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Exam (elaborations)

Chapter 16: Child and Adolescent Health

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Chapter 16: Child and Adolescent Health

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February 15, 2022
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Community Public Health Nursing 7th Edition Nies Test Bank


Chapter 16: Child and Adolescent Health
Nies: Community/Public Health Nursing, 7th Edition


MULTIPLE CHOICE

1. Which group of children is at the highest risk to have poor health?
a. African American children living in a suburb
b. Asian children living in an outer urban area
c. Hispanic children living in the inner city
d. White children living in a rural area
ANS: C
Significant disparities persist in health status of white children versus children of color.
However, children living in suburban areas and most outer urban areas experience superior
access to health services compared with children living in rural areas and inner cities,
especially if they are poor.

DIF: Cognitive Level: Understand (Comprehension)

2. What proportion of U.S. citizens are children?
a. 12%
b. 16%
c. 20%
d. 24%
ANS: D
In 2015, there were 73.7 millN nR
ioU .SI
US NGildTrB
. ch en.uCdeM
nO r the age of 18 years. Children represent
about 24% of the country’s population, down from a peak of 36% at the end of the
mid-1960’s baby boom.

DIF: Cognitive Level: Remember (Knowledge)

3. Which action should be taken by a typical community preparing for the expected demographic
changes in the United States?
a. Build more elementary schools
b. Build more high schools
c. Build more colleges
d. Build more adult condominiums
ANS: D
The number of children will increase, but the proportion of children as compared with adults
has been decreasing since the mid-1960s. Consequently, more housing for adults is needed.

DIF: Cognitive Level: Apply (Application)

4. If most students have no intention of ever leaving their local community, which language
should be chosen as the required foreign language in high school?
a. French, as it is a very romantic language
b. German, because many of the students’ names are German
c. Latin, as it is the basis for many other languages

, Community Public Health Nursing 7th Edition Nies Test Bank

d. Spanish, to improve employment opportunities
ANS: D
By 2050, Hispanic children as a percentage of the population are expected to grow to 32%, up
from 25% in 2015. The percentage of children who are Hispanic has increased faster than that
of any other racial or ethnic group. More immigrants speak Spanish, and care providers need
to give culturally appropriate care. Speaking Spanish would be helpful. Because of these
reasons, it would be most appropriate for Spanish to be selected as the required foreign
language. Speaking French, German, or Latin would not be as practical as being able to speak
Spanish.

DIF: Cognitive Level: Apply (Application)

5. Which best describes why infant mortality rate is used as an international comparison of a
country’s health status?
a. Every country, regardless of other priorities, focuses on care of infants and their
mothers.
b. It is easy to obtain and compare such data.
c. It reflects medical care quality and access and public health practice.
d. The World Health Organization requires these data be reported to them each year.
ANS: C
It is an important marker because it is related to several factors, including maternal health,
medical care quality and access, socioeconomic conditions, and public health practices. Infant
mortality reflects the health and welfare of an entire community and is used as a broad
indicator of health care and health status.

DIF: Cognitive Level: UndersN ndR(S
taU CoImNpG heB
reT ns.
ioC
n)OM

6. Which statement best describes how the United States compares with other countries on infant
mortality rate?
a. Best of all the industrialized nations
b. About in the middle of the industrialized nations
c. Near the bottom of the industrialized nations
d. Gradually improving among the industrialized nations
ANS: C
The United States ranks a dismal 27th in infant mortality behind most other industrialized
nations, including Japan, Sweden, Spain, Hong Kong, Italy, France, and Canada. Fifty years
ago, the United States ranked 12th. The gap in infant mortality between the United States and
other nations has occurred in spite of the United States' comparatively high per capita
spending on health care and technological advancements.

DIF: Cognitive Level: Understand (Comprehension)

7. A school nurse at a high school suggests that all students have an educational unit on newborn
care in their required health class. Which provides the best rationale for this suggestion?
a. Because all adults should be knowledgeable in basic child care
b. Because the first year of life is the most hazardous until old age
c. To help convince students not to engage in sexual intercourse
d. To demonstrate the incredible responsibilities in parenthood

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