Chapter 1: Healthy People 2030
The purpose of Healthy People 2030 is to:
b. Evaluate accomplishments for years 2020–2030.
A health-care worker planning a research project related to teenage pregnancy in his
community would assess the health status of the target population. Health status could be best
evaluated by the exam:
b. Birth rate, Access to Health care, and Death rate.
The health-care worker teaches a group of new parents about the “back to sleep” program,
which is dir of sudden infant death syndrome (SIDS) by:
b. Placing the baby on its back in the crib.
Healthy People 2030 endorses the completion of a high school education primarily to enable a
person to:
c. Make healthy lifestyle choices
Infant mortality rates are based on infant deaths that occur:
b. Before one year of age, per 1000 live births.
Although the life expectancy has increased, Healthy People 2030 will focus on the older adult’s
need to:
d. Maintenance of independent
Information about morbidity and mortality gives the health-care worker data to identify:
b. High-risk age groups for certain diseases or hazards.
A major cause of death for children under the age of 1 year is:
a. Congenital abnormalities
The health-care worker advises a young woman who is 7 weeks pregnant to include folic acid
supplements to:
c. Reduce incidence of congenital malformations
The statistic widely used to compare the health status of different populations is:
c. Infant mortality rate.
A health-care worker who is planning a health education program for geriatric adults based on
the goal would include:
d. Fall prevention
Role of professional nurse has evolved to:
d. forming legislation for policies and practicing
related to health care.
Adults over the age of 65 can significantly reduce their health risk by:
b. getting annual vaccines for influenza and
pneumonia.
The new topic areas in the Healthy People guidelines established in 2017 for consideration for
Healthy (Select all that apply.)
a. remove obstacles to health
b. address structural and systemic prejudice and
discrimination.
c. develop policies and practices that promote health
equity including preventative care.
d. create healthy physical, social and economic
environments.
Criteria used to measure health-related concepts are referred to as
ANS: Health indicators
The life expectancy at birth in the United States is above.
ANS: 80 years.
In addition to injuries, the leading causes of death in adolescents and young adults aged 15
through 24.
ANS: unintentional injuries, suicide
homicide, suicide
Chapter 2: Government Influences on Health Care
Changes in health-care delivery systems have been influenced primarily by:
a. institution of various systems to provide
cost-effective health care.
The purpose of the state/national government program of Medicaid is to provide:
c. medical care on the basis of need or poverty.
A student is preparing a report on the history of the Women, Infants, and Children (WIC)
program wou information from:
c. Federal Register
The Human Genome Project has the potential to reduce health-care costs by assisting
health-care provider:
a. detect illness before they become chronic.
The tax equity fiscal responsibility act of 1982 (TREFRA) established the development of
medicaid access to the poor
The scope of practice for nursing is stipulated by the:
d. Nurse practice act
Roles of the nurse have changed as a result of the national health-care focus on:
a. illness prevention and health maintenance.
An informed consent form requires that:
b. nurse signs as a witness that the patient received
the necessary information.
A diagnosis related group (DRG) is:
b. medical condition classification system that
determines what medicare will pay for health care
services.
To conform to the national trend in health care, health care agencies of the future may need to
depend on:
c. nurses to plan and implement self- care education
programs.
Standards of practice are the foundations for:
d. consumer protection laws.
Health insurance portability and accountability act (HIPAA) provides for:
b. confidentiality of medical information
Patient protection and affordable care act of 2010 caused controversy because it mandated:
d. health care coverage for 32 million uninsured
persons.
The Omnibus Budget Reconciliation Act of 1981 provided money for the development of:
(Select all that apply)
b. skilled nursing facilities
d. home health agencies
The patient bill of rights ensures that all patients may: (Select all that apply)
a. select their health care provider
c. take part in treatment decisions
d. expect confidentiality
e. utilize channels for complaint
Political action committees (PAC’s) can influence legislation by: (Select all that apply)
a. providing lobbying
c. creating an awareness of the need for new
legislation.
e. contributing money to legislation.
Nursing theorist that proposed a holistic view of healthcare in the 1960’s
ANS: Martha Rogers
Plan of care is the tool that directs patient care for a health care delivered by a:
ANS: multidisciplinary
Chapter 3: Cultural Considerations across the lifespan
Cultural competence in healthcare is demonstration by:
d. adapting care to meet cultural needs.
Home health care workers are aware that the development of initiative may be delayed in a
family's parenting style.
c. authoritarian
When caring for an 8 hour postpartum who adheres to the cultural philosophy that pregnancy is
a healthcare worker will remember to:
c. turn up the thermostat.
The culturally competent health care worker helping a family dress the recently deceased family
member will be careful to:
c. assess for the families beliefs about death.
In planning the information sent to the diet kitchen for a patient that follows a vegetarian diet, the
health care worker would make a note to prohibit:
b. all meat dishes.
The agency for healthcare research and quality (AHRQ) promotes:
b. culturally competent healthcare.
The health care worker assesses a new patient for the use of alternative therapies, such
remedies have these protocols:
c. have become very popular as they focus on health promotion.
The health-care worker assesses a new patient for the use of alternative therapies. Such
remedies have these protocols:
c. have become very popular as they focus on health
promotion.
The young, female health-care worker who is giving admission information to an elderly man.
The man avoids looking at the woman while getting information. The culturally competent nurse
suspects the patient may avoid eye contact because:
b. believes eye contact is disrespectful
The assumption that all people of one culture behave the same way and believe the same thing
is called:
d. cultural stereotyping
Culture affects broad areas of: (Select all that apply.)
a. food preferences.
c. parenting styles
d. health treatment
e. discipline measurements.
Complementary and alternative medicine (CAM) modalities include: (select all that apply)
a. acupuncture
b. energy healing
e. guided imagery
Deep feelings a person has about what is morally right are __________.
ANS: values
__________are cultural teachings of practices and values that are handed down for generations
and determine responses to daily life and health-care practices.
ANS: Beliefs
Typically in the United States, the comfortable personal space is from 1.5 feet to ____ feet.
ANS: 4
Chapter 4: The Influence of Family on Developing a Lifestyle
The family can be defined as:
b. a basic human social system.
The health-care worker assesses ethnocentrism in a patient when the patient says:
d. “White Anglo-Saxons will always set the standard of civilization standard.”
A Spanish-speaking 6-year-old who has started first grade in an English-speaking school
spends most of helpless and unable to function in this new environment. This situation as an
indication of:
c. culture shock.
The family systems theory proposes that:
a. Family functions are interconnected, so what happens to one family member
affects the entire family.
An example of a blended family:
a mother, her children, and stepfather.
When an Asian dinner guest startles his Western host by belching loudly to show appreciation of
the meal is an example of:
d. cultural relativism.
The health-care worker would advise parents who are in the process of divorce to support their
adolescent children by:
c. encouraging pursuit of one's own interests.
A mother with a 6-month-old infant says, “I want to go back to work, but I don’t want there to be
a problem since i’ll have less time to spend with the baby.” The best response should be:
b. “Let’s talk about child-care options that will be best for the baby.”
The home health-care worker assesses cultural assimilation when:
c. an Asian woman living in Texas wears blue jeans and boots.
Because age differences between siblings may affect family dynamics, there is more affection
and less siblings whose ages differ by:
a. 5 or more years.
The laissez-faire parenting style:
a. allows children to regulate their own activity; sees parenting role as resource
rather than a role model.
The health-care worker designing culturally competent care will employ interventions that:
a. go beyond the awareness of similarities and differences to implementing care
that is sensitive.
Studies suggest that viewing violent television programs or playing violent video games may
cause:
d. release of dopamine, which affects attention and learning.
In the launching stage of the growth and development of a family unit, the focus of the family will
be on
a. maintaining a stable home base as children mature.
Parents tell the school nurse that their second-grade child watches television about 4 hours a
day. When discussing the issue with the parents, the nurse would best advise the parent that:
Parents need to supervise the amount and type of television programs their
children are watching.
The culturally competent health-care worker is aware that when caring for members of a
culturally diverse population, care must focus on:
a. overcoming their own cultural barriers to avoid stereotyping.
A distressed mother of a 2-year-old is at her “wit’s end” with the toddler’s desire to do activities
that may be dangerous. the health-care worker counsels the parent that to assist the child with
the development of autonomy, the parent should:
d. allow independent activity in a safe environment.
A child who has a brother or a sister in the family unit will have the support to develop:
c. concepts of social interaction.
Using family development theory of Duvall as a basis, the health-care worker counsels a couple
expecting their first baby that in addition to integrating the child into the family unit, the couple
should examine:
b. how they will help each other with household chores.
Altered sleep patterns, disorganized eating patterns, and social isolation in a 13-year-old who is
very involved with social networking could be symptoms of:
b. Facebook depression.
The Children’s Television Act of 1990 mandated that television networks:
c. censor the content of programs being aired during prime time.
Robert Havighurst designed a developmental theory for the learning of developmental tasks for
persons of:
d. late adulthood.
While talking with the upset and tearful family of a patient newly diagnosed with a chronic
illness, the healthcare worker asks “When something is bothering you, what do you do?” This
should be interpreted as:
a. part of assessing the family’s coping skills.
The health-care worker is alert for signs of _________________ after the entire family was
involved in a flood that swept the house away.
post traumatic stress
After the death of a child, what might the parents exhibit toward the surviving children?
c. Overprotectiveness
The health-care worker points out to the family of a hospitalized child evidence that the facility
support family centered health care by such practices as:
d. expanded or totally open visiting hours.
A positive outcome of video games is:
a. improved hand-eye coordination.
The parents of two children, ages 7 and 2, are concerned about the language development of
their 2-year old. they told the health-care worker that their older child began talking in two- or
three-word phrases by age 2, but their mostly one-word sentences. The best response by the
health-care worker is:
b. “First-born children generally have a larger vocabulary and better
conversational skills at an earlier age.”
The changes that have occurred to the traditional nuclear family over 40 years include:
increase number of single parent families
expectation that children be more independent
decreased daily availability of the father
dual career parents
To make an effective cultural assessment of a family that is dealing with a child with a terminal
illness consider: (Select all that apply.)
a. socioeconomic status.
c. religious practices.
d. health beliefs.
e. significance of the disease.
The health-care worker uses as a basis for interventions for children the developmental theory
of the theorist piaget____________ that is based on the mastery of developmental tasks at
specific ages.
ANS: Erik Erikson
Families who have poor communication among members, who tend to be isolated from the
community and have inconsistent rules are labeled as _______________.
ANS: dysfunctional