Chapter 29: Child and Adolescent Health

Chapter 29: Child and Adolescent Health

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A community health nurse is working with adolescents. Which of the following characteristics would most likely be displayed by an adolescent who is at increased risk to engage in risk-taking behavior?

a.	Poor academic performance
b.	High self-esteem
c.	Middle-class income
d.	Involvement in extracurricular activities

 

 

ANS:   A

Increased adolescent risk-taking behaviors include: poor academic performance, poor parental role models, low self-esteem, lack of a supportive social environment, and poverty.

 

DIF:    Cognitive level: Applying                  REF:    p. 647

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

2. A nurse is planning to administer an immunization to a child. Which of the following factors would be a medical contraindication for the administration of immunizations?

a.	Religious beliefs
b.	Sore throat
c.	Leukemia
d.	Fear of side effects

 

 

ANS:   C

People with the following conditions are not routinely immunized and require medical consultation: pregnancy, generalized malignancy, immunosuppressive therapy or immunodeficiency disease, sensitivity to components of the agent, or recent administration of immune serum globulin, plasma, or blood. Leukemia would be a medical contraindication for receiving an immunization. Religious beliefs, sore throat, and fear of side effects are not medical contradictions.

 

DIF:    Cognitive level: Applying                  REF:    pp. 649-650

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

3. A nurse is conducting a developmental screening to assess for domain-specific development, including gross and fine motor skills. Which developmental screening tool would the nurse most likely use?

a.	Pediatric Symptom Checklist
b.	Ages and Stages Questionnaire
c.	Parents’ Evaluation of Developmental Status
d.	Denver II

 

 

ANS:   D

The Denver II screening tool assesses domain specific development (gross and fine motor, social, and language). The Pediatric Symptom Checklist assesses coping and mental health concerns, the Ages and Stages Questionnaire assesses social and emotional development, and the Parents’ Evaluation of Developmental Status assesses general developmental and behavioral screening.

 

DIF:    Cognitive level: Analyzing                REF:    p. 648 (Table 29-1)

TOP:    Nursing process: Implementation

MSC:   NCLEX: Health Promotion and Maintenance

 

4. A family with children has income too high to qualify for state health insurance, but does not have enough money to purchase private health insurance. Which program would a nurse refer this family to for the children to receive health care coverage?

a.	Medicare
b.	Children’s Health Insurance Plan (CHIP)
c.	Medicaid
d.	Social Security

 

 

ANS:   B

CHIP is a federal and state partnership that is directed toward uninsured children and pregnant women in families with incomes too high to qualify for state Medicaid programs but too low to afford private coverage. Medicare is a government insurance program primarily offered to the elderly population. Social Security is not a health care insurance program.

 

DIF:    Cognitive level: Analyzing                REF:    p. 646

TOP:    Nursing process: Implementation

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care