y y y y
Development
Across the Lifespan 2
y y y
nd Edition Leifer
y y
,Chapter 1: Healthy People 2020
y y y y
Test Bank
y
MULTIPLEyCHOICE
1. TheypurposeyofyHealthyyPeopley2020yisyto:
a. examineyworldyhealthyneeds.
b. evaluateyaccomplishmentsyforyyearsy2010–2020.
c. focusyprimarilyyonyinfantyhealthyandymortality.
d. examineyfundingyissuesyforyhealthycare.
ANS:yB
HealthyyPeopley2020yisyanyevidence-basedy10-yearyreportycardydescribingyhealth-
careyaccomplishmentsyinytheyUnitedyStatesybetweenytheyyearsyofy2010yandy2020.
DIF: CognitiveyLevel:yComprehension REF:yp.y1 OBJ:y1
TOP:yHealthyyPeopley2020 KEY:yNursingyProcessyStep:yIntervention
MSC:yNCLEX:yHealthyPromotionyandyMaintenance:ypreventionyandyearlyydetectionyofydisease
2. Ayhealth-
careyworkeryplanningyayresearchyprojectyrelatedytoyteenageypregnancyyinyhisycommuni
tyywouldyincludeyinytheyinitialyassessmentytheyhealthystatusyofytheytargetypopulation.yH
ealthystatusycouldybeybestyevaluatedybyytheyexaminationyofythe:ya.y birthyrate,ydiseasey
morbidity,yandylifeyexpectancy.
b. birthyrate,yaccessytoyhealthycare,yandydeathyrate.
c. diseaseymorbidity,ylifeyexpectancy,yandyhealthyinsuranceycoverage.
d. healthyinsuranceycoverage,ydeathyrate,yandyaccessytoyhealthycare.
ANS:yB
Birthyrateystatisticsyidentifyyageyofymother;ydeathyratesyincludeyinfantymortalityyandyageyofymoth
er;yaccessytoyhealthycareymayyaffectyayteenager’syabilityytoyobtainyadequateyprenatal
care.
DIF: CognitiveyLevel:yApplication REF:yp.y6 OBJ:y3
TOP:yHealthystatus KEY:yNursingyProcessyStep:yPlanning
MSC:yNCLEX:yHealthyPromotionyandyMaintenance:ypreventionyandyearlyydetectionyofydisease
3. Theyhealth-
careyworkeryteachesyaygroupyofynewyparentsyaboutythey“backytoysleep”yprogram,yw
hichyisydirectedytowardytheyreductionyofysuddenyinfantydeathysyndromey(SIDS)yby:ya.y
positioningytheybabyyonyaysmallyflatypillow.
b. placingytheybabyyonyitsybackyinytheycrib.
c. gentlyyrockingytheybabyybeforeyreturningyitytoybed.
d. tuckingyinfantysnugglyyinytheycribywithyaylightyblanket.
ANS:yB
TheybackytoysleepyprogramyhelpsyreduceytheyincidenceyofySIDSybyyplacingytheyinfantyonyitsyb
ackyratherythanyonyitsystomach.
DIF: CognitiveyLevel:yApplication REF:yp.y8 OBJ:y5
, TOP:yBackytoysleepyprogram KEY:yNursingyProcessyStep:yIntervention
MSC:yNCLEX:yHealthyPromotionyandyMaintenance:ypreventionyandyearlyydetectionyofydisease
4. HealthyyPeopley2020yendorsesytheycompletionyofyayhighyschoolyeducationyprimarilyytoyenableyay
personyto:
a. secureyaybetteryjob.
b. increaseytheyqualityyofylife.
c. makeyhealthyylifestyleychoices.
d. maintainytheyfamilyyunit.
ANS:yC
OneyofytheygoalsyofyHealthyyPeopley2020yisytoyincreaseytheynumberyofypersonsygraduatingyfr
omyhighyschoolysoythatytheyyhaveyaybetteryeducationybasisyonywhichytoymakeyhealthyylifest
yleychoices.
DIF: CognitiveyLevel:yApplication REF:yp.y8
OBJ:y4yTOP:yHealthyindicatorsyKEY:yNursingyProcessyStep:yNAyMSC:
yNCLEX:yNA
5. HealthyyPeopley2020yisypublishedybyythe:
a. CentersyforyDiseaseyControlyandyPrevention.
b. DepartmentyofytheyInterior.
c. WorldyHealthyOrganization.
d. DepartmentyofyHealthyandyHumanyServices.
ANS:yD
HealthyyPeopley2020yisypublishedybyytheyU.S.yDepartmentyofyHealthyandyHumanyServices.
DIF: CognitiveyLevel:yKnowledge REF:yp.y1
OBJ:y1yTOP:yHealthyyPeopley2020yKEY:yNursingyProcessyStep:yNAyM
SC:yNCLEX:yNA
6. Infantymortalityyratesyareybasedyonyinfantydeathsythatyoccur:
a. atybirth,ypery1000ydeliveries.
b. beforey1yyearyofyage,ypery1000yliveybirths.
c. fromyinfectionyandycongenitalydisorders,ypery1000yliveybirths.
d. fromyunexplainedycauses,ypery1000yliveybirths.
ANS:yB
Infantymortalityyisyreportedyonydeathsyoccurringybeforeytheyageyofy1yyearypery1000yliveybirth
s.
DIF: CognitiveyLevel:yKnowledge REF:yp.y6 OBJ:y4
TOP:yInfantymortality
KEY:yNursingyProcessyStep:yPlanningy
MSC:yNCLEX:yHealthyPromotionyandyMaintenance:ygrowthyandydevelopment
7. Althoughytheylifeyexpectancyyhasyincreased,yHealthyyPeopley2020ywillyfocusyonytheyolderyadult’syn
eedyfor:
a. betterypharmacyyinsuranceycoverage.
b. improvedyextendedycareyfacilities.
c. increasedycomplianceytoymedicalyprotocols.
d. maintenanceyofyindependentylifestyles.
, ANS:yD
Theymaintenanceyofyindependentylifestylesyisyanyongoingyproblemyforytheyolderyadult.
DIF: CognitiveyLevel:yComprehension REF:yp.y9
OBJ:y4yTOP:yOlderyadults
KEY:yNursingyProcessyStep:yPlanning
MSC:yNCLEX:yHealthyPromotionyandyMaintenance:ypreventionyandyearlyydetectionyofydisease
8. Informationyaboutymorbidityyandymortalityygivesytheyhealth-careyworkerydataytoyidentify:ya.
lifespanystatistics.
b. high-riskyageygroupsyforycertainydiseasesyoryhazards.
c. effectivenessyofytreatment.
d. cost-effectiveytreatmentyforytheygeneralypopulation.
ANS:yB
Evaluatingyspecificydetailsyofytheydeterminantsyofyhealthyhelpyhealth-
careyworkersydevelopyanyunderstandingyofytheyhealthystatusyofytheypopulation.yMorbidityya
ndymortalityystatisticsycanyidentifyyrisksyforydiseaseyoryhealthyhazardybyyageygroup.
DIF: CognitiveyLevel:yKnowledge REF:yp.y6
OBJ:y3yTOP:yMorbidity
KEY:yNursingyProcessyStep:yPlanning
MSC:yNCLEX:yHealthyPromotionyandyMaintenance:ypreventionyandyearlyydetectionyofydisease
9. Aymajorycauseyofydeathyforychildrenyunderytheyageyofy1yyearyis:
a. congenitalyabnormalities.
b. infection.
c. cancer.
d. injuries.
ANS:yA
TheyCentersyforyDiseaseyControlyandyPreventionyhasyidentifiedycongenitalyabnormalitiesyasy
ayleadingycauseyofydeathyforychildrenyunderytheyageyofy1yyear.
DIF: CognitiveyLevel:yKnowledge REF:yp.y6,yBoxy1-
1yOBJ:y1
TOP:yHealthystatus
KEY:yNursingyProcessyStep:yIntervention
MSC:yNCLEX:yHealthyPromotionyandyMaintenance:ypreventionyandyearlyydetectionyofydisease
10. Theyhealth-
careyworkeryadvisesyayyoungywomanywhoyisy7yweeksypregnantytoyincludeyfolicyacidysupplement
syinyherydietyinyorderyto:
a. strengthenymusclesyinypreparationyforyeffectiveylabor.
b. helpycontrolyexcessiveyweightygainyduringypregnancy.
c. reduceyincidenceyofycongenitalymalformations.
d. enhanceytheyprobabilityyofycarryingytheypregnancyytoyfullyterm.
ANS:yC
OneyofytheygoalsyofyHealthyyPeopley2020yisytoypromoteyuseyofyfolicyacidysupplementsyearlyyiny
pregnancy.yIdeally,yfolicyacidysupplements,yoryadequateydietaryyfolicyacid,yshouldybe
recommendedyearlyyinytheypregnancyytoyhelpypreventycongenitalymalformations,yespeciallyyspin
aybifida.