A 6-year-old child is being seen by the nurse for well-child ...

[hbsimmons88]

A 6-year-old child is being seen by the nurse for well-child checkup. The parent tells the nurse that they live on a farm and their water supply is from a well. Which should be the nurse's main concern?
 
  1. Use of fluoride
  2. How many teeth have been lost
  3. Use of teeth whitener
  4. Use of mouthwash

Question 2

Despite the availability of the Children's Health Insurance Program (CHIP), families often fail to obtain coverage for eligible children because:
 
  1. They do not see the importance of insurance coverage.
  2. Families do not have adequate time to complete the enrollment process.
  3. They do not know their child is eligible.
  4. Parents do not value medical interventions for their children.

[ricroger]

Answer to Question 1

1

Rationale:
1. Many changes occur in the mouth during school-age years, necessitating periodic examination. Inquire about use of fluoride if the water supply is not fluoridated. Well water does not contain fluoride.
2. Asking about the number of teeth lost is not as important as finding out whether fluoride is in use.
3. Teeth whitener is not mentioned in the scenario, and while the nurse would be concerned if a 6-year-old was using it, fluoride use is more important.
4. Mouthwash use in a 6-year-old is not as important as asking about fluoride use.

Answer to Question 2

3
Rationale 1: Most families do value insurance coverage, so this is not the reason for failing to obtain SCHIP coverage.
Rationale 2: Families have adequate time to complete the enrollment process, but some do not believe they will qualify and therefore do not try to enroll.
Rationale 3: Despite availability of CHIP, many eligible children are not enrolled. Reasons families have not enrolled include not being aware that their child is eligible, viewing the enrollment requirements and income verification tests as barriers, and the monthly premium or co-payment for healthcare visits that are required in some states.
Rationale 4: Parents do value medical interventions for their children, but some do not believe they can qualify, believing that their income is too high.
Global Rationale:

[hbsimmons88]

TYSM

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