NUR 401 Chapter 16 community/public health nursing Updated 2024/2025 with complete solutions

A community health nurse may work in a collaborative role with which program that provides nutritious foods, nutrition education, and referral to millions of American pregnant and nursing women and infants and small children? Medicaid School-based health services Women, Infants, and Children (WIC) Maternal and Child Health (MCH) Block - Women, Infants, and Children (WIC) Correct WIC is a federally funded program that provides highly nutritious foods, nutrition education and counseling, and referral to millions of low-income pregnant and breastfeeding mothers and their infants and small children. Medicaid is a health insurance program for poor and low-income people. Schoolbased health centers typically provide a combination of screening and preventive services, primary care, mental health and substance abuse counseling, dental health, nutrition education, and other health promotion activities. The MCH Block Grant program allocates federal funds to the states, and the states must contribute their own funds for maternal and child health services. DIF: Cognitive level: Knowledge REF: Page 306 A school nurse performs all of the following activities. Which one demonstrates primary prevention? Establishing an after-school group for latch-key children Reviewing immunization records Obtaining grant funding to test for serum lead levels Vision and hearing screening - Reviewing immunization records. CorrectThe only option above that represents primary prevention is reviewing immunization records. This is a teachable opportunity for the nurse to stress the importance of maintaining immunizations for the child. The other options are secondary or tertiary prevention activities. DIF: Cognitive level: Application REF: Page 294 All of the following contribute to obesity among lower income communities except: the high cost of healthy foods. food insecurity. decreased availability of fast food. lack of access to places to exercise. - decreased availability of fast food. Correct The higher cost of healthy foods, food insecurity, and the lack of access to safe places to exercise contribute to obesity in lower income communities. Fast food tends to be cheap and readily available in lower income communities. DIF: Cognitive level: Knowledge REF: Page 296 Children living below the poverty threshold account for what percentage of the U.S. population? 8% 22% 35% 44% - 22% Correct In 2013, approximately 22% of American children lived below the poverty line. Many more children (about 44%) live in low-income families that are close to the poverty level and unable to meet basic living expenses.DIF: Cognitive level: Knowledge REF: Page 301 Despite nursing activities and public awareness campaigns on this topic, many women face barriers to good health throughout their lives. The barriers to good health women face include the following: (Select all that apply.) racism. poverty. violence. living in a suburban area. lack of access to health care. - racism. Correct poverty. Correct violence. Correct lack of access to health care. Correct Unfortunately, many women face barriers to good health throughout their lives, including racism, violence, poverty, and lack of access to health care. Those living in suburban areas and most outer urban areas experience superior access to health care services compared with those living in rural areas and inner cities, especially if they are poor. DIF: Cognitive level: Knowledge REF: Pages 287-288 Health prevention activities targeting the 13- to 18-year-old population must be based on the knowledge that a priority health threat faced by adolescents is: inadequate problem solving and coping skills. avoidance of preventive health services. engaging in risk-taking l activity. - engaging in risk-taking behaviors. Correct The major developmental goal of adolescence is establishing independence. When coupled with adolescents' view of themselves as invincible, this often leads to risk-taking behaviors. Although early and unprotected sexual activity is one example of risk-taking behavior, the best (more comprehensive) answer is engaging in risk-taking behaviors. Generally, adolescence is a time of emotional maturity that includes learning problem-solving and coping skills. Adolescents are generally healthy, and it is common that they rarely use preventive health services. DIF: Cognitive level: Analysis REF: Page 298 Keeping in mind the Healthy People 2020 objectives, the community health nurse is aware that education and actions focused on one specific risk factor may result in a significant reduction in childhood deaths. This is because the leading cause of death for all children older than the age of 1 year is: unintentional injuries. drowning. choking. motor-vehicle related injuries. - unintentional injuries. Correct