Test Bank Chapter 2: Contemporary Issues in Womens,F
v v v v v v v v
amilies, and Childrens Health Care
v v v v
Nursing School Updated Edition 2024.
v v v v
MULTIPLEvCHOICE
1. Thevclinicvnursevisvworkingvwithvavmothervandvherv3-year-
oldvchildvwhovhavevarrivedvforvthevchildsvroutinevcheckup.vThevnursevencouragesvthevmothervtovretur
nvforvhervchildsvmeasles-mumps-
rubellavimmunizationvpriorvtovthevchildsventeringvschool.vThisvinterventionvisvanvexamplevofvwhatvtypevo
fvcare?
A. Mandatoryvhealthvcare
B. Primaryvhealthvprevention
C. Secondaryvhealthvprevention
D. Tertiaryvhealthvpreventionv
ANS:vB
Ofvthevthreevlevelsvofvprevention,vthevmostvdesirablevlevelvisvprimaryvprevention.vThisvencompassesvheal
thvpromotionvandvactivitiesvspecificallyvmeantvtovpreventvdiseasevfromvoccurringinvthisvcase,vschedulingv
vaccinations.vSecondaryvpreventionvrefersvtovearlyvidentificationvandvpromptvtreatmentvofvavhealthvproble
mvbeforevitvhasvanvopportunityvtovspreadvorvbecomevmorevserious.vTertiaryvpreventionvisvintendedvtovrest
orevhealthvtovthevhighestvfunctioningvstatevthatvisvpossible.
2. Avnursevwishingvtovbevanvadvocatevforvaccessvtovhealthvcarevwouldvmostvlikelyvchoosevtovparticipatevinv
whichvofvthevfollowingvactivities?
A. Lobbyvforvimprovedvinsurancevaccessvforvallvindividuals,vwhethervorvnotvtheyvarevemployed.
B. Helpvestablishvfast-trackvorvminorvillnessvareasvinvlocalvemergencyvrooms.
C. Partnervwithvmedicalvcentersvtovprovidevfreevservicesvforvlow-incomevpatients.
D. Workvwithvvisitingvnursesvassociationsvtovcreatevon-sitevclinicsvatvday-carevcenters.
ANS:vA
Thevbiggestvdeterminantvofvaccessvtovandvqualityvofvhealthvcarevisvonesvinsurancevstatus.vThevothervactio
nsvmightvhelpvimprovevaccessvtoo,vbutvwouldvnotvbevasveffectivevasvlobbyingvforvimprovedvabilityvforvallvindi
vidualsvtovgetvinsurance.
,Test Bank Chapter 2: Contemporary Issues in Womens,F
v v v v v v v v
amilies, and Childrens Health Care
v v v v
Nursing School Updated Edition 2024.
v v v v
3. Avnursevworkingvwithvanvafter-
schoolvprogramvisvconcernedvaboutvthevlackvofvhealthvliteracyvinvthevstudentsvparents.vWhatvactionvw
ouldvbestvaddressvthisvneed?
A. Conductvavmonthlyvhealth-relatedvseminarvforvparents.
B. Investigatevgrantsvorvothervfundingvforvavcomputervbank.
C. Invitevparentsvtovhealthyvcookingvdemonstrations.
D. Providevbrochuresvonvavvarietyvofvhealthvproblems.
ANS:vB
Thevdisparityvbetweenvpeoplevwhovhavevaccessvtovtechnologyvandvthosevwhovdovnotvisvdirectlyvrelatedvtovh
ealthvliteracyvandvknowledge.vThevamountvofvinformationvdoublesveveryv6vyears,vsovitvisvnotvpossiblevtovke
epvtrackvofvallvthevlatestvhealthvnewsvbyvaccessingvbrochures,vbooks,vorvperiodicals.vHavingvaccessvtovcom
putersvwouldvgreatlyvincreasevhealthvliteracy.vThevothervoptionsvarevcertainlyvhelpful,vbutvwouldvnotvbevasv
far-reachingvasvprovidingvaccessvtovonlinevmaterial.
4. Avnursevisvcaringvforvavpatientvnearvthevendvofvlifevwhosevwishesvregardingvcarevarevnotvknown.vThevt
wovsonsvdisagreedvwithvthevtwovdaughtersvaboutvfuturevmedicalvplansvforvthevpatientvduringvavrecentvfa
milyvconference,vandvnowvthevsonsvandvdaughtersvarevnotvtalkingvtovonevanother.vWhatvactionvbyvthevnu
rsevwouldvbevbestvtovhelpvresolvevthisvdilemma?
A. Callvthevfacilitysvethicsvcommitteevandvrequestvavformalvconsultation.
B. Havevsocialvworkvcoordinatevanothervfamilyvmeetingvtovdiscussvthevissue.
C. Meetvwithvthevsonsvandvdaughtersvseparatelyvtovdiscussvtheirvwishes.
D. Requestvthatvthevphysicianvtellvthevfamilyvwhatvisvinvthevpatientsvbestvinterests.v
ANS:vA
Ethicalvprinciplesvinvhealthvcarevarevoftenvinvconflict,vandvitvtakesvavskilledvpersonvtovnegotiatevandvmedia
tevthesevsituations.vEthicsvcommitteesvexistvinvmostvhealth-
carevfacilitiesvthatvarevexperiencedvinvconfrontingvthesevdifficultvsituations.vThevbestvresponsevwouldvbevfo
rvthevnursevtovrequestvavconsultationvfromvthevethicsvcommittee.vAnothervfamilyvmeetingvmayvnotvwork,va
svthevfamilyvalreadyvdisagreesvandvtensionsvarevhigh.vThevothervoptionsvmayvbevhelpful,vbutvarevnotvasvvit
alvasvavformalvethicsvcommitteevconsultation.vMeetingvprivatelyvwithvthevsonsvandvdaughtersvmightvgivevth
evnursevsomevinsightvintovtheirvpositions,vbutvwouldvnotvbevasveffectivevasvutilizingvthevexpertisevonvthevcom
mittee.vThevphysicianvshouldvnotvdecidevwhatvisvinvthevpatientsvbestvinterests,vasvthisvisvpaternalisticvandvv
iolatesvthevprinciplevofvautonomy.
,Test Bank Chapter 2: Contemporary Issues in Womens,F
v v v v v v v v
amilies, and Childrens Health Care
v v v v
Nursing School Updated Edition 2024.
v v v v
5. Avmothervandvherv12-year-
oldvdaughtervvisitvthevclinicvoftenvbecausevofvthevdaughtersvasthma.vThevclinicvnursevrecognizesvthatvo
nevofvthevmostvimportantvnursingvactionsvinvthisvsituationvisvwhichvofvthevfollowing?
A. Continuevtovschedulevregularvclinicvvisitsvforvthevchildvtovfollowvhervcondition.
B. Givevthevmothervtimevtovtalkvaboutvhervdaughtersvillnessvwhilevshevisvpresent.
C. Listenvpatientlyvtovthevchildvasvshevtalksvaboutvhervillness,vlettingvhervtellvhervstory.
D. Regulatevandvmodifyvthevchildsvmedicationsvinvresponsevtovhervasthmavsymptoms.v
ANS:vC
Researchvshowsvthatvchildrenvfeelvthatvhealth-
carevprovidersvdontvreallyvlistenvtovthem.vItvisvimportantvtovadvocatevforvthevchildvandvtovdevelopvavtherap
euticvrelationshipvcharacterizedvbyvavcaringvattitude.vThevnursevshouldvencouragevthevchildvtovdiscussvher
vasthmavandvmodifyvinterventionsvaccordingly.
6. Thevnursevmanagingvavpediatricvclinicvoftenvseesvsinglevmothersvwithvchildren.vWhatvactionvbyvthev
nursevwouldvbestvhelpvthisvpopulationvofvwomenvaccessvhealthvcare?
A. Arrangevtovhaveveveningvandvweekendvhours.
B. Offervsamplevmedicationsvinsteadvofvprescriptions.
C. Providevavplayvcentervforvwaitingvchildren.
D. Providevbusvtokensvforvtransportationvtovthevclinic.v
ANS:vA
Singlevmothersvwithvchildrenvconstitutev82%vofvthevpovertyvpopulation.vWelfarevtovworkvprogramsvarev
nowvcompulsory,vandvwomenvmustvworkvinvordervtovreceivevaid.vOfferingveveningvandvweekendvhoursvc
ouldvaccommodatevmorevwomenvwhovcannotvaffordvtovmissvtimevoffvfromvwork.vThevothervoptionsvmi
ghtvbevhelpfulvforvsomevpatientsvandvfamilies,vbutvtovhavevthevgreatestvimpactvonvthevlargestvgroupvofvpeo
ple,vaccommodatingvworkvschedulesvisvimportantvforvthisvpopulationvofvwomen.
7. Avcommunityvhealthvnursevexplainsvtovthevnursingvstudentvthatvthevbestvhealth-
relatedvprogrammingvincludesvwhichvofvthevfollowingvelements?
A. Hasvbothvindividualvandvsocietalvcomponents
B. Isvdirectedvtowardvindividualvresponsibility
C. Providesvincentivesvtovcompensatevhealthyvchoices
, Test Bank Chapter 2: Contemporary Issues in Womens,F
v v v v v v v v
amilies, and Childrens Health Care
v v v v
Nursing School Updated Edition 2024.
v v v v
D. Requiresvlegislationvtovtrulyvbeveffectivev
ANS:vA
Interventionvprogramsvmustvbevmulti-
tieredvandvorientedvtovthevbroadervsocialvcontextvinvwhichvtheyvoccur,vbecausevthatvisvwherevpatientsv
arevlocated.vProgramsvdirectedvtowardvonlyvindividualsvarevlessvsuccessful.vProgramsvandvintervention
svdovnotvneedvtovincludevlegislationvorvincentives.
8. Avnursingvstudentvwishesvtovinvestigatevnationalvhealthvgoals.vWherevshouldvthevstudentvresearchvthisvi
nformation?
A. CochranevDatabase
B. CumulativevIndexvofvNursingvandvAlliedvHealthvLiterature
C. Governmentvwebsites
D. HealthyvPeoplevinitiativev
ANS:vD
ThevHealthyvPeoplevinitiativevisvthevblueprintvforvthevnationsvhealthvgoals.vUpdatedveveryv10vyears,vitvlistsv
nationalvhealthvpriorities.vInformationvrelatedvtovthevHealthyvPeoplevinitiativevcanvbevfoundvonvthevotherv
sites,vbutvtheyvarevsecondaryvsources.vThevstudentvwouldvdovbestvtovinvestigatevthevprimaryvsource.
9. Avnursevisvinterestedvinvprimaryvpreventionvprograms.vWhichvofvthevfollowingvactivitiesvwouldvthisv
nursevchoosevtovdo?
A. Assistvwithvbloodvpressurevscreeningvatvthevlocalvmall.
B. Collectvandvdistributevusedveyeglassesvforvpoorvpeople.
C. Staffvavmobilevmammogramvunitvforvunderservedvgroups.
D. Teachvteenagersvaboutvthevdangersvofvtextingvandvdriving.v
ANS:vD
Primaryvpreventionvincludesvactivitiesvdesignedvtovkeepvhealthvproblemsvfromvhappening.vItvoftenvinclud
esveducation.vTeachingvteensvthevdangersvofvtextingvandvdrivingvwillv(hopefully)vpreventvmotorvvehiclevcr
ashes.vSecondaryvpreventionvisvscreening,vearlyvdetection,vandvpromptvtreatmentvforvhealthvproblems.vP
rovidingvbloodvpressurevscreeningvandvmammogramsvarevexamplesvofvsecondaryvprevention.vTertiaryvprev
entionvattemptsvtovrestorevhealthvtovitsvhighestvlevelvofvfunctioning.vProvidingveyeglassesvforvneedyvpeoplev
withvvisionvproblemsvisvanvexamplevofvtertiaryvprevention.
v v v v v v v v
amilies, and Childrens Health Care
v v v v
Nursing School Updated Edition 2024.
v v v v
MULTIPLEvCHOICE
1. Thevclinicvnursevisvworkingvwithvavmothervandvherv3-year-
oldvchildvwhovhavevarrivedvforvthevchildsvroutinevcheckup.vThevnursevencouragesvthevmothervtovretur
nvforvhervchildsvmeasles-mumps-
rubellavimmunizationvpriorvtovthevchildsventeringvschool.vThisvinterventionvisvanvexamplevofvwhatvtypevo
fvcare?
A. Mandatoryvhealthvcare
B. Primaryvhealthvprevention
C. Secondaryvhealthvprevention
D. Tertiaryvhealthvpreventionv
ANS:vB
Ofvthevthreevlevelsvofvprevention,vthevmostvdesirablevlevelvisvprimaryvprevention.vThisvencompassesvheal
thvpromotionvandvactivitiesvspecificallyvmeantvtovpreventvdiseasevfromvoccurringinvthisvcase,vschedulingv
vaccinations.vSecondaryvpreventionvrefersvtovearlyvidentificationvandvpromptvtreatmentvofvavhealthvproble
mvbeforevitvhasvanvopportunityvtovspreadvorvbecomevmorevserious.vTertiaryvpreventionvisvintendedvtovrest
orevhealthvtovthevhighestvfunctioningvstatevthatvisvpossible.
2. Avnursevwishingvtovbevanvadvocatevforvaccessvtovhealthvcarevwouldvmostvlikelyvchoosevtovparticipatevinv
whichvofvthevfollowingvactivities?
A. Lobbyvforvimprovedvinsurancevaccessvforvallvindividuals,vwhethervorvnotvtheyvarevemployed.
B. Helpvestablishvfast-trackvorvminorvillnessvareasvinvlocalvemergencyvrooms.
C. Partnervwithvmedicalvcentersvtovprovidevfreevservicesvforvlow-incomevpatients.
D. Workvwithvvisitingvnursesvassociationsvtovcreatevon-sitevclinicsvatvday-carevcenters.
ANS:vA
Thevbiggestvdeterminantvofvaccessvtovandvqualityvofvhealthvcarevisvonesvinsurancevstatus.vThevothervactio
nsvmightvhelpvimprovevaccessvtoo,vbutvwouldvnotvbevasveffectivevasvlobbyingvforvimprovedvabilityvforvallvindi
vidualsvtovgetvinsurance.
,Test Bank Chapter 2: Contemporary Issues in Womens,F
v v v v v v v v
amilies, and Childrens Health Care
v v v v
Nursing School Updated Edition 2024.
v v v v
3. Avnursevworkingvwithvanvafter-
schoolvprogramvisvconcernedvaboutvthevlackvofvhealthvliteracyvinvthevstudentsvparents.vWhatvactionvw
ouldvbestvaddressvthisvneed?
A. Conductvavmonthlyvhealth-relatedvseminarvforvparents.
B. Investigatevgrantsvorvothervfundingvforvavcomputervbank.
C. Invitevparentsvtovhealthyvcookingvdemonstrations.
D. Providevbrochuresvonvavvarietyvofvhealthvproblems.
ANS:vB
Thevdisparityvbetweenvpeoplevwhovhavevaccessvtovtechnologyvandvthosevwhovdovnotvisvdirectlyvrelatedvtovh
ealthvliteracyvandvknowledge.vThevamountvofvinformationvdoublesveveryv6vyears,vsovitvisvnotvpossiblevtovke
epvtrackvofvallvthevlatestvhealthvnewsvbyvaccessingvbrochures,vbooks,vorvperiodicals.vHavingvaccessvtovcom
putersvwouldvgreatlyvincreasevhealthvliteracy.vThevothervoptionsvarevcertainlyvhelpful,vbutvwouldvnotvbevasv
far-reachingvasvprovidingvaccessvtovonlinevmaterial.
4. Avnursevisvcaringvforvavpatientvnearvthevendvofvlifevwhosevwishesvregardingvcarevarevnotvknown.vThevt
wovsonsvdisagreedvwithvthevtwovdaughtersvaboutvfuturevmedicalvplansvforvthevpatientvduringvavrecentvfa
milyvconference,vandvnowvthevsonsvandvdaughtersvarevnotvtalkingvtovonevanother.vWhatvactionvbyvthevnu
rsevwouldvbevbestvtovhelpvresolvevthisvdilemma?
A. Callvthevfacilitysvethicsvcommitteevandvrequestvavformalvconsultation.
B. Havevsocialvworkvcoordinatevanothervfamilyvmeetingvtovdiscussvthevissue.
C. Meetvwithvthevsonsvandvdaughtersvseparatelyvtovdiscussvtheirvwishes.
D. Requestvthatvthevphysicianvtellvthevfamilyvwhatvisvinvthevpatientsvbestvinterests.v
ANS:vA
Ethicalvprinciplesvinvhealthvcarevarevoftenvinvconflict,vandvitvtakesvavskilledvpersonvtovnegotiatevandvmedia
tevthesevsituations.vEthicsvcommitteesvexistvinvmostvhealth-
carevfacilitiesvthatvarevexperiencedvinvconfrontingvthesevdifficultvsituations.vThevbestvresponsevwouldvbevfo
rvthevnursevtovrequestvavconsultationvfromvthevethicsvcommittee.vAnothervfamilyvmeetingvmayvnotvwork,va
svthevfamilyvalreadyvdisagreesvandvtensionsvarevhigh.vThevothervoptionsvmayvbevhelpful,vbutvarevnotvasvvit
alvasvavformalvethicsvcommitteevconsultation.vMeetingvprivatelyvwithvthevsonsvandvdaughtersvmightvgivevth
evnursevsomevinsightvintovtheirvpositions,vbutvwouldvnotvbevasveffectivevasvutilizingvthevexpertisevonvthevcom
mittee.vThevphysicianvshouldvnotvdecidevwhatvisvinvthevpatientsvbestvinterests,vasvthisvisvpaternalisticvandvv
iolatesvthevprinciplevofvautonomy.
,Test Bank Chapter 2: Contemporary Issues in Womens,F
v v v v v v v v
amilies, and Childrens Health Care
v v v v
Nursing School Updated Edition 2024.
v v v v
5. Avmothervandvherv12-year-
oldvdaughtervvisitvthevclinicvoftenvbecausevofvthevdaughtersvasthma.vThevclinicvnursevrecognizesvthatvo
nevofvthevmostvimportantvnursingvactionsvinvthisvsituationvisvwhichvofvthevfollowing?
A. Continuevtovschedulevregularvclinicvvisitsvforvthevchildvtovfollowvhervcondition.
B. Givevthevmothervtimevtovtalkvaboutvhervdaughtersvillnessvwhilevshevisvpresent.
C. Listenvpatientlyvtovthevchildvasvshevtalksvaboutvhervillness,vlettingvhervtellvhervstory.
D. Regulatevandvmodifyvthevchildsvmedicationsvinvresponsevtovhervasthmavsymptoms.v
ANS:vC
Researchvshowsvthatvchildrenvfeelvthatvhealth-
carevprovidersvdontvreallyvlistenvtovthem.vItvisvimportantvtovadvocatevforvthevchildvandvtovdevelopvavtherap
euticvrelationshipvcharacterizedvbyvavcaringvattitude.vThevnursevshouldvencouragevthevchildvtovdiscussvher
vasthmavandvmodifyvinterventionsvaccordingly.
6. Thevnursevmanagingvavpediatricvclinicvoftenvseesvsinglevmothersvwithvchildren.vWhatvactionvbyvthev
nursevwouldvbestvhelpvthisvpopulationvofvwomenvaccessvhealthvcare?
A. Arrangevtovhaveveveningvandvweekendvhours.
B. Offervsamplevmedicationsvinsteadvofvprescriptions.
C. Providevavplayvcentervforvwaitingvchildren.
D. Providevbusvtokensvforvtransportationvtovthevclinic.v
ANS:vA
Singlevmothersvwithvchildrenvconstitutev82%vofvthevpovertyvpopulation.vWelfarevtovworkvprogramsvarev
nowvcompulsory,vandvwomenvmustvworkvinvordervtovreceivevaid.vOfferingveveningvandvweekendvhoursvc
ouldvaccommodatevmorevwomenvwhovcannotvaffordvtovmissvtimevoffvfromvwork.vThevothervoptionsvmi
ghtvbevhelpfulvforvsomevpatientsvandvfamilies,vbutvtovhavevthevgreatestvimpactvonvthevlargestvgroupvofvpeo
ple,vaccommodatingvworkvschedulesvisvimportantvforvthisvpopulationvofvwomen.
7. Avcommunityvhealthvnursevexplainsvtovthevnursingvstudentvthatvthevbestvhealth-
relatedvprogrammingvincludesvwhichvofvthevfollowingvelements?
A. Hasvbothvindividualvandvsocietalvcomponents
B. Isvdirectedvtowardvindividualvresponsibility
C. Providesvincentivesvtovcompensatevhealthyvchoices
, Test Bank Chapter 2: Contemporary Issues in Womens,F
v v v v v v v v
amilies, and Childrens Health Care
v v v v
Nursing School Updated Edition 2024.
v v v v
D. Requiresvlegislationvtovtrulyvbeveffectivev
ANS:vA
Interventionvprogramsvmustvbevmulti-
tieredvandvorientedvtovthevbroadervsocialvcontextvinvwhichvtheyvoccur,vbecausevthatvisvwherevpatientsv
arevlocated.vProgramsvdirectedvtowardvonlyvindividualsvarevlessvsuccessful.vProgramsvandvintervention
svdovnotvneedvtovincludevlegislationvorvincentives.
8. Avnursingvstudentvwishesvtovinvestigatevnationalvhealthvgoals.vWherevshouldvthevstudentvresearchvthisvi
nformation?
A. CochranevDatabase
B. CumulativevIndexvofvNursingvandvAlliedvHealthvLiterature
C. Governmentvwebsites
D. HealthyvPeoplevinitiativev
ANS:vD
ThevHealthyvPeoplevinitiativevisvthevblueprintvforvthevnationsvhealthvgoals.vUpdatedveveryv10vyears,vitvlistsv
nationalvhealthvpriorities.vInformationvrelatedvtovthevHealthyvPeoplevinitiativevcanvbevfoundvonvthevotherv
sites,vbutvtheyvarevsecondaryvsources.vThevstudentvwouldvdovbestvtovinvestigatevthevprimaryvsource.
9. Avnursevisvinterestedvinvprimaryvpreventionvprograms.vWhichvofvthevfollowingvactivitiesvwouldvthisv
nursevchoosevtovdo?
A. Assistvwithvbloodvpressurevscreeningvatvthevlocalvmall.
B. Collectvandvdistributevusedveyeglassesvforvpoorvpeople.
C. Staffvavmobilevmammogramvunitvforvunderservedvgroups.
D. Teachvteenagersvaboutvthevdangersvofvtextingvandvdriving.v
ANS:vD
Primaryvpreventionvincludesvactivitiesvdesignedvtovkeepvhealthvproblemsvfromvhappening.vItvoftenvinclud
esveducation.vTeachingvteensvthevdangersvofvtextingvandvdrivingvwillv(hopefully)vpreventvmotorvvehiclevcr
ashes.vSecondaryvpreventionvisvscreening,vearlyvdetection,vandvpromptvtreatmentvforvhealthvproblems.vP
rovidingvbloodvpressurevscreeningvandvmammogramsvarevexamplesvofvsecondaryvprevention.vTertiaryvprev
entionvattemptsvtovrestorevhealthvtovitsvhighestvlevelvofvfunctioning.vProvidingveyeglassesvforvneedyvpeoplev
withvvisionvproblemsvisvanvexamplevofvtertiaryvprevention.
