Contemporary Issues in Womens, Families, and Childrens Health Care Nursing School Test Banks

Chapter 2: Contemporary Issues in Womens, Families, and Childrens Health Care Nursing School Test Banks MULTIPLE CHOICE 1. The clinic nurse is working with a mother and her 3-year-old child who have arrived for the childs routine checkup. The nurse encourages the mother to return for her childs measles-mumps-rubella immunization prior to the childs entering school. This intervention is an example of what type of care? A. Mandatory health care B. Primary health prevention C. Secondary health prevention D. Tertiary health prevention ANS: B Of the three levels of prevention, the most desirable level is primary prevention. This encompasses health promotion and activities specifically meant to prevent disease from occurringin this case, scheduling vaccinations. Secondary prevention refers to early identification and prompt treatment of a health problem before it has an opportunity to spread or become more serious. Tertiary prevention is intended to restore health to the highest functioning state that is possible. 2. A nurse wishing to be an advocate for access to health care would most likely choose to participate in which of the following activities? A. Lobby for improved insurance access for all individuals, whether or not they are employed. B. Help establish fast-track or minor illness areas in local emergency rooms. C. Partner with medical centers to provide free services for low-income patients. D. Work with visiting nurses associations to create on-site clinics at day-care centers. ANS: A The biggest determinant of access to and quality of health care is ones insurance status. The other actions might help improve access too, but would not be as effective as lobbying for improved ability for all individuals to get insurance.