Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
g g g g g g g g g g g
Nursing School TestBanks
g g
MULTIPLEgCHOICE
1. Thegclinicgnursegisgworkinggwithgagmothergandgherg3-year-
oldgchildgwhoghavegarrivedgforgthegchildsgroutinegcheckup.gThegnursegencouragesgthegmothergtogreturn
gforghergchildsgmeasles-mumps-
rubellagimmunizationgpriorgtogthegchildsgenteringgschool.gThisginterventiongisgangexamplegofgwhatgtypego
fgcare?
A. Mandatoryghealthgcare
B. Primaryghealthgprevention
C. Secondaryghealthgprevention
D. Tertiaryghealthgprevention
ANS:gB
g
Ofgthegthreeglevelsgofgprevention,gthegmostgdesirableglevelgisgprimarygprevention.gThisgencompassesghealt
hgpromotiongandgactivitiesgspecificallygmeantgtogpreventgdiseasegfromgoccurringingthisgcase,gschedulinggva
ccinations.gSecondarygpreventiongrefersgtogearlygidentificationgandgpromptgtreatmentgofgaghealthgproblemg
beforegitghasgangopportunitygtogspreadgorgbecomegmoregserious.gTertiarygpreventiongisgintendedgtogrestor
eghealthgtogtheghighestgfunctioninggstategthatgisgpossible.
2. Agnursegwishinggtogbegangadvocategforgaccessgtoghealthgcaregwouldgmostglikelygchoosegtogparticipateging
whichgofgthegfollowinggactivities?
A. Lobbygforgimprovedginsurancegaccessgforgallgindividuals,gwhethergorgnotgtheygaregemployed.
B. Helpgestablishgfast-trackgorgminorgillnessgareasginglocalgemergencygrooms.
C. Partnergwithgmedicalgcentersgtogprovidegfreegservicesgforglow-incomegpatients.
D. Workgwithgvisitinggnursesgassociationsgtogcreategon-sitegclinicsgatgday-caregcenters.
ANS:gA
Thegbiggestgdeterminantgofgaccessgtogandgqualitygofghealthgcaregisgonesginsurancegstatus.gThegothergactio
nsgmightghelpgimprovegaccessgtoo,gbutgwouldgnotgbegasgeffectivegasglobbyinggforgimprovedgabilitygforgallgin
dividualsgtoggetginsurance.
,Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
g g g g g g g g g g g
Nursing School TestBanks
g g
3. Agnursegworkinggwithgangafter-
schoolgprogramgisgconcernedgaboutgtheglackgofghealthgliteracygingthegstudentsgparents.gWhatgactiongw
ouldgbestgaddressgthisgneed?
A. Conductgagmonthlyghealth-relatedgseminargforgparents.
B. Investigateggrantsgorgothergfundinggforgagcomputergbank.
C. Invitegparentsgtoghealthygcookinggdemonstrations.
D. Providegbrochuresgongagvarietygofghealthgproblems.g
ANS:gB
Thegdisparitygbetweengpeoplegwhoghavegaccessgtogtechnologygandgthosegwhogdognotgisgdirectlygrelatedgtogh
ealthgliteracygandgknowledge.gThegamountgofginformationgdoublesgeveryg6gyears,gsogitgisgnotgpossiblegtogke
epgtrackgofgallgtheglatestghealthgnewsgbygaccessinggbrochures,gbooks,gorgperiodicals.gHavinggaccessgtogcom
putersgwouldggreatlygincreaseghealthgliteracy.gThegothergoptionsgaregcertainlyghelpful,gbutgwouldgnotgbegasg
far-reachinggasgprovidinggaccessgtogonlinegmaterial.
4. Agnursegisgcaringgforgagpatientgneargthegendgofglifegwhosegwishesgregardinggcaregaregnotgknown.gThegt
wogsonsgdisagreedgwithgthegtwogdaughtersgaboutgfuturegmedicalgplansgforgthegpatientgduringgagrecentgf
amilygconference,gandgnowgthegsonsgandgdaughtersgaregnotgtalkinggtogoneganother.gWhatgactiongbygtheg
nursegwouldgbegbestgtoghelpgresolvegthisgdilemma?
A. Callgthegfacilitysgethicsgcommitteegandgrequestgagformalgconsultation.
B. Havegsocialgworkgcoordinateganothergfamilygmeetinggtogdiscussgthegissue.
C. Meetgwithgthegsonsgandgdaughtersgseparatelygtogdiscussgtheirgwishes.
D. Requestgthatgthegphysiciangtellgthegfamilygwhatgisgingthegpatientsgbestginterests.g
ANS:gA
Ethicalgprinciplesginghealthgcaregaregoftengingconflict,gandgitgtakesgagskilledgpersongtognegotiategandgmediat
egthesegsituations.gEthicsgcommitteesgexistgingmostghealth-
caregfacilitiesgthatgaregexperiencedgingconfrontinggthesegdifficultgsituations.gThegbestgresponsegwouldgbegfo
rgthegnursegtogrequestgagconsultationgfromgthegethicsgcommittee.gAnothergfamilygmeetinggmaygnotgwork,ga
sgthegfamilygalreadygdisagreesgandgtensionsgareghigh.gThegothergoptionsgmaygbeghelpful,gbutgaregnotgasgvit
algasgagformalgethicsgcommitteegconsultation.gMeetinggprivatelygwithgthegsonsgandgdaughtersgmightggivegth
egnursegsomeginsightgintogtheirgpositions,gbutgwouldgnotgbegasgeffectivegasgutilizinggthegexpertisegongthegco
mmittee.gThegphysiciangshouldgnotgdecidegwhatgisgingthegpatientsgbestginterests,gasgthisgisgpaternalisticgan
dgviolatesgthegprinciplegofgautonomy.
,Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
g g g g g g g g g g g
Nursing School TestBanks
g g
5. Agmothergandgherg12-year-
oldgdaughtergvisitgthegclinicgoftengbecausegofgthegdaughtersgasthma.gThegclinicgnursegrecognizesgthatgo
negofgthegmostgimportantgnursinggactionsgingthisgsituationgisgwhichgofgthegfollowing?
A. Continuegtogschedulegregulargclinicgvisitsgforgthegchildgtogfollowghergcondition.
B. Givegthegmothergtimegtogtalkgaboutghergdaughtersgillnessgwhilegshegisgpresent.
C. Listengpatientlygtogthegchildgasgshegtalksgaboutghergillness,glettingghergtellghergstory.
D. Regulategandgmodifygthegchildsgmedicationsgingresponsegtoghergasthmagsymptoms.g
ANS:gC
Researchgshowsgthatgchildrengfeelgthatghealth-
caregprovidersgdontgreallyglistengtogthem.gItgisgimportantgtogadvocategforgthegchildgandgtogdevelopgagthera
peuticgrelationshipgcharacterizedgbygagcaringgattitude.gThegnursegshouldgencouragegthegchildgtogdiscussgh
ergasthmagandgmodifyginterventionsgaccordingly.
6. Thegnursegmanaginggagpediatricgclinicgoftengseesgsinglegmothersgwithgchildren.gWhatgactiongbygtheg
nursegwouldgbestghelpgthisgpopulationgofgwomengaccessghealthgcare?
A. Arrangegtoghavegeveninggandgweekendghours.
B. Offergsamplegmedicationsginsteadgofgprescriptions.
C. Providegagplaygcentergforgwaitinggchildren.
D. Providegbusgtokensgforgtransportationgtogthegclinic.g
ANS:gA
Singlegmothersgwithgchildrengconstituteg82%gofgthegpovertygpopulation.gWelfaregtogworkgprogramsgaregno
wgcompulsory,gandgwomengmustgworkgingordergtogreceivegaid.gOfferinggeveninggandgweekendghoursgcould
gaccommodategmoregwomengwhogcannotgaffordgtogmissgtimegoffgfromgwork.gThegothergoptionsgmightgbeg
helpfulgforgsomegpatientsgandgfamilies,gbutgtoghavegtheggreatestgimpactgongtheglargestggroupgofgpeople,gacc
ommodatinggworkgschedulesgisgimportantgforgthisgpopulationgofgwomen.
7. Agcommunityghealthgnursegexplainsgtogthegnursinggstudentgthatgthegbestghealth-
relatedgprogramminggincludesgwhichgofgthegfollowinggelements?
A. Hasgbothgindividualgandgsocietalgcomponents
B. Isgdirectedgtowardgindividualgresponsibility
C. Providesgincentivesgtogcompensateghealthygchoices
, Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
g g g g g g g g g g g
Nursing School TestBanks
g g
D. Requiresglegislationgtogtrulygbegeffective
g ANS:gA
Interventiongprogramsgmustgbegmulti-
tieredgandgorientedgtogthegbroadergsocialgcontextgingwhichgtheygoccur,gbecausegthatgisgwheregpatientsg
areglocated.gProgramsgdirectedgtowardgonlygindividualsgareglessgsuccessful.gProgramsgandginterventio
nsgdognotgneedgtogincludeglegislationgorgincentives.
8. Agnursinggstudentgwishesgtoginvestigategnationalghealthggoals.gWheregshouldgthegstudentgresearchgthisg
information?
A. CochranegDatabase
B. CumulativegIndexgofgNursinggandgAlliedgHealthgLiterature
C. Governmentg websites
D. HealthygPeopleginitiativeg
ANS:gD
ThegHealthygPeopleginitiativegisgthegblueprintgforgthegnationsghealthggoals.gUpdatedgeveryg10gyears,gitglistsg
nationalghealthgpriorities.gInformationgrelatedgtogthegHealthygPeopleginitiativegcangbegfoundgongthegotherg
sites,gbutgtheygaregsecondarygsources.gThegstudentgwouldgdogbestgtoginvestigategthegprimarygsource.
9. Agnursegisginterestedgingprimarygpreventiongprograms.gWhichgofgthegfollowinggactivitiesgwouldgthisg
nursegchoosegtogdo?
A. Assistgwithgbloodgpressuregscreeninggatgtheglocalgmall.
B. Collectgandgdistributegusedgeyeglassesgforgpoorgpeople.
C. Staffgagmobilegmammogramgunitgforgunderservedggroups.
D. Teachgteenagersgaboutgthegdangersgofgtextinggandgdriving.
ANS:gD
Primarygpreventiongincludesgactivitiesgdesignedgtogkeepghealthgproblemsgfromghappening.gItgoftenginclud
esgeducation.gTeachinggteensgthegdangersgofgtextinggandgdrivinggwillg(hopefully)gpreventgmotorgvehiclegcra
shes.gSecondarygpreventiongisgscreening,gearlygdetection,gandgpromptgtreatmentgforghealthgproblems.gPro
vidinggbloodgpressuregscreeninggandgmammogramsgaregexamplesgofgsecondarygprevention.gTertiarygpreve
ntiongattemptsgtogrestoreghealthgtogitsghighestglevelgofgfunctioning.gProvidinggeyeglassesgforgneedygpeopleg
withgvisiongproblemsgisgangexamplegofgtertiarygprevention.
g g g g g g g g g g g
Nursing School TestBanks
g g
MULTIPLEgCHOICE
1. Thegclinicgnursegisgworkinggwithgagmothergandgherg3-year-
oldgchildgwhoghavegarrivedgforgthegchildsgroutinegcheckup.gThegnursegencouragesgthegmothergtogreturn
gforghergchildsgmeasles-mumps-
rubellagimmunizationgpriorgtogthegchildsgenteringgschool.gThisginterventiongisgangexamplegofgwhatgtypego
fgcare?
A. Mandatoryghealthgcare
B. Primaryghealthgprevention
C. Secondaryghealthgprevention
D. Tertiaryghealthgprevention
ANS:gB
g
Ofgthegthreeglevelsgofgprevention,gthegmostgdesirableglevelgisgprimarygprevention.gThisgencompassesghealt
hgpromotiongandgactivitiesgspecificallygmeantgtogpreventgdiseasegfromgoccurringingthisgcase,gschedulinggva
ccinations.gSecondarygpreventiongrefersgtogearlygidentificationgandgpromptgtreatmentgofgaghealthgproblemg
beforegitghasgangopportunitygtogspreadgorgbecomegmoregserious.gTertiarygpreventiongisgintendedgtogrestor
eghealthgtogtheghighestgfunctioninggstategthatgisgpossible.
2. Agnursegwishinggtogbegangadvocategforgaccessgtoghealthgcaregwouldgmostglikelygchoosegtogparticipateging
whichgofgthegfollowinggactivities?
A. Lobbygforgimprovedginsurancegaccessgforgallgindividuals,gwhethergorgnotgtheygaregemployed.
B. Helpgestablishgfast-trackgorgminorgillnessgareasginglocalgemergencygrooms.
C. Partnergwithgmedicalgcentersgtogprovidegfreegservicesgforglow-incomegpatients.
D. Workgwithgvisitinggnursesgassociationsgtogcreategon-sitegclinicsgatgday-caregcenters.
ANS:gA
Thegbiggestgdeterminantgofgaccessgtogandgqualitygofghealthgcaregisgonesginsurancegstatus.gThegothergactio
nsgmightghelpgimprovegaccessgtoo,gbutgwouldgnotgbegasgeffectivegasglobbyinggforgimprovedgabilitygforgallgin
dividualsgtoggetginsurance.
,Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
g g g g g g g g g g g
Nursing School TestBanks
g g
3. Agnursegworkinggwithgangafter-
schoolgprogramgisgconcernedgaboutgtheglackgofghealthgliteracygingthegstudentsgparents.gWhatgactiongw
ouldgbestgaddressgthisgneed?
A. Conductgagmonthlyghealth-relatedgseminargforgparents.
B. Investigateggrantsgorgothergfundinggforgagcomputergbank.
C. Invitegparentsgtoghealthygcookinggdemonstrations.
D. Providegbrochuresgongagvarietygofghealthgproblems.g
ANS:gB
Thegdisparitygbetweengpeoplegwhoghavegaccessgtogtechnologygandgthosegwhogdognotgisgdirectlygrelatedgtogh
ealthgliteracygandgknowledge.gThegamountgofginformationgdoublesgeveryg6gyears,gsogitgisgnotgpossiblegtogke
epgtrackgofgallgtheglatestghealthgnewsgbygaccessinggbrochures,gbooks,gorgperiodicals.gHavinggaccessgtogcom
putersgwouldggreatlygincreaseghealthgliteracy.gThegothergoptionsgaregcertainlyghelpful,gbutgwouldgnotgbegasg
far-reachinggasgprovidinggaccessgtogonlinegmaterial.
4. Agnursegisgcaringgforgagpatientgneargthegendgofglifegwhosegwishesgregardinggcaregaregnotgknown.gThegt
wogsonsgdisagreedgwithgthegtwogdaughtersgaboutgfuturegmedicalgplansgforgthegpatientgduringgagrecentgf
amilygconference,gandgnowgthegsonsgandgdaughtersgaregnotgtalkinggtogoneganother.gWhatgactiongbygtheg
nursegwouldgbegbestgtoghelpgresolvegthisgdilemma?
A. Callgthegfacilitysgethicsgcommitteegandgrequestgagformalgconsultation.
B. Havegsocialgworkgcoordinateganothergfamilygmeetinggtogdiscussgthegissue.
C. Meetgwithgthegsonsgandgdaughtersgseparatelygtogdiscussgtheirgwishes.
D. Requestgthatgthegphysiciangtellgthegfamilygwhatgisgingthegpatientsgbestginterests.g
ANS:gA
Ethicalgprinciplesginghealthgcaregaregoftengingconflict,gandgitgtakesgagskilledgpersongtognegotiategandgmediat
egthesegsituations.gEthicsgcommitteesgexistgingmostghealth-
caregfacilitiesgthatgaregexperiencedgingconfrontinggthesegdifficultgsituations.gThegbestgresponsegwouldgbegfo
rgthegnursegtogrequestgagconsultationgfromgthegethicsgcommittee.gAnothergfamilygmeetinggmaygnotgwork,ga
sgthegfamilygalreadygdisagreesgandgtensionsgareghigh.gThegothergoptionsgmaygbeghelpful,gbutgaregnotgasgvit
algasgagformalgethicsgcommitteegconsultation.gMeetinggprivatelygwithgthegsonsgandgdaughtersgmightggivegth
egnursegsomeginsightgintogtheirgpositions,gbutgwouldgnotgbegasgeffectivegasgutilizinggthegexpertisegongthegco
mmittee.gThegphysiciangshouldgnotgdecidegwhatgisgingthegpatientsgbestginterests,gasgthisgisgpaternalisticgan
dgviolatesgthegprinciplegofgautonomy.
,Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
g g g g g g g g g g g
Nursing School TestBanks
g g
5. Agmothergandgherg12-year-
oldgdaughtergvisitgthegclinicgoftengbecausegofgthegdaughtersgasthma.gThegclinicgnursegrecognizesgthatgo
negofgthegmostgimportantgnursinggactionsgingthisgsituationgisgwhichgofgthegfollowing?
A. Continuegtogschedulegregulargclinicgvisitsgforgthegchildgtogfollowghergcondition.
B. Givegthegmothergtimegtogtalkgaboutghergdaughtersgillnessgwhilegshegisgpresent.
C. Listengpatientlygtogthegchildgasgshegtalksgaboutghergillness,glettingghergtellghergstory.
D. Regulategandgmodifygthegchildsgmedicationsgingresponsegtoghergasthmagsymptoms.g
ANS:gC
Researchgshowsgthatgchildrengfeelgthatghealth-
caregprovidersgdontgreallyglistengtogthem.gItgisgimportantgtogadvocategforgthegchildgandgtogdevelopgagthera
peuticgrelationshipgcharacterizedgbygagcaringgattitude.gThegnursegshouldgencouragegthegchildgtogdiscussgh
ergasthmagandgmodifyginterventionsgaccordingly.
6. Thegnursegmanaginggagpediatricgclinicgoftengseesgsinglegmothersgwithgchildren.gWhatgactiongbygtheg
nursegwouldgbestghelpgthisgpopulationgofgwomengaccessghealthgcare?
A. Arrangegtoghavegeveninggandgweekendghours.
B. Offergsamplegmedicationsginsteadgofgprescriptions.
C. Providegagplaygcentergforgwaitinggchildren.
D. Providegbusgtokensgforgtransportationgtogthegclinic.g
ANS:gA
Singlegmothersgwithgchildrengconstituteg82%gofgthegpovertygpopulation.gWelfaregtogworkgprogramsgaregno
wgcompulsory,gandgwomengmustgworkgingordergtogreceivegaid.gOfferinggeveninggandgweekendghoursgcould
gaccommodategmoregwomengwhogcannotgaffordgtogmissgtimegoffgfromgwork.gThegothergoptionsgmightgbeg
helpfulgforgsomegpatientsgandgfamilies,gbutgtoghavegtheggreatestgimpactgongtheglargestggroupgofgpeople,gacc
ommodatinggworkgschedulesgisgimportantgforgthisgpopulationgofgwomen.
7. Agcommunityghealthgnursegexplainsgtogthegnursinggstudentgthatgthegbestghealth-
relatedgprogramminggincludesgwhichgofgthegfollowinggelements?
A. Hasgbothgindividualgandgsocietalgcomponents
B. Isgdirectedgtowardgindividualgresponsibility
C. Providesgincentivesgtogcompensateghealthygchoices
, Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care
g g g g g g g g g g g
Nursing School TestBanks
g g
D. Requiresglegislationgtogtrulygbegeffective
g ANS:gA
Interventiongprogramsgmustgbegmulti-
tieredgandgorientedgtogthegbroadergsocialgcontextgingwhichgtheygoccur,gbecausegthatgisgwheregpatientsg
areglocated.gProgramsgdirectedgtowardgonlygindividualsgareglessgsuccessful.gProgramsgandginterventio
nsgdognotgneedgtogincludeglegislationgorgincentives.
8. Agnursinggstudentgwishesgtoginvestigategnationalghealthggoals.gWheregshouldgthegstudentgresearchgthisg
information?
A. CochranegDatabase
B. CumulativegIndexgofgNursinggandgAlliedgHealthgLiterature
C. Governmentg websites
D. HealthygPeopleginitiativeg
ANS:gD
ThegHealthygPeopleginitiativegisgthegblueprintgforgthegnationsghealthggoals.gUpdatedgeveryg10gyears,gitglistsg
nationalghealthgpriorities.gInformationgrelatedgtogthegHealthygPeopleginitiativegcangbegfoundgongthegotherg
sites,gbutgtheygaregsecondarygsources.gThegstudentgwouldgdogbestgtoginvestigategthegprimarygsource.
9. Agnursegisginterestedgingprimarygpreventiongprograms.gWhichgofgthegfollowinggactivitiesgwouldgthisg
nursegchoosegtogdo?
A. Assistgwithgbloodgpressuregscreeninggatgtheglocalgmall.
B. Collectgandgdistributegusedgeyeglassesgforgpoorgpeople.
C. Staffgagmobilegmammogramgunitgforgunderservedggroups.
D. Teachgteenagersgaboutgthegdangersgofgtextinggandgdriving.
ANS:gD
Primarygpreventiongincludesgactivitiesgdesignedgtogkeepghealthgproblemsgfromghappening.gItgoftenginclud
esgeducation.gTeachinggteensgthegdangersgofgtextinggandgdrivinggwillg(hopefully)gpreventgmotorgvehiclegcra
shes.gSecondarygpreventiongisgscreening,gearlygdetection,gandgpromptgtreatmentgforghealthgproblems.gPro
vidinggbloodgpressuregscreeninggandgmammogramsgaregexamplesgofgsecondarygprevention.gTertiarygpreve
ntiongattemptsgtogrestoreghealthgtogitsghighestglevelgofgfunctioning.gProvidinggeyeglassesgforgneedygpeopleg
withgvisiongproblemsgisgangexamplegofgtertiarygprevention.
