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

Foundations of Nursing in the Community 4e by Marcia Stanhope

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

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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?
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 inadequate education and job skills.

 

DIF:    Cognitive Level: Apply (Application)                               REF:   pp. 410-411

 

  1. Which of the following racial groups experiences the highest incidence of poverty?
a. Non-Hispanic Whites
b. Blacks
c. Hispanics
d. Asians

 

 

ANS:  B

In terms of racial differences in the rate of poverty, non-Hispanic Whites had a rate of 9.9 %; Blacks had a rate of 27.4% and Hispanics had a rate of 26.6% (U.S. Bureau of the Census, 2012).

 

DIF:    Cognitive Level: Remember (Knowledge)                         REF:   p. 411

 

  1. 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?
a. The child is accident-prone and clumsy.
b. The child is being bullied and pushed around by other children.
c. The child is more likely to have school absences.
d. The child is in need of a vision screening.

 

 

ANS:  C

Poverty also increases the likelihood of chronic disease, injuries, traumatic death, developmental delays, poor nutrition, inadequate immunization levels, iron deficiency anemia, and elevated blood lead levels. These children may also be hungry and fatigued and experience dizziness, irritability, headaches, ear infections, frequent colds, weight loss, inability to concentrate, and increased school absenteeism (Emerson, 2004).

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 411

 

  1. 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?
a. Concern that the child is being mistreated by other children
b. Concern that the child has developmental delays
c. Concern that the child is given adequate food during lunch
d. Concern that the child may need to sit in the front in order to be able to see well

 

 

ANS:  B

Poverty increases the likelihood of chronic disease, injuries, traumatic death, developmental delays, poor nutrition, inadequate immunization levels, iron deficiency anemia, and elevated blood lead levels. Poverty-stricken children may be hungry and fatigued and have dizziness, irritability, headaches, ear infections, frequent colds, weight loss, inability to concentrate, and increased school absenteeism. Homeless children also experience higher rates of school absenteeism, academic failure, and emotional and behavioral maladjustments. The stress of homelessness can be seen in withdrawal, depression, anxiety, aggression, regression, and self-mutilation. Homeless children may have delayed communication, more mental health problems, and histories of abuse.

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 411

 

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