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WorksheetsHG&D4
Total questions: 96
Worksheet time: 48mins
Fill in the blank: The role of the government in health care was established in article 1, section 8, of the U.S. Constitution, which provides spending power to promote the general health, welfare, and ______ of the people.
safety
education
prosperity
freedom
Fill in the blank: Standards of health care practice are the foundation of ______ legislation.
health-care
environmental
educational
financial
Fill in the blank: The Hill-Burton Hospital Construction Act of 1946 provided funding to build new ______.
hospitals
schools
roads
libraries
Fill in the blank: The Army Cadet Nurse Corps was established to care for ______ personnel, and nursing as a career began to flourish.
military
school
elderly
civilian
Fill in the blank: Local governments established guidelines for nursing practice that defined the ______ of practice for each level of professional nursing.
scope
duration
location
method
Fill in the blank: Twenty-four states participate in the NLC ______ nurse licensing partnership.
multistate
single-state
reciprocal
regional
Fill in the blank: ______ was the first state to establish the Patient's Bill of Rights as law.
Minnesota
California
Texas
Florida
A hospital that is not accredited may not be eligible to receive state or federal funding assistance.
True
False
Fill in the blank: The Social Security Act of 1935 expanded government involvement in ______ health care.
public
private
military
veterinary
Fill in the blank: The Department of Health and Human Services of the federal government provides direct services, information, and ______ legislation.
health-care
educational
environmental
transportation
Fill in the blank: The United Nations meets annually with the World Health Organization to establish worldwide health policies, services, and ______.
research
transportation
entertainment
architecture
Fill in the blank: Federal legislation that is passed is published in the ______ Register.
Federal
National
State
Congressional
Fill in the blank: Occupational health is regulated by the Occupational Safety and Health Association (OSHA), which sets standards of health and safety in the ______.
workplace
school
hospital
home
Fill in the blank: The federal government provides legislation and funding to support the goals of ______ People 2020.
Healthy
Wealthy
Smart
Active
Fill in the blank: Political influence is promoted by political action committees (PACs), in which nurses can advocate for patient needs and interpret ______ issues.
health-care
financial
technological
environmental
Fill in the blank: The Patient Protection and Affordable Care Act of 2010 addressed the problem of accessibility of health care for all ______ but passed by a narrow margin.
Americans
Europeans
Canadians
Australians
Healthy People is a ____-year report card issued by the USDHHS concerning what has been accomplished in the area of health care in the United States and what is yet to be accomplished.
10
5
15
20
What does Healthy People 2020 identify as a priority concern in health maintenance?
Health indicators
Financial indicators
Environmental indicators
Economic indicators
The overarching goals of Healthy People 2020 are to enable the nation to achieve health equity, to eliminate disparities, and to create social and physical environments that promote good health, quality of life, healthy development, and positive health behaviors across all life stages.
True
False
How many topic areas are addressed by Healthy People 2020?
42
25
30
50
Objectives are statements of movement toward a target, such as 'the number of days the air quality index is above ____.'
100
10
365
50
Indicators are high-priority issues that measure progress toward objectives.
True
False
Determinants of health are the range of social, economic, and environmental factors that influence the health status, such as genetics, biology, policy, and law.
True
False
Health status is measured by statistics, such as birth rates, death rates, and ____ expectancy.
life
income
education
work
Global efforts are necessary to improve health care, because problems are no longer confined to local areas.
True
False
The UN Millennium Declaration (updated in 2005) identifies worldwide goals.
True
False
Providing culturally competent health care increases compliance with healthy lifestyles and can help in meeting the goals of Healthy People 2020.
True
False
The health status of a population is measured by:
the number of health facilities available.
the number of people in a country.
statistics, such as birth and death rates.
membership in HMO organizations.
Health care is best improved by:
increased number of doctors available.
coordinated worldwide efforts.
local health-department programs.
statewide programs.
Healthy People 2020 is:
a. a report card on the progress of health care and identification of priority future needs.
b. a list of laws that concern health-care requirements.
c. a list of mandates related to medical practice.
d. a list of health-care facilities that will be available by the year 2020.
Health care workers play an important role in helping to achieve the goals of Healthy People 2020 by:
treating the poor population who are ill.
promoting breastfeeding and early prenatal care.
working overtime to meet patient needs.
working in community-based clinics.
Leading health indicators include:
physical activity, mental health, access to health care, and environmental quality.
reduction in birth rates, death rates, and morbidity.
health-care conferences held locally and worldwide.
the number of new policies and laws related to health care.
Which of the following are two topics currently relevant to health-care reform that a political action committee of nurses and health-care workers might promote?
Access to affordable health care and mental health services
Increased funding for sports facilities and free public transportation
Tax incentives for technology companies and reduced import tariffs
Expansion of space exploration programs and arts education funding
The purpose of the Nurse Practice Act is to:
define the scope of practice for each level of professional nursing.
define the length of nursing education programs.
determine criteria for licensing nursing schools.
license nurses to practice.
Most schools of nursing are currently located in a(n):
hospital.
high school.
independent occupational setting.
college.
The right of the government to play a role in health care originates in:
the U.S. Constitution.
laws decided by local courts.
the Democratic Party.
an annual vote by the people.
The functions of the U.S. Department of Health and Human Services (USDHHS) include:
writing licensing exams for health-care professionals.
prioritizing medical practices.
operating clinics for the indigent population.
setting policy, providing information, and financing health-care programs.
Political Action Committees (PACs) influence health care by:
writing health-care laws.
supporting legislators who vote on health-care policies.
studying the needs of local communities.
promoting higher salaries for nurses.
Factors to consider when assessing a patient from a different culture include:
Cultural beliefs and practices
Ignoring language barriers
Assuming all patients have the same needs
Focusing only on medical history
Cultural values are established in childhood and are evidenced by ______ years of age.
10
5
15
20
Cultural awareness means learning patients’ cultural beliefs, practices, and values and understanding how they differ from one’s own.
True
False
What is cultural competence?
The ability to adapt health care so that it does not violate the cultural beliefs or practices of the patient.
The ability to diagnose diseases quickly.
The ability to prescribe medication.
The ability to speak multiple languages.
Effective communication and sensitivity to ______ are two important factors in providing culturally competent care.
personal space
dietary needs
medical history
language skills
Alternative medicine are therapies that are used instead of traditional Western medical therapies.
True
False
Complementary medicine are therapies that are used together with traditional Western medical therapies.
True
False
The focus of health care is shifting from the hospital to the home and community with a focus on ______ and prevention of illness.
wellness
treatment
diagnosis
rehabilitation
NCCAM is an agency of the National Institute of Health that researches the effectiveness of CAM therapies.
True
False
A person's culture includes:
age.
genetic predisposition.
handicap.
customs.
Culturally competent care is provided by:
using scientific evidence.
following all orders written by the health-care provider.
involving the patient and family in developing the plan of care.
researching folk laws and remedies from the cultural background of the patient.
If a patient refuses to take his vitamin pill because he believes the gelatin base is unhealthy, the nurse should:
challenge his belief.
educate him concerning the need and value of that vitamin pill.
obtain the help of a clergyman to persuade him to take the pill.
respect his belief and find another vitamin preparation.
When providing health-care information, the health-care worker should (Select all that apply):
speak only with the patient.
include the family member who is the decision maker of the family.
always provide instructions clearly written in English.
include resources to call if there are further questions.
In the American culture, personal space is an intimate zone that is considered to be:
up to 1.5 feet.
4 feet.
12 feet.
more than 12 feet.
In the FIRST PRENATAL TRIMESTER, what attitude should parents develop toward the newborn?
Parents should develop a positive attitude toward the newborn, considering factors such as happiness about the child, being a parent of a disabled child, or being an unwed mother.
Parents should avoid thinking about the newborn until after birth.
Parents should develop a negative attitude to prepare for challenges.
Parents should remain indifferent toward the newborn's arrival.
During the SECOND PRENATAL TRIMESTER, what do parents focus on regarding the infant?
Parents focus on the infant because of fetal movements felt and picture what the infant will look like, what future he or she will have, and other ideas.
Parents focus on preparing the nursery and buying baby clothes only.
Parents focus on choosing a name for the infant and ignore other aspects.
Parents focus solely on the mother's diet and do not think about the infant's future.
What is the main focus of the mother during the THIRD PRENATAL TRIMESTER?
The mother feels large and attention focuses on how the fetus is going to get out.
The mother is primarily concerned with morning sickness.
The mother focuses on choosing baby names.
The mother is mostly worried about dietary restrictions.
At BIRTH, what should parents do to adjust to the external environment?
Parents should elicit positive responses from the child and respond by meeting the child's need for food and closeness.
Parents should leave the child alone to adapt independently.
Parents should introduce solid foods immediately.
Parents should expose the child to loud noises to build tolerance.
What is the parent's task during the INFANT stage according to Erikson's Stages?
Learn 'cues' presented by the infant to determine individual needs of the infant.
Encourage the infant to make independent decisions.
Teach the infant complex problem-solving skills.
Promote competitive behavior among infants.
Which of the following is a recommended nursing intervention during the FIRST PRENATAL TRIMESTER?
Encourage early touch and feeding
Develop positive attitude in both parents concerning expected birth of child
Help parents assess and interpret needs of infant
Present detailed information about birth processes
Match the following stages with the appropriate parent's task:
First Prenatal Trimester
Learn 'cues' presented by infant
Second Prenatal Trimester
Elicit positive responses from child
Third Prenatal Trimester
Mother feels large, attention on fetus getting out
Birth
Mother focuses on infant, pictures future
Infant
Develop attitude toward newborn
According to Erikson's stages, what is the child's main task during the toddler stage?
Autonomy
Initiative
Industry
Identity
What is one parent's task during the preschool-age (initiative) stage?
Learn to separate from child.
Encourage dependence on parents.
Discourage social interaction.
Limit the child's imagination.
Which of the following is a nursing intervention for parents of school-age children?
Allow child to go on tricycle but don't yell 'Don't fall.'
Help parents show standards but 'let go.'
Help parents to understand that child is developing his or her own limits and self-discipline. Be there to guide child, but do not constantly intrude. Help child get results from his or her own efforts at performance.
Fill in the blank: During the adolescent stage, parents must learn to let the child live his or her own life and not expect ________ over the child.
total control
complete freedom
unconditional support
constant supervision
According to the table, patience is needed to allow children to do for themselves, even if it takes longer.
True
False
What is the role of the health-care worker in supporting families through developmental stages?
To provide individualized care, help families master developmental tasks, and consider the developmental stage of the family and individual, as well as cultural influences, when designing care plans.
To only focus on the medical needs of the individual, ignoring family dynamics and cultural influences.
To provide the same care plan to all families regardless of their developmental stage or cultural background.
To limit involvement to emergency situations and avoid ongoing support for developmental tasks.
Which stage of family development involves the task: 'Establish mutual goals and values'?
Marriage
Parenting Adolescents
Launching Children
Retirement
Which developmental task is associated with the Childbearing stage?
Adjust to retirement
Adjust to intrusion of child
Maintain positive self-esteem
Establish a child-care philosophy
Fill in the blank: The Childrearing stage includes the task to 'Meet own needs and continued achievements, as well as the needs of the ______.'
children
parents
neighbors
teachers
Which stage of family development includes the task: 'Maintain a supportive home base while letting go of the children to encourage their own fulfillment'?
Child launching
Family formation
Retirement stage
Empty nest adjustment
Which developmental task is associated with the Contracting family stage?
Cope with loss and loneliness
Experience empty-nest syndrome as children leave home
Define roles and responsibilities
Meet the needs of the child without losing sight of each other
Fill in the blank: The Aging family stage includes the task to 'Maintain contact and relationship with children and ______.'
grandchildren
neighbors
colleagues
pets
Fill in the blank: ________ is a process by which members of a specific cultural group lose the characteristics of that group and adapt practices of another group. It is often referred to as 'Westernization' of a culture when time spent in the United States results in the adoption of an Americanized view of family function and behavior.
Cultural assimilation
Cultural preservation
Cultural diffusion
Cultural isolation
Fill in the blank: ________ is the concept that normality comes from the standard social practices of a specific culture. What is normal practice in one culture may not be considered normal practice in another culture.
Cultural relativism
Ethnocentrism
Social Darwinism
Universalism
Fill in the blank: ________ is the effect of a sudden, drastic change in the cultural environment of an individual or family.
Culture shock
Cultural assimilation
Social mobility
Acculturation
Ethnocentrism is the belief that one's own culture is the standard of behavior and is better than other cultures.
True
False
Which of the following best describes cultural competence?
The belief that one's own culture is superior to others
The ability to adapt the delivery of health care so that it does not violate the culture or religion of that group
The process of losing one's cultural characteristics
The effect of a sudden, drastic change in the cultural environment
Fill in the blank: Cultural assessment includes values, socioeconomic status, communication patterns, nutrition, language, religious practices, health beliefs, and ________ aspects of the disease and illness.
cultural
physical
genetic
environmental
Fill in the blank: The family is a ______ system that involves interaction with and commitment to its members.
social
mechanical
chemical
isolated
Which of the following is NOT a family structure mentioned in the key points?
Dual-career family
Extended family
Nuclear two-parent family
Single-parent family
Corporate family
Fill in the blank: Traditional family development includes marriage, childbearing, childrearing, child launching, the contracting family, and the ______ family.
aging
nuclear
blended
single-parent
A family systems theory is based on understanding that what happens to one member of the family affects the entire family.
True
False
Fill in the blank: The family lifestyle; size, number, and spacing of siblings; and family health all have an effect on the growth and development of the ______.
child
parent
teacher
community
Childrearing styles can be classified as autocratic, democratic, or ______-faire.
laissez
libre
faux
juste
Fill in the blank: Culture is a set of learned values, beliefs, and customs that are shared by a ______.
family
color
weather
animal
Advances in technology and the use of electronic media have allowed for research of information and achievement of educational degrees in the home setting.
True
False
Interactive video games and television viewing involving violence can have negative effects on the growth and development of children.
True
False
Fill in the blank: Posttraumatic stress disorder can occur after viewing a live disaster scene on ______ and can affect growth and development.
television
radio
newspaper
billboard
Parents must be guided to monitor the ______ sites used by children to assure positive outcomes.
social networking
shopping
news
gaming
True or False: The family plays a crucial role in the development of healthy lifestyle habits.
True
False
Fill in the blank: Community members, such as teachers, coaches, clubs, and peers, influence growth and development and place demands on the ______ unit.
family
school
sports
peer
Critical Thinking: Which intervention could a school nurse or health-care worker use to help a newly divorced mother and her three children, ages 4, 7, and 15, make a healthy adjustment to their new life in a new neighborhood?
Provide information about local support groups and counseling services.
Advise the family to avoid socializing with neighbors.
Discourage the children from discussing their feelings.
Recommend that the mother handle all issues alone without seeking help.
A family is defined as:
a structure consisting of two parents and at least one child.
a social system involving commitment and interaction.
genetically related groups of people.
a group of people living together.
A theory is:
a. a logical, consistent concept based on research findings.
b. concepts and thoughts accepted by most people.
c. an unproven concept based on an individual's observations.
d. a technique or intervention used to treat others.
A family Apgar is:
a tool to assess family function.
the financial status of a family.
a family systems theory.
a process of family therapy.
A dysfunctional family includes:
stable family members.
changing family memberships and rules.
parents who manage the care of children.
parents who use effective coping skills.
The Children's Television Act of 1990 was designed to:
control programs aired when children may be watching.
provide cartoons for young viewers.
limit the number of hours children can watch TV.
provide educational programs for preschool children.
