University of San Francisco - NURS 320

Chapter 23: Poverty, Homelessness, Mental Illness, and Teen Pregnancy Test Bank

MULTIPLE CHOICE

1)A nurse was shocked when late one night she saw a former high school friend going through a trash bin outside a fast-food restaurant and pulling out half-eaten food. Which of the following is the most likely explanation for a healthy young adult engaging in such behavior?

1. 1. He ate his meal but wanted more and had no more money.
   2. He had full-time employment, but with such a low salary it was inadequate to meet basic expenses.
   3. A friend had thrown his meal away, and he thought he could find his friend’s untouched food.
   4. He was doing this to fulfill an obligation of fraternity initiation at the college.

2. Which of the following racial groups experiences the highest incidence of poverty?
   1. Non-Hispanic Whites
   2. Blacks
   3. Hispanics

1. 4. Asians

3. A school nurse was caring for an 8-year-old child who had been hurt on the school playground. During the nurse’s assessment, the child admitted that her mother was working but didn’t make much money so the girl and her mother were living in their car. Based on this information, which of the following would the nurse most likely suspect?
   1. The child is accident-prone and clumsy.
   2. The child is being bullied and pushed around by other children.
   3. The child is more likely to have school absences.
   4. The child is in need of a vision screening.

4. A school nurse was talking to the teacher of an 8-year-old child who was living with her mother in their car. Which of the following concerns would lead the nurse to talk to the teacher about the child?
   1. Concern that the child is being mistreated by other children
   2. Concern that the child has developmental delays
   3. Concern that the child is given adequate food during lunch
   4. Concern that the child may need to sit in the front in order to be able to see well

5. Which of the following is the most rapidly growing group of homeless?
   1. Adolescents
   2. Families with children

1. 3. Persons in crisis
   4. Single men

6. Which of the following statements best describes why health care of the homeless is so expensive to the community?
   1. Health conditions of the homeless require increased preventive services.
   2. Homeless clients typically make more clinic visits for multiple health problems.
   3. Homeless people spread contagious diseases to those they pass on the street.
   4. Most care to homeless people takes place in hospital emergency departments.

7. The nurse who works at a homeless clinic wants to improve healing of chronic wounds in clients living on the streets. Which of the following would be the best action to take to improve client outcomes?
   1. Provide antibiotics to all homeless persons with chronic, nonhealing wounds
   2. Offer daily access to a room with soap, water, and bandages
   3. Hand out free bandaging supplies following each clinic visit
   4. Perform regular monitoring of the client’s wound condition

8. A nurse is assessing a young, single pregnant woman. Which of the following findings would be of most concern?
   1. Elevated blood pressure
   2. First prenatal visit at 5 months’ gestation
   3. Persistent homelessness
   4. Positive STD test

9. A nurse is working to ensure long-term positive health outcomes of poor pregnant teens and their children. Which of the following actions would the nurse most likely take?
   1. Assist teen mothers to learn about their body changes during pregnancy.
   2. Develop programs that allow teen mothers to complete their education.
   3. Offer courses in proper care of babies and how to be a parent.
   4. Monitor pregnant teens to detect early problems with pregnancy.

10. A school health nurse presents a program on preventing teen pregnancy to a group of parents. Following the presentation, which of the following comments by a parent would cause concern?
    1. “I do not know if my son is sexually active; however, I have decided I’m going to talk to him about it.”
    2. “My daughter is too intelligent to get involved with boys, even if her friends do sleep around.”
    3. “My daughter and I have often discussed sexuality, and when she’s ready, I’ll pay for her birth control pills.
    4. “I have spoken to my son about birth control. He says he’s not ready to be a father and support a baby. He wants to go to college.”

11. A nurse is providing care to a pregnant teenager. Which of the following principles is the most important for the nurse to consider when providing care?
    1. All teen pregnancies are considered high-risk.
    2. Limited self-care knowledge can lead to pregnancy complications.
    3. Pregnant teens are likely to receive prenatal care late in the pregnancy.
    4. Pregnant teens may have limited financial resources to pay for care.

12. The nurse is making a postpartum visit to a teenage mother and her month-old infant. Which of the following assessments would be most important?
    1. Assessing for mother’s ability to fulfill her own growth and development tasks
    2. Assessing for mother’s knowledge about normal infant growth and development
    3. Assessing how much the teenage mother’s own mother is helping her cope with child care
    4. Assessing whether the baby’s father is being helpful to the mother

13. A mother and her son are in the emergency department. The mother is extremely upset. Earlier, the son had become so angry that he put his hand through a glass window and had to have stitches. The physician suggested a psychiatric consult. Now the mother asks, “Do you

think my son is crazy?” Which of the following is the most appropriate response by the nurse?

1. 1. “Absolutely not. But a psychiatrist can help your son realize more appropriate ways of displaying anger.”
   2. “Have you had other reasons to think your son is crazy? Perhaps the psychiatrist can reassure you that your son is just an adolescent coping with hormones.”
   3. “Your son is having problems coping with anger. And naturally you’re upset. Let the psychiatrist determine whether your son is crazy or not.”
   4. “Your son is having problems with behavior, which is distressing all of you. A psychiatrist may be able to help your son cope with life in a more acceptable way.”

14. Which of the following is the leading cause of disability for Americans 15 to 44 years of age?
    1. Accidents
    2. Arthritis
    3. Major depressive disorder
    4. Workplace injuries

15. A community mental health nurse is working within the community to help prevent youth violence. Which of the following interventions would most likely be implemented by the nurse?
    1. Distributing literature that associates violence with a lack of intelligence
    2. Explaining to youth why youth violence is detrimental to society
    3. Partnering with associations to provide alternative activities that improve social

skills

1. 4. Recommending increased funding to prosecute and jail teens associated with violent activity

16. Which of the following groups is most at risk for suicide?
    1. Adolescents under age 20
    2. Men over age 85
    3. Females 25 to 45 years of age
    4. Women over age 65

17. A nurse is trying to decrease the risk for depression among older adults. Which of the following interventions should the nurse implement?
    1. Encourage moving to a nursing home where others of the same age reside.
    2. Monitor for signs and symptoms of depression.
    3. Organize an exercise and health promotion program at the local senior citizen

center.

1. 4. Teach older clients to focus on their strengths rather than their weaknesses.

18. A nurse is concerned about stress related to the heavy caregiving burden assumed by adult children of older clients. Which of the following actions by the nurse demonstrates the use of secondary prevention to limit caregiver stress?
    1. Asking caregivers how they are doing and suggesting coping strategies

1. 2. Encouraging caregivers to periodically leave the house for a couple of hours
   3. Establishing support groups for caregivers of older parents
   4. Referring some activities to neighbors and friends

19. A nurse would like to increase the accessibility to health care services for mentally ill homeless clients in the community. Which of the following actions should be taken by the nurse?
    1. Apply for a grant to fund a mobile clinic to take health care to the clients.
    2. Distribute flyers to the homeless that detail the location of various types of health care services.
    3. Refer homeless clients to areas that provide temporary housing.
    4. Solicit donations for food and clothing to be distributed to the homeless.

20. According to the Federal Register, which of the following is the minimum income needed by a family of four to meet the basic needs for healthy living (that is, an income below this amount is considered insufficient to provide the food, shelter and clothing needed to preserve health)?

a.   $21,200

b.   $23,050

c.   $25,200

d.   $27,050

21. A nurse is working to improve her self-awareness in order to provide better client-centered care to clients living in poverty. Which of the following questions should the nurse ask herself?
    1. What would I do if I lived in poverty?
    2. What can be done to get poor people motivated to work?
    3. How have the media images of poor persons shaped my image of poverty?
    4. How can community resources assist those living in poverty?

MULTIPLE RESPONSE

1. A teenager who has just come in for her prenatal visit appears to be about 6 months pregnant. Which of the following best describe why the teenage girl has waited so long to come in for prenatal care?
   1. Her friends were suggesting ways to make the problem go away.
   2. She knew she could not be pregnant because her boyfriend said he used a condom.
   3. She was afraid her parents would pressure her to terminate the pregnancy.
   4. She kept hoping the pregnancy would just go away.

2. A nurse is concerned about a teenage mother who does not seem to know how to play with an infant. Which of the following behaviors would the nurse want to role-model as good parenting behaviors? (Select all that apply.)
   1. Allow the baby to cry for 10 or 15 minutes before reacting so that the infant can learn to self-soothe.