Exam (elaborations)
Chapter 25 Poverty, Homelessness, Teen Pregnancy, and Mental Illness
- Course
- Nursing
- Institution
- Williston State College
Chapter 25 Poverty, Homelessness, Teen Pregnancy, and Mental Illness
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lOMoAR cP SD |12827 373Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
MULTIPLE CHOICE
1. A nurse was shocked when late one night she saw a former high school friend going through a trash bi
restaurant and pulling out half-eaten food. Which of the following is the most likely explanation for a h
engaging in such behavior?
a. He ate his meal but wanted more and had no more money.
b. He had full-time employment, but with such a low salary it was inadequate to
meet basic expenses.
c. A friend had thrown his meal away, and he thought he could find his friend’s
untouched food.
d. He was doing this to fulfill an obligation of fraternity initiation at the college.
ANS: B
The causes of poverty are complex and include decreased earnings, increased unemployment rates, and
job skills. Thus, it is most likely that he was unable to meet his basic needs through his current employ
his meal, it would be unusual to get additional food out of garbage, rather he should be able to afford to
he was able to purchase his meal. The young adult would most likely not be pulling out half-eaten food
specifically for a friend’s meal. There is no reason to assume that he was part of a fraternity.
2. Which of the following clients is most likely to experience a high incidence of poverty?
a. A 65-year-old woman
b. A 14-year-old male
c. A 79-year-old male
d. A 19-year-old female
ANS: B
While gender is not relevant, the poverty rate for children under 18 years of age was 16.2 percent, and
people aged 65 and older was 9.7 percent.
3. A school nurse was talking to the teacher of an 8-year-old child who was living with her mother in the
following concerns would lead the nurse to talk to the teacher concerning the child’s academic progres
a. Protentional abuse risk
b. Possible developmental delays
c. Food insecurity
d. Susceptibility to infections
ANS: B
Poverty increases the likelihood of all the options but developmental delays will impact academic prog
4. Which of the following is the most rapidly growing group experiencing poverty?
a. Hispanic families
b. Women older than 65
c. African-American families
d. Single men of all ages
ANS: B
Under the official poverty measure, in 2017, 4.7 million adults ages 65 and older lived in poverty. The
seniors increases with age and is higher among women, African Americans, and Hispanics.
5. Which of the following statements best describes why health care of the homeless is so expensive to th
a. Health conditions of the homeless require increased preventive services.
b. Homeless clients typically make more clinic visits for multiple health problems.
c. Homeless people are a major source of spread for contagious diseases.
d. Most care to homeless people takes place in hospital emergency departments.
ANS: D
Homeless persons have the same problems accessing care as do others in poverty (e.g., lack of money,
, lOMoAR cP SD |12827 373
7. A nurse is assessing a young, single pregnant woman. Which of the following findings would be of mo
and fetus?
a. Elevated blood pressure
b. First prenatal visit at 5 months’ gestation
c. Homelessness
d. Positive STD test
ANS: C
Pregnant homeless women present several challenges. They have higher rates of sexually transmitted d
of addiction to drugs and alcohol, poorer nutritional status, and higher incidences of poor birth outcom
the most dangerous sign of those listed. Elevated blood pressure, positive STD test, and seeking prenat
are all concerns for the nurse. However, most concerning would be homelessness, as homelessness pre
the women during and after the pregnancy.
8. A nurse is working to ensure long-term positive health outcomes of poor pregnant teens and their child
actions would the nurse most likely take?
a. Assist teen mothers to learn about their body changes during pregnancy.
b. Develop programs that allow teen mothers to complete their education.
c. Offer courses in proper care of babies and how to be a parent.
d. Monitor pregnant teens to detect early problems with pregnancy.
ANS: B
A direct correlation exists between poverty and poor health outcomes. Poor teens are nearly three time
school as their nonpoor counterparts. When programs that assist the mother to complete her education
increased for a better future, which improves health care over the long term across the life span. It is im
adolescent in school during the pregnancy and have her return as soon as possible after the birth. Teach
proper care of babies and parenting would address short-term health outcomes. Monitoring teens to de
pregnancy addresses short-term health outcomes as well.
9. A school health nurse presents a program on preventing teen pregnancy to a group of parents. Followin
the following comments by a parent would cause concern?
a. “I do not know if my son is sexually active; however, I have decided I’m going to
talk to him about it.”
b. “My daughter is too intelligent to get involved with boys, even if her friends do
sleep around.”
c. “My daughter and I have often discussed sexuality, and when she’s ready, I’ll pay
for her birth control pills.”
d. “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.”
ANS: B
Teens who are knowledgeable and want to be responsible often find it difficult to access birth control.
about sexuality with their teens may find them more at risk for sexual permissiveness and pregnancy. T
concerning sexuality and pregnancy and often very embarrassed to discuss such topics. Further, they o
as they cannot get pregnant the first time they have sex. The earlier their sexual debut, the less likely a
be used, because younger teens have less knowledge. Teens are more likely to be sexually active if the
active. Confidential reproductive health care services may be available for teens, but problems are still
transportation, school absences, and costs of care.
10. A nurse is providing care to a pregnant teenager. Which of the following principles is the most importa
consider when providing care?
a. All teen pregnancies are considered high risk.
b. Limited self-care knowledge can lead to pregnancy complications.
c. Pregnant teens are likely to receive prenatal care late in the pregnancy.
d. Pregnant teens may have limited financial resources to pay for care.
ANS: A
It is crucial to consider all pregnant teenagers as high-risk obstetric clients. A number of problems (e.g
prenatal care, and limited self-care knowledge) can lead to complications of pregnancy, so it is importa
pregnancy as a special high-risk pregnancy. All of these statements are true; however, it is crucial to co
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