Health Promotion Throughout The Life Span 7th Edition by Carole Lium Edelman -Test Bank
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Sample
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Edelman: Health Promotion Throughout the Life Span, 7th Edition
Chapter 03: Health Policy and the Delivery System
Test Bank
MULTIPLE CHOICE
1. The
most autonomous form of insurance for the provider and the client perspective
is:
|
a. |
A fee-for-service plan |
|
b. |
A health maintenance
organization (HMO) |
|
c. |
A preferred provider
organization (PPO) |
|
d. |
An independent practice association
(IPA) |
ANS: A
In the fee-for-service plan, a provider provides a service and
bills the individual’s insurance company. The individual is also allowed to
choose his or her provider.
DIF: Cognitive Level:
Application
REF: 66-67
2. Which
form of managed care restricts providers to caring for clients who are members
of their organization?
|
a. |
A fee-for-service plan |
|
b. |
A health maintenance
organization (HMO) |
|
c. |
A preferred provider
organization (PPO) |
|
d. |
An independent practice
association (IPA) |
ANS: B
The traditional HMO was a group or staff model where a group of
physicians and some specialty services provided care to its members. Providers
generally spent all their time serving members of the HMO. Fee-for-service,
IPAs, and PPOs are not restricted to serving clients for any one organization.
DIF: Cognitive Level:
Knowledge
REF: 67
3. A
family of six includes two working parents. Neither employer provides health
insurance for this family. The family does not meet the financial criteria for
Medicaid. However, they may be eligible for which of the following federal
programs?
|
a. |
Medicare |
|
b. |
Civilian Health Medical
Program for Uniformed Services (CHAMPUS) |
|
c. |
State Children’s Health
Insurance Program (SCHIP) |
|
d. |
Veteran’s Administration
Program |
ANS: C
The State Children’s Health Insurance Program is a public state
insurance program established to provide insurance to uninsured children whose
family is typically described as the working poor and don’t meet Medicaid
requirements. In this case, both parents work but do not have access to
insurance through their employers. Additionally, they do not meet the financial
Medicaid requirement.
DIF: Cognitive Level: Application
REF: 70
4. A
nurse complies with the Patient Self-Determination Act when:
|
a. |
She asks a client upon
admission to the hospital if he has an advanced directive |
|
b. |
She asks a client in the
recovery room if he has an advanced directive |
|
c. |
She asks a client before
discharge from the hospital if he has an advance directive |
|
d. |
She asks the family about
an advanced directive after the client has been intubated |
ANS: A
The Patient Self-Determination Act is designed to increase
individual involvement in decisions about life-sustaining treatments. The nurse
must ensure that advanced directives are available to physicians at the time
the medical decision is being made. Therefore, the nurse complies with the act
when she asks a client upon admission to the hospital if he or she has an
advanced directive.
DIF: Cognitive Level:
Application
REF: 73
5. A
nurse discussing the case of Mrs. Jones, a 60-year-old on the surgical unit s/p
gastric bypass surgery, with her cardiologist husband is in violation of:
|
a. |
The Patient
Self-Determination Act |
|
b. |
The Health Insurance
Portability and Accountability Act of 1996 |
|
c. |
The American’s Disabilities
Act |
|
d. |
The Civil Rights Act |
ANS: B
The Health Insurance Portability and Accountability Act of 1996
(HIPAA) is a federal privacy standard that requires safeguards to protect the
security and confidentiality of health information. Disclosures without
individual authorization are allowed only to public health authorities
authorized by law to collect and receive information for the purpose of
preventing or controlling disease, injury, or disability.
DIF: Cognitive Level:
Application
REF: 73
6. Which
is a violation of the Health Insurance Portability and Accountability Act of
1996?
|
a. |
A nurse reporting a case of
TB to the health department |
|
b. |
A nurse reporting a case of
child abuse to the Department of Children and Family Services |
|
c. |
A nurse discussing the
client’s case with the provider of record |
|
d. |
An office nurse discussing
the client’s case with the client’s school nurse |
ANS: D
The Health Insurance Portability and Accountability Act of 1996
(HIPAA) is a federal privacy standard that requires safeguards to protect the
security and confidentiality of health information. Disclosures without
individual authorization are allowed only to public health authorities
authorized by law to collect and receive information for the purpose of
preventing or controlling disease, injury, or disability. Prior to speaking to
the school nurse, the office nurse must obtain authorization from the client’s
parents.
DIF: Cognitive Level:
Application
REF: 73
7. Which
could result in a change in a nurse practitioner’s practice?
|
a. |
She holds a master’s degree
or higher. |
|
b. |
She will be moving to
another state when she gets married. |
|
c. |
She cares for Medicare
clients. |
|
d. |
She moves to another office
within the same practice. |
ANS: B
Nurse practitioners generally hold master’s degrees or higher.
The nurse practice act within their states may be more comprehensive than the
institutions for which they work. Legislation exists for reimbursement of nurse
practitioners by Medicare. However, practice acts and prescriptive authority vary
from state to state and thus influence practice patterns.
DIF: Cognitive Level:
Application
REF: 67 | 76
8. Which
nurse is functioning as a care manager?
|
a. |
A nurse working with a
family to coordinate care after their child experiences his second
hospitalization for an asthma exacerbation |
|
b. |
A nurse providing asthma
education in the office setting to a child with moderate persistent asthma |
|
c. |
A nurse administering the
appropriate anti-inflammatory medication to a child admitted to the hospital
with an asthma exacerbation |
|
d. |
A nurse making a home visit
for a respiratory assessment to a child s/p an admission for an asthma
exacerbation |
ANS: A
Care managers help determine what medical care is necessary,
monitor care, and arrange for individuals to receive the most cost-effective
care in the most appropriate settings. They must collaborate with providers and
with the client/family. Care managers are especially helpful following a client
after discharge and clients with complex needs. A nurse working with a family
to coordinate service after a hospitalization is a good example of services
provided by a care manager.
DIF: Cognitive Level:
Application
REF: 77
9. Which
nurse is at risk of making a medical error?
|
a. |
A nurse who is working
overtime |
|
b. |
A nurse who works in a
hospital that advocates multidisciplinary care |
|
c. |
A nurse who is caring for
four clients during her shift |
|
d. |
A nurse who attends regular
continuing education programs |
ANS: A
Health care systems are the basic cause of medical errors.
Organizational and workforce management, work design, and organizational
culture are problem areas that contribute to medical errors. Poor management
leads to increased nurse turnover, the need for increased client-to-nurse
ratios, increased need for overtime, and decreased number of nurses; all of
which can lead to medical errors. A nurse working overtime is at risk of making
a medical error.
DIF: Cognitive Level:
Application
REF: 62
10. What
is the most effective policy a staff nurse can implement to help decrease
medical errors on her unit?
|
a. |
Forgo any opportunity for
continuing education so the unit is never understaffed |
|
b. |
Foster a collaborative
working environment on her unit |
|
c. |
Check all medication a
minimum of three times before administering them to a client |
|
d. |
Encourage a policy that
mandates the firing of any nurse who commits two medical errors |
ANS: B
Health care systems are the basic cause of medical errors.
Organizational and workforce management, work design, and organizational
culture are problem areas that contribute to medical errors. Creating a
collaborative working environment helps improve organizational culture, thereby
reducing the chance of medical errors.
DIF: Cognitive Level:
Application
REF: 10-11
11. Which
health care provider represents a primary care provider?
|
a. |
A psychiatric advanced
practice nurse |
|
b. |
A clinical nurse specialist |
|
c. |
A pediatric nurse practitioner |
|
d. |
An acute care nurse
practitioner |
ANS: C
A primary care provider serves as a gatekeeper, coordinating
care of clients by determining the need for referrals and procedures. A primary
care provider can be a physician, physician’s assistant, or advanced practice
nurse in a primary care setting. The primary care provider provides basic and
routine care usually in an office or a clinic. A pediatric nurse practitioner
is an example of a primary care provider.
DIF: Cognitive Level: Application
REF: 67-68 (Box 3-3)
12. Which
person may be at risk for being uninsured?
|
a. |
A 68-year-old retired
mailman |
|
b. |
A 48-year-old on renal
dialysis |
|
c. |
A 2-year-old whose parents
work but do not have benefits through their employers and are considered
working poor |
|
d. |
A 20-year-old who doesn’t
attend college and works part-time as a waiter in a small pizza parlor |
ANS: D
Young adults (19 years of age or older) are not eligible to be
covered under their parents insurance if they are not full-time college
students. Medicare is available for those over the age of 65 and people who
require dialysis. Medicaid and SCHIP are available for children whose families
meet the financial requirements. This child would likely meet criteria for
either Medicaid or SCHIP because the parents are considered working poor.
Because health care insurance is so expensive, it would be difficult for a
20-year-old to afford his own plan. Young adults often go without insurance due
to the high costs.
DIF: Cognitive Level:
Application
REF: 70 | 79 | 82
13. Adoption
of a Canadian-style health care system in the United States has the potential
to:
|
a. |
Decrease waiting times for
tests/procedures |
|
b. |
Create further health
disparities |
|
c. |
Increase the number of HMOs |
|
d. |
Increase the amount of
funding available for health care |
ANS: B
Canadians with private health insurance and higher incomes have
access to greater health care services and more expedient health care. This
translates to a two-tier system of health care, which can contribute to health
disparities in health care access and quality.
DIF: Cognitive Level:
Synthesis
REF: 60-61 | 884
14. A
system used to monitor diagnoses, treatments, and billing practices, the
purpose of which is to lower costs by discouraging unnecessary treatments is
known as:
|
a. |
Managed care |
|
b. |
A gatekeeper |
|
c. |
Utilization review |
|
d. |
Capitation |
ANS: C
A system used to monitor diagnoses, treatments, and billing
practices, the purpose of which is to lower costs by discouraging unnecessary
treatments, is known as utilization review.
DIF: Cognitive Level: Knowledge
REF: 86
15. The
country with the lowest infant mortality rate in 2005 was:
|
a. |
Canada |
|
b. |
Mexico |
|
c. |
Sweden |
|
d. |
United States |
ANS: C
Sweden had the lowest infant mortality in 2005 with a mortality
rate of 3 per 1000 live births.
DIF: Cognitive Level:
Knowledge
REF: 61 (Table 3-1)
16. The
country with the highest infant mortality rate in 2005 was:
|
a. |
Canada |
|
b. |
Mexico |
|
c. |
Sweden |
|
d. |
United States |
ANS: B
Mexico had the highest infant mortality rate in 2005 with 22 per
1000 live births.
DIF: Cognitive Level:
Knowledge
REF: 61 (Table 3-1)
17. The
country with the highest life expectancy for males in 2005 was:
|
a. |
France |
|
b. |
Germany |
|
c. |
Sweden |
|
d. |
United States |
ANS: C
Sweden was the country with the highest life expectancy for
males (79 years of age) in 2005.
DIF: Cognitive Level:
Knowledge
REF: 61 (Table 3-1)
18. The
country with the highest life expectancy for females in 2005 was:
|
a. |
France |
|
b. |
Germany |
|
c. |
Sweden |
|
d. |
United States |
ANS: A
France was the country with the highest life expectancy for
females (84 years of age) in 2005.
DIF: Cognitive Level:
Knowledge
REF: 61 (Table 3-1)
19. The
person known as the father of British and American public health is:
|
a. |
Lillian Wald |
|
b. |
Edwin Chadwick |
|
c. |
Lemuel Shattuck |
|
d. |
Paul Ehrlich |
ANS: B
Edwin Chadwick is known as the father of British and American
public health.
DIF: Cognitive Level:
Knowledge
REF: 63
20. The process
of trying to persuade legislators to vote for or against measures important to
the interest group represented is known as:
|
a. |
Advocating |
|
b. |
Educating |
|
c. |
Bribing |
|
d. |
Lobbying |
ANS: D
The process of trying to persuade legislators to vote for or
against measures important to the interest group represented is known as
lobbying.
DIF: Cognitive Level:
Knowledge
REF: 85
21. A
community health nurse most effectively preserves the health of a person with
TB and the community by:
|
a. |
Placing and reading the PPD
of all close contacts |
|
b. |
Providing DOT for the
person with TB |
|
c. |
Isolating the person
because he has drug-resistant TB |
|
d. |
Telling the person to wear
a mask when leaving the home |
ANS: B
Community health nursing practice promotes, preserves, and
maintains the health of populations and the effect of their health status on
that of the community as a whole through care provided to individuals,
families, and groups. Thus, the most effective strategy of treating the individual
and preventing the spread of TB is to provide DOT.
DIF: Cognitive Level:
Synthesis
REF: 62 | 64
22. Which
best demonstrates the concept of the Healthy
People 2010 report?
|
a. |
Addition of a new
cardiothoracic intensive care unit at a major hospital in the community |
|
b. |
Addition of a new
rehabilitation center in the community |
|
c. |
Addition of a new
recreational health center |
|
d. |
Addition of a new
children’s hospital |
ANS: C
The Healthy
People 2010 report promotes health care, not illness care. A
hospital, ICU, and rehabilitation center emphasize episodic care after an
illness. The recreation health center serves to preserve health in the
community and helps meet the goals of the Healthy People 2010 report.
DIF: Cognitive Level:
Application
REF: 60 (Think About It box) | 86
23. A
22-year-old pregnant woman with two children (2-year-old and 5-year-old) living
at less than 135% of the federal poverty level would be eligible for:
|
a. |
Medicare Part A |
|
b. |
Medicare Part B |
|
c. |
Medicaid |
|
d. |
States Children’s Health
Insurance Program |
ANS: C
State Medicaid programs must cover all pregnant women and
children up to 6 years of age with a family income of less than 133% of the
federal poverty level. SCHIP provides insurance coverage to children whose
family income is below 200% of the federal poverty level or whose income is 50%
higher than the state’s Medicaid eligibility threshold. In this case, the woman
is pregnant, her children are under the age of 6, and they meet the financial
criteria for Medicaid but not SCHIP.
DIF: Cognitive Level:
Application
REF: 82
24. A
major factor limiting health care services in the United States is:
|
a. |
Lack of nurses |
|
b. |
Lack of health care facilities |
|
c. |
Lack of funding |
|
d. |
Lack of client interest in
health promotion |
ANS: C
The lack of nurses may prevent health care providers from
offering health promotional education activities. The cost of health care and
prescription drugs is a major limitation to health care services. The United
States has the highest proportion of population with no health insurance,
thereby limiting health care services available to Americans.
DIF: Cognitive Level: Synthesis
REF: 60 | 63 | 73-75 | 82
25. The
best way for a nurse to support a bill to decrease the speed limit on highways
is to:
|
a. |
Call her legislator |
|
b. |
Write a letter to her
legislator |
|
c. |
Join a nursing organization
and lobby as a group |
|
d. |
Provide testimony for the
bill |
ANS: C
Legislators are influenced by information they receive, and
nurses have a wealth of information to share with legislators. Communicating
with a legislator (calling, writing, personal visit, etc.) and providing
testimony are helpful in influencing health policy. However, the collective
voice of a group sends a more powerful message to policy makers.
DIF: Cognitive Level:
Application
REF: 85-86
26. Which
of the following is a health plan consisting of hospitals and physician
providers providing health care services to plan members usually at discounted
rates in return for expedited claims payment?
|
a. |
HMO |
|
b. |
POS |
|
c. |
PPO |
|
d. |
IPA |
ANS: C
A health plan consisting of hospitals and physician providers
providing health care services to plan members usually at discounted rates in
return for expedited claims payment is known as a PPO.
DIF: Cognitive Level:
Knowledge
REF: 68 (Box 3-3)
MULTIPLE RESPONSE
1. Which
scenarios represent a nurse advocating for health care delivery? Select all
that apply.
|
a. |
A nurse who supports a
policy change that calls for all individuals admitted to the hospital to have
a dietary consult |
|
b. |
A nurse who signs a
petition that calls for the elimination of smoking in all public areas |
|
c. |
A nurse who keeps
up-to-date on health policy issues at the local, state, and national level |
|
d. |
A nurse who becomes an
active member of the American Nurses Association |
ANS: A, B, C, D
A major role of the nurse is to advocate. To do so, the nurse
must be aware of the issues. Advocacy involves participation in policy decision
making at the local, state, and national level. This can be accomplished
through serving on committees, voting, joining organizations, running for
office, or voting for candidates that support quality health care.
DIF: Cognitive Level:
Application
REF: 85
2. Select
all who are considered part of the vulnerable population:
|
a. |
A deaf man |
|
b. |
A cocaine-addicted teenage
girl |
|
c. |
A 9-year-old boy |
|
d. |
A woman |
ANS: A, B, C
Children, substance abusers, and those with communication
difficulties are considered part of the vulnerable population in the United
States.
DIF: Cognitive Level: Application
REF: 61 (Box 3-1)
Edelman: Health Promotion Throughout the Life Span, 7th Edition
Chapter 04: The Therapeutic Relationship
Test Bank
MULTIPLE CHOICE
1. Specify
which characteristic of the therapeutic relationship is described in the
following scenario: A client has been admitted to Ward 2B. In talking with the
client, the nurse is able to elicit from her that the reason for her
hospitalization is that her husband beat her up.
|
a. |
Empathy |
|
b. |
Trust |
|
c. |
Rapport |
|
d. |
Purposeful communication |
ANS: D
The nurse focuses communication for a particular aim: to obtain
information to be used in care of the client.
DIF: Cognitive Level:
Application
REF: 104
2. Which
of the following statements is true of values?
|
a. |
It is impossible for
someone to understand his or her values. |
|
b. |
Values evolve over time;
they are not static. |
|
c. |
Values assimilated in
childhood are values held for a lifetime. |
|
d. |
Values clarification tells
a person how to act. |
ANS: B
Values take time to develop, and they may change with education,
experience, exposure, or a combination of these.
DIF: Cognitive Level:
Knowledge
REF: 92-93
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