to spread or become more serious. Tertiary prevention is
intended to restore health to the highest functioning state that is possible.
2. A nurse wishing to be an advocate for access to health care would most likely choose to participate in
which of the following activities?
A. Lobby for improved insurance access for all individuals, whether or not they are employed.
B. Help establish fast-track or minor illness areas in local emergency rooms.
C. Partner with medical centers to provide free services for low-income patients.
D. Work with visiting nurses associations to create on-site clinics at day-care centers.
ANS: A
The biggest determinant of access to and quality of health care is ones insurance status. The other
actions might help improve access too, but would not be as effective as lobbying for improved ability for
all individuals to get insurance.
,3. A nurse working with an after-school program is concerned about the lack of health literacy in the
students parents. What action would best address this need?
A. Conduct a monthly health-related seminar for parents.
B. Investigate grants or other funding for a computer bank.
C. Invite parents to healthy cooking demonstrations.
D. Provide brochures on a variety of health problems.
ANS: B
The disparity between people who have access to technology and those who do not is directly related to
health literacy and knowledge. The amount of information doubles every 6 years, so it is not possible to
keep track of all the latest health news by accessing brochures, books, or periodicals. Having access to
computers would greatly increase health literacy. The other options are certainly helpful, but would not
be as far-reaching as providing access to online material.
4. A nurse is caring for a patient near the end of life whose wishes regarding care are not known. The
two sons disagreed with the two daughters about future medical plans for the patient during a recent
family conference, and now the sons and daughters are not talking to one another. What action by the
nurse would be best to help resolve this dilemma?
A. Call the facilitys ethics committee and request a formal consultation.
B. Have social work coordinate another family meeting to discuss the issue.
C. Meet with the sons and daughters separately to discuss their wishes.
D. Request that the physician tell the family what is in the patients best interests.
ANS: A
Ethical principles in health care are often in conflict, and it takes a skilled person to negotiate and
mediate these situations. Ethics committees exist in most health-care facilities that are experienced in
confronting these difficult situations. The best response would be for the nurse to request a consultation
from the ethics committee. Another family meeting may not work, as the family already disagrees and
tensions are high. The other options may be helpful, but are not as vital as a formal ethics committee
consultation. Meeting privately with the sons and daughters might give the nurse some insight into their
positions, but would not be as effective as utilizing the expertise on the committee. The physician should
not decide what is in the patients best interests, as this is paternalistic and violates the principle of
autonomy.
,5. A mother and her 12-year-old daughter visit the clinic often because of the daughters asthma. The
clinic nurse recognizes that one of the most important nursing actions in this situation is which of the
following?
A. Continue to schedule regular clinic visits for the child to follow her condition.
B. Give the mother time to talk about her daughters illness while she is present.
C. Listen patiently to the child as she talks about her illness, letting her tell her story.
D. Regulate and modify the childs medications in response to her asthma symptoms.
ANS: C
Research shows that children feel that health-care providers dont really listen to them. It is important to
advocate for the child and to develop a therapeutic relationship characterized by a caring attitude. The
nurse should encourage the child to discuss her asthma and modify interventions accordingly.
6. The nurse managing a pediatric clinic often sees single mothers with children. What action by the
nurse would best help this population of women access health care?
A. Arrange to have evening and weekend hours.
B. Offer sample medications instead of prescriptions.
C. Provide a play center for waiting children.
D. Provide bus tokens for transportation to the clinic.
ANS: A
Single mothers with children constitute 82% of the poverty population. Welfare to work programs are
now compulsory, and women must work in order to receive aid. Offering evening and weekend hours
could accommodate more women who cannot afford to miss time off from work. The other options
might be helpful for some patients and families, but to have the greatest impact on the largest group of
people, accommodating work schedules is important for this population of women.
7. A community health nurse explains to the nursing student that the best health-related programming
includes which of the following elements?
A. Has both individual and societal components
B. Is directed toward individual responsibility
C. Provides incentives to compensate healthy choices
, D. Requires legislation to truly be effective
ANS: A
Intervention programs must be multi-tiered and oriented to the broader social context in which they
occur, because that is where patients are located. Programs directed toward only individuals are less
successful. Programs and interventions do not need to include legislation or incentives.
8. A nursing student wishes to investigate national health goals. Where should the student research this
information?
A. Cochrane Database
B. Cumulative Index of Nursing and Allied Health Literature
C. Government websites
D. Healthy People initiative
ANS: D
The Healthy People initiative is the blueprint for the nations health goals. Updated every 10 years, it lists
national health priorities. Information related to the Healthy People initiative can be found on the other
sites, but they are secondary sources. The student would do best to investigate the primary source.
9. A nurse is interested in primary prevention programs. Which of the following activities would this
nurse choose to do?
A. Assist with blood pressure screening at the local mall.
B. Collect and distribute used eyeglasses for poor people.
C. Staff a mobile mammogram unit for underserved groups.
D. Teach teenagers about the dangers of texting and driving.
ANS: D
Primary prevention includes activities designed to keep health problems from happening. It often
includes education. Teaching teens the dangers of texting and driving will (hopefully) prevent motor
vehicle crashes. Secondary prevention is screening, early detection, and prompt treatment for health
problems. Providing blood pressure screening and mammograms are examples of secondary prevention.
Tertiary prevention attempts to restore health to its highest level of functioning. Providing eyeglasses for
needy people with vision problems is an example of tertiary prevention.
Banks
MULTIPLE CHOICE
1. The clinic nurse is working with a mother and her 3-year-old child who have arrived for the childs
routine checkup. The nurse encourages the mother to return for her childs measles-mumps-rubella
immunization prior to the childs entering school. This intervention is an example of what type of care?
A. Mandatory health care
B. Primary health prevention
C. Secondary health prevention
D. Tertiary health prevention
ANS: B
Of the three levels of prevention, the most desirable level is primary prevention. This encompasses
health promotion and activities specifically meant to prevent disease from occurringin this case,
scheduling vaccinations. Secondary prevention refers to early identification and prompt treatment of a
health problem before it has an opportunity to spread or become more serious. Tertiary prevention is
intended to restore health to the highest functioning state that is possible.
2. A nurse wishing to be an advocate for access to health care would most likely choose to participate in
which of the following activities?
A. Lobby for improved insurance access for all individuals, whether or not they are employed.
B. Help establish fast-track or minor illness areas in local emergency rooms.
C. Partner with medical centers to provide free services for low-income patients.
D. Work with visiting nurses associations to create on-site clinics at day-care centers.
ANS: A
The biggest determinant of access to and quality of health care is ones insurance status. The other
actions might help improve access too, but would not be as effective as lobbying for improved ability for
all individuals to get insurance.
,3. A nurse working with an after-school program is concerned about the lack of health literacy in the
students parents. What action would best address this need?
A. Conduct a monthly health-related seminar for parents.
B. Investigate grants or other funding for a computer bank.
C. Invite parents to healthy cooking demonstrations.
D. Provide brochures on a variety of health problems.
ANS: B
The disparity between people who have access to technology and those who do not is directly related to
health literacy and knowledge. The amount of information doubles every 6 years, so it is not possible to
keep track of all the latest health news by accessing brochures, books, or periodicals. Having access to
computers would greatly increase health literacy. The other options are certainly helpful, but would not
be as far-reaching as providing access to online material.
4. A nurse is caring for a patient near the end of life whose wishes regarding care are not known. The
two sons disagreed with the two daughters about future medical plans for the patient during a recent
family conference, and now the sons and daughters are not talking to one another. What action by the
nurse would be best to help resolve this dilemma?
A. Call the facilitys ethics committee and request a formal consultation.
B. Have social work coordinate another family meeting to discuss the issue.
C. Meet with the sons and daughters separately to discuss their wishes.
D. Request that the physician tell the family what is in the patients best interests.
ANS: A
Ethical principles in health care are often in conflict, and it takes a skilled person to negotiate and
mediate these situations. Ethics committees exist in most health-care facilities that are experienced in
confronting these difficult situations. The best response would be for the nurse to request a consultation
from the ethics committee. Another family meeting may not work, as the family already disagrees and
tensions are high. The other options may be helpful, but are not as vital as a formal ethics committee
consultation. Meeting privately with the sons and daughters might give the nurse some insight into their
positions, but would not be as effective as utilizing the expertise on the committee. The physician should
not decide what is in the patients best interests, as this is paternalistic and violates the principle of
autonomy.
,5. A mother and her 12-year-old daughter visit the clinic often because of the daughters asthma. The
clinic nurse recognizes that one of the most important nursing actions in this situation is which of the
following?
A. Continue to schedule regular clinic visits for the child to follow her condition.
B. Give the mother time to talk about her daughters illness while she is present.
C. Listen patiently to the child as she talks about her illness, letting her tell her story.
D. Regulate and modify the childs medications in response to her asthma symptoms.
ANS: C
Research shows that children feel that health-care providers dont really listen to them. It is important to
advocate for the child and to develop a therapeutic relationship characterized by a caring attitude. The
nurse should encourage the child to discuss her asthma and modify interventions accordingly.
6. The nurse managing a pediatric clinic often sees single mothers with children. What action by the
nurse would best help this population of women access health care?
A. Arrange to have evening and weekend hours.
B. Offer sample medications instead of prescriptions.
C. Provide a play center for waiting children.
D. Provide bus tokens for transportation to the clinic.
ANS: A
Single mothers with children constitute 82% of the poverty population. Welfare to work programs are
now compulsory, and women must work in order to receive aid. Offering evening and weekend hours
could accommodate more women who cannot afford to miss time off from work. The other options
might be helpful for some patients and families, but to have the greatest impact on the largest group of
people, accommodating work schedules is important for this population of women.
7. A community health nurse explains to the nursing student that the best health-related programming
includes which of the following elements?
A. Has both individual and societal components
B. Is directed toward individual responsibility
C. Provides incentives to compensate healthy choices
, D. Requires legislation to truly be effective
ANS: A
Intervention programs must be multi-tiered and oriented to the broader social context in which they
occur, because that is where patients are located. Programs directed toward only individuals are less
successful. Programs and interventions do not need to include legislation or incentives.
8. A nursing student wishes to investigate national health goals. Where should the student research this
information?
A. Cochrane Database
B. Cumulative Index of Nursing and Allied Health Literature
C. Government websites
D. Healthy People initiative
ANS: D
The Healthy People initiative is the blueprint for the nations health goals. Updated every 10 years, it lists
national health priorities. Information related to the Healthy People initiative can be found on the other
sites, but they are secondary sources. The student would do best to investigate the primary source.
9. A nurse is interested in primary prevention programs. Which of the following activities would this
nurse choose to do?
A. Assist with blood pressure screening at the local mall.
B. Collect and distribute used eyeglasses for poor people.
C. Staff a mobile mammogram unit for underserved groups.
D. Teach teenagers about the dangers of texting and driving.
ANS: D
Primary prevention includes activities designed to keep health problems from happening. It often
includes education. Teaching teens the dangers of texting and driving will (hopefully) prevent motor
vehicle crashes. Secondary prevention is screening, early detection, and prompt treatment for health
problems. Providing blood pressure screening and mammograms are examples of secondary prevention.
Tertiary prevention attempts to restore health to its highest level of functioning. Providing eyeglasses for
needy people with vision problems is an example of tertiary prevention.
