Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
k k k k k k k k k k k
Nursing School TestBanks
k k
MULTIPLEkCHOICE
1. Thekclinicknursekiskworkingkwithkakmotherkandkherk3-year-
oldkchildkwhokhavekarrivedkforkthekchildskroutinekcheckup.kTheknursekencourageskthekmotherktokreturnk
forkherkchildskmeasles-mumps-
rubellakimmunizationkpriorktokthekchildskenteringkschool.kThiskinterventionkiskankexamplekofkwhatktypeko
fkcare?
A. Mandatorykhealthkcare
B. Primarykhealthkprevention
C. Secondarykhealthkprevention
D. Tertiarykhealthkprevention
ANS:kB
k
Ofkthekthreeklevelskofkprevention,kthekmostkdesirableklevelkiskprimarykprevention.kThiskencompasseskhealt
hkpromotionkandkactivitieskspecificallykmeantktokpreventkdiseasekfromkoccurringinkthiskcase,kschedulingkva
ccinations.kSecondarykpreventionkrefersktokearlykidentificationkandkpromptktreatmentkofkakhealthkproblemk
beforekitkhaskankopportunityktokspreadkorkbecomekmorekserious.kTertiarykpreventionkiskintendedktokrestor
ekhealthktokthekhighestkfunctioningkstatekthatkiskpossible.
2. Aknursekwishingktokbekankadvocatekforkaccessktokhealthkcarekwouldkmostklikelykchoosektokparticipatekink
whichkofkthekfollowingkactivities?
A. Lobbykforkimprovedkinsurancekaccesskforkallkindividuals,kwhetherkorknotktheykarekemployed.
B. Helpkestablishkfast-trackkorkminorkillnesskareaskinklocalkemergencykrooms.
C. Partnerkwithkmedicalkcentersktokprovidekfreekserviceskforklow-incomekpatients.
D. Workkwithkvisitingknurseskassociationsktokcreatekon-sitekclinicskatkday-carekcenters.
ANS:kA
Thekbiggestkdeterminantkofkaccessktokandkqualitykofkhealthkcarekiskoneskinsurancekstatus.kThekotherkactio
nskmightkhelpkimprovekaccessktoo,kbutkwouldknotkbekaskeffectivekasklobbyingkforkimprovedkabilitykforkallkind
ividualsktokgetkinsurance.
,Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
k k k k k k k k k k k
Nursing School TestBanks
k k
3. Aknursekworkingkwithkankafter-
schoolkprogramkiskconcernedkaboutktheklackkofkhealthkliteracykinkthekstudentskparents.kWhatkactionkw
ouldkbestkaddresskthiskneed?
A. Conductkakmonthlykhealth-relatedkseminarkforkparents.
B. Investigatekgrantskorkotherkfundingkforkakcomputerkbank.
C. Invitekparentsktokhealthykcookingkdemonstrations.
D. Providekbrochureskonkakvarietykofkhealthkproblems.k
ANS:kB
Thekdisparitykbetweenkpeoplekwhokhavekaccessktoktechnologykandkthosekwhokdoknotkiskdirectlykrelatedktokh
ealthkliteracykandkknowledge.kThekamountkofkinformationkdoubleskeveryk6kyears,ksokitkisknotkpossiblektokke
epktrackkofkallktheklatestkhealthknewskbykaccessingkbrochures,kbooks,korkperiodicals.kHavingkaccessktokcom
puterskwouldkgreatlykincreasekhealthkliteracy.kThekotherkoptionskarekcertainlykhelpful,kbutkwouldknotkbekask
far-reachingkaskprovidingkaccessktokonlinekmaterial.
4. Aknursekiskcaringkforkakpatientknearkthekendkofklifekwhosekwisheskregardingkcarekareknotkknown.kThekt
woksonskdisagreedkwithkthektwokdaughterskaboutkfuturekmedicalkplanskforkthekpatientkduringkakrecentkf
amilykconference,kandknowktheksonskandkdaughterskareknotktalkingktokonekanother.kWhatkactionkbykthekn
ursekwouldkbekbestktokhelpkresolvekthiskdilemma?
A. Callkthekfacilityskethicskcommitteekandkrequestkakformalkconsultation.
B. Haveksocialkworkkcoordinatekanotherkfamilykmeetingktokdiscusskthekissue.
C. Meetkwithktheksonskandkdaughterskseparatelyktokdiscussktheirkwishes.
D. Requestkthatkthekphysicianktellkthekfamilykwhatkiskinkthekpatientskbestkinterests.k
ANS:kA
Ethicalkprincipleskinkhealthkcarekarekoftenkinkconflict,kandkitktakeskakskilledkpersonktoknegotiatekandkmediat
ektheseksituations.kEthicskcommitteeskexistkinkmostkhealth-
carekfacilitieskthatkarekexperiencedkinkconfrontingkthesekdifficultksituations.kThekbestkresponsekwouldkbekfo
rktheknursektokrequestkakconsultationkfromkthekethicskcommittee.kAnotherkfamilykmeetingkmayknotkwork,ka
skthekfamilykalreadykdisagreeskandktensionskarekhigh.kThekotherkoptionskmaykbekhelpful,kbutkareknotkaskvita
lkaskakformalkethicskcommitteekconsultation.kMeetingkprivatelykwithktheksonskandkdaughterskmightkgivekthe
knurseksomekinsightkintoktheirkpositions,kbutkwouldknotkbekaskeffectivekaskutilizingkthekexpertisekonkthekcom
mittee.kThekphysiciankshouldknotkdecidekwhatkiskinkthekpatientskbestkinterests,kaskthiskiskpaternalistickandkv
iolateskthekprinciplekofkautonomy.
,Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
k k k k k k k k k k k
Nursing School TestBanks
k k
5. Akmotherkandkherk12-year-
oldkdaughterkvisitkthekclinickoftenkbecausekofkthekdaughterskasthma.kThekclinicknursekrecognizeskthatko
nekofkthekmostkimportantknursingkactionskinkthisksituationkiskwhichkofkthekfollowing?
A. Continuektokschedulekregularkclinickvisitskforkthekchildktokfollowkherkcondition.
B. Givekthekmotherktimektoktalkkaboutkherkdaughterskillnesskwhilekshekiskpresent.
C. Listenkpatientlyktokthekchildkaskshektalkskaboutkherkillness,klettingkherktellkherkstory.
D. Regulatekandkmodifykthekchildskmedicationskinkresponsektokherkasthmaksymptoms.k
ANS:kC
Researchkshowskthatkchildrenkfeelkthatkhealth-
carekproviderskdontkreallyklistenktokthem.kItkiskimportantktokadvocatekforkthekchildkandktokdevelopkakthera
peutickrelationshipkcharacterizedkbykakcaringkattitude.kTheknursekshouldkencouragekthekchildktokdiscusskh
erkasthmakandkmodifykinterventionskaccordingly.
6. Theknursekmanagingkakpediatrickclinickoftenkseesksinglekmotherskwithkchildren.kWhatkactionkbykthek
nursekwouldkbestkhelpkthiskpopulationkofkwomenkaccesskhealthkcare?
A. Arrangektokhavekeveningkandkweekendkhours.
B. Offerksamplekmedicationskinsteadkofkprescriptions.
C. Providekakplaykcenterkforkwaitingkchildren.
D. Providekbusktokenskforktransportationktokthekclinic.k
ANS:kA
Singlekmotherskwithkchildrenkconstitutek82%kofkthekpovertykpopulation.kWelfarektokworkkprogramskarekno
wkcompulsory,kandkwomenkmustkworkkinkorderktokreceivekaid.kOfferingkeveningkandkweekendkhourskcouldk
accommodatekmorekwomenkwhokcannotkaffordktokmissktimekoffkfromkwork.kThekotherkoptionskmightkbekh
elpfulkforksomekpatientskandkfamilies,kbutktokhavekthekgreatestkimpactkonktheklargestkgroupkofkpeople,kacco
mmodatingkworkkscheduleskiskimportantkforkthiskpopulationkofkwomen.
7. Akcommunitykhealthknursekexplainsktoktheknursingkstudentkthatkthekbestkhealth-
relatedkprogrammingkincludeskwhichkofkthekfollowingkelements?
A. Haskbothkindividualkandksocietalkcomponents
B. Iskdirectedktowardkindividualkresponsibility
C. Provideskincentivesktokcompensatekhealthykchoices
, Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
k k k k k k k k k k k
Nursing School TestBanks
k k
D. Requiresklegislationktoktrulykbekeffective
ANS:kA
k
Interventionkprogramskmustkbekmulti-
tieredkandkorientedktokthekbroaderksocialkcontextkinkwhichktheykoccur,kbecausekthatkiskwherekpatientsk
areklocated.kProgramskdirectedktowardkonlykindividualskareklessksuccessful.kProgramskandkinterventio
nskdoknotkneedktokincludeklegislationkorkincentives.
8. Aknursingkstudentkwishesktokinvestigateknationalkhealthkgoals.kWherekshouldkthekstudentkresearchkthiski
nformation?
A. CochranekDatabase
B. CumulativekIndexkofkNursingkandkAlliedkHealthkLiterature
C. Governmentk websites
D. HealthykPeoplekinitiativek
ANS:kD
ThekHealthykPeoplekinitiativekiskthekblueprintkforktheknationskhealthkgoals.kUpdatedkeveryk10kyears,kitklistsk
nationalkhealthkpriorities.kInformationkrelatedktokthekHealthykPeoplekinitiativekcankbekfoundkonkthekotherk
sites,kbutktheykareksecondaryksources.kThekstudentkwouldkdokbestktokinvestigatekthekprimaryksource.
9. Aknursekiskinterestedkinkprimarykpreventionkprograms.kWhichkofkthekfollowingkactivitieskwouldkthisk
nursekchoosektokdo?
A. Assistkwithkbloodkpressurekscreeningkatktheklocalkmall.
B. Collectkandkdistributekusedkeyeglasseskforkpoorkpeople.
C. Staffkakmobilekmammogramkunitkforkunderservedkgroups.
D. Teachkteenagerskaboutkthekdangerskofktextingkandkdriving.
ANS:kD
Primarykpreventionkincludeskactivitieskdesignedktokkeepkhealthkproblemskfromkhappening.kItkoftenkinclude
skeducation.kTeachingkteenskthekdangerskofktextingkandkdrivingkwillk(hopefully)kpreventkmotorkvehiclekcras
hes.kSecondarykpreventionkiskscreening,kearlykdetection,kandkpromptktreatmentkforkhealthkproblems.kProv
idingkbloodkpressurekscreeningkandkmammogramskarekexampleskofksecondarykprevention.kTertiarykprevent
ionkattemptsktokrestorekhealthktokitskhighestklevelkofkfunctioning.kProvidingkeyeglasseskforkneedykpeoplekwit
hkvisionkproblemskiskankexamplekofktertiarykprevention.
k k k k k k k k k k k
Nursing School TestBanks
k k
MULTIPLEkCHOICE
1. Thekclinicknursekiskworkingkwithkakmotherkandkherk3-year-
oldkchildkwhokhavekarrivedkforkthekchildskroutinekcheckup.kTheknursekencourageskthekmotherktokreturnk
forkherkchildskmeasles-mumps-
rubellakimmunizationkpriorktokthekchildskenteringkschool.kThiskinterventionkiskankexamplekofkwhatktypeko
fkcare?
A. Mandatorykhealthkcare
B. Primarykhealthkprevention
C. Secondarykhealthkprevention
D. Tertiarykhealthkprevention
ANS:kB
k
Ofkthekthreeklevelskofkprevention,kthekmostkdesirableklevelkiskprimarykprevention.kThiskencompasseskhealt
hkpromotionkandkactivitieskspecificallykmeantktokpreventkdiseasekfromkoccurringinkthiskcase,kschedulingkva
ccinations.kSecondarykpreventionkrefersktokearlykidentificationkandkpromptktreatmentkofkakhealthkproblemk
beforekitkhaskankopportunityktokspreadkorkbecomekmorekserious.kTertiarykpreventionkiskintendedktokrestor
ekhealthktokthekhighestkfunctioningkstatekthatkiskpossible.
2. Aknursekwishingktokbekankadvocatekforkaccessktokhealthkcarekwouldkmostklikelykchoosektokparticipatekink
whichkofkthekfollowingkactivities?
A. Lobbykforkimprovedkinsurancekaccesskforkallkindividuals,kwhetherkorknotktheykarekemployed.
B. Helpkestablishkfast-trackkorkminorkillnesskareaskinklocalkemergencykrooms.
C. Partnerkwithkmedicalkcentersktokprovidekfreekserviceskforklow-incomekpatients.
D. Workkwithkvisitingknurseskassociationsktokcreatekon-sitekclinicskatkday-carekcenters.
ANS:kA
Thekbiggestkdeterminantkofkaccessktokandkqualitykofkhealthkcarekiskoneskinsurancekstatus.kThekotherkactio
nskmightkhelpkimprovekaccessktoo,kbutkwouldknotkbekaskeffectivekasklobbyingkforkimprovedkabilitykforkallkind
ividualsktokgetkinsurance.
,Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
k k k k k k k k k k k
Nursing School TestBanks
k k
3. Aknursekworkingkwithkankafter-
schoolkprogramkiskconcernedkaboutktheklackkofkhealthkliteracykinkthekstudentskparents.kWhatkactionkw
ouldkbestkaddresskthiskneed?
A. Conductkakmonthlykhealth-relatedkseminarkforkparents.
B. Investigatekgrantskorkotherkfundingkforkakcomputerkbank.
C. Invitekparentsktokhealthykcookingkdemonstrations.
D. Providekbrochureskonkakvarietykofkhealthkproblems.k
ANS:kB
Thekdisparitykbetweenkpeoplekwhokhavekaccessktoktechnologykandkthosekwhokdoknotkiskdirectlykrelatedktokh
ealthkliteracykandkknowledge.kThekamountkofkinformationkdoubleskeveryk6kyears,ksokitkisknotkpossiblektokke
epktrackkofkallktheklatestkhealthknewskbykaccessingkbrochures,kbooks,korkperiodicals.kHavingkaccessktokcom
puterskwouldkgreatlykincreasekhealthkliteracy.kThekotherkoptionskarekcertainlykhelpful,kbutkwouldknotkbekask
far-reachingkaskprovidingkaccessktokonlinekmaterial.
4. Aknursekiskcaringkforkakpatientknearkthekendkofklifekwhosekwisheskregardingkcarekareknotkknown.kThekt
woksonskdisagreedkwithkthektwokdaughterskaboutkfuturekmedicalkplanskforkthekpatientkduringkakrecentkf
amilykconference,kandknowktheksonskandkdaughterskareknotktalkingktokonekanother.kWhatkactionkbykthekn
ursekwouldkbekbestktokhelpkresolvekthiskdilemma?
A. Callkthekfacilityskethicskcommitteekandkrequestkakformalkconsultation.
B. Haveksocialkworkkcoordinatekanotherkfamilykmeetingktokdiscusskthekissue.
C. Meetkwithktheksonskandkdaughterskseparatelyktokdiscussktheirkwishes.
D. Requestkthatkthekphysicianktellkthekfamilykwhatkiskinkthekpatientskbestkinterests.k
ANS:kA
Ethicalkprincipleskinkhealthkcarekarekoftenkinkconflict,kandkitktakeskakskilledkpersonktoknegotiatekandkmediat
ektheseksituations.kEthicskcommitteeskexistkinkmostkhealth-
carekfacilitieskthatkarekexperiencedkinkconfrontingkthesekdifficultksituations.kThekbestkresponsekwouldkbekfo
rktheknursektokrequestkakconsultationkfromkthekethicskcommittee.kAnotherkfamilykmeetingkmayknotkwork,ka
skthekfamilykalreadykdisagreeskandktensionskarekhigh.kThekotherkoptionskmaykbekhelpful,kbutkareknotkaskvita
lkaskakformalkethicskcommitteekconsultation.kMeetingkprivatelykwithktheksonskandkdaughterskmightkgivekthe
knurseksomekinsightkintoktheirkpositions,kbutkwouldknotkbekaskeffectivekaskutilizingkthekexpertisekonkthekcom
mittee.kThekphysiciankshouldknotkdecidekwhatkiskinkthekpatientskbestkinterests,kaskthiskiskpaternalistickandkv
iolateskthekprinciplekofkautonomy.
,Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
k k k k k k k k k k k
Nursing School TestBanks
k k
5. Akmotherkandkherk12-year-
oldkdaughterkvisitkthekclinickoftenkbecausekofkthekdaughterskasthma.kThekclinicknursekrecognizeskthatko
nekofkthekmostkimportantknursingkactionskinkthisksituationkiskwhichkofkthekfollowing?
A. Continuektokschedulekregularkclinickvisitskforkthekchildktokfollowkherkcondition.
B. Givekthekmotherktimektoktalkkaboutkherkdaughterskillnesskwhilekshekiskpresent.
C. Listenkpatientlyktokthekchildkaskshektalkskaboutkherkillness,klettingkherktellkherkstory.
D. Regulatekandkmodifykthekchildskmedicationskinkresponsektokherkasthmaksymptoms.k
ANS:kC
Researchkshowskthatkchildrenkfeelkthatkhealth-
carekproviderskdontkreallyklistenktokthem.kItkiskimportantktokadvocatekforkthekchildkandktokdevelopkakthera
peutickrelationshipkcharacterizedkbykakcaringkattitude.kTheknursekshouldkencouragekthekchildktokdiscusskh
erkasthmakandkmodifykinterventionskaccordingly.
6. Theknursekmanagingkakpediatrickclinickoftenkseesksinglekmotherskwithkchildren.kWhatkactionkbykthek
nursekwouldkbestkhelpkthiskpopulationkofkwomenkaccesskhealthkcare?
A. Arrangektokhavekeveningkandkweekendkhours.
B. Offerksamplekmedicationskinsteadkofkprescriptions.
C. Providekakplaykcenterkforkwaitingkchildren.
D. Providekbusktokenskforktransportationktokthekclinic.k
ANS:kA
Singlekmotherskwithkchildrenkconstitutek82%kofkthekpovertykpopulation.kWelfarektokworkkprogramskarekno
wkcompulsory,kandkwomenkmustkworkkinkorderktokreceivekaid.kOfferingkeveningkandkweekendkhourskcouldk
accommodatekmorekwomenkwhokcannotkaffordktokmissktimekoffkfromkwork.kThekotherkoptionskmightkbekh
elpfulkforksomekpatientskandkfamilies,kbutktokhavekthekgreatestkimpactkonktheklargestkgroupkofkpeople,kacco
mmodatingkworkkscheduleskiskimportantkforkthiskpopulationkofkwomen.
7. Akcommunitykhealthknursekexplainsktoktheknursingkstudentkthatkthekbestkhealth-
relatedkprogrammingkincludeskwhichkofkthekfollowingkelements?
A. Haskbothkindividualkandksocietalkcomponents
B. Iskdirectedktowardkindividualkresponsibility
C. Provideskincentivesktokcompensatekhealthykchoices
, Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
k k k k k k k k k k k
Nursing School TestBanks
k k
D. Requiresklegislationktoktrulykbekeffective
ANS:kA
k
Interventionkprogramskmustkbekmulti-
tieredkandkorientedktokthekbroaderksocialkcontextkinkwhichktheykoccur,kbecausekthatkiskwherekpatientsk
areklocated.kProgramskdirectedktowardkonlykindividualskareklessksuccessful.kProgramskandkinterventio
nskdoknotkneedktokincludeklegislationkorkincentives.
8. Aknursingkstudentkwishesktokinvestigateknationalkhealthkgoals.kWherekshouldkthekstudentkresearchkthiski
nformation?
A. CochranekDatabase
B. CumulativekIndexkofkNursingkandkAlliedkHealthkLiterature
C. Governmentk websites
D. HealthykPeoplekinitiativek
ANS:kD
ThekHealthykPeoplekinitiativekiskthekblueprintkforktheknationskhealthkgoals.kUpdatedkeveryk10kyears,kitklistsk
nationalkhealthkpriorities.kInformationkrelatedktokthekHealthykPeoplekinitiativekcankbekfoundkonkthekotherk
sites,kbutktheykareksecondaryksources.kThekstudentkwouldkdokbestktokinvestigatekthekprimaryksource.
9. Aknursekiskinterestedkinkprimarykpreventionkprograms.kWhichkofkthekfollowingkactivitieskwouldkthisk
nursekchoosektokdo?
A. Assistkwithkbloodkpressurekscreeningkatktheklocalkmall.
B. Collectkandkdistributekusedkeyeglasseskforkpoorkpeople.
C. Staffkakmobilekmammogramkunitkforkunderservedkgroups.
D. Teachkteenagerskaboutkthekdangerskofktextingkandkdriving.
ANS:kD
Primarykpreventionkincludeskactivitieskdesignedktokkeepkhealthkproblemskfromkhappening.kItkoftenkinclude
skeducation.kTeachingkteenskthekdangerskofktextingkandkdrivingkwillk(hopefully)kpreventkmotorkvehiclekcras
hes.kSecondarykpreventionkiskscreening,kearlykdetection,kandkpromptktreatmentkforkhealthkproblems.kProv
idingkbloodkpressurekscreeningkandkmammogramskarekexampleskofksecondarykprevention.kTertiarykprevent
ionkattemptsktokrestorekhealthktokitskhighestklevelkofkfunctioning.kProvidingkeyeglasseskforkneedykpeoplekwit
hkvisionkproblemskiskankexamplekofktertiarykprevention.
