Family Focused Nursing Care 1st Edition By Sharon A. Denham-Test Bank

,Chapter1-Health Care Needs forthe21st Century
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MULTIPLECHOICE nn




1. The nurse is teaching a class on global trends linked with nursing practice.Which response from
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a student indicates a need for additional teaching?
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1. Technologyisa hugeforce in global change. nn nn nn n nn nn nn




2. Humans have had increasing effect on the natural environment. nn nn nn nn nn nn nn nn




3. Technology has slowed the development of newinfectious diseases. nn nn nn nn nn nn nn




4. Medical tourism isalegitimate,growingsource ofincome formanynations. nn nn nn n n n v nn n nn n n




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1 Science and technology are huge drivers of global change. nn v nn nn nn nn nn nn nn




2 There is increasing awarenessof humankind’s effectontheplanetincluding environmental v nn n nn nn n n n n nn




resources.
3 Although technology has flourished, more than 30 new infectious diseases have been
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identifiedsince1973,andthenext pandemicsarepredicted to arisefrom organismsnot yet
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identified.
4 Medical tourism isoneof thefastest growingindustries in the health-care sectorand is a positive
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source of revenue for many nations.
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PTS: 1
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Health v nn nn nn nn nn nn nn nn nn nn nn nn




Promotionand Maintenance | CognitiveLevel: Comprehension |QuestionType: MultipleChoice
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2. Whichof the following statements on global trends linked with nursing practice is inaccurate?
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1. Globalization ensures the equal distribution of costs and benefits of health care. nn nn nn nn nn nn nn nn v nn nn nn




2. Parts of the worldmaybeconsideredmore youthful than other parts of the world.
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3. By 2025, the majority of the world's population will live in urban areas.
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4. As countriesmodernize,theriskfor developing certainhealthproblemschanges.
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1 Thecostsandbenefits of globalizationarenot alwaysdistributedequally—globalization
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does not ensure equal distribution of health-care costs and benefits.
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2 Trends in birth, death, immigration, and migration patterns point toward population
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growth in Asia and Africathat will result inthem becomingtheyouthful areasofthe world.
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3 In 2009,50% of the world’spopulationlivedinurbanareas;by2025,thisisprojected to increase
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to 57%.
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4 Ashiftfrom traditional diseases,suchas thoseresultingfrominfection,tomodern diseases that
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result from lifestyle choices has been noted in developed countries.
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PTS: 1
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Health v nn nn nn nn nn nn nn nn nn nn nn nn




Promotionand Maintenance | CognitiveLevel: Comprehension |QuestionType: MultipleChoice
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3. The nurse is coordinatingcare with a family whose 10-year olddaughter has diabetes.Which of the
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following principles of care coordination guides the nurse's actions?
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, 1. Providethe right care at the right timefor the right person.
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2. Identify health problems and intervene. nn nn nn nn




3. Allowfamilies to initiate contact as theydetermine all their needs.
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4. Ensurefamilyprivacyby limiting interdisciplinary information exchange. nn nn nn nn




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1 Providingtherightcare at the right time for the right person is aprinciple of health-care reform
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to obtain the best quality outcomes in the best possible way.
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2 The nurse must form a partnership withthefamilyandnegotiatetocreatea plan that fits with the
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family priorities and concerns.
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3 The nursemust worktogether withthefamilytodetermine needs andassistthem in
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contacting resources if the family wishes the nurse to do so.
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4 The nurse must consider privacy laws, institutional policies, and family preferences to
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create an effective care coordination communication plan.
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PTS: 1
KEY: Content Area: Carecoordination |Integrated Process: Nursing Process |Client Need: Safe and vv nn n nn n nn nn nn nn n nn nn nn




Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice
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4. The nurse is teaching aclasson coordinating carefor families withachronically ill member.Which
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response made by a student indicates a need for further teaching in the area of family assessment?
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1. Identifying accessible community resources is an important aspect of family assessment. nn nn nn nn nn nn v nn nn nn nn




2. Familyengagement inshared health-caredecision-makinghaslittleimpacton health
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outcomes.
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3. Lifestyle factors to assess include family access to food, housing, and transportation.
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4. Moneyspentisnotalwayslinkedtobetter healthoutcomes. n n n n n n nn n




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1 The nurse will benefit families greatlyby providing families withappropriate resource
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information in their home communities for health promotion and chronic disease nn nn nn nn nn nn nn nn nn nn




management.
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2 Shareddecision-makingoccurs withintherapeuticrelationshipsthathonorfamily preferences n nn n nn n n nn




and unique circumstances.
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3 Environmental factors include family access to food, housing, and transportation; nn nn nn nn nn nn nn nn v nn




lifestylefactorsincludetobaccouse,lackofadequate nutrition,physicalinactivity,and
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substance abuse. nn




4 TheU.S. spends muchmoreon healthcarethanthe other 12industrial nations in the
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Organizationfor Economic Cooperation and Development, but the quality and
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availability of care varies.
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PTS: 1
KEY: Content Area: Global trends| Integrated Process: NursingProcess |ClientNeed: Safeand v nn nn n nn v nn nn n nn nn n nn n




EffectiveCareEnvironment |Cognitive Level: Comprehension |QuestionType: Multiple Choice
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5. Health disparities occur as a result of which of the following?
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1. Groups being at different risk for disease. nn v nn nn v nn n nn




2. Equal distribution of health-care dollars. nn nn nn nn




3. Gender equity. nn




4. Multicultural understandings. nn

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1 Healthdisparities referto differencesin health outcomes that occurbetweengroups,
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usually in minority or at-risk groups.
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2 Healthdisparities occur as a result of unequal distribution of health-care dollars.
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3 Healthdisparities occur as a result of being treated differently based on gender.
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4 Healthdisparities occur withmisunderstandingof culturesthatleads todifferencesin
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treatment.
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PTS: 1
KEY: Content Area: Healthdisparities |Integrated Process: NursingProcess |ClientNeed:Health vv nn n v nn n v nn nn n v nn n n n




Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice
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6. Whichstatement best describes healthinequity?
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1. Differences in health outcomes between groups. nn nn nn v nn nn




2. Disruptions in family health due to war. nn nn nn nn nn nn




3. Shifts in population healthdue to changing immigration patterns.
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4. Differencesininfectiousdiseaseriskbetweengenders. n




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1 Health inequity refers to differences or inequalities in health outcomes between groups.
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2 Waris best describedasa social factor that candisrupt health.
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3 Change in immigration patterns is best described as a social factor that can influence health.
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4 Differences in infectious diseaserisk leading to health inequities aretypicallydueto poverty,
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not gender.
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PTS: 1
KEY: Content Area: Healthinequity|IntegratedProcess: NursingProcess |Client Need:Health vv nn n n n n n n v nn n nn n




Promotion and Maintenance | Cognitive Level: Evaluation | Question Type: Multiple Choice
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7. Whichof the following best describes the health implications of industrialization in remote areas?
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1. Economic opportunities outweigh the health risks. nn nn nn nn v nn




2. Projects protect local health by developing indigenous crops.
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3. Localpeople have more dollars for health care through new job opportunities.
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4. Access tohealth-carefacilitiesisimproved.
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ANS:
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1 Industrial processes often lead to environmental conditions such as erosion, air
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pollution, or contaminated groundwater that have unwelcome health effects. Economic
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gains go to project developers, not the indigenous people.
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2 Projectstypicallydeveloplandforhigh-valuenonindigenous cropsthatrequire fertilizers and
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irrigation, which pose health risks rather than protect health.
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3 Increased employment provides economicresources to enablelocal people to seek health
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care.
4 Industrializationis not aguaranteethat health-carefacilitieswill bebuilt and access n nn nn n n nn n n v nn n v nn v nn




increased.
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