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

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

Complete Chapter Questions And Answers
 

Sample Questions

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.

ANS: B
The causes of poverty are complex and include decreased earnings, increased unemployment rates, and inadequate education and job skills.

DIF: 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.

ANS: C
Many American children are members of the “5H” club—they are hungry, homeless, hugless, hopeless, and without health care.

DIF: Cognitive Level: Application REF: p. 423

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

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: 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

ANS: B
Families with children are the fastest-growing segment of the homeless population.

DIF: 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
d.
Positive STD test

ANS: 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.

DIF: Cognitive Level: Knowledge REF: p. 425