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Chapter 1: Healthy People 2020
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Test Bank
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MULTIPLE CHOICE h
1. The purpose of Healthy People 2020 is to:
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a. examine world health needs. h h h
b. evaluate accomplishments for years 2010–2020. h h h h
c. focus primarily on infant health and mortality.
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d. examine funding issues for health care. h h h h h
ANS: B h
Healthy People 2020 is an evidence-based 10-year report card describing health-care
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accomplishments in the United States between the years of 2010 and 2020.
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DIF: Cognitive Level: Comprehension REF: p. 1 OBJ: 1 h h h h h
TOP: Healthy People 2020
h KEY: Nursing Process Step: Intervention
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MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease
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2. A health-care worker planning a research project related to teenage pregnancy in his
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community would include in the initial assessment the health status of the target population.
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Health status could be best evaluated by the examination of the: a.
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morbidity, and life expectancy.
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b. birth rate, access to health care, and death rate.
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c. disease morbidity, life expectancy, and health insurance coverage.
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d. health insurance coverage, death rate, and access to health care.
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ANS: B h
Birth rate statistics identify age of mother; death rates include infant mortality and age of
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mother; access to health care may affect a teenager‟s ability to obtain adequate prenatal
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care.
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DIF: Cognitive Level: Application REF: p. 6 OBJ: 3 h h h h h
TOP: Health status h KEY: Nursing Process Step: Planning
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MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease
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3. The health-care worker teaches a group of new parents about the “back to sleep” program,
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which is directed toward the reduction of sudden infant death syndrome (SIDS) by: a.
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positioning the baby on a small flat pillow. h h h h h h h
b. placing the baby on its back in the crib. h h h h h h h h
c. gently rocking the baby before returning it to bed.
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d. tucking infant snuggly in the crib with a light blanket.h h h h h h h h h
ANS: B h
The back to sleep program helps reduce the incidence of SIDS by placing the infant on its
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back rather than on its stomach.
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DIF: Cognitive Level: Application h h REF: p. 8 h h OBJ: 5 h
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TOP: Back to sleep program
h KEY: Nursing Process Step: Intervention
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MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease
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4. Healthy People 2020 endorses the completion of a high school education primarily to enable a
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person to:
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a. secure a better job. h h h
b. increase the quality of life. h h h h
c. make healthy lifestyle choices. h h h
d. maintain the family unit. h h h
ANS: C h
One of the goals of Healthy People 2020 is to increase the number of persons graduating
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from high school so that they have a better education basis on which to make healthy
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lifestyle choices.
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DIF: Cognitive Level: Application REF: p. 8 OBJ: 4 h h h h h
TOP: Health indicators KEY: Nursing Process Step: NA MSC: NCLEX: NA
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5. Healthy People 2020 is published by the:
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a. Centers for Disease Control and Prevention. h h h h h
b. Department of the Interior. h h h
c. World Health Organization. h h
d. Department of Health and Human Services. h h h h h
ANS: D h
Healthy People 2020 is published by the U.S. Department of Health and Human Services.
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DIF: Cognitive Level: Knowledge REF: p. 1 OBJ: 1 h h h h h
TOP: Healthy People 2020 KEY: Nursing Process Step: NA MSC: NCLEX: NA
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6. Infant mortality rates are based on infant deaths that occur:
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a. at birth, per 1000 deliveries.
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b. before 1 year of age, per 1000 live births. h h h h h h h h
c. from infection and congenital disorders, per 1000 live births.
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d. from unexplained causes, per 1000 live births.
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ANS: B h
Infant mortality is reported on deaths occurring before the age of 1 year per 1000 live births.
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DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 4 h h h h h
TOP: Infant mortality
h KEY: Nursing Process Step: Planning
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MSC: NCLEX: Health Promotion and Maintenance: growth and development
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7. Although the life expectancy has increased, Healthy People 2020 will focus on the older
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adult‟s need for:
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a. better pharmacy insurance coverage. h h h
b. improved extended care facilities. h h h
c. increased compliance to medical protocols. h h h h
d. maintenance of independent lifestyles. h h h
ANS: D h
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The maintenance of independent lifestyles is an ongoing problem for the older adult.
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DIF: Cognitive Level: Comprehension REF: p. 9 OBJ: 4 h h h h h
TOP: Older adults KEY: Nursing Process Step: Planning
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MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease
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8. Information about morbidity and mortality gives the health-care worker data to identify: a.
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lifespan statistics. h
b. high-risk age groups for certain diseases or hazards. h h h h h h h
c. effectiveness of treatment. h h
d. cost-effective treatment for the general population. h h h h h
ANS: B h
Evaluating specific details of the determinants of health help health-care workers develop
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an understanding of the health status of the population. Morbidity and mortality statistics
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can identify risks for disease or health hazard by age group.
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DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 3 h h h h h
TOP: Morbidity
h KEY: Nursing Process Step: Planning
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MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease
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9. A major cause of death for children under the age of 1 year is:
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a. congenital abnormalities. h
b. infection.
c. cancer.
d. injuries.
ANS: A h
The Centers for Disease Control and Prevention has identified congenital abnormalities as a
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leading cause of death for children under the age of 1 year.
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DIF: Cognitive Level: Knowledge REF: p. 6, Box 1-1 h h h h h h
OBJ: 1
h TOP: Health status
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KEY: Nursing Process Step: Intervention
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MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease
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10. The health-care worker advises a young woman who is 7 weeks pregnant to include folic
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acid supplements in her diet in order to:
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a. strengthen muscles in preparation for effective labor. h h h h h h
b. help control excessive weight gain during pregnancy.
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c. reduce incidence of congenital malformations. h h h h
d. enhance the probability of carrying the pregnancy to full term. h h h h h h h h h
ANS: C h
One of the goals of Healthy People 2020 is to promote use of folic acid supplements early in
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pregnancy. Ideally, folic acid supplements, or adequate dietary folic acid, should be
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recommended early in the pregnancy to help prevent congenital malformations, especially
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spina bifida.
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DIF: Cognitive Level: Application REF: p. 8 h h h h OBJ: 4 h
TOP: Folic acid
h KEY: Nursing Process Step: Intervention
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