Chapter 10 Health Promotion Practice Questions (evolve)
What group of homeless individuals is known for their involvement in survival sex? a. Young adult gay men b. Middle-aged women c. Adolescents d. Elderly men
c.
Which act, established in the 1940s, provided grants to states for the purpose of new construction of health care institutions? a. the McCarren-Ferguson Act b. the health amendments act c. the hill-burton act d. the tax equity and fiscal responsibility act
c.
A person who acts as a representative for another person or orgainzation before the legislature is called a a. advocate b. policy maker c. lobbyist d. field expert
c. lobbyist
The Brown family is being evicted from their home and will be moving into a homeless shelter in 3 days. Under the Department of Housing and Urban Development (HUD) definition, the Brown family is: a. literally homeless. b. in imminent risk of homelessness. c. homeless under other federal statutes. d. fleeing or attempting to flee domestic violence.
b.
What is the purpose of the Homeless Information Management System (HIMS)? A. Provides means to feed homeless people B. Obtains national data on homeless individuals C. Serves as a screening tool to obtain any history of criminal activity D. Provides homeless individuals with educational materials
b.
Groups such as professional organizations, nonprofit health care organizations, and corporations that sponsor health care are/is called: a. public sector b. private sector c. stakeholders d. field experts
b. private sector.
Which of the following are appropriate when working with people with disabilities? Select all that apply. A. Asking a wheelchair-dependent person if he or she needs help and how you can assist. B. Assuming that a person who is blind knows who is speaking or who is present; otherwise, you might embarrass the individual. C. Sitting or kneeling at eye level whenever possible when talking with someone who is wheelchair dependent. D .Speaking distinctly and a little slowly to someone who is hearing impaired. E. Petting a service dog and complimenting him on what a good boy he is.
A, C, D
While caring for a client from an Asian culture, the community health nurse might expect which of the following behaviors? Select all that apply. A. The client is quiet and compliant, asking few questions. B. The client asks many questions related to the health problem and the nurse's instructions. C. The client may avert his or her eyes during the conversation. D. Folk healers and complementary health care providers may also be present. E. The client may provide the nurse with the answers he or she thinks the nurse wants to hear.
A, C, E
During the course of the community forum, Michael points out that the elimination of disparities in health is a current focus of Healthy People 2020. He advocates an ongoing process to look at the health status of the community as a whole, with an emphasis on disparities in the new immigrant population. Which of these follow-up activities would be appropriate to his role as a community health nurse? Select all that apply. A. Perform a culturological assessment of the community B. Discourage employers from rapid hiring of immigrants C. Provide educational sessions to teach traditional healers how to use Western medical processes D. Perform a cultural self-assessment E. Volunteer to serve on the county health department's advisory counci
A, D, E
Based on the social justice model, which intervention would the county health department be most likely to implement? A. Provide free sexually transmitted disease (STD) testing at the shelter B. Organize a job fair at the shelter C. Coordinate an Alcoholics Anonymous (AA) meeting at the shelter D. Encourage those living at the shelter to find permanent housing
A.
During the community forum, Mr. Barnes, a department of human services social worker, states, "I don't understand why a lot of these clients come in with so many different family members along. Why can't they just leave the kids, aunts, and uncles at home, so we can get done what needs to be done?" This statement reflects: A. Ethnocentrism B. Cultural negotiation C. Cultural stereotyping D. Culturological assessment
A.
Greg has served in his current position since 1990. During this period of time, he has become convinced of the importance of the advocacy role of community health nurses and he has participated in efforts to pass landmark legislation protecting the rights of those with disabilities. This legislation, which resulted in the formalized expectation of "reasonable accommodations," is referred to as the: A. Americans with Disabilities Act (ADA). B. Individuals with Disabilities Education Act. C. Ticket to Work Act. D. Work Incentives Improvement Act.
A.
One strategy for the community health nurse in caring for people with disabilities is becoming a powerful advocate. This involves: A. providing information but allowing the person to make the decision. B. supporting the person's choice if it does not conflict with the nurse's. C. taking control of the person's life and health care. D. speaking on the person's behalf.
A.
Political action committees (PAC) are formed by professional organizations, business, or labor groups for the purpose of: a. attracting candidates who are sympathetic to particular health care issues. b.lobbying legislation about health policies. c.being an advocate for health care reform. d.providing financing to professional organizations.
A.
The community health nurse is caring for a client who abstains from eating any form of meat. This dietary preference is commonly practiced by which of the following religions? A. Hinduism B. Mormonism C. Judaism D. Islam
A.
The phrase "All Chinese people like rice" is an example of: A. cultural stereotyping. B. culture-bound syndrome. C. cultural imposition. D. ethnocentrism.
A.
What broad factors may have contributed to the increased incidence of homeless in this community? A. Shortage of affordable housing, insufficient income, and scarcity of supportive services B. Development of a national health care system, insufficient income, and increased section 8 housing C. Stagnation of minimum wage, the opening of new factories, and shortage of affordable housing D.Scarcity of supportive services, war on terror, and increased section 8 housing
A.
When making health-related decisions, clients from different cultural backgrounds depend on relationships. One type of relationship involves the client seeking assistance from other members of the family and allowing a relative to make decisions about important health-related issues. This relationship is a(n): a. lineal relationship. b. collateral relationship. c. cultural relationship. d. individual relationship.
A.
Which of the following minority groups has a 35% higher mortality rate from cancer than nonminority groups? A. African Americans B. Asians C. Latin Americans D. Italian Americans
A.
Which of the following statements describes the social construct paradigm for disability (as opposed to the medical model)? a. It focuses on the modification of attitudinal, architectural, sensory, and economic barriers in the environment. b. It discourages full citizenship for people with disabilities. c. Health professionals prescribe interventions to remedy functional limitations of the ill person. d. It focuses on problems and solutions related to the individual.
A.
Nurses' involvement in policy can be achieved by all of the following (select all that apply) A. conducting and supporting health policy research. B. avoiding discussions that involve health policy that may be controversial. C. working with health care professionals to influence change in the quality of health care. D. writing letters to educate legislators about health care issues. E. monitoring the quality ratings of health care organizations and suggesting changes that would improve care.
A. C. D. E
Decisions on public policy are made by which part of the federal government? A. Legislative, executive, or judicial branches of the government B. Only the executive branch (president, governor, mayor) C. Supreme Court D. House of Representative and Senate
A. Legislative, Execute, or judicial branches of the government
A nurse from the local hospital reports a large number of Hispanic patients who refuse intake of certain foods and fluid because they are "hot" or "cold." This nurse states, "It doesn't make sense to me. I can heat the food up as requested, and it is still not eaten!" This nurse has not recognized that these Hispanic patients are acting according to what perspective about the cause of illness? A. Biomedical B. Naturalistic C. Magicoreligiou
B
A community health nurse is caring for a client who often stares at the floor while the nurse is talking. This client is likely to be of what ethnic group? A. Latin Americans B. Native Americans C. African American D. European
B.
According to the ICF (International Classification of Functioning, Disability, and Health), which of the following would be classified as a disability? a. Detached retina b. Need to use a powered wheelchair c. Spinal cord injury d. Amputation
B.
Greg has learned that the historical view of those with disabilities has evolved. In current frameworks, it is viewed as important to differentiate among the concepts of impairment, disability, and handicap. In this framework, the concept of a person's limited ability to perform an activity in an expected way is best described as which of the following? A. Just a health problem B. Disability C. Handicap D. Slow performe
B.
Most of Greg's clients require assistance in multiple functions, and disability is a socially constructed issue. This assistance is necessary in part because of social-environmental barriers that adversely affect his or her quality of life. What are the four models that identify how disability is viewed or perceived? A. Psychological, transformational, geographic, and moral B. Medical, rehabilitation, moral, and disability C. Organization, medical, cultural, and rehabilitation D. Cultural, organizational, geographic, and mora
B.
Now that the legislation has become law, which branch of government is responsible for drafting rules and regulations and enforcing the law? A. Legislative B. Executive C. Judicia
B.
Nurses can help parents and family members adjust to a child with a disability by: a. withholding some noncritical information about the condition to decrease the impact. b. establishing a partnership between the parent and health care team. c. making decisions on behalf of the child and the family. d. teaching the family to avoid social networks and support groups to refrain from co-dependency.
B.
The landmark civil rights legislation that uses the authority of the federal government to guarantee equal opportunities for people with disabilities related to employment, transportation, public accommodations, public services, and telecommunications is the: A. Individuals with Disabilities Education Act (IDEA). B. Ticket to Work and Work Incentives Improvement Act (TWWIIA). C. Americans with Disabilities Act (ADA). D. Civil Rights Act.
B.
What is the process used when conceptual differences, which impact the provision of health care, exist between the client and the nurse? a. cultural diversity b. cultural negotiation c. cultural competence
B.
The nurse who was responsible for organizing relief efforts for soldiers during the U.S. Civil War and who was the founder of the American Red Cross was: a. Lavinia Dock b. Clara Barton c. Sojourner Truth d. Margaret Sanger
B. Clara Barton
A community health nurse is caring for a family that includes the husband, wife, children, and other blood relatives. This type of family is called a(n): A. nuclear family. B. communal family. C. extended family. D. nuclear dyad.
C.
Many of Greg's clients experience limitations in their ability to function on some level. According to U.S. Census Bureau definitions, the client who requires assistance with money management, paying bills, etc., and is said to have a limitation in light housecleaning and meal preparation suffers from which of the four government administered household surveys? A. Functional activities B. Activities of daily living (ADLs) C. Instrumental activities of daily living (IADLs) D. Financial management
C.
Tim wants to learn whether Heather is able to access health care for herself and her children. Which question would be the most appropriate for him to ask to learn more about this issue? A. Do you receive annual physical examinations? B. Who takes you to your doctor appointments? C. Are you able to afford the health care services you need? D. Who is your primary care provider?
C.
Which of the following is the correct process a bill must take before final approval by the president? a.A bill must succeed through one of the two legislative bodies, the House of Representatives and the Senate, and then be submitted for final approval by the president. b.A bill must go through discussion by the Supreme Court and then be submitted for final approval by the president. c.A bill must succeed through the two legislative bodies, the House of Representatives and the Senate, and then be submitted for final approval by the president d. A bill must be approved by the House and Senate and then go before a committee before being submitted for final approval by the president.
C.
Which of the following statements is true concerning the Individuals with Disabilities Education Act (IDEA)? a. It is designed to ensure a free, appropriate public education in the most restrictive setting. b. An IEP (Individualized Education Program) for a child is developed solely by the school professionals. c. It provides federal funding through state-administered programs from preschool through secondary education for children with disabilities. d. It removes guidelines that typically result in the termination of Medicaid and Medicare benefits for people with disabilities who return to work.
C.
While caring for a client from a different culture, the community health nurse must assess the client's health-related beliefs. All of the following questions would be appropriate and would elicit the desired information except: a. "Are there certain foods you eat when you are sick?" b. "When do you know you are sick enough to visit a health care provider?" c. "Is it OK if I speak in English?" d. "What does health mean to you?"
C.
n which era were people with mental disabilities labeled as "feebleminded" because they could not reach the minimum educational level? a. Biblical times b. 18th century c. 19th century d. 20th century
C.
A community health nurse is reviewing the results of SIPP (Survey of Income and Program Participation) used by the U.S. Census Bureau to collect disability data. Which of the following will the nurse find classified as an instrumental activity of daily living? a. Seeing b. Walking c. Dressing d. Preparing meals
D.
Almost 13% of residents in the United States were born in other countries. More than half (53.1%) of these individuals were born in: A. Asia. B. Europe. C. Africa. D. Latin America.
D.
Which of the following would be considered a long-term disabling condition in which the person must learn to incorporate the modifications required for living into daily living and identity? A. A sprained ankle requiring the use of crutches B. A total knee replacement surgery requiring the use of a walker after surgery C. A car accident with a broken arm requiring surgery D. A cardiovascular accident (CVA) with paralysis to the right side of the body
D.
A statement of a decision regarding a goal in health care and a plan for achieving that goal is called: a. nursing policy b. fiscal policy c. social policy d. health policy
D. health policy
The Health Resources and Services Administration (HRSA) assists nursing workforce development by: a. establish schools of nursing b.supporting organizations with a political agenda for health care c. providing federal funds o promote health care reform d. providing grants to provide for education and recruitment
D.providing funds for education and recruitment
Lisa has been following legislation that would change childhood immunization requirements for school entry. She is planning to meet her elected representative to discuss the impact of this legislation on her practice. This action is considered (select all that apply): A. advocacy B. lobbying C. balance of power D. legislative surveillance E. policy initiative
a, b
Public health policy in the United States is influenced by two types of justice, market justice and social justice. Examples of market justice include which of the following? Select all that apply. a. All people are entitled to the status they create for themselves. b. All people are entitled to a livable minimum wage. c. All people are entitled to happiness if they put forth enough effort. d. All people are entitled to the income they work for. e. All people are entitled to access to health care.
a, c, d
The U.S. Department of Education defines a homeless child as: a. a child abandoned in a hospital. b. a child in foster care. c. a child in a group home. d. a child living with a grandparent.
a.
Which model supports upstream thinking with the purpose to improve homelessness through reduction of structural conditions contributing to homelessness? a. Social justice b. Market justice c. Physical justice d. Mental justice
a.
Which of these statements is true regarding income insufficiency in the United States? A. The poverty rate increased between 2007 and 2010. B. People who make minimum wage would not be categorized as impoverished. C. Alcoholism is the major reason for lack of employment. D. The median household income in 2011 was around $40,000.
a.
The immunization legislation makes its way through both branches of the legislature and is signed into law by the executive. As a public health law, this legislation is most likely under the control of the: A. federal government. B. state government. C. local government
c. local government
According to the vulnerability index, the individual at highest risk for death is: a. a 46-year-old person who has been homeless for 2 months and has HIV. b. a 22-year-old person who lives in a homeless shelter and is addicted to heroin. c. a 65-year-old person who is being evicted from his home after living there for 25 years. d. a 60-year-old person who has been homeless for 9 months.
d.
Based on the Department of Housing and Urban Development (HUD) definitions of homelessness, which one of the following individuals would be considered homeless? a. An individual whose residence lacks access to public water and electricity b. An individual who has a permanent nighttime residence in the housing for mentally ill people c. An individual imprisoned or detained under an act of Congress or state law d. An individual who spends most nights at public or private places not designed for regular sleeping accommodations
d.
What official national organization provides financial housing assistance to low-income families? a. World Health Organization (WHO) b. Federation of National Organizations Working with the Homeless (FEANTSA) c. Robert Wood Johnson Foundation d .Department of Housing and Urban Development (HUD)
d.
