Name: SW 151 STUDY GUIDE Exam Date: 12/3/08 (Stewart) Page: 5-6 ___ 1. The definition of health that states "Health is a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity" was written in 1947 by: A) Payne and Hahn. B) The World Health Organization. C) The Centers for Disease Control and Prevention. D) The Department of Health and Human Services. E) none of the above Ans: B Page: 8 ___ 2. With regard to the impact they have on the health of the community, what kind of factors do geography, the environment, community size, and industrial development represent? A) physical B) social C) cultural D) mental E) vocational Ans: A Page: 10 ___ 3. The economically disadvantaged generally uses what point of entry into the health care system? A) the family doctor D) none of the above are correct B) the emergency department E) all of the above are correct C) the local health department Ans: B Page: 12-13 ___ 4. Which of the periods in the history of community and public health is known as the "Spiritual Era of public health"? A) Ancient Societies B) Classical Cultures C) Middle Ages D) Renaissance and Exploration E) eighteenth, nineteenth, and twentieth centuries Ans: C ©2008 Jones and Publishers, Inc. Page 1 Page: 14 ___ 5. The man credited with successfully demonstrating the process of vaccination as a protection against smallpox was: A) Dr. Edward Jenner. D) Dr. Thomas Wood. B) Louis Pasteur. E) Dr. John Snow. C) Robert Koch. Ans: A Page: 18 ___ 6. The first national-level volunteer health agency in the United States was the: A) National Association for the Study and Prevention of Tuberculosis. B) American Cancer Society. C) Pennsylvania Society for the Prevention of Tuberculosis. D) American Heart Association. E) American Red Cross. Ans: A Page: 20 ___ 7. The CDC conducted a study in the late 1970s that examined premature death, which was then defined as any death prior to_________, but now as deaths prior to__________. A) age 60; age 70 B) age 65; age 75 C) retirement; the person's estimated life expectancy at birth D) age 70; the person's estimated life expectancy at birth E) none of the above are correct Ans: B Page: 21 ___ 8. The American people continue to face serious health problems due to scientists' inability to eradicate diseases. The only disease to be eradicated worldwide was: A) mumps. B) tuberculosis. C) malaria. D) smallpox. E) typhoid. Ans: D Page: 23 ___ 9. Which of the following was (were) unknown only 30 years ago? A) Legionnaire's disease D) SARS B) Lyme disease E) all were unknown C) AIDS Ans: E ©2008 Jones and Publishers, Inc. Page 2 Page: 29 ___ 10. Which of the following is not one of the overarching goals of Healthy People 2010? A) increase quality and years of healthy life B) deaths from chronic diseases C) eliminate health disparities D) all are overarching goals Ans: B Page: 39 ___ 11. Governmental health agencies are financed primarily by: A) donations. D) member dues. B) tax dollars. E) none of the above are correct C) voluntary giving. Ans: B Page: 35 ___ 12. The last known case of smallpox was diagnosed on October 26, 1977, in what country? A) Somalia D) Malawi B) Kenya E) none of the above are correct C) Zaire Ans: A Page: 45 ___ 13. Which division of the Public Health Service was created by Superfund legislation? A) Agency for Toxic Substances and Disease Registry B) Environmental Protection Agency C) Substance Abuse and Mental Health Services Administration D) Indian Health Service E) None of the above are correct Ans: A Page: 46-47 ___ 14. The Food and Drug Administration sets health and safety standards for all: A) food. B) cosmetics. C) drugs. D) all of the above E) just A and C Ans: D ©2008 Jones and Publishers, Inc. Page 3 Page: 50 ___ 15. Inspection of restaurants is the task of the: A) Food and Drug Administration. B) Department of Health and Human Services. C) state health department. D) local health department. E) none of the above are correct Ans: D Page: 51 ___ 16. The local health officer has far-reaching powers such as: A) arresting someone who refuses to undergo treatment for a communicable disease. B) closing a restaurant on the spot if it has serious health law violations. C) impounding a shipment of food if it is contaminated. D) all of the above are correct E) just A and B Ans: D Page: 53 ___ 17. Which of the following are quasi-official health organizations? A) WHO, FDA, and CDC B) American Cancer Society and American Heart Association C) American Red Cross and National Academy of Sciences D) American Lung Association and local health departments E) All of the above are quasi-official health organizations Ans: C Page: 58 ___ 18. Which service organization has contributed to pilot dog programs and services for those who are visually impaired? A) Elks D) Jaycees B) Lions E) none of the above are correct C) Moose Ans: B ©2008 Jones and Publishers, Inc. Page 4 Page: 59 ___ 19. Which groups have been especially useful in delivering health messages to the black American community? A) service D) religious B) voluntary health agencies E) all of the above are correct C) philanthropic foundations Ans: D Page: 54 ___ 20. All of the following are nongovernmental health agencies except: A) voluntary and professional D) religious agencies and corporations. agencies. B) local health departments. E) both A and C C) philanthropic and service agencies. Ans: B Page: 63 ___ 21. Epidemiology has sometimes been referred to as: A) community medicine. B) health promotion and disease prevention. C) population medicine. D) community health. E) all of the above are correct Ans: C Page: 64 ___ 22. What are diseases called that occur regularly in a population? A) epidemic diseases D) regular diseases B) pandemic diseases E) epizootic diseases C) endemic diseases Ans: C Page: 64 ___ 23. The term used to describe a widespread epidemic is: A) epizoodemic. B) endemic. C) pandemic. D) epizootic. E) none of these describe a widespread epidemic Ans: C ©2008 Jones and Publishers, Inc. Page 5 Page: 64 ___ 24. In 1918-1919 a disease spread throughout the world killing an estimated 25 million people. The disease was: A) the plague. B) the flu. C) smallpox. D) polio. E) yellow fever. Ans: B Page: 67 ___ 25. Which of the following are examples of acute diseases? A) common cold, influenza D) all of the above B) heart disease and cancer E) just A and C C) measles and mumps Ans: E Page: 70 ___ 26. Which of the following is a measure of the severity of a disease and is directly related to the virulence of the disease agent? A) crude death rate D) proportionate mortality ratio B) cause-specific mortality rate E) age-adjusted rate C) case fatality rate Ans: C Page: 72 ___ 27. Which of the following is (are) a reason(s) local health departments receive notification of only 35% of the cases of some communicable diseases? A) many physicians are not familiar with the requirement of reporting B) clinics may not report each and every case of a disease C) patients recover with or without treatment before a diagnosis is confirmed D) all of the above E) none of the above Ans: D Page: 81 ___ 28. The first U.S. Census was ordered in _____ for the purpose of apportioning representation to the House of Representatives. A) 1776 B) 1790 C) 1825 D) 1875 E) 1890 Ans: B ©2008 Jones and Publishers, Inc. Page 6 Page: 85 ___ 29. The incubation period of a disease is the time between exposure to an infectious agent and the: A) onset of recovery of the patient B) reporting of the disease to the local health department C) the first death caused by the disease D) onset of treatment E) onset of symptoms Ans: E Page: 88 ___ 30. What type of epidemiological study would be used to test hypotheses about relationships between health problems and possible risk factors? A) descriptive B) analytic C) neither type D) both A and B are correct Ans: B Page: 98 ___ 31. The process of entrance and growth of a microorganism or virus in the host is called: A) infectious disease. D) noncommunicable disease. B) communicable disease. E) all of the above are correct C) infection. Ans: C Page: 98 ___ 32. Diseases or conditions in which symptoms continue longer than three months are referred to as: A) acute. D) noncommunicable. B) communicable. E) none of the above are correct. C) chronic. Ans: C Page: 99 ___ 33. In the communicable disease model, the agent is: A) time. D) none of the above B) the host. E) all of the above C) the environment. Ans: D ©2008 Jones and Publishers, Inc. Page 7 Page: 101 ___ 34. A hypodermic needle contaminated with blood containing HIV is an example of a(n): A) case. B) carrier. C) vector. D) vehicle. E) agent. Ans: D Page: 101 ___ 35. Tuberculosis, influenza, histoplasmosis, and legionellosis are examples of diseases for which transmission is normally: A) airborne. D) direct. B) vehicleborne. E) none of the above are correct C) vectorborne. Ans: A Page: 107 ___ 36. The planning for and taking of action to forestall the onset of a disease or other health problem defines: A) prevention. D) epidemiology. B) intervention. E) none of the above are correct C) eradication. Ans: A Page: 107 ___ 37. The early diagnosis and prompt treatment of a disease before it becomes advanced and disability becomes severe is considered: A) primary prevention. D) all of the above are correct B) secondary prevention. E) A and B C) tertiary prevention. Ans: B Page: 109 ___ 38. Breast and testicular self-examinations, the hemocult test, and the Pap test are primarily considered examples of what kind of prevention activity? A) primary prevention D) both A and B B) secondary prevention E) all of the above are correct C) tertiary prevention Ans: B ©2008 Jones and Publishers, Inc. Page 8 Page: 110-111 ___ 39. Which is not an example of primary prevention of communicable disease transmission? A) taking an antibiotic for a physician-diagnosed illness B) chlorination of the water supply C) immunization programs D) restaurant inspections E) all are examples of primary prevention Ans: A Page: 111 ___ 40. The limitation of freedom of movement of well persons or animals that have been exposed to a communicable disease until the incubation period has passed is called: A) isolation. D) all of the above are correct B) quarantine. E) A and B C) disinfection. Ans: B Page: 122 ___ 41. ___________ is a "process through which communities are helped to identify common problems or goals, mobilize resources, and in other ways develop and implement strategies for reaching their goals they have collectively set." A) Community development D) Community planning B) Community organizing E) none of the above are correct C) Community effectiveness Ans: B Page: 123 ___ 42. ____________ is (are) heavily task oriented and involves various levels of participation from many people and outside planners. A) Locality development D) Revolutionary techniques B) Social planning E) Community organizing C) Social action Ans: B ©2008 Jones and Publishers, Inc. Page 9 Page: 123 ___ 43. The civil rights and gay rights movements are examples of what method of community organization? A) social planning D) social action B) revolutionary techniques E) none of the above are correct C) locality development Ans: D Page: 124 ___ 44. If those who initiate community organization are members of the community, then the movement is referred to as being: A) grass-roots. D) bottom-down initiated. B) top-down initiated. E) none of the above are correct C) outside-in initiated. Ans: A Page: 125 ___ 45. Community gatekeepers could include which of the following? A) politicians D) all of the above are correct B) clergy E) none of the above are correct C) business and education leaders Ans: D Page: 126 ___ 46. When organizing people to solve a community problem, it is best to begin with: A) those causing the problem. B) a good group of volunteers. C) the victims of similar problems. D) those who are already interested in seeing that the problem be solved. E) all of the above are correct Ans: D Page: 127 ___ 47. Identifying community assets, not concerns or problems, is a process referred to as: A) needs assessment. D) mapping community capacity. B) community analysis. E) all of the above are correct C) community diagnosis. Ans: D ©2008 Jones and Publishers, Inc. Page 10 Page: 134 ___ 48. The best known and maybe the most often used health promotion planning model is the: A) PRECEDE/PROCEED model. B) Model for Health Education Planning. C) Model for the Analysis of Health Education Planning and Resource Development. D) Comprehensive Health Education Model. E) Generic Health/Fitness Delivery System. Ans: A Page: 135 ___ 49. Those whom the health promotion program is intended to serve are known as the: A) coalition. D) stakeholders. B) priority population. E) all of the above are correct C) executive participants. Ans: B Page: 136 ___ 50. The importance of an unmet need, how changeable the need is, and whether adequate resources are available to deal with the problem are all helpful in ______________ the need. A) explaining B) prioritizing C) validating D) determining E) examining Ans: B Page: 146 ___ 51. A coordinated school health program should include all except: A) comprehensive school health education and health services. B) healthy school environment and school counseling. C) psychological and social services, and employee health promotion. D) physical education and school nutrition services. E) a comprehensive marketing plan. Ans: E ©2008 Jones and Publishers, Inc. Page 11 Page: 149 ___ 52. Which of the following is not a key responsibility of the school nurse as a member of the school health council? A) to provide leadership for the school health services B) to promote a healthy school environment C) to provide first aid for students D) to provide screening and referral for health conditions E) all of the above are key responsibilities of the school health nurse Ans: C Page: 151 – Table 6.2 ___ 53. Which of the following would not normally be expected of a health educator? A) plan effective health education programs B) act as a resource person in health education C) maintain student health records D) implement and evaluate school health education programs E) communicate health and health education needs, concerns, and resources Ans: C Page: 150-151 ___ 54. The need for school health is justified by all of the following except? A) the right to health for all referred to in the U.S. Constitution B) the observation that unhealthy children have difficulty in learning C) the health of children and their learning are reciprocally related D) undetected health impairments hinder the educational process E) shaping healthy habits early in life can lead to a more productive adult life Ans: A Page: 152 ___ 55. The “foundations of any school health program” include: A) a school administration that supports such an effort. B) a well-organized and genuinely interested school health council. C) written school health policies. D) all of the above E) only A and B Ans: D ©2008 Jones and Publishers, Inc. Page 12 Page: 154 ___ 56. Which of the following people should approve school health policies? A) the school district's medical advisor B) the school administration C) the board of education D) all the above should approve the policies E) only A and B should approve the policies Ans: D Page: 157 ___ 57. _________ is (are) that part of the school health program provided by physicians, nurses, dentists, health educators, other allied health personnel, social workers, teachers, and others to appraise, protect, and promote the health of students and school personnel. A) Administration and organization D) Health instruction B) School health services E) all of the above are correct C) Healthful school environment Ans: B Page: 158 ___ 58. Which model(s) of school health services is the most comprehensive means of offering school health services? A) core health services B) core plus expanded school health services C) services through school-based or school-linked health centers D) both A and C E) all of the above are correct Ans: C Page: 160 ___ 59. A good health education curriculum provides: A) learning objectives and learning activities. B) possible instructional resources. C) methods for assessment. D) standards. E) all of the above Ans: E ©2008 Jones and Publishers, Inc. Page 13 Page: 167 ___ 60. Which of the following is not true regarding violence in schools? A) males are involved in more violence than females B) violence in schools is a new development C) schools have traditionally been viewed as a safe environment D) weapons carrying by students has made the violence more deadly E) certain racial and ethnic groups are victims of violence more often than others Ans: B Page: 176 ___ 61. Maternal health is regarded as the health of a woman of childbearing age during which of the following times? A) pre-pregnancy and pregnancy D) all the above B) labor and delivery E) only A and B C) postpartum period Ans: D Page: 181 ___ 62. The _____________ defines a family as “a group of two people or more (one of whom is the householder) related by birth, marriage, or adoption and residing together; all such people (including related to subfamily members) are considered as members of one family.” A) U.S. Census Bureau B) Maternal and Child Health Bureau C) U.S. Department of Health and Human Services D) Planned Parenthood Ans: A Page: 182 ___ 63. Teenage mothers are much less likely than women over the age of 20 to: A) not receive first trimester prenatal care. B) smoke during pregnancy. C) have a preterm birth. D) have a low birth weight. E) all of the above are correct Ans: E ©2008 Jones and Publishers, Inc. Page 14 Page: 187 ___ 64. Abortion has been legal throughout the United States since _______ when the Supreme Court ruled in the Roe v. Wade case that women, in consultation with their physician, have a constitutionally protected right to have an abortion in the early stages of pregnancy from government interference. A) 1963 B) 1973 C) 1983 D) 1993 Ans: B Page: 189 ___ 65. High-quality prenatal care is one of the fundamentals of a safe motherhood program and includes: A) risk assessment. D) education. B) treatment for medical conditions. E) all of the above are included C) risk reduction. Ans: E Page: 192 ___ 66. Premature (or preterm) babies are born prior to ____ weeks' gestation. A) 37 B) 40 C) 42 D) 44 Ans: A Page: 191 ___ 67. The death of a child during the first 28 days after birth is called: A) infant death. D) fetal death. B) neonatal mortality. E) all of the above are correct C) postneonatal death. Ans: B Page: 193-194 ___ 68. To prevent low birth weight (LBW) babies, pregnant women should do all of the following except: A) receive early, regular prenatal care. B) eat a balanced diet, including folic acid. C) gain enough weight. D) avoid smoking and drinking alcohol. E) take iron and calcium supplements. Ans: E ©2008 Jones and Publishers, Inc. Page 15 Page: 195 ___ 69. Which of the following is (are) advantages to breastfeeding? A) helps babies resist infections and other diseases B) helps babies vomit less often C) improves maternal health D) all of the above are correct E) just A and B Ans: D Page: 208 ___ 70. The Family and Medical Leave Act covers employees: A) after the birth of a child. B) after an adoption. C) in the event of illness in the immediate family. D) all the above E) just A and B Ans: D Page: 214 ___ 71. Adolescents and young adults include those who are: A) 5-14 years of age. D) 18-30 years of age. B) 11-20 years of age. E) none of the above C) 15-24 years of age. Ans: C Page: 215 ___ 72. The percentage of children living in single-parent homes in 2005 was approximately: A) 10%. B) 15%. C) 20%. D) 25%. E) more than 30%. Ans: E Page: 217 ___ 73. For young people overall, approximately three-fourths of all mortality can be attributed to which three causes? A) infectious diseases, suicide, homicide B) motor vehicle crashes, suicide, homicide C) suicide, homicide, cancer D) AIDS, suicide, homicide E) cancer, heart disease, stroke Ans: B ©2008 Jones and Publishers, Inc. Page 16 Page: 219 ___ 74. Teenagers and young adults are more likely than other age groups to: A) have multiple sex partners. B) engage in unprotected sex. C) choose sexual partners older than them. D) all of the above are correct E) just A and B Ans: D Page: 219 ___ 75. Which childhood disease made a resurgence in the late 1980s and impacted many adolescents and young adults? A) mumps B) measles C) whooping cough D) polio E) chicken pox Ans: B Page: 221 ___ 76. One piece of legislation that was approved to combat the widespread use of tobacco products among adolescents and young adults required retailers to: A) receive consent from an adult. B) increase no-smoking areas in their establishments. C) verify the age of persons purchasing the tobacco products. D) all of the above are correct E) none of the above are correct Ans: C Page: 222-223 ___ 77. Teenage mothers are: A) less likely to complete high school or college. B) more likely to require public assistance. C) more likely to live in poverty. D) less likely to get or stayed married. E) all of the above are correct Ans: E ©2008 Jones and Publishers, Inc. Page 17 Page: 228 ___ 78. Which two of the four major factors that impact community health need special attention when dealing with the health problems of adolescents and young adults? A) social and cultural factors and community organizing B) physical factors and community organizing C) individual behavior and physical factors D) community organizing and individual behavior E) social and cultural factors and physical factors Ans: A Page: 233 ___ 79. Being overweight increases one's chances of all the following except: A) gall bladder disease. D) some cancers. B) heart disease. E) diabetes. C) sickle cell anemia. Ans: C Page: 235 ___ 80. The leading cause of death among those in the 45-64 year age group is: A) heart disease. D) chronic obstructive lung disease. B) cancer. E) unintentional injuries. C) stroke. Ans: B Page: 242 ___ 81. People in the United States are considered old when they reach the age of: A) 85. B) 75. C) 65. D) 55. E) 45. Ans: C Page: 242 ___ 82. The study of aging from the broadest perspective is known as: A) ageism. D) agology. B) gerontology. E) all of the above are correct C) geriatrics. Ans: B ©2008 Jones and Publishers, Inc. Page 18 Page: 246 ___ 83. The baby boomers include those individuals who were born between: A) 1926 and 1944. D) 1956 and 1974. B) 1936 and 1954. E) none of the above are correct C) 1946 and 1964. Ans: C Page: 241 ___ 84. The baby boomers will begin to turn 65 in: A) 2011. B) 2016. C) 2021. D) 2031. Ans: A Page: 251 ___ 85. Elders depend most heavily on what source of income? A) public assistance D) income from assets B) earnings from jobs E) none of the above are correct C) social security Ans: C Page: 251 ___ 86. Homes of elders, on average, have all of the following characteristics except: A) older B) lower value C) greater need for repair D) less likely to have central air conditioning E) more likely to have telephones Ans: E Page: 254 ___ 87. Elder abuse and neglect are serious concerns among elders. Which of the following statements is not true about elder abuse and neglect? A) Male elders are abused at a higher rate than female elders. B) Elders 80 years and older are abused more often than younger elders. C) Almost 90% of identified perpetrators of abuse and neglect are family members. D) Victims of self-neglect are usually depressed, confused, or extremely frail. E) all of the above are true Ans: A ©2008 Jones and Publishers, Inc. Page 19 Page: 242 ___ 88. Which of the following is (are) problems faced by caregivers? A) decreased personal freedom B) lack of privacy C) constant demands on their time and energy D) all the above E) just A and B Ans: D Page: 261 ___ 89. Which of the following statements about Medicare is not true? A) It was created in 1965 and took effect in 1966. B) It is biased toward hospital care. C) Most elders who are covered by Medicare have additional, supplementary private insurance. D) Medicare is helpful for such needs as eyeglasses and hearing aids. E) Medicare Part D is for medication reimbursement. Ans: D Page: 263 ___ 90. The services and facilities available to elders were greatly improved by which amendments to the Older Americans Act of 1965? A) National Nutritional Program for Seniors B) The State and Area Agencies on Aging C) Title II D) Title IV E) none of the above are correct Ans: B Page: 270 ___ 91. The majority of people living in the United States are white. Approximately what percentage of the population falls into this classification? A) 33 B) 50 C) 66 D) 90 Ans: C Page: 272 ___ 92. A landmark _____ report, The Secretary's Task Force Report on Black and Minority Health, first documented the health status disparities of minority groups in the United States. A) 1965 B) 1975 C) 1985 D) 1995 Ans: C ©2008 Jones and Publishers, Inc. Page 20 Page: 278 ___ 93. Since 1990, the fastest growing ethnic minority group(s) in the United States is (are): A) Native Americans. D) Americans of Hispanic origin. B) Asians E) just A and C C) Black Americans. Ans: D ___ 94. The Indian Health Service was created in: A) 1876. B) 1901. C) 1925. D) 1954. Ans: D E) 1979. Page: 285 ___ 95. The difficulties facing refugees in the United States include: A) finding employment. B) obtaining access to education. C) obtaining appropriate health services. D) all of the above are difficulties facing refugees Ans: D Page: 288 ___ 96. The highest cancer incidence rates are among what group? A) Native Americans D) Americans of Hispanic origin B) Asian/Pacific Islanders E) White Americans C) Black Americans Ans: C Page: 292-293 ___ 97. The prevalence of diabetes is highest among what group? A) Native Americans D) Americans of Hispanic origin B) Asian/Pacific Islanders E) White Americans C) Black Americans Ans: A ©2008 Jones and Publishers, Inc. Page 21 Page: 294 ___ 98. In the United States, what two minority groups account for increasing proportions of persons reported with AIDS each year? A) Americans of Hispanic origin and white Americans B) White Americans and Native Americans C) Americans of Hispanic origin and Native Americans D) Black Americans and Americans of Hispanic origin E) Black Americans and white Americans Ans: D Page: 307 ___ 99. An increase in ________ power brings with it access to "bases" of production such as information, knowledge and skills, participation in organization, and financial resources. A) social D) physiological B) political E) all of the above are correct C) psychological Ans: A Page: 307-308 ___ 100. To gain _____________ power, it is imperative that the group be literate and have the appropriate education. A) social D) physiological B) political E) none of the above are correct C) psychological Ans: A Page: 342-343 ___ 101. The drug that places the greatest economic burden on society in America is: A) marijuana. B) heroin. C) tobacco. D) cocaine. E) alcohol. Ans: E Page: 342–Table 12.1 ___ 102. The most costly drug problem in the United States, in terms of lives lost, is: A) marijuana. B) cocaine. C) tobacco. D) heroin. E) alcohol. Ans: C ©2008 Jones and Publishers, Inc. Page 22 Page: 345 ___ 103. Which of the following best describes when one discontinues the use of a prescribed antibiotic before the entire prescribed dose is completed or, when one takes four aspirin rather than two aspirin as specified on the label? A) drug use D) drug dependence B) drug abuse E) none of the above are correct C) drug misuse Ans: C Page: 347 ___ 104. What do alcohol, nicotine, nonprescription, and prescription drugs have in common? A) They are all illicit drugs. D) They are all inexpensive. B) They are all legal drugs. E) Both A and C are correct. C) They are all illegal drugs. Ans: B Page: 349 ___ 105. According to Harvard researcher Henry Wechsler the number 1 date rape drug is: A) rhopypnol. B) marijuana. C) MDMA. D) OxyContin. E) alcohol. Ans: E Page: 351 ___ 106. Environmental tobacco smoke has been causally associated with: A) lung cancer. B) new cases of asthma in children. C) lower-respiratory infections in children. D) all the above are correct E) none of the above are correct Ans: D Page: 354 ___ 107. The most abused illicit drug in the United States is A) heroin. B) MDMA. C) methamphetamine. Ans: E ©2008 Jones and Publishers, Inc. D) cocaine. Page 23 E) marijuana. Page: 359 ___ 108. Testosterone and human growth hormone are considered what kind of drugs? A) depressants D) stimulants B) anabolic drugs E) none of the above are correct C) hallucinogens Ans: B Page: 360 ___ 109. Increasing the price of alcohol or increasing cigarette taxes are examples of what level of drug abuse prevention? A) primary D) all of the above B) secondary E) none of the above C) tertiary Ans: A Page: 362 ___ 110. Our nation's anti-drug efforts are headed up by the: A) Office of the Attorney General. B) Congressional Budget Office C) Federal Bureau of Investigation. D) Office of National Drug Control Policy. E) Drug Enforcement Administration Ans: D Page: 379 ___ 111. During most of the nineteenth century most medical care took place in: A) patients' homes. D) hospitals. B) sanatoria. E) doctors' clinics. C) almshouses and pesthouses. Ans: A Page: 379 ___ 112. The leading causes of death at the beginning of the twentieth century were: A) noncommunicable diseases. D) adult onset diseases. B) noninfectious diseases. E) both A and C C) communicable disease. Ans: C ©2008 Jones and Publishers, Inc. Page 24 Page: 380 ___ 113. In the third-party payment system for health care, the first party is the: A) patient. D) hospital. B) health care provider. E) none of the above are correct. C) insurance company. Ans: A Page: 382 ___ 114. In the mid- to late 1990s, rapid changes occurred in the organization and financing of health care. These changes were attributed to: A) universal coverage. D) development of new drugs. B) modern high-technology. E) none of the above are correct C) managed care. Ans: C Page: 391 ___ 115. Which of the following would be considered an independent practitioner? A) physician D) physician's assistant B) nurse E) none of the above C) pharmacist Ans: A Page: 391 ___ 116. Those physicians who decide to specialize in a particular field of medicine must complete a(n): A) residency. D) field experience. B) internship. E) all of the above are correct C) practicum. Ans: A Page: 396 ___ 117. A dentist would be considered what type of health care provider? A) independent D) limited care B) allopathic E) allied health care C) non-allopathic Ans: D ©2008 Jones and Publishers, Inc. Page 25 Page: 399 ___ 118. How would you classify an environmental health worker who inspects restaurants? A) independent provider D) allopathic provider B) allied health professional E) public health professional C) limited professional Ans: E Page: 393—Figure 13.4 and page 398 ___ 119. Which of the following would not be considered an allied health professional? A) occupational therapists D) respiratory therapists B) dental hygienists E) radiographer C) ophthalmologists Ans: C Page: 400 ___ 120. Public health clinics are usually financed by: A) donations. D) B) tax dollars. E) C) insurance payments. Ans: B fees for service. all of the above are correct Page: 411-412 ___ 121. The primary factors that limit the access to health care in the United States are: A) lack of health insurance and inadequate insurance. B) poverty or low family income. C) lack of physicians and hospitals. D) just A and B E) just B and C Ans: D Page: 413 ___ 122. Those medically indigent who are working full time at low paying jobs that provide no health care benefits are referred to as: A) no access people. D) the working poor. B) Medicaid recipients. E) all of the above are correct C) the down and out. Ans: D ©2008 Jones and Publishers, Inc. Page 26 Page: 413 ___ 123. The uninsured usually do not have access to: A) public health care. D) B) primary health care. E) C) secondary health care. Ans: B continuing care. restorative care. Page: 414 ___ 124. We pay for health care through: A) our taxes. B) health care premiums and out-of-pocket expenses. C) supplemental insurance. D) the many products we buy. E) all of the above Ans: E Page: 415 ___ 125. Approximately what percentage of the United States health care bill is paid for by governmental insurance programs? A) about 75% D) about 45% B) about 65% E) about 35% C) about 55% Ans: D Page: 419 ___ 126. The established amount of money that the insured must pay before the insurer will reimburse for services is called the: A) fixed indemnity. D) co-insurance. B) deductible amount. E) major medical. C) exclusion amount. Ans: B Page: 419 ___ 127. A specific health condition not covered by your health insurance is called: A) an exclusion. D) a fixed indemnity. B) an omission. E) none of the above C) a deductible. Ans: A ©2008 Jones and Publishers, Inc. Page 27 Page: 415 ___ 128. Which of the following is (are) problems(s) associated with Medicare and Medicaid? A) non-acceptance and fraud D) too many exclusions B) deductibles too high E) B and D C) based on DRGs Ans: A Page: 425 ___ 129. Medicaid provides health insurance for: A) those in federal prisons. B) the poor. C) the elderly. Ans: B D) E) those in uniformed services. none of the above Page: 436 ___ 130. Which of the following is (are) a strength(s) of the Canadian health care system compared to the United States? A) all citizens have health insurance B) administrative costs are lower C) less expensive to run D) emphasis placed on prevention and primary care E) all of the above Ans: E Page: 490 ___ 131. Biological hazards can include: A) animals B) bacteria. C) viruses. Ans: E D) plants. E) all of the above Page: 490 ___ 132. Overflow of wastewater into fields and ditches resulting in the proliferations of mosquito populations can result in what kind of diseases? A) vectorborne D) airborne B) foodborne E) waterborne C) vehicleborne Ans: A ©2008 Jones and Publishers, Inc. Page 28 Page: 494 ___ 133. How many people have to become ill for the Centers for Disease Control and Prevention to declare a foodborne outbreak? A) two or more D) forty or more B) five or more E) none of the above are correct C) twenty or more Ans: A Page: 494 ___ 134. Which of the following can lead to foodborne disease? A) improper holding temperature for foods B) inadequate cooking of food C) consumption of shellfish from polluted waters D) poor personal hygiene of preparers and contaminated equipment E) all of the above are correct Ans: E Page: 497 ___ 135. The vector of West Nile virus is the: A) Asian tiger mosquito. B) northern house mosquito. C) eastern tree hole mosquito. Ans: B D) E) Page: 501 ___ 136. Poisonings occur when the pesticides are: A) consumed orally. D) B) inhaled. E) C) in contact with the skin. Ans: D Anopheles mosquito. none of the above all of the above just A and B Page: 505 ___ 137. Which group of individuals is at highest risk for lead poisoning? A) young children D) adults B) adolescents E) senior citizens C) young adults Ans: A ©2008 Jones and Publishers, Inc. Page 29 Page: 510 ___ 138. Which of the following is not true about skin cancer? A) appears more often on exposed body parts B) is the most common form of cancer C) appears more in dark-skinned people than light-skinned people D) has the potential to harm more people living close to the equator than those not living near the equator. E) all of the above are true about skin cancer Ans: C Page: 411 ___ 139. Which of the following is (are) mental states associated with psychological hazards? A) hypochondriasis D) all of the above are correct B) depression and stress E) just A and C C) hysteria Ans: D Page: 515 ___ 140. Which of the following community health problems are caused either in part or whole by population growth? A) smog and acid rain B) crime and depletion of the ozone layer C) global warming and bulging landfills D) increased vulnerability to epidemics and pandemics E) all the above Ans: E Page: 567 ___ 141. Occupational diseases and injuries result from: A) spending too much time at work. B) exposure to something associated with employment. C) illegal use of substances in the work place. D) overexposure to some substance. E) none of the above are correct Ans: B Page: 568 ___ 142. All of the following European Union countries have occupational fatality rates lower than that of the U.S. except: A) Austria B) Portugal C) Spain D) France Ans: D ©2008 Jones and Publishers, Inc. Page 30 Page: 571 ___ 143. Which of the following was (were) created by the Occupational Safety and Health Act of 1970? A) Occupational Safety and Health Administration (OSHA) B) National Institute of Occupational Safety and Health (NIOSH) C) Department of Labor D) just A and B E) just A and C Ans: D Page: 573 ___ 144. The leading cause of occupational injury deaths is: A) electricity. D) machinery. B) falls. E) homicides. C) highway incidents. Ans: C Page: 573 ___ 145. The leading type(s) of workplace nonfatal injuries requiring a visit to an emergency department is (are): A) burns. B) contusions, abrasions, and hematomas. C) lacerations, punctures, amputations., and avulsions. D) sprains and strains. Ans: D Page: 583 and 584–Table 18.2 ___ 146. The highest job-related death rates are found among: A) fisherman. D) race car drivers and pilots. B) construction workers. E) none of the above are correct C) farmers. Ans: A ___ 147. Regarding workplace violence, most homicides occur when: A) the perpetrator has no legitimate relationship to the business. B) the perpetrator has a relationship to the business (such as a customer). C) the perpetrator is another worker. D) the perpetrator has a personal relationship with the intended victim. E) none of the above Ans: A ©2008 Jones and Publishers, Inc. Page 31 Page: 589 ___ 148. Workers in stone quarries, in sand and gravel operations, and in abrasive blasting operations are at high risk for: A) byssinosis. D) brown lung disease. B) asbestosis. E) silicosis. C) black lung disease. Ans: E Page: 591 ___ 149. The safety worker that is most concerned about radiation safety in the workplace is: A) safety engineers. D) industrial hygienists. B) certified safety professionals. E) nuclear engineers. C) health physicists. Ans: C Page: 593 ___ 150. The goals of worksite health promotion programs include all except: A) reducing absenteeism. B) lowering health insurance premiums. C) increasing productivity and employee morale. D) identifying and terminating unsafe workers. E) enhancing the company's image. Ans: D ©2008 Jones and Publishers, Inc. Page 32