Public Health Nursing Ch. 28

Which topic would be most useful for a workshop geared toward parents of teens?

How to Talk So Your Teen Will Listen

Which vaccine would the nurse identify as a suspension of live (attenuated) microorganisms?

Measles, mumps, and rubella (MMR)

At which age would the nurse indicate that it is safe for weight training with supervision using small weights to begin?

10 to 12 years

Through which age should a child ride in the backseat of a motor vehicle?

12

Which child would the nurse find concerning when reviewing parent reports of physical activity for children enrolled in various programs at the center?

18-month-old watching children's programming one to two hours per day

Which youth population would the nurse prioritize for intervention when working with a local coalition to address gun violence in a large metropolitan area?

African American

Which youth population would the nurse prioritize for intervention based on their high prevalence of childhood obesity and development of type 2 diabetes (T2DM)?

American Indian

Which intervention would the nurse include in a primary prevention strategy to address teen misuse of medications prescribed for others?

Educate parents of teens about safe storage and disposal of prescription drugs.

Which incident would the home care nurse identify as an act of omission?

Emotional neglect

Which immunization would the nurse identify as a priority due to it having the lowest rate of uptake among adolescents?

HPV4

A nurse is developing a teen peer mentor program to prevent teen pregnancy. Why would this program likely be successful?

Teens are more strongly influenced by peers than adults.

Which statement from a pregnant patient who is seeking smoking cessation help from the nurse indicates the need for further' education?

"I know I should quit smoking entirely, but switching to e-cigarettes will be beneficial to both me and the baby."

Which feedback would the nurse provide to the parents concerning the three-year-old child's diet based on the parental daily dietary recall listed below?

"Increase the daily vegetable intake to 1 cup and keep fruit to around 1 cup to provide balance."

Which information would the nurse include concerning natural (passive) immunity and vaccines during a prenatal education session?

"Newborns have passive immunity to a disease if the mother has enough antibodies."

Which primary prevention strategy would the public health nurse identify as the simplest and most reliable method to help reduce the incidence of acute illnesses at a local daycare?

Handwashing

The nurse is considering a practice role focused on children and families at the population level. Which intervention would fulfill the nurse's role related to anticipatory guidance?

Offering a prenatal education program focused on developmental changes from birth through one year of age

Which developmental screening tool would the nurse use to specifically assess coping and mental health concerns at the local Head Start facility?

Pediatric Symptom Checklist

The nurse is developing teen health initiatives for the community. Which intervention would be consistent with the initiatives of Healthy People 2020?

Reduce the obesity rate among adolescents.

Which communication technique related to motivational interviewing would the nurse use with a teen regarding the use of an electronic nicotine delivery system (ENDS)?

Reflecting

Which child's reported serum lead level would indicate lead poisoning to the nurse?

Six-year-old child with a serum lead level of 11 ug/dL

The nurse is organizing a physical health fair geared toward local teens. Which information would be most useful to that population?

Smoking cessation

Which child's body mass index (BMI) would the nurse identify as normal using a plotted percentile on the BMI-for-age charts?

Ten-year-old female at the 10th percentile

A nurse is preparing a workshop for middle school kids and includes a segment on healthy cooking. What is the rationale for including this information? Select all that apply. One, some, or all responses may be correct.

The rate of teen obesity and associated health conditions is increasing. It is important to start learning about healthy food options at a young age. The workshop will enable and encourage teens to help with food preparation.

Which intervention strategy would the nurse identify as addressing macro-level factors in the built environment that influence nutrition and obesity?

Using a global positioning system (GPS) to develop a map of options for healthy food access in the community

To which program would the nurse refer the parent who asks where they should report their child's suspected reaction to a vaccine?

Vaccine Adverse Event Reporting System

On which safety area would the home care nurse focus to address the leading cause of unintentional injury for toddlers?

Water

The nurse is caring for a family that includes a mom and three teenagers. The family does not have enough money to buy healthy food. To which organization should the nurse refer the family?

Women, Infants, and Children (WIC)

Which strategy will help a nurse build trust with a teen patient?

Ôngoing assessment to gauge the teen's comfort with the situation

Which response would the Women, Infants, and Children (WIC) program nurse provide to a parent who worries that their toddler will never like vegetables?

"Keep trying; sometimes toddlers need to taste something 10 or more times before they learn to like it."

Which statement made by a parent after a teaching session on how to promote healthy lifetime eating habits in toddlers would require clarification by the nurse?

"Sound lifetime eating habits are established during the early school-age years, from ages 6 to 10. It is important that we focus on them during this time."

Which parent comment concerning sudden unexpected infant death (SUID) and sudden infant death syndrome (SIDS) during evaluation of learning would the nurse clarify?

"We should only use pacifiers when we can keep an eye on the baby."

Which guidance would the nurse provide to the parents about oral care for their child who will soon be one year old?

"We will make a referral since they are almost one."

Which question related to ongoing medical needs would the school nurse first ask the parent of a child with a chronic disease who will soon enter school?

"What types of treatments and therapy are required?"

Which statement would the school nurse make to a parent who is concerned about the daily soccer practices their teenage child is required to attend?

"Your teenager really should have one or two days off per week to reduce the risk of injury."

Which information would the nurse request during the assessment to screen for possible nutritional issues at a wellness visit for a five- year-old? Select all that apply. One, some, or all responses may be correct.

Family meal patterns Amount of physical activity Parental concerns regarding diet Time spent with digital media each day Amount and variety of food intake via parent 24-hour rècall

Which would the school nurse indicate is the best primary prevention strategy for influenza in children?

Influenza vaccine for all children six months or older

Which statement characterizes Piaget's theory of development?

Learning results from active manipulation of objects and information followed by mental processing.

A nurse is working with local government to develop legislation to promote road safety. Which proposal would be most effective?

Mandatory classes to teach teens and their parents about distracted driving

Which leading cause of unintentional injury for teens would be a priority focus for the school nurse working with the local high school health faculty to develop risk reduction and injury prevention curricula?

Motor vehicles

Which sign would the school nurse include in the information session to the sports coaches about signs of a concussion? Select all that apply. One, some, or all responses may be correct.

Moves clumsily Appears confused Loses consciousness Forgets sports plays Shows behavioral changes

Which contraindication to routine immunization would the nurse include in a checklist for peers helping with a vaccine administration clinic? Select all that oply. One, some, or all responses may be correct.

Pregnancy Major acute illness Acute febrile illness Recent blood transfusion Presence of immunodeficiency disease

A teenage boy indicates during the nutritional assessment that he rarely drinks milk. Which response would the nurse provide when sked by the boy's parent, "How much milk should he be drinking each day?"

"At least three cups."

Which response would the nurse provide a parent who asks how much they should limit their four-year-old's digital media use?

"At this age, screen use should be limited to one hour per day of quality programming."

Which response would the nurse provide to the parent of a one-year- old who asks during the routine physical how long head circumference is used to measure growth?

"Head circumferences will be measured until age three."

Which factor places children at risk of living in low-income families? Select all that apply. One, some, or all responses may be correct.

Single-parent household Lack of parental employment Parents without a high school degree

Which micro-level factor in the built environment that influences nutrition and risk of obesity would the nurse include in the assessment tool? Select all that apply. One, some, or all responses may be correct.

The types of food parents choose to eat in front of their children How many times per week a family eats meals together at the table Whether or not families plan meals and shop for groceries together Whether or not parents disable or screen internet ads on their children's devices The types of after-school snacks parents keep at home within easy reach of children

The school nurse knows that which student is at highest risk of participating in risky behavior?

A teen boy who has a good relationship with his single father and is friends with a group who routinely engages in poor behavior

Which description best defines a food desert?

An area where access to affordable and nutritious food is limited

Which child would the nurse identify as needing screening for type 2 diabetes (T2DM)? Select all that apply. One, some, or all responses may be correct.

An eight-year-old female with family history of diabetes and BMI in the 96th percentile

Which intervention implemented by the nurse would be considered a secondary level of prevention for local residents living in a neighborhood located near old manufacturing sites who are concerned about possible lead exposure in children?

Assessment of lead levels of the potentially affected children

Which is an example of a secondary intervention aimed at reducing teen pregnancy?

Creation of a teen pregnancy crisis clinic with free pregnancy tests

Which rate would the nurse identify as a critical indicator of a country's overall health?

Infant mortality rate

Which age-appropriate activity for toddlers would the nurse recommend to the local early childcare center?

Supervised outdoor activities and exploration

Which recommendation would the nurse include when making recommendations on physical activities for infants and toddlers? Select all that apply. One, some, or all responses may be correct.

Supervised outdoor activities and exploration Provision of a safe, minimally structured play environment

Which would the nurse recommend to a couple whose program children are uninsured but whose income is over the Medicaid threshold?

The Children's Health Insurance Program

Which information would the nurse provide the school's curriculum committee concerning physical activity recommendations for children and adolescents based on the Centers for Disease Control and Prevention's recommendations?

At least 60 minutes daily consisting mostly of moderate-intensity physical activity

Which factor would the nurse identify as related to a higher occurrence of mental, behavioral, or developmental disorders in children ages two to eight years?

Being non-Hispanic white

The nurse knows that which initiative ensures that all teens receive the same baseline of care?

Bright Futures

Which requirement must a child meet to qualify for Medicaid? Select all that apply. One, some, or all responses may be correct.

Child must be under 18 years of age. If the child has disabilities, he or she must meet Medicaid disability requirements. Household income level must be equal to or less than 138 percent of the federal poverty level.

Which factor would the nurse include in a presentation about modifiable risk factors for childhood obesity? Select all that apply. One, some, or all responses may be correct.

Sleep duration