(Test Bank) Growth and Development Across The Lifespan

Leifer, 2

Medicine

Test Bank

2nd Edition

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TEST BANK FOR GROWTH AND DEVELOPMENT ACROSS THE LIFESPAN 2ND EDITION BY LEIFER TEST BANK FOR GROWTH AND DEVELOPMENT ACROSS THE LIFESPAN 2ND EDITION BY LEIFER Chapter 1: Healthy People 2020 Test Bank MULTIPLE CHOICE 1. The purpose of Healthy People 2020 is to: a. examine world health needs. b. evaluate accomplishments for years 2010 –2020. c. focus primarily on infant health and mortality. d. examine funding issues for health care. ANS: B Healthy People 2020 is an evidence -based 10 -year report card describing health -care accomplishments in the United States between the years of 2010 and 2020. DIF: Cognitive Level: Comprehension REF: p. 1 OBJ: 1 TOP: Healthy People 2020 KEY: Nursing Process Step: Intervention MSC: NCLEX: Health Promotion and Maintena nce: prevention and early detection of disease 2. A health -care worker planning a research project related to teenage pregnancy in his community would include in the initial assessment the health status of the target population. Health status could be best evaluated by the examination of the: a. birth rate, disease morbidity, and life expectancy. b. birth rate, access to health care, and death rate. c. disease morbidity, life expectancy, and health insurance coverage. d. health insurance coverage, death rate, and access to health care. ANS: B Birth rate statistics identify age of mother; death rates include infant mortality and age of mother; access to health care may affect a teenager’s ability to obtain adequate prenatal care. DIF: Cognitive Level: Application REF: p. 6 OBJ: 3 TOP: Health status KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease 3. The health -care worker teaches a group of new parents about the “back to sleep” program, which is directed toward the reduction of sudden infant death syndrome (SIDS) by: a. positioning the baby on a small flat pillow. b. placing the baby on its back in the crib. c. gently rocking the baby before returning it to bed. d. tucking infant snuggly in the crib with a light blanket. ANS: B The back to sleep program helps reduce the incidence of SIDS by placing the infant on its back rather than on its stomach. DIF: Cognitive Level: Application REF: p. 8 OBJ: 5 TOP: Back to sleep program KEY: Nursing Process Step: Intervention MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease 4. Healthy People 2020 endorses the completion of a high school education primarily to enable a person to: a. secure a better job. b. increase the quality of life. c. make healthy lifestyle choices. d. maintain the family unit. ANS: C One of the goals of Healthy People 2020 is to increase the number of persons graduating from high school so that they have a better education basis on which to make heal thy lifestyle choices. DIF: Cognitive Level: Application REF: p. 8 OBJ: 4 TOP: Health indicators KEY: Nursing Process Step: NA MSC: NCLEX: NA 5. Healthy People 2020 is published by the: a. Centers for Disease Control and Prevention. b. Department of the Interior. c. World Health Organization. d. Department of Health and Human Services. ANS: D Healthy People 2020 is published by the U.S. Department of Health and Human Services. DIF: Cognitive Level: Knowledge REF: p. 1 OBJ: 1 TOP: Healthy People 2020 KEY: Nursing Process Step: NA MSC: NCLEX: NA 6. Infant mortality rates are based on infant deaths that occur: a. at birth, per 1000 deliveries. b. before 1 year of age, per 1000 live births. c. from infection and congenital disorders, per 1000 live births. d. from unexplained causes, per 1000 live births. ANS: B Infant mortality is reported on deaths occurring before the age of 1 year per 1000 live births. DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 4 TOP: Infant mortality KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: growth and development 7. Although the life expectancy has increased, Healthy People 2020 will focus on the older adult’s need for: a. better pharmacy insurance coverage. b. improved extended care facilities. c. increased compliance to medical protocols. d. maintenance of independent lifestyles. ANS: D The maintenance of independent lifestyles is an ongoing problem for the older adult. DIF: Cognitive Level: Comprehension REF: p. 9 OBJ: 4 TOP: Older adults KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease 8. Information about morbidity and mortality gives the health -care worker data to identify: a. lifespan statistics. b. high-risk age groups for certain diseases or hazards. c. effectiveness of treatment. d. cost-effective treatment for the general population. ANS: B Evaluating specific details of the determinants of health help health -care workers develop an understanding of the health status of the population. Morbidity and mortality statistics can identify risks for disease or health hazard by age group. DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 3 TOP: Morbidity KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease 9. A major cause of death for children under the age of 1 year is: a. congenital abnormalities. b. infection. c. cancer. d. injuries. ANS: A The Centers for Disease Control and Prevention has identified congenital abnormalities as a leading cause of death for children under the age of 1 year. DIF: Cognitive Level: Knowledge REF: p. 6, Box 1 -1 OBJ: 1 TOP: Health status KEY: Nursing Process Step: Intervention MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease 10. The health -care worker advises a young woman who is 7 weeks pregnant to include folic acid supplements in her diet in order to: a. strengthen muscles in preparation for effective labor. b. help control excessive weight gain during pregnancy. c. reduce incidence of congenital malformations. d. enhance the probability of carrying the pregnancy to full term. ANS: C One of the goals of Healthy People 2020 is to promote use of folic acid supplements early in pregnancy. Ideally, folic acid supplements, or adequate dietary folic acid, should be recommended early in the pregnancy to help prevent congenital malformations, especially spina bifida. DIF: Cognitive Level: Application REF: p. 8 OBJ: 4 TOP: Folic acid KEY: Nursing Process Step: Intervention MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease 11. Guidelines for “baby -friendly” hospitals include: a. information about immunizations. b. active support of parent –baby bonding. c. control of peri-delivery infection. d. encouragement to breastfeed for the first year of life. ANS: D Baby -friendly hospitals encourage breastfeeding during the first year of life. DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: 4 TOP: Baby -friendly hospitals KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: growth and development 12. The statistic widely used to compare the health status of different populations is: a. incidence of specific infections such as AIDS or smallpox. b. maternal mortality rate. c. infant mortality rate. d. health insurance coverage. ANS: C Infant mortality rates are used worldwide as an indicator of the health of a nation. DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: 3 TOP: Healthy People progress KEY: Nursing Process Step: Intervention MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease 13. A health -care worker who is planning a health education program for geriatric adults based on the goals of Healthy People 2020 would include: a. smoking cessation. b. drug and alcohol abuse. c. education about medications. d. fall prevention. ANS: D Reducing falls will reduce the incidence of hip fracture, which continues to be a problem, especially among elderly females. DIF: Cognitive Level: Application REF: p. 9 OBJ: 4 TOP: Health education KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease 14. The role of the professional nurse has evolved to include: a. providing direct care to patients at the bedside. b. managing care to cure health problems once they have occurred. c. planning patient care to cover longer hospital stays. d. forming legislation for policies and practices related to health care. ANS: D Nurses are no longer simply providing bedside care. Their role now includes policymaking, global health education planning, working as change agents for traditional health -care systems, and so on. DIF: Cognitive Level: Comprehension REF: p. 11 OBJ: 5 TOP: World health KEY: Nursing Process Step: NA MSC: NCLEX: NA 15. Adults over the age of 65 can significantly reduce their health risk by: a. using herbal remedies. b. getting annual vaccines for influenza and pneumonia. c. engaging in a mild exercise regimen. d. eating three large, well-balanced meals a day. ANS: B Annual immunizations against pneumonia and influenza significantly reduce morbidity from these diseases. DIF: Cognitive Level: Comprehension REF: p. 9 OBJ: 4 TOP: Issues and goals related to phases of the life cycle KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease MULTIPLE RESPONSE 16. The new topic areas in the Healthy People guidelines established in 2011 for consideration for Healthy People 2020 include: (Select all that apply.) a. adolescent health. b. social determinants of health. c. blood disorders for adolescents. d. gay, lesbian, and transgender health concerns. e. teen pregnancies. ANS: A, B, C, D The new topics initiated by the Healthy People 2020 guidelines in 2011 include adolescent health, blood disorders and safety, early and middle childhood, genomics, global health, health -care associated infections, health -related concerns for gay, lesbian, and transgender patients, dementia in older adults, preparedness, sleep health, and social determinants of health. DIF: Cognitive Level: Analysis REF: p. 1 OBJ: 1 TOP: New Healthy People topics KEY: Nursing Process Step: NA MSC: NCLEX: NA COMPLETION 17. Criteria used to measure health -related concepts are referred to as . ANS: Health indicators Health indicators are measurements of health -related concepts such as increased availability to health care and changing level of tobacco use. DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 3 TOP: Health indicators KEY: Nursing Process Step: NA MSC: NCLEX: NA 18. The life expectancy at birth in the United States is above years. ANS: 78 seventy -eight seventy eight The life expectancy at birth in the United States is 78.49 years. DIF: Cognitive Level: Knowledge REF: p. 7, Table 1-2 OBJ: 3 TOP: Life expectancy in the United States KEY: Nursing Process Step: Intervention MSC: NCLEX: Health Promotion and Maintenance: growth and development 19. In addition to injuries, the leading causes of death in adolescents and young adults aged 15 through 24 years are and . ANS: suicide, homicide homicide, suicide According to the Healthy People review, suicide and homicide are among the leading causes of death in this age-group. DIF: Cognitive Level: Knowledge REF: p. 6, Box 1-1 OBJ: 4 TOP: Issues and goals related to phases of the life cycle (adolescent and young adult) KEY: Nursing Process Step: NA MSC: NCLEX: NA Chapter 2: Government Influences on Health Care Test Bank MULTIPLE CHOICE 1. Changes in health -care delivery systems have been influenced primarily by: a. institution of various systems to provide cost-effective health care. b. governmental regulation of the cost of all health -care services. c. the need to meet the health -care needs of an aging population. d. development of medical technology that has reduced the incidence of illness. ANS: A Increasing health -care costs have led to initiation of health -care delivery systems to contain cost while providing care. Cost control addressing national health goals, entitlements, use of available sources, and identification of changing health -care needs is the basic goal of these systems. DIF: Cognitive Level: Analysis REF: p. 23 OBJ: 3 TOP: Health -care reform KEY: Nursing Process Step: NA MSC: NCLEX: NA 2. The purpose of the state/national government program of Medicaid is to provide: a. immunizations for preschool children. b. prescription drugs at a lower cost. c. medical care on the basis of need or poverty. d. community clinics for wom e n an d c hi ld re n . ANS: C N U R S I N G T B COM . Medicaid is similar to a welfare program in which benefits are provided on the basis of need or poverty. DIF: Cognitive Level: Comprehension REF: p. 19, Box 2-3 OBJ: 3 TOP: Medicaid KEY: Nursing Process Step: NA MSC: NCLEX: NA 3. A student is preparing a report on the history of the Women, Infants, and Children (WIC) program would acquire the most useful information from: a. Health, United States. b. the Department of Health and Human Services. c. the Federal Register. d. the Centers for Disease Control and Prevention. ANS: C Federal legislation related to health care is recorded and published in the Federal Register. DIF: Cognitive Level: Comprehension REF: p. 20 OBJ: 1 TOP: Department of Health and Human Services KEY: Nursing Process Step: NA MSC: NCLEX: NA 4. The Human Genome Project has the potential to reduce health -care costs by assisting health -care providers to: N U a. detect illnesses before they become chronic. b. prevent chromosomal related illnesses. c. identify the most effective drugs for specific diseases. d. design low cost complementary and alternative medicine (CAM) remedies. ANS: A The Human Genome Project gives health -care providers the potential to detect illnesses before they become chronic. DIF: Cognitive Level: Application REF: p. 23 OBJ: 6 TOP: Human Genome Project KEY: Nursing Process Step: NA MSC: NCLEX: NA 5. The Tax Equity Fiscal Responsibility Act of 1982 (TEFRA) established the development of: a. diagnosis -related groups (DRGs). b. Medicaid access for the poor. c. aid to families with dependent children. d. maternal and child health services block grants. ANS: A TEFRA amended the Social Security Act to establish the development of DRGs in 1982. DIF: Cognitive Level: Knowledge REF: p. 21, Table 2-1 OBJ: 2 TOP: Diagnosis -related groups KEY: Nursing Process Step: NA MSC: NCLEX: NA 6. The scope of practice for nursing is stipulated by the: a. American Nurses Associati on . b. Board of Nurse Examiners. c. Nursing Licensure Pact. d. Nurse practice act. ANS: D Nurse practice acts of each state establish the scope of practice for nursing in that state. DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: 4 TOP: Nurse Practice Acts KEY: Nursing Process Step: NA MSC: NCLEX: NA 7. The roles of the nurse have changed as a result of the national health -care focus on: a. illness prevention and health maintenance. b. increased accountability to professional codes and international standards of care. c. treatment of disease or disability. d. planning for nationalized health care. ANS: A Prevention and early intervention appear to be critical to reducing health -care costs and are at the heart of the objectives of Healthy People 2020. DIF: Cognitive Level: Application REF: p. 24 OBJ: 6 TOP: Illness prevention KEY: Nursing Process Step: NA MSC: NCLEX: NA 8. An informed consent form requires that: a. the patient is informed of all adverse problems of a procedure. b. the nurse signs as a witness that the patient received the necessary information. c. the nurse questions the patient to confirm that all aspects of treatment are understood. d. the nurse documents that the consent has been signed. ANS: B The nurse is required to sign the informed consent form as witness that the patient received pertinent information. Extra documentation is not required. DIF: Cognitive Level: Application REF: p. 16 OBJ: 2 TOP: Informed consent KEY: Nursing Process Step: NA MSC: NCLEX: NA 9. A diagnosis -related group (DRG) is: a. a standard used by health -care facilities to determine charges for health -care services. b. a medical condition classification system that determines what Medicare will pay for health -care services. c. the method that health -care agencies use to decide what health -care services are needed for patients. d. a system used by all insurance companies to determine what health -care services will be covered. ANS: B DRGs are a government -mandated program that radically changed the face of health care by establishing strict rules for reimNbUuRrsSemIeNnGt.TB.COM DIF: Cognitive Level: Comprehension REF: p. 21, Table 2-1 OBJ: 2 TOP: Policy setting KEY: Nursing Process Step: NA MSC: NCLEX: NA 10. Prospective payment systems for health -care services: a. reimburse only preapproved treatments. b. pay only health -care providers under contract with the system to provide the lowest -priced services. c. require that health care be provided by preapproved health professionals. d. provide payment based on flat predetermined rates regardless of actual cost. ANS: D Prospective payment systems are part of the efforts of managed care organizations to standardize and control costs of health care. DIF: Cognitive Level: Comprehension REF: p. 23 OBJ: 5 TOP: Delivery of health care KEY: Nursing Process Step: NA MSC: NCLEX: NA 11. To conform to the national trend in health care, health -care agencies of the future may need to depend on: a. accountants to implement cost-saving measures. b. legislators to set limits on health -care funding. N U R S I c. nurses to plan and implement self-care education programs. d. insurance companies to provide more coverage for high-technology procedures. ANS: C The focus of health care has changed from treatment to prevention. Health -care agencies may depend on self-care education to promote health and prevent disease as an effective cost-containment strategy. Nurses are ideally suited through education and experience to develop and implement these programs. DIF: Cognitive Level: Application REF: p. 24 OBJ: 6 TOP: Self-care KEY: Nursing Process Step: NA MSC: NCLEX: NA 12. Standards of practice are the foundations for: a. plans of care. b. insurance reimbursement. c. licensure. d. consumer protection laws. ANS: D Standards of practice, which have evolved over the years, have been used as the foundation of laws relative to consumer protection. DIF: Cognitive Level: Comprehension REF: p. 14 OBJ: 2 TOP: Standards of care KEY: Nursing Process Step: NA MSC: NCLEX: NA 13. The Health Insurance Portability and Accountability Act (HIPAA) provides for: a. health insurance for emerge n cy t re a b. confidentiality of medical information. c. payment for home health care. Ntm Ge Tnt B. d. medical care for single mothers and their children. ANS: B HIPAA provides for portability of health insurance, confidentiality of medical information, and coverage for preexisting conditions DIF: Cognitive Level: Comprehension REF: p. 23, Table 2-1 OBJ: 3 TOP: Health Insurance Portability and Accountability Act (HIPAA) KEY: Nursing Process Step: NA MSC: NCLEX: NA 14. The Patient Protection and Affordable Care Act of 2010 caused controversy because it mandated: a. limited treatment for specified illnesses. b. all recipients must have a picture identification card. c. strict confidentiality of all medical records and medical communications. d. health -care coverage for 32 million uninsured persons. ANS: D The Patient Protection and Affordable Care Act of 2010 mandated care to 32 million uninsured persons, which would be financed from Medicare payroll taxes. DIF: Cognitive Level: Knowledge REF: p. 22, Table 2-1 OBJ: 3 TOP: The Patient Protection and Affordable Care Act of 2010 KEY: Nursing Process Step: NA MSC: NCLEX: NA MULTIPLE RESPONSE 15. The Omnibus Budget Reconciliation Act of 1981 provided money for the development of: (Select all that apply.) a. treatment centers for drug dependency. b. skilled nursing facilities. c. nursing schools. d. home health agencies. e. day care centers. ANS: B, D The Omnibus Budget Reconciliation Act of 1981 provided money for the development of various health -care projects such as nursing homes, skilled nursing facilities, and home health agencies. DIF: Cognitive Level: Comprehension REF: p. 21, Table 2 - 1 OBJ: 1 TOP: Omnibus Budget Reconciliation Act KEY: Nursing Process Step: NA MSC: NCLEX: NA 16. The Patient Bill of Rights ensures that all patients may: (Select all that apply.) a. select their health -care provider. b. be assured of having a private room. c. take part in treatment decisions. d. expect confidentiality. NURSINGTB.COM e. utilize channels for complaint. ANS: A, C, D, E The Consumer Patient Bill of Rights assures patients that they may select their provider, take part in treatment decisions, expect confidentiality, use resources for complaint and appeal, be free from discrimination, and have access to emergency services. DIF: Cognitive Level: Application REF: p. 15 -16 OBJ: 2 TOP: Patient Bill of Rights KEY: Nursing Process Step: NA MSC: NCLEX: NA 17. Political action committees (PACs) can influence legislation by: (Select all that apply.) a. providing lobbying. b. selecting candidates to run for office. c. creating an awareness of the need for new legislation. d. introducing legislation themselves. e. contributing money to legislators. ANS: A, C, E PACs can influence legislation by contributing money to legislators and by providing lobbying services to create an awareness of the need for legislation. DIF: Cognitive Level: Comprehension REF: p. 25 OBJ: 1 TOP: Political action committees (PACs) KEY: Nursing Process Step: NA MSC: NCLEX: NA COMPLETION 18. The nursing theorist that proposed a holistic view of health care in the 1960s was . ANS: Martha Rogers In the 1960s, Martha Rogers proposed a theory of holistic health care. DIF: Cognitive Level: Knowledge REF: p. 24 OBJ: 6 TOP: Holistic health care KEY: Nursing Process Step: NA MSC: NCLEX: NA 19. The plan of care is the tool that directs patient care for a health care delivered by a team. ANS: multidisciplinary The plan of care allows for the communication among the various team members to meet the individual patient’s health -care needs. DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: 4 TOP: Plan of care KEY: Nursing Process Step: NA MSC: NCLEX: NA TEST BANK FOR toABCuRy OanSdSSeTll yHoEur SLtuIdFy EMSatPerAiaNl 2ND EDITION BY LEIFER Chapter 2: Government Influences on Health Care Test Bank MULTIPLE CHOICE 1. Changes in health -care delivery systems have been influenced primarily by: a. institution of various systems to provide cost-effective health care. b. governmental regulation of the cost of all health -care services. c. the need to meet the health -care needs of an aging population. d. development of medical technology that has reduced the incidence of illness. ANS: A Increasing health -care costs have led to initiation of health -care delivery systems to contain cost while providing care. Cost control addressing national health goals, entitlements, use of available sources, and identification of changing health -care needs is the basic goal of these systems. DIF: Cognitive Level: Analysis REF: p. 23 OBJ: 3 TOP: Health -care reform KEY: Nursing Process Step: NA MSC: NCLEX: NA 2. The purpose of the state/national government program of Medicaid is to provide: a. immunizations for preschool children. b. prescription drugs at a lower cost. c. medical care on the basis of need or poverty. d. community clinics for wom e n an d c hi ld re n . ANS: C N U R S I N G T B . COM Medicaid is similar to a welfare program in which benefits are provided on the basis of need or poverty. DIF: Cognitive Level: Comprehension REF: p. 19, Box 2-3 OBJ: 3 TOP: Medicaid KEY: Nursing Process Step: NA MSC: NCLEX: NA 3. A student is preparing a report on the history of the Women, Infants, and Children (WIC) program would acquire the most useful information from: a. Health, United States. b. the Department of Health and Human Services. c. the Federal Register. d. the Centers for Disease Control and Prevention. ANS: C Federal legislation related to health care is recorded and published in the Federal Register. DIF: Cognitive Level: Comprehension REF: p. 20 OBJ: 1 TOP: Department of Health and Human Services KEY: Nursing Process Step: NA MSC: NCLEX: NA 4. The Human Genome Project has the potential to reduce health -care costs by assisting health -care providers to: NURSINGTB.COM Downloaded by: BestRates | maytheblessed@gmail.com Distribution of this document is illegal N U RSINGTB.COM a. detect illnesses before they become chronic. b. prevent chromosomal related illnesses. c. identify the most effective drugs for specific diseases. d. design low cost complementary and alternative medicine (CAM) remedies. ANS: A The Human Genome Project gives health -care providers the potential to detect illnesses before they become chronic. DIF: Cognitive Level: Application REF: p. 23 OBJ: 6 TOP: Human Genome Project KEY: Nursing Process Step: NA MSC: NCLEX: NA 5. The Tax Equity Fiscal Responsibility Act of 1982 (TEFRA) established the development of: a. diagnosis -related groups (DRGs). b. Medicaid access for the poor. c. aid to families with dependent children. d. maternal and child health services block grants. ANS: A TEFRA amended the Social Security Act to establish the development of DRGs in 1982. DIF: Cognitive Level: Knowledge REF: p. 21, Table 2-1 OBJ: 2 TOP: Diagnosis -related groups KEY: Nursing Process Step: NA MSC: NCLEX: NA 6. The scope of practice for nursing is stipulated by the: a. American Nurses Associati on . b. Board of Nurse Examiners. c. Nursing Licensure Pact. d. Nurse practice act. ANS: D Nurse practice acts of each state establish the scope of practice for nursing in that state. DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: 4 TOP: Nurse Practice Acts KEY: Nursing Process Step: NA MSC: NCLEX: NA 7. The roles of the nurse have changed as a result of the national health -care focus on: a. illness prevention and health maintenance. b. increased accountability to professional codes and international standards of care. c. treatment of disease or disability. d. planning for nationalized health care. ANS: A Prevention and early intervention appear to be critical to reducing health -care costs and are at the heart of the objectives of Healthy People 2020. DIF: Cognitive Level: Application REF: p. 24 OBJ: 6 TOP: Illness prevention KEY: Nursing Process Step: NA MSC: NCLEX: NA 8. An informed consent form requires that: a. the patient is informed of all adverse problems of a procedure. b. the nurse signs as a witness that the patient received the necessary information. c. the nurse questions the patient to confirm that all aspects of treatment are understood. d. the nurse documents that the consent has been signed. ANS: B The nurse is required to sign the informed consent form as witness that the patient received pertinent information. Extra documentation is not required. DIF: Cognitive Level: Application REF: p. 16 OBJ: 2 TOP: Informed consent KEY: Nursing Process Step: NA MSC: NCLEX: NA 9. A diagnosis -related group (DRG) is: a. a standard used by health -care facilities to determine charges for health -care services. b. a medical condition classification system that determines what Medicare will pay for health -care services. c. the method that health -care agencies use to decide what health -care services are needed for patients. d. a system used by all insurance companies to determine what health -care services will be covered. ANS: B DRGs are a government -mandated program that radically changed the face of health care by establishing strict rules for reimNbUuRrsSemIeNnGt.TB.COM DIF: Cognitive Level: Comprehension REF: p. 21, Table 2-1 OBJ: 2 TOP: Policy setting KEY: Nursing Process Step: NA MSC: NCLEX: NA 10. Prospective payment systems for health -care services: a. reimburse only preapproved treatments. b. pay only health -care providers under contract with the system to provide the lowest -priced services. c. require that health care be provided by preapproved health professionals. d. provide payment based on flat predetermined rates regardless of actual cost. ANS: D Prospective payment systems are part of the efforts of managed care organizations to standardize and control costs of health care. DIF: Cognitive Level: Comprehension REF: p. 23 OBJ: 5 TOP: Delivery of health care KEY: Nursing Process Step: NA MSC: NCLEX: NA 11. To conform to the national trend in health care, health -care agencies of the future may need to depend on: a. accountants to implement cost-saving measures. b. legislators to set limits on health -care funding. N U R S I N G T B .COM c. nurses to plan and implement self-care education programs. d. insurance companies to provide more coverage for high-technology procedures. ANS: C The focus of health care has changed from treatment to prevention. Health -care agencies may depend on self-care education to promote health and prevent disease as an effective cost-containment strategy. Nurses are ideally suited through education and experience to develop and implement these programs. DIF: Cognitive Level: Application REF: p. 24 OBJ: 6 TOP: Self-care KEY: Nursing Process Step: NA MSC: NCLEX: NA 12. Standards of practice are the foundations for: a. plans of care. b. insurance reimbursement. c. licensure. d. consumer protection laws. ANS: D Standards of practice, which have evolved over the years, have been used as the foundation of laws relative to consumer protection. DIF: Cognitive Level: Comprehension REF: p. 14 OBJ: 2 TOP: Standards of care KEY: Nursing Process Step: NA MSC: NCLEX: NA 13. The Health Insurance Portability and Accountability Act (HIPAA) provides for: a. health insurance for emerge n cy t re a tm e nt . b. confidentiality of medical information. c. payment for home health care. d. medical care for single mothers and their children. ANS: B HIPAA provides for portability of health insurance, confidentiality of medical information, and coverage for preexisting conditions DIF: Cognitive Level: Comprehension REF: p. 23, Table 2-1 OBJ: 3 TOP: Health Insurance Portability and Accountability Act (HIPAA) KEY: Nursing Process Step: NA MSC: NCLEX: NA 14. The Patient Protection and Affordable Care Act of 2010 caused controversy because it mandated: a. limited treatment for specified illnesses. b. all recipients must have a picture identification card. c. strict confidentiality of all medical records and medical communications. d. health -care coverage for 32 million uninsured persons. ANS: D The Patient Protection and Affordable Care Act of 2010 mandated care to 32 million uninsured persons, which would be financed from Medicare payroll taxes. DIF: Cognitive Level: Knowledge REF: p. 22, Table 2-1 OBJ: 3 TOP: The Patient Protection and Affordable Care Act of 2010 KEY: Nursing Process Step: NA MSC: NCLEX: NA MULTIPLE RESPONSE 15. The Omnibus Budget Reconciliation Act of 1981 provided money for the development of: (Select all that apply.) a. treatment centers for drug dependency. b. skilled nursing facilities. c. nursing schools. d. home health agencies. e. day care centers. ANS: B, D The Omnibus Budget Reconciliation Act of 1981 provided money for the development of various health -care projects such as nursing homes, skilled nursing facilities, and home health agencies. DIF: Cognitive Level: Comprehension REF: p. 21, Table 2-1 OBJ: 1 TOP: Omnibus Budget Reconciliation Act KEY: Nursing Process Step: NA MSC: NCLEX: NA 16. The Patient Bill of Rights ensures that all patients may: (Select all that apply.) a. select their health -care provider. b. be assured of having a private room. c. take part in treatment decisions. d. expect confidentiality. NURSINGTB.COM e. utilize channels for complaint. ANS: A, C, D, E The Consumer Patient Bill of Rights assures patients that they may select their provider, take part in treatment decisions, expect confidentiality, use resources for complaint and appeal, be free from discrimination, and have access to emergency services. DIF: Cognitive Level: Application REF: p. 15-16 OBJ: 2 TOP: Patient Bill of Rights KEY: Nursing Process Step: NA MSC: NCLEX: NA 17. Political action committees (PACs) can influence legislation by: (Select all that apply.) a. providing lobbying. b. selecting candidates to run for office. c. creating an awareness of the need for new legislation. d. introducing legislation themselves. e. contributing money to legislators. ANS: A, C, E PACs can influence legislation by contributing money to legislators and by providing lobbying services to create an awareness of the need for legislation. DIF: Cognitive Level: Comprehension REF: p. 25 OBJ: 1 TOP: Political action committees (PACs) KEY: Nursing Process Step: NA MSC: NCLEX: NA COMPLETION 18. The nursing theorist that proposed a holistic view of health care in the 1960s was . ANS: Martha Rogers In the 1960s, Martha Rogers proposed a theory of holistic health care. DIF: Cognitive Level: Knowledge REF: p. 24 OBJ: 6 TOP: Holistic health care KEY: Nursing Process Step: NA MSC: NCLEX: NA 19. The plan of care is the tool that directs patient care for a health care delivered by a team. ANS: multidisciplinary The plan of care allows for the communication among the various team members to meet the individual patient’s health -care needs. DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: 4 TOP: Plan of care KEY: Nursing Process Step: NA MSC: NCLEX: NA NURSINGTB.COM Chapter 3: Cultural Considerations Across the Lifespan and in Health and Illness Test Bank MULTIPLE CHOICE 1. Cultural competence in health care is demonstrated by: a. sensitivity to cultural differences. b. discussing cultural differences. c. being able to differentiate between cultures. d. adapting care to meet cultural needs. ANS: D Cultural competence is the ability to adapt care so that it does not violate the culture of the patient. Being aware and sensitive to cultural differences is not the same thing as incorporating those skills into care. DIF: Cognitive Level: Analysis REF: p. 27 OBJ: 1 TOP: Cultural competence KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: coping and adaptation 2. The home health -care worker is aware that the development of initiative may be delayed in a German family that practices a(n) parenting style. a. laissez -faire b. permissive c. authoritarian d. democratic ANS: C NURSINGTB.COM The authoritarian parenting style stresses obedience and conformity and may delay the development of initiative in the school -age child. DIF: Cognitive Level: Application REF: p. 30 OBJ: 4 TOP: Child rearing influence on development KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: coping and adaptation 3. When caring for an 8-hour postpartum Chinese patient who adheres to the cultural philosophy that pregnancy is a “cold” condition, the health -care worker will remember to: a. offer no fluids at all. b. thoroughly chill all food and drink. c. turn up the thermostat. d. restrict all spicy foods from the diet. ANS: C The Chinese belief in “hot” and “cold” physical conditions requires that the treatment modes offer the opposite in terms of intake. The “cold” pregnancy and postpartum period will require a warmer room and warm food and drink. DIF: Cognitive Level: Analysis REF: p. 30 OBJ: 3 TOP: Chinese culture KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: coping and adaptation 4. The culturally competent health -care worker helping a Hmong family dress the recently deceased family member will be careful to: a. avoid looking at the deceased. b. keep the deceased covered. c. prevent metal from touching the deceased. d. arrange bowls of food near the body. ANS: C The Hmong culture dresses the deceased but does not allow metal to touch the body. DIF: Cognitive Level: Application REF: p. 32 OBJ: 3 TOP: Care of the deceased in Hmong culture KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: coping and adaptation 5. The health -care worker caring for a 3 -month -old Korean child hospitalized for dehydration would ask the parents’ permission prior to: a. exposing the child’s genitals. b. assessing the fontanel. c. hanging an IV medication. d. offering the child a milk-based formula. ANS: B Asians believe the head is sacred and should not be touched or patted unless required by medical protocol. DIF: Cognitive Level: ApplicatiNonURSINRGETFB: .pC. 3O3M OBJ: 3 TOP: Asian culture KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: coping and adaptation 6. In planning the information sent to the diet kitchen for a Hindu patient, the health -care worker would make a note to prohibit: a. the serving of milk and fruit together. b. all meat dishes. c. cheese in any form. d. tea or coffee. ANS: B Hindus avoid all meat in their diet. DIF: Cognitive Level: Application REF: p. 33-34 OBJ: 3 TOP: Hindu culture KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: coping and adaptation 7. The Agency for Healthcare Research and Quality (AHRQ) promotes: a. increased availability of interpreters in general hospitals. b. culturally competent health care. c. consistency in folk cures and alternative medical remedies. d. a culturally diverse health staff. ANS: B The AHRQ promotes cultural competence in health care. DIF: Cognitive Level: Knowledge REF: p. 34 OBJ: 7 TOP: AHRQ KEY: Nursing Process Step: NA MSC: NCLEX: NA 8. The health -care worker assesses a new patient for the use of alternative therapies. Such remedies have become widely used because these protocols: a. are recognized as being superior to traditional remedies. b. require a large number of unusual prescription drugs. c. have become very popular as they focus on health promotion. d. must all be terminated when traditional medicine is used. ANS: C The desire to promote health and take control of one’s own body and health -care decisions has been at the root of the popularity of CAM remedies. CAM can be used alone or in conjunction with traditional medicine. DIF: Cognitive Level: Comprehension REF: p. 34 OBJ: 6 TOP: CAM KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease 9. The young, female health -care worker who is giving admission information to an elderly Muslim man feels he is ignoring her because he: a. does not value women. b. looks at the floor rather than at her. c. resists instruction from a younger person. d. prefers to be instructed by a man. NURSINGTB.COM ANS: B Muslims feel eye contact is disrespectful and will look at the floor rather than eye-to-eye. This cultural trait is frequently mistaken for a lack of attention. DIF: Cognitive Level: Application REF: p. 33 OBJ: 5 TOP: Culturally sensitive instruction KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: coping and adaptation 10. The culturally competent health -care worker will inquire if the Native American patient would like to call his own folk healer, which is the: a. spiritualist. b. root doctor. c. yerbo. d. shaman. ANS: D Native Americans value the integration of their health care with the natural elements. The shaman is the spiritual counselor of the Native American. DIF: Cognitive Level: Comprehension REF: p. 29, Table 3-1 OBJ: 5 TOP: Native American KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: coping and adaptation 11. The use of silence in conversation can mean different things depending on the culture. Silence indicates agreement in the culture. a. Native American b. Chinese c. Japanese d. Russian ANS: D Silence connotes agreement in the Russian culture, whereas silence connotes a symbol of respect in the Native American, Chinese, and Japanese cultures. DIF: Cognitive Level: Comprehension REF: p. 33 OBJ: 4 TOP: Significance of silence KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: psychosocial adaptation MULTIPLE RESPONSE 12. Culture affects broad areas of: (Select all that apply.) a. food preferences. b. socioeconomic status. c. parenting styles. d. health treatment. e. discipline measures. ANS: A, C, D, E Culture influences food, parenting, discipline techniques, and health measures. Socioeconomic status does not affect basic culture. A poverty -stricken Muslim has the same cultNuraUl valRueSs as a wealthy INGTB.COM Mu s lim . DIF: Cognitive Level: Analysis REF: p. 27 OBJ: 1 TOP: Culture KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: psychosocial adaptation 13. Complementary and alternative medicine (CAM) modalities include: (Select all that apply.) a. acupuncture. b. energy healing. c. intravenous therapies. d. physical therapy. e. guided imagery. ANS: A, B, E CAM therapies include acupuncture, acupressure, energy healing, guided imagery, aromatherapy, massage, biofeedback, and others. DIF: Cognitive Level: Comprehension REF: p. 34 OBJ: 6 TOP: CAM modalities KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: psychosocial adaptation COMPLETION 14. Deep feelings a person has about what is morally right are . ANS: values Values are deep feelings a person holds about what is morally right or wrong, good or bad. DIF: Cognitive Level: Comprehension REF: p. 28 OBJ: 2 TOP: Values KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: psychosocial adaptation 15. To believe that all members of a culture behave in the same way is to practice . ANS: cultural stereotyping To treat all members of a particular culture as if they were identical is cultural stereotyping. DIF: Cognitive Level: Comprehension REF: p. 28 OBJ: 1 TOP: Stereotyping KEY: Nursing Process Step: NA MSC: NCLEX: NA 16. Typically in the United States, the comfortable personal space is from 1.5 feet to feet. ANS: 4 four The size of the personal space changes from culture to culture. In the United States, the comfortable personal space is from 1.5 feet to 4 feet. DIF: Cognitive Level: ComprehNenUsiRoSn INRGETFB: .pC. 2O8M OBJ: 1 TOP: Personal space KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: psychosocial adaptation