Chapter 23- Poverty, Homelessness, Mental Illness, and Teen Pregnancy 3 best version included
Chapter 23- Poverty, Homelessness, Mental Illness, and Teen
Pregnancy
MULTIPLE CHOICE
1. A student nurse was seriously shocked when late one night the she saw a former high school
friend going through a trash bin outside a fast-food restaurant and pulling out half-eaten food.
What is a 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 obligation of fraternity initiation at the college. - correct answer :
B
The causes of poverty are complex and include decreased earnings, increased unemployment
rates, and inadequate education and job skills.
: Cognitive Level: Knowledge REF: p. 422
2. 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, what might the nurse suspect?
a. The child is accident-prone and clumsy.
b. The child is being bullied and pushed around by other children.
c. The child may be a member of the 5H club.
d. The child tripped, so perhaps she needs vision screening. - correct answer : C
Many American children are members of the "5H" club—they are hungry, homeless, hugless,
hopeless, and without health care.
: Cognitive Level: Application REF: p. 423
,Chapter 23- Poverty, Homelessness, Mental Illness, and Teen Pregnancy 3 best version included
3. A school nurse was talking to the teacher of an 8-year-old child who was living with her
mother in their car. What might lead the nurse to talk to the teacher about the child?
a. Concern that other children are mistreating the child
b. Concern over 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 - correct
answer : 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.
: Cognitive Level: Application REF: p. 423 (Box 23-1)
4. What is the most rapidly growing group of homeless?
a. Adolescents (runaways and "throw-aways")
b. Families with children
c. Persons in crisis
d. Single men - correct answer : B
Families with children are the fastest-growing segment of the homeless population.
: Cognitive Level: Knowledge REF: p. 423
5. Which finding in a young single pregnant woman would cause you the most concern?
a. Elevated blood pressure
b. First prenatal visit at 5 months' gestation
c. Persistent homelessness
, Chapter 23- Poverty, Homelessness, Mental Illness, and Teen Pregnancy 3 best version included
d. Positive STD test - correct answer : C
All these assessment findings are of concern and need attention. However, pregnant homeless
women present several challenges. They have higher rates of sexually transmitted diseases,
higher incidences of addiction to drugs and alcohol, poorer nutritional status, and higher
incidences of poor birth outcomes. Thus being homeless is the most dangerous sign of those
listed.
: Cognitive Level: Knowledge REF: p. 425
6. Why is health care of the homeless so expensive to the community?
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 spread contagious diseases to those they pass on the street.
d. Most care to homeless people takes place in hospital emergency departments. - correct
answer : D
Homeless persons have the same problems accessing care as do others in poverty (e.g., lack of
money, lack of insurance, lack of transportation). Therefore health care of homeless persons is
usually crisis oriented and sought in emergency departments, where the cost of service is high
but is not refused as it often is in clinics.
: Cognitive Level: Knowledge REF: p. 425
7. What action by the nurse can best ensure long-term positive health outcomes of poor
pregnant teens and their children?
a. Assisting teen mothers to learn about their body changes during pregnancy
b. Developing programs that allow teen mothers to complete their education
c. Offering courses in proper care of babies and how to be a parent
d. Monitoring pregnant teens to detect early problems with pregnancy - correct answer : B
Single motherhood is increasing. A direct correlation exists between lack of education and
poverty. Similarly, a direct correlation exists between poverty and poor health outcomes. Poor
teens are nearly three times more likely to drop out of school as their nonpoor counterparts.
When programs that assist the mother to complete her education are instituted, chances are
increased for a better future, which improves health care over the long term across the life
Chapter 23- Poverty, Homelessness, Mental Illness, and Teen
Pregnancy
MULTIPLE CHOICE
1. A student nurse was seriously shocked when late one night the she saw a former high school
friend going through a trash bin outside a fast-food restaurant and pulling out half-eaten food.
What is a 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 obligation of fraternity initiation at the college. - correct answer :
B
The causes of poverty are complex and include decreased earnings, increased unemployment
rates, and inadequate education and job skills.
: Cognitive Level: Knowledge REF: p. 422
2. 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, what might the nurse suspect?
a. The child is accident-prone and clumsy.
b. The child is being bullied and pushed around by other children.
c. The child may be a member of the 5H club.
d. The child tripped, so perhaps she needs vision screening. - correct answer : C
Many American children are members of the "5H" club—they are hungry, homeless, hugless,
hopeless, and without health care.
: Cognitive Level: Application REF: p. 423
,Chapter 23- Poverty, Homelessness, Mental Illness, and Teen Pregnancy 3 best version included
3. A school nurse was talking to the teacher of an 8-year-old child who was living with her
mother in their car. What might lead the nurse to talk to the teacher about the child?
a. Concern that other children are mistreating the child
b. Concern over 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 - correct
answer : 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.
: Cognitive Level: Application REF: p. 423 (Box 23-1)
4. What is the most rapidly growing group of homeless?
a. Adolescents (runaways and "throw-aways")
b. Families with children
c. Persons in crisis
d. Single men - correct answer : B
Families with children are the fastest-growing segment of the homeless population.
: Cognitive Level: Knowledge REF: p. 423
5. Which finding in a young single pregnant woman would cause you the most concern?
a. Elevated blood pressure
b. First prenatal visit at 5 months' gestation
c. Persistent homelessness
, Chapter 23- Poverty, Homelessness, Mental Illness, and Teen Pregnancy 3 best version included
d. Positive STD test - correct answer : C
All these assessment findings are of concern and need attention. However, pregnant homeless
women present several challenges. They have higher rates of sexually transmitted diseases,
higher incidences of addiction to drugs and alcohol, poorer nutritional status, and higher
incidences of poor birth outcomes. Thus being homeless is the most dangerous sign of those
listed.
: Cognitive Level: Knowledge REF: p. 425
6. Why is health care of the homeless so expensive to the community?
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 spread contagious diseases to those they pass on the street.
d. Most care to homeless people takes place in hospital emergency departments. - correct
answer : D
Homeless persons have the same problems accessing care as do others in poverty (e.g., lack of
money, lack of insurance, lack of transportation). Therefore health care of homeless persons is
usually crisis oriented and sought in emergency departments, where the cost of service is high
but is not refused as it often is in clinics.
: Cognitive Level: Knowledge REF: p. 425
7. What action by the nurse can best ensure long-term positive health outcomes of poor
pregnant teens and their children?
a. Assisting teen mothers to learn about their body changes during pregnancy
b. Developing programs that allow teen mothers to complete their education
c. Offering courses in proper care of babies and how to be a parent
d. Monitoring pregnant teens to detect early problems with pregnancy - correct answer : B
Single motherhood is increasing. A direct correlation exists between lack of education and
poverty. Similarly, a direct correlation exists between poverty and poor health outcomes. Poor
teens are nearly three times more likely to drop out of school as their nonpoor counterparts.
When programs that assist the mother to complete her education are instituted, chances are
increased for a better future, which improves health care over the long term across the life
